The United States was the major funder of tuberculosis programs. Now hundreds of thousands of sick patients can’t find tests or drugs, and risk spreading the disease.

The whole system of finding, diagnosing and treating tuberculosis — which kills more people worldwide than any other infectious disease — has collapsed in dozens of countries across Africa and Asia since President Trump ordered the aid freeze on Jan. 20, Inauguration Day.

The United States contributed about half of international donor funding to TB last year and here in Kenya paid for everything from nurses to lab equipment. Trump administration officials have said that other countries should contribute a greater share to global health programs. They say administration is evaluating foreign aid contracts to determine whether they are in the national interest of the United States.

While some of the TB programs may ultimately survive, none have received any money for months.

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