For many people, the money flowing from the Global Fund to Fight AIDS, Tuberculosis and Malaria literally makes the difference between life and death. The fund has saved an estimated 50 million lives in low- and middle-income countries in the two decades since. It was established through foreign leaders, researchers and philanthropic funders. Last month, a replenishment convention garnered $14. 25 billion in donor pledges, a record, though it’s still well below the $18 billion target.
Before the pandemic, the annual death toll from malaria, AIDS and tuberculosis (TB) was about 2. 4 million. But it is feared that this figure has increased since then, due to the diversion of resources to treat COVID-19 and the difficulties faced. through other people who access the closures of Remedios.
Despite these challenges, the Global Fund has continued its work. In 2021, it provided antiretroviral therapy to more than 23 million people, treated more than five million people for TB, and distributed some 133 million insecticide-treated mosquito nets against malaria.
A pandemic, climate replacement and growing global instability offer the best chance for the resurgence of infectious diseases. But the Global Fund says that if it can succeed in its current goal, another 20 million lives and 450 million can be saved. Most sensibly, six countries will only have malaria until 2026.
Most existing (and some new) government donors have increased their commitments for the most recent investment cycle, which covers the 2023-2025 era. 2020-2022. France announced it would donate $1590 million, Germany $1290 million, Japan $1080 million, Canada $904 million and the European Commission $710 million. The United States, the fund’s largest donor, has so far pledged $6 billion. At last month’s conference, U. S. President S. U. S. Secretary of State Joe Biden pledged to donate one billion dollars for every two billion dollars the fund receives from elsewhere. Among philanthropic donors, the Bill Foundation
In the latest funding circular, the UK pledged $1. 7 billion and Italy $178 million. If either country were to allocate the same amounts, and preferably more, to accommodate larger allocations made through others, it could potentially unlock more of the US, bringing the fund much closer to its goal.
Italy and the UK are going through political transitions, something that is delaying spending decisions. Last month, Italy elected a new government and the UK replaced its prime minister. The two countries have only a few weeks to verify their support, and the Global Fund said in a statement that it was confident in the UK’s commitment. Both countries will have to declare their intentions clearly and quickly. The enjoyment of high-income countries has taught us that AIDS, malaria and tuberculosis can be controlled or eliminated.
Twenty years later, the foreign network made the ambitious resolution to help identify the Global Fund for these global diseases. Now is not the time to slow down.
Nature 610, (2022)
doi: https://doi. org/10. 1038/d41586-022-03129-1
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