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Think Global Health

U.S. Global Health Funding Expires as Nepal Calls for Support

October 2, 2026

 

Editors' Note

This week, $1.3 billion in funding that the U.S. Congress had allocated for global health—aimed at addressing areas ranging from child health challenges to HIV/AIDS—expired.  

Maine Senator Susan Collins had urged the administration to spend the money before the September 30, 2026, deadline, but programs had yet to receive the funds. In other funding news, the United States announced it was ceasing health aid payments to Zimbabwe because its government had rejected the United States' data sharing demands. Think Global Health's tracker highlights those and other new developments in the Trump administration's America First Global Health Strategy. 

Heading to Nepal, freelance journalists Tanka Dhakal and Bhagirathi Pandit recount how financing to rebuild from August's catastrophic floods is scarce as health workers navigate trauma, destruction, and post-disaster health threats, such as insect- and water-borne diseases. 

Shifting to the search by the World Health Organization (WHO) for its next director general, six candidates have officially entered the race. Independent analyst Summer Galloway explains why the WHO needs a reckoning before the next leader takes the reins—one that looks at how the global health system is broken and why.   

Finally, as the U.S. midterm elections approach, two WHO medical epidemiologists, Howard L. Sobel and John C. S. Murray, describe how the country's retreat from global health and immunization threatens its health and economic security. 

Until next week!—Allison Krugman, Interim Managing Editor, Katherine Leach-Kemon, Senior Contributing Editor, and Alejandra Martinez, Research Associate

 

This Week's Highlights

ENVIRONMENT

Aerial view of flood-ravaged Betrawati in Rasuwa; many houses are buried beneath the mud, on August 29, 2026.

Trauma, Destruction, Disruption: Nepal's Health Workers Struggle in Aftermath of Floods

by Tanka Dhakal and Bhagirathi Pandit

Funding to rebuild remains scarce as Nepal's overburdened health system works to address post-disaster public health threats

Read this story

 

GOVERNANCE

Delegates attend the 79th World Health Assembly of the World Health Organization, in Geneva, Switzerland, on May 18, 2026.

WHO Elections: Reform Without Reckoning

by Summer Galloway

The organization cannot be reshaped without confronting its internal structure, partnership rules, and expanding operational role

Read this story

 

Figure of the Week

A table detailing a timeline of the most recent events occurring in the America First Global Health strategy, such as Maine's Senator Susan Collins urging the administration to obligate the remaining $1.3 billion unspent for global health before the funds expired on September 30, 2026.

Read this story

 

Recommended Feature

GOVERNANCE

The exterior of the U.S. Capitol is seen at sunset in Washington, DC, on January 4, 2023.

The U.S. Vaccine Pullback is a Strategic Mistake

by Howard L. Sobel and John C. S. Murray

When U.S. commitment to public health declines, so does the world's capacity to prevent the next crisis, say two medical epidemiologists with the World Health Organization

Read this story

 

What We're Reading

Congress Allocated $1.3 Billion That the Trump Administration Hasn't Spent (NPR) 

Iranians Face Soaring Prices for Medicine as the U.S. Blockade and Sanctions Hit Hard (Associated Press)

Accra Reset's Plan for Health Sovereignty Includes Closing Some Global Health Bodies (Health Policy Watch)

U.S. Rejects U.N. Declaration on Preparing for Future Pandemics (New York Times)

Britain Sends Team to South Sudan as Country Braces for Ebola (The Telegraph)

 

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