Implication of the Trump Administration s Policies on Law and Global Health: Evidence and Preliminary Reflections
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1 Implication of the Trump Administration s Policies on Law and Global Health: Evidence and Preliminary Reflections
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3 ! Present an outline of selected administration policy and impact on health! Direct hits" Funding! Indirect hits Policies interact to impact health Can we identify, respond, and prevent these?! How should we at USC respond?! Interdisciplinary research! Advocacy
4 ! State Department/USAID Funding, $8.7 billion to 6.5 billion (24% reduction )! Malaria ($331 million, -44%)! Global Fund to fight AIDS, Malaria, TB ($225 Million,- 17%)! Centers for Disease Control ($85 million, -20%)! US provides 1/3 of global health funds (<1% GDP)
5 ! USAID Global Health HIV/AIDS funding! USAID Global Health Security Funding! Emerging infectious diseases! $72.5 million from unused Ebola funds! USAID programs for Vulnerable Children! USAID programs for Family Planning! Funding for UNFPA! NIH Fogarty International Center eliminated
6 ! Trump s goal: ZERO funding for family planning! 3.3 million abortions! 15,000 maternal deaths! 8 million unintended pregnancies! 26 million women/couples lose services Source: Guttmacher/PAI! Global Gag Rule/Mexico City Policy! Regan Era Policy reinstated! Expansion of policy: no GH funding for any organization that supports or promotes abortion! Continued national assault on reproductive rights.
7 ! President s Emergency Plan for AIDS Relief ($860 Million, -18%)! Estimated 1 million will die as a result! 300,000 orphans! Nationally:! CDC HIV Prevention programs cut by $149 million, 19%! Eliminate Ryan White Program s AIDS Education and Training Centers! Eliminate Minority AIDS Initiative Fund! Eliminate Housing Opportunities for People with AIDS
8 ! NIH, $5.8 billion! Low income assistance, $4.2 billion! Children s Health Insurance Program, $5.8 billion! Federal Medicaid, $839 billion over 10 years! Across the board, funding for non-military science agencies cut.
9 ! Environment/Climate Change! Immigration! Civil Rights
10 ! Announced June 1, 2017! Impact is wide ranging! Rising sea levels! Heat waves/fires! Hurricanes/Cyclones/flooding! Food security/nutrition! Vector territory expansion/emerging infectious diseases! Links to insecurity! Health Affairs 2011: 6 Climate events in US cost $14 billion
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12 ! I.C.E. raids, refugee/muslim ban, DACA! Reduced utilization of health services in LA County! Mental health impact, unknown! Temporary Protected Status" next target?! Temporary work authorizations, protection from deportation for those from dangerous settings! 440,000 from Haiti, Honduras Nicaragua, El Salvador, Guatemala, Syria, Sudan and South Sudan, others.
13 ! Chlorpyrifos, organophosphate pesticide made by Dow Petrochemical.! Linked to IQ drop in children, autism! Threatens multiple endangered species! Acute poisoning of workers! Remains in environment for long periods! EPA scientists recommended a ban during Obama administration! Pruitt ignored recommendation
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16 ! DOJ enforcement of consent decrees! Police accountability to communities of color! DOJ statement: civil rights law does not protect against discrimination for LGBT workers! Pardon of Sherriff Joe Arpaio! Culture of fear! public health impact
17 ! Southern Poverty Law Center study over 10,000 schools! 9/10 Educators saw negative impact of campaign on mood and behavior of their students! 8/10 report increased anxiety among Muslim, Latino, LGBT students! 2500 reported specific incidents of bigotry traced to election rhetoric
18 ! Impact of reduced funding on health! Climate change, displacement, health! Health and Global Insecurity! Emerging infectious diseases! Environment and vulnerable populations! Civil rights and health! Others?
19 ! Interdisciplinary collaborations to study impact! Move from identifying threats to identifying means of protection.! Advocacy:! Presenting fact in a post-truth world so we are heard! Academic role in advocacy
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