Health
UNAIDS Chief Warns of HIV Surge if US Funding is Cut
The global fight against HIV and AIDS could suffer a devastating setback if the United States withdraws its financial support, potentially leading to a sixfold increase in new infections, UNAIDS Executive Director Winnie Byanyima warned on Monday.
Speaking from Uganda, Byanyima told the Associated Press that millions of lives are at risk, and the world could see a resurgence of drug-resistant strains of the virus if crucial funding is not maintained.
According to UNAIDS estimates, 39.9 million people worldwide are currently living with HIV, with 1.3 million new infections recorded in 2023. Since the peak of the epidemic in 1995, new cases have dropped by 60%, largely due to international efforts, including significant US contributions.
However, with former US President Donald Trump announcing a 90-day freeze on all foreign aid, UNAIDS officials predict that by 2029, new infections could soar to 8.7 million, and AIDS-related deaths could rise tenfold to 6.3 million. Additionally, an estimated 3.4 million children could be orphaned due to the crisis.
Fear and Uncertainty in Affected Countries
Byanyima described the abrupt funding freeze as a “crisis” that has triggered panic, fear, and confusion in African countries hardest hit by the epidemic. In one Kenyan county alone, 550 HIV healthcare workers were laid off immediately, while thousands of Ethiopian health professionals also lost their jobs, leaving officials unable to track and manage the disease effectively.
“The loss of US funding is catastrophic,” Byanyima said, noting that in some countries, up to 90% of HIV programmes are funded by external donors, primarily the United States. The potential loss amounts to nearly $400 million (€384 million) for HIV programmes in countries like Uganda, Mozambique, and Tanzania.
A Call for Global Action
Byanyima urged Washington to reconsider, emphasizing that while the US might seek to reduce its financial commitment, a gradual transition would be far less damaging than an abrupt withdrawal.
“We can work with [the Americans] on how to decrease their contribution if they wish to decrease it,” she said.
She called the potential loss of US support the second-biggest crisis the global HIV response has faced—after the long delay in making life-saving antiretroviral treatments available in low-income countries.
Will Europe Step In?
So far, no other major donor has pledged to fill the funding gap. Byanyima said she plans to visit several European capitals to push for urgent financial commitments, hoping that countries that prioritize human rights and global health will step in.
“People are going to die because lifesaving tools have been taken away from them,” she warned.
“I have not yet heard of any European country committing to step in, but I know that they are listening and trying to see where they can come in because they care about rights, about humanity.”
With time running out, global leaders will need to decide whether they can afford to let one of the world’s most significant public health battles slide backward.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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