{"id":1792,"date":"2026-08-03T18:41:48","date_gmt":"2026-08-03T18:41:48","guid":{"rendered":"https:\/\/commercialrelocationpros.com\/?p=1792"},"modified":"2026-08-03T18:41:48","modified_gmt":"2026-08-03T18:41:48","slug":"what-america-first-means-for-global-health","status":"publish","type":"post","link":"https:\/\/commercialrelocationpros.com\/?p=1792","title":{"rendered":"What \u2018America First\u2019 Means for Global Health"},"content":{"rendered":"
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The Ebola outbreak raging in the Democratic Republic of Congo is now the largest in the nation\u2019s history, according to the World Health Organization. The strain of Ebola driving this outbreak is called Bundibugyo and has no vaccine or treatments. It\u2019s devastating: More than 3,600 cases have been identified, which have led to more than 1,500 deaths\u2014a 44 percent fatality rate. The tragedy has been compounded by the ongoing conflict in the nation. Millions have been forced from their homes and even more are facing crisis levels of hunger.<\/p>\n

Read more Photos: Wildfires Burn Through Spokane Neighborhoods<\/a><\/p>\n

Could this all have been prevented? Hasn\u2019t the world figured out how to handle Ebola? This week, I spoke with my colleague Hana Kiros, who has been covering the outbreak and how the Trump administration has gutted foreign aid that it says saves lives, about why this outbreak is different and what it tells us about the state of global health today.<\/p>\n

The following is a transcript of the episode:<\/em><\/p>\n

Adam Harris: <\/strong>This is Radio Atlantic<\/em>. I\u2019m Adam Harris, and this week we need to think about Ebola and the crumbling global-health infrastructure.<\/p>\n

The Democratic Republic of the Congo is in the throes of one of the largest Ebola outbreaks in the history of the African continent. Nearly half of those who have contracted the virus have died.<\/p>\n

Since the outbreak began, in May, the international community has been playing a game of catch-up. But perhaps it should have seen this coming.<\/p>\n

On the day President Trump returned to office in 2025, the administration issued a 90-day freeze on foreign aid. In February of that year, they eliminated 90 percent of the USAID foreign-aid contracts before they finished dismantling USAID a few months later.<\/p>\n

The shuttering sent shockwaves through the international-aid community: The resources the U.S. was withdrawing weren\u2019t just good PR; they were critical to the public health of poorer nations. And now, as Ebola ravages the Congo, advocates say that this is exactly the sort of outbreak that money and coordination was intended to contain.<\/p>\n

How will this outbreak end? And could this level of catastrophe have been avoided?<\/p>\n

With me to discuss is my colleague Hana Kiros, who has been covering the decimation of the U.S.\u2019s global-health aid and the current Ebola outbreak.<\/p>\n

Let\u2019s get to questions.<\/p>\n

Hana, thanks so much for joining me today.<\/p>\n

Hana Kiros: <\/strong>Thanks for having me.<\/p>\n

Harris:<\/strong> When we spoke at the office maybe about a month ago, there\u2019d been roughly 500 deaths from Ebola on the African continent to that point. Now there are roughly 1,500. Why has this breakout been so difficult to contain?<\/p>\n

Kiros:<\/strong> I think there are a couple of factors, but the biggest one is probably just that it was caught so late in its spread. There was a lot of disease transmission that occurred before an international response was mounted. Ebola was sort of this runaway train that was spreading through the DRC. And then, it\u2019s in an active war zone, which complicates things. There\u2019s not really any testing in refugee camps. And it\u2019s also a gold-mining town where the epicenter of the outbreak\u2019s where people just sort of come in and out.<\/p>\n

So, it\u2019s a place where people\u2014Ebola was spreading and spreading to a lot of different places before we started trying to contain it, and now it\u2019s just the response hasn\u2019t moved as fast as Ebola has through the country.<\/p>\n

Harris:<\/strong> Yeah, and so you\u2019re talking about the DRC, the Democratic Republic of the Congo; where else in the region is it? I know there were cases in Uganda. Has it spread beyond the DRC, or is it still primarily located in the DRC?<\/p>\n

Kiros: <\/strong>So, it\u2019s primarily located in the DRC and specifically in the eastern DRC. There\u2019s a health zone that\u2019s near South Sudan that has had its first cases of Ebola. Uganda has had a few cases, but the outbreak there has been declared over. They have a really robust health-care system. South Sudan much less so. So, there\u2019s fear of that happening, but right now it\u2019s still within the DRC.<\/p>\n

Harris:<\/strong> The West African Ebola outbreak in the 2010s, where something like 30,000 people were infected, over 11,000 people were killed\u2014what is different about this strain of Ebola?<\/p>\n

Kiros:<\/strong> The one that\u2019s tearing through the DRC right now is a different virus entirely. So, it\u2019s the Bundibugyo Ebola virus. And because of that, this virus has evaded detection and that\u2019s a really big part of why it was caught so late. Because the machines that were being used to test for Ebola were giving back negative results because they were looking for one Ebola, not all five of them.<\/p>\n

So that\u2019s one way that this outbreak is different. We don\u2019t have the regular arsenal of vaccines, treatments, diagnostic capacity, that we know works.<\/p>\n

And then in terms of the actual scale, so now the outbreak is over 3,000 cases and it\u2019s very nearly the second-largest Ebola outbreak in recorded history.<\/p>\n

And the big difference is that this is the fastest-moving Ebola outbreak that we\u2019ve seen. So, there\u2019s an explosion of cases that\u2019s happened within a very short period of time. Again, we\u2019re not really sure what the period of time is. We don\u2019t know who patient zero is in this outbreak. So, I think that\u2019s the main differentiator.<\/p>\n

Harris:<\/strong> When you mentioned patient zero, it\u2019s almost a reminder that these are individuals, right, that make up these larger numbers? Can you sort of humanize this for us? What has that experience been like, traditionally or historically, during these outbreaks?<\/p>\n

Kiros:<\/strong> You know, I was speaking to a woman at Doctors Without Borders who\u2019s coordinating their response to the outbreak in the DRC and she was saying that the current case-fatality rate is like 40 percent. She talked about a mother that showed up to an Ebola-treatment facility with symptoms and with two kids, and because of delays in testing it can be 48 hours, 72 hours before you get a positive or negative result. So, there\u2019s a question of like, where do the kids go while you\u2019re waiting? If you\u2019re at home with a fever, you might be hesitant to go to this place where half, almost half, of people don\u2019t come back from. So I think that, there\u2019s this perception that the Ebola treatment wards are like places where you go to die, and health-care workers have said that that\u2019s really something they want to fight against, because if people\u2014you have a much better chance of surviving if you\u2019re treated earlier in the disease progression. So, there\u2019s a lot of fear. I think 90 percent of people are dying before they ever reach a hospital, according to the World Health Organization.<\/p>\n

And also just like cultural practices. In the DRC, funerals are a multiday affair where you celebrate the life of the person, you touch the body, and that\u2019s a major way that Ebola spreads. So, this very basic cultural practice\u2014like, imagine your mother died and you think about, there\u2019s this way that you honor her before you put her in the ground and you can\u2019t do that anymore because of a virus. It reminds me of COVID in a lot of ways, in the way that there\u2019s disruption, there\u2019s a lot of suspicion; some people think it\u2019s a hoax. But yeah, it\u2019s just caused a lot of disruption in the DRC.<\/p>\n

Harris:<\/strong> Yeah, to that point of people thinking that that it\u2019s a hoax\u2014there is the hoax that leads people to a hesitancy to go to a doctor or to go and be seen, but there\u2019s also this sort of mistrust that leads to almost anger, right? This idea that Maybe they\u2019re withholding something from us that could help people.<\/em> How are folks in the Congo dealing with that in their response to the international community\u2019s sort of attempts to help contain the spread? Is there a sort of violent response to those efforts?<\/p>\n

Kiros:<\/strong> So, there has been, in some cases. I think most people in the Congo don\u2019t think that Ebola is a hoax. There was a survey recently that I think 30 percent of people thought that it wasn\u2019t a real disease, which is significant, but it\u2019s not the majority of people. But Ebola-treatment centers have been burned. There are teams that are called \u201csafe and dignified burial teams,\u201d and they go out in basically hazmat suits and then they will, if someone\u2019s tested positive, they\u2019ll go to their home and try and disinfect everything so that bodily fluids that can transmit Ebola don\u2019t infect other people. And then they sort of wrap people up in a special tarp, and they try to bury them in a way that ensures the disease doesn\u2019t spread. Those people have been attacked because they\u2019re highly visible.<\/p>\n

And I think from the perspective of someone in the DRC, you\u2019re much more likely to die from the conflict that\u2019s happening there, or from malaria or from malnutrition, issues related to displacement, than you are from Ebola. But when an Ebola outbreak spreads, there is this parachuting in of international aid, which is apt to make sure that the spread doesn\u2019t continue, but if you look at even the worst-case scenario, there are\u2014in the minds of some people, there are bigger fish to fry. And so, I think that there is a lot of gratitude, people that are cooperating. There\u2019s a lot of really great radio programs that have positive public-health messaging, but there\u2019s also a lot of distrust and just wariness of how much people\u2019s daily lives have changed.<\/p>\n

Harris:<\/strong> Bio threats happen all the time. It\u2019s something that governments are sort of always thinking about, and scientists have estimated or believed that there\u2019s about a 50\u201350 chance of another COVID-level pandemic materializing in the next 25 years. And that probability jumps significantly when you\u2019re talking about these sort of smaller-scale outbreaks and epidemics, right? They\u2019re things that are going to happen.<\/p>\n

Read more Kill the Ticks<\/a><\/p>\n

There was a playbook that developed out of some of these previous outbreaks to deal with things like this. Is that playbook still a thing? Does the international community still know how to manage these sorts of outbreaks?<\/p>\n

Kiros:<\/strong> I hope so. The Trump admin published its America First Global Health Strategy and it promotes this \u00e0 la carte model of funding global-health responses. So, it takes the control of global health away from the CDC and puts it in the hands of the State Department.<\/p>\n

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Marco Rubio:<\/strong> We care about Ebola. We don\u2019t want anyone dying or being affected by Ebola. But our No. 1 priority will always be making sure it doesn\u2019t come to the United States. That\u2019s our No. 1 obligation.<\/p>\n<\/blockquote>\n<\/div>\n

Kiros: <\/strong>And there was a really great Substack post that I read, I think it was headlined, like, \u201cWould You Want Henry Kissinger Running the COVID Response?,\u201d where, like, if you don\u2019t have public-health experts, epidemiologists, people that are specialized in running global-health responses and whose primary purpose is not statecraft but in preventing disease spread, like, how that impacts our global-health security, how it affects all of us that are alive. Like, I don\u2019t know.<\/p>\n

And also, the \u00e0 la carte model asks countries to decide basically like, Do you want bed nets?<\/em> It leads me to worry about how comprehensive future responses will be, and how prepared we\u2019ll be.<\/p>\n

Harris:<\/strong> Yeah, it\u2019s almost like when you move it to the State Department, it becomes more of a\u00a0 play for diplomacy as opposed to a care, a sort of compassionate aid, right?<\/p>\n

Kiros: <\/strong>Yeah, I think there\u2019s always been this dual justification for providing foreign aid and health aid specifically. We should nip it in the bud before it comes to our borders, but also we don\u2019t want innocent people and babies to die of things that are very preventable.<\/p>\n

Harris:<\/strong> The World Food Program was talking about, they just put out a report recently that talks about the compound factors that make the sort of public-health crisis in the DRC worse. And they\u2019re requesting over $100 million over the next six months for Ebola response in the region, $76 million for the Congo alone.<\/p>\n

You\u2019ve reported on the sort of deep cuts for international aid out of the United States. And I wonder if the U.S. will ever get back to funding international-health aid in the same way that it did before this Trump administration.<\/p>\n

Are there any indications that they will get that $100 million and then have some for the future to prevent Outbreak 17, Outbreak 18, Outbreak 19?<\/p>\n

Kiros: <\/strong>So, the World Food Program is really broke currently. They\u2019ve had to pull back from a lot of really critical places where they were providing food aid, cut rations. But I will say I think that Trump really cares about Ebola. In 2014, he was a prolific Ebola poster. I think he made 100 tweets about Ebola within a span of a few months. It\u2019s at the intersection of hypochondriac Trump and border-control Trump. He really was adamant that no one that had the virus should enter the country, even if they\u2019re Americans that caught the virus while abroad. And you see that he\u2019s implemented that this time around. So, if an American doctor goes to the DRC, gets Ebola, instead of sending them back to the U.S., we\u2019re sending them to Europe. So I mean Trump is engaged on Ebola.<\/p>\n

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Donald Trump:<\/strong> Go ahead, Ebola. Ebola.<\/p>\n<\/blockquote>\n<\/div>\n

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Reporter: <\/strong>Should Americans be concerned about Ebola?<\/p>\n<\/blockquote>\n<\/div>\n

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Trump: <\/strong>I\u2019m concerned about everything. But certainly am. I think that, you know, it\u2019s been confined right now to Africa. But it\u2019s something that\u2019s had a breakout.<\/p>\n<\/blockquote>\n<\/div>\n

Kiros:<\/strong> Ebola is sort of like, even when Elon Musk was discussing the USAID cuts, he was like, We cut Ebola, whoops! Everyone knows we should keep doing that<\/em>. So I actually, I do think that when there\u2019s an Ebola outbreak, out of a desire to protect national security, there is typically a surge in response. And we\u2019ve seen that even this time, that the research and development money that\u2019s gone into developing a vaccine for this species of Ebola, developing treatments\u2014the U.S. has provided that.<\/p>\n

I think what I\u2019m skeptical about ever coming back is really there were some things that were just dropped from the global-health-aid agenda that the U.S. no longer funds. So, neglected tropical diseases\u2014they\u2019re this sort of package of diseases like river blindness or different types of parasitic diseases that are disabling but typically aren\u2019t deadly, but they can make someone blind permanently or make it so that they\u2019re unable to work, unable to go to school. And the U.S. had really successful programs that were eliminating these diseases in many countries. And most of the drugs were donated from pharmaceutical companies and the U.S. was just helping with distribution, and we\u2019ve stopped doing that, and those companies have stopped donating the drugs because a lot of the infrastructure is gone. And that\u2019s one of those things where I think there are a lot of examples like that, where progress was being made on a major global-health problem, and we, the U.S., just lost interest and then that\u2019s without really an explanation things were dropped from the agenda.<\/p>\n

I don\u2019t know if we ever get back. I think it\u2019s harder to argue for the reinstitution of something than the continuation of it. And then I also think that aid has been politicized in a way that makes it difficult. The U.S. provides virtually no aid to Somalia anymore, even though they\u2019re on the brink of famine. Certain countries have been blacklisted for lack of political interest. So, I think that we\u2019re seeing a narrowing of ambition. And then also, some countries have just been dropped from the aid agenda by the Trump admin. So those are the major changes I see and the things that I think might not come back.<\/p>\n

Harris: <\/strong>If those things don\u2019t come back, what risk does that pose to the global-health picture?<\/p>\n

Kiros:<\/strong> Zooming in on Ebola specifically, there\u2019s just a lot less health care in the DRC because humanitarian funding not just from the U.S. but from most other wealthy countries is down pretty significantly, because the U.S. has always been a leader in global health. So I think a lot of people took our lead and brought it down.<\/p>\n

The International Rescue Committee, for example, in this region of the DRC, they closed I think more than half of their health-care facilities. And there\u2019s a relationship between these NGOs and the World Health Organization, the U.S. government, sort of tipping off the right authorities when they see something that is suspect and could be a pathogen that\u2019s a real threat to biosecurity. So, I think that there are just sort of all of these holes in our picture of disease spread, and diseases will come. So I think that\u2019s something to worry about. But I also think that the main impact will be just, if there\u2019s a famine in Somalia and the U.S. doesn\u2019t respond, a lot of people in Somalia are gonna die\u2014more than would have otherwise.<\/p>\n

The U.S. has been successful in the past of saving millions of people from famine in Somalia.<\/p>\n

Harris: <\/strong>If you were to open your reporter\u2019s notebook, think about the questions that you still have about the outbreak, about the spread, about the global, international response to it, what are those questions that you still have about the outbreak that you would like answered or that you want to pursue?<\/p>\n

Kiros:<\/strong> When I\u2019ve talked with people that are in the DRC, in Bunya, which is the current epicenter of the outbreak, I have asked where are the Americans? Do you see Americans? Is the U.S. playing a clear leadership role? And a lot of the people I\u2019ve talked to have been like, It\u2019s not really the U.S. leading anymore. <\/em>And part of that, I think, is because after the Obama administration really took the lead on the 2014 Ebola outbreak, and the World Health Organization\u2014it floundered and was not as useful as the U.S. was. So, there was effort put into training up the World Health Organization and building capacity so that they were more capable of leading an international-outbreak response.<\/p>\n

And so I think that part of the story is that the World Health Organization is capable of taking the lead. But also, the leadership gap, if there is one, is interesting to me. And then I also think that this is a massive, massive human effort. So there are doctors, there are nurses, there are health-care workers that are donning hazmat suits basically, and are in 80 percent humidity in the summer heat. Doctors, they have to, they can only work for an hour because otherwise they\u2019ll pass out due to the heat, and they\u2019re not being paid. So there\u2019s strikes that are happening amid the outbreak, which are, I mean, really disrupting care for people in really critical condition. But there are also these health-care workers that are working in extremely dangerous situations. People call Ebola a disease of compassion because the people that are the caretakers often are the ones that get infected and die from it.<\/p>\n

Harris:<\/strong> Yeah, absolutely. As you mentioned that human element\u2014global health is really, at the end of the day, really a human endeavor, right? A moral endeavor. It\u2019s about preventing unnecessary human suffering, right? I think that human element of folks putting themselves in harm\u2019s way to help other people is such a fundamental part of being human.<\/p>\n

Hana, thank you so much for your time today and in sharing all of this with us. And we\u2019ll be following your reporting as the effort to contain the outbreak continues.<\/p>\n

Read more Why Is the U.S. Running So Low on Weapons?<\/a><\/p>\n

Kiros: <\/strong>Thanks so much.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"

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