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The UN warns millions will die by 2029 if US funding for HIV programs isn’t replaced

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LONDON (AP) — Years of American-led investment into AIDS programs has reduced the number of people killed by the disease to the lowest levels seen in more than three decades and provided life-saving medicines for some of the world’s most vulnerable.

But in the last six months, the sudden withdrawal of U.S. money has caused a “systemic shock,” U.N. officials warned, adding that if the funding isn’t replaced, it could lead to more than 4 million AIDS-related deaths and 6 million more HIV infections by 2029.

A new UNAIDS report released Thursday said the funding losses have “already destabilized supply chains, led to the closure of health facilities, left thousands of health clinics without staff, set back prevention programs, disrupted HIV testing efforts and forced many community organizations to reduce or halt their HIV activities.”

It also said that it feared other major donors scaled back their support, reversing decades of progress against AIDS worldwide — and that the strong multilateral cooperation is in jeopardy because of wars, geopolitical shifts and climate change.

A ‘lifeline’ removed

The $4 billion that the United States pledged for the global HIV response for 2025 disappeared virtually overnight in January, when U.S. President Donald Trump ordered that all foreign aid be suspended and later moved to shutter the U.S. AID agency.

Andrew Hill, an HIV expert at the University of Liverpool who is not connected to the United Nations, said that while Trump is entitled to spend U.S. money as he sees fit, “any responsible government would have given advance warning so countries could plan,” instead of stranding patients in Africa where clinics were closed overnight.

The U.S. President’s Emergency Plan for AIDS Relief, or PEPFAR, was launched in 2003 by U.S. President George W. Bush, the biggest-ever commitment by any country focused on a single disease.

UNAIDS called the program a “lifeline” for countries with high HIV rates, and said that it supported testing for 84.1 million people, treatment for 20.6 million, among other initiatives. According to data from Nigeria, PEPFAR also funded 99.9% of the country’s budget for medicines taken to prevent HIV.

U.N. Assistant Secretary-General Angeli Achrekar, a UNAIDS deputy executive director who was PEPFAR’s principal deputy coordinator until January 2023, said the program is under review by the Trump administration though Secretary of State Marco Rubio issued a waiver “to continue life-saving treatment.”

““The extent to which it will continue in the future, we don’t know,” she told a video news conference with U.N. reporters in New York. “We are cautiously hopeful that PEPFAR will continue to support both prevention and treatment services.”

A gap impossible to fill

In 2024, there were about 630,000 AIDS-related deaths worldwide, per a UNAIDS estimate — the figure has remained about the same since 2022 after peaking at about 2 million deaths in 2004.

Even before the U.S. funding cuts, progress against curbing HIV was uneven. UNAIDS said that half of all new infections are in sub-Saharan Africa.

Tom Ellman of Doctors Without Borders said that while some poorer countries were now moving to fund more of their own HIV programs, it would be impossible to fill the gap left by the U.S.

“There’s nothing we can do that will protect these countries from the sudden, vicious withdrawal of support from the U.S.,” said Ellman, head of the group’s South Africa medical unit.

Experts also fear another significant loss — data.

The U.S. paid for most HIV surveillance in African countries, including hospital, patient and electronic records, all of which has now abruptly ceased, according to Dr. Chris Beyrer, director of the Global Health Institute at Duke University.

“Without reliable data about how HIV is spreading, it will be incredibly hard to stop it,” he said.

A new drug revives hope

The uncertainty comes in the wake of a twice-yearly injectable that many hope could end HIV. Studies published last year showed that the drug from pharmaceutical maker Gilead was 100% effective in preventing the virus.

At a launch event Thursday, South Africa’s health minister Aaron Motsoaledi said the country would “move mountains and rivers to make sure every adolescent girl who needs it will get it,” saying that the continent’s past dependence upon US aid was “scary.”

Last month, the U.S. Food and Drug Administration approved the drug, called Yeztugo, a move that should have been a “threshold moment” for stopping the AIDS epidemic, said Peter Maybarduk of the advocacy group Public Citizen.

But activists like Maybarduk said Gilead’s pricing will put it out of reach of many countries that need it. Gilead has agreed to sell generic versions of the drug in 120 poor countries with high HIV rates but has excluded nearly all of Latin America, where rates are far lower but increasing.

“We could be ending AIDS,” Maybarduk said. “Instead, the U.S. is abandoning the fight.”

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Associated Press writer Edith M. Lederer at the United Nations contributed to this report.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

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A previous version of this story was corrected to show that the name of the drug is Yeztugo, not Sunlenca.





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A federal appeals court ruled against Trump’s tariffs. Here’s what could happen next.

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President Trump has claimed the authority to bypass Congress and impose sweeping tariffs on foreign products, arguing the import duties are necessary to strengthen the U.S. economy.

Now a federal appeals court has thrown a roadblock in his path.

The U.S. Court of Appeals for the Federal Circuit ruled Friday that Mr. Trump went too far when he declared national emergencies to justify tariffs on nearly every country on Earth. The ruling largely upheld a May decision by a federal trade court in New York. 

But Friday’s 7-4 appeals court decision tossed out a part of that ruling striking down the tariffs immediately, giving his administration time to appeal to the U.S. Supreme Court. The ruling represents a major setback for Mr. Trump, who has said his trade policies will enrich the U.S. by bringing back manufacturing jobs and contributing billions in new revenue for the federal government. 

“This ruling highlights a serious legal threat to one of the president’s most high-profile economic policies,” said Nigel Green, CEO of financial advisory company deVere Group, in an emailed report.

On Friday, Mr. Trump lashed out against the 7-4 ruling in a Truth Social post, calling the appeals court “Highly Partisan” and noting that the tariffs are still in effect. 

Six of the seven judges who ruled against the tariffs are appointees of Democratic presidents, while the seventh is an appointee of former President George H.W. Bush. Of the four judges who dissented, two were appointed by former President Obama and two by former President George W. Bush.

Here’s what could happen next as the legal case proceeds.

How did the dispute arise? 

Friday’s ruling came as part of a months-long legal challenge over the tariffs brought by Democratic states and small businesses, which are arguing that the president has exceeded his authority in issuing the import duties. 

The appeals court’s decision is focused on the tariffs Mr. Trump imposed in April on most trading partners, along with earlier levies on China, Mexico and Canada.

Mr. Trump on April 2 — or Liberation Day, he called it — imposed so-called reciprocal tariffs of up to 50% on countries with which the U.S. runs a trade deficit and 10% baseline tariffs on almost everybody else.

The president later suspended the reciprocal tariffs for 90 days to give countries time to negotiate trade agreements with the U.S. — and reduce their barriers to American exports. Some of them did — including the U.K., Japan and the EU — and agreed to deals with Mr. Trump to avoid even bigger tariffs.

Countries that didn’t comply faced higher tariffs earlier this month. Laos got rocked with a 40% tariff, for instance, and Algeria with a 30% levy. Mr. Trump also kept the baseline tariffs in place.

What is the IEEPA?

Mr. Trump justified the taxes under the 1977 International Emergency Economic Powers Act, or IEEPA, by declaring longstanding U.S. trade deficits “a national emergency.”

In February, he’d invoked the law to impose tariffs on Canada, Mexico and China, saying that illegal immigration and drug trafficking amounted to a national emergency and that the three countries needed to do more to stop it.

The U.S. Constitution gives Congress the power to set taxes, including tariffs. But lawmakers have gradually let presidents assume more power over tariffs — and Mr. Trump has made the most of it.

Does the ruling apply to all tariffs?

No, the court’s ruling doesn’t cover all of Mr. Trump tariffs. For instance, his levies on foreign steel, aluminum and autos were imposed under a different regulation after Commerce Department investigations concluded that those imports were threats to U.S. national security.

Nor does it include tariffs that Mr. Trump imposed on China in his first term — and President Biden kept — after a government investigation concluded that the Chinese used unfair practices to give their own technology firms an edge over rivals from the U.S. and other Western countries.

The administration had argued that courts had approved then-President Richard Nixon’s emergency use of tariffs in the economic chaos that followed his decision to end a policy that linked the U.S. dollar to the price of gold. The Nixon administration successfully cited its authority under the 1917 Trading With Enemy Act, which preceded and supplied some of the legal language later used in IEEPA.

In May, the U.S. Court of International Trade in New York rejected the argument, ruling that Trump’s Liberation Day tariffs “exceed any authority granted to the President” under the emergency powers law. In reaching its decision, the trade court combined two challenges — one by five businesses and one by 12 U.S. states — into a single case.

On Friday, the federal appeals court wrote in its 7-4 ruling that “it seems unlikely that Congress intended to … grant the President unlimited authority to impose tariffs.”

What happens next? 

The president vowed to take the fight to the Supreme Court. “If allowed to stand, this Decision would literally destroy the United States of America,” he wrote on his social media platform on Friday.

A dissent from the judges who disagreed with Friday’s ruling clears a possible legal path for Mr. Trump, concluding that the 1977 law allowing for emergency actions “is not an unconstitutional delegation of legislative authority under the Supreme Court’s decisions,” which have allowed the legislature to grant some tariffing authorities to the president.

The government has argued that if Mr. Trump’s tariffs are struck down, it might have to refund some of the import taxes that it’s collected, delivering a financial blow to the U.S. Treasury. Revenue from tariffs totaled $159 billion by July, more than double what it was at the same point the year before. 

Tariffs are paid by U.S. importers, such as American manufacturers or retailers that rely on foreign-made products. While the U.S. companies typically swallow some of the cost, they pass on much of the added expenses to consumers in the form of higher prices. 

The Justice Department warned in a legal filing this month that revoking the tariffs could mean “financial ruin” for the U.S.

It could also put Mr. Trump on shaky ground in trying to impose tariffs going forward.

“While existing trade deals may not automatically unravel, the administration could lose a pillar of its negotiating strategy, which may embolden foreign governments to resist future demands, delay implementation of prior commitments or even seek to renegotiate terms,” Ashley Akers, senior counsel at the Holland & Knight law firm and a former Justice Department trial lawyer, said before the appeals court decision.

Does the Trump administration have other options? 

Mr. Trump does have alternative laws for imposing import taxes, but they would limit the speed and severity with which he could act. 

For instance, in its decision in May, the trade court noted that Mr. Trump retains more limited power to impose tariffs to address trade deficits under another statute, the Trade Act of 1974. But that law restricts tariffs to 15% and to just 150 days on countries with which the U.S. runs big trade deficits.

The administration could also invoke levies under a different legal authority — Section 232 of the Trade Expansion Act of 1962 — as it did with tariffs on foreign steel, aluminum and automobiles. But that requires a Commerce Department investigation and cannot be imposed at the president’s sole discretion.

“Even if the tariffs are struck down, we believe the Trump administration will look for new ways to tax imports or otherwise raise revenue from companies selling into the U.S.,” noted Green of the deVere Group.



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Boy, 11, shot dead after playing doorbell-ringing prank in Houston, police say | Houston

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An 11-year-old boy playing a common prank game of ringing doorbells in Houston, Texas, was shot dead on Saturday as he ran away from a house.

Authorities said the boy was struck several times as he and some friends were buzzing doorbells in an Eastside neighborhood.

The Houston police department have not released the identity of the boy or the occupant of the home, but said a middle-aged man has been arrested and several weapons were later recovered from the home.

Police said the boy had been playing “ding-dong ditch”, which involves ringing on the doorbell of a home and running away. A witness saw the boy ring a doorbell and flee the property before he was struck by gunfire.

“A witness stated the male was running from a house, after ringing the doorbell, just prior to suffering a gunshot wound,” police said in a police statement.

Neighbors later told KPCR 2 that a man was seen being led in handcuffs out of a police vehicle and walking him to the home where the shooting happened.

Houston homicide detective Michael Cass told CBS News affiliate KHOU that a witness had recalled someone exiting the house that was pranked and “shooting at the kids running down the street”.

“Unfortunately, sadly enough, one of the boys, who was 11 years old, was shot in the back,” Cass said.

The game has led to deaths before. In 2023, a California man was found guilty of murder for intentionally ramming the car of six teens who buzzed his doorbell, killing three.

In May, a man in Virginia was charged with second-degree murder after he shot and killed a teenager who had filmed a TikTok video playing the doorbell game on the man’s home at 3am, according to local police reports.



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Influencer Jess Hurrell Dead at 42

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Influencer Jess Hurrell
Dead at 42
… After 8-Year Cancer Battle

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