[Correspondence] Global health after USAID cuts – Authors' reply

We thank Daniel Krugman and colleagues and Jayalakshmi Alagar and Ludmila Lobkowicz for their interest in our study1 on the potential consequences of the second Trump administration's abrupt and massive defunding of the United States Agency for International Development (USAID), culminating in its complete dismantling in July, 2025. In this study, we estimated that this decision could result in more than 14 million deaths (95% uncertainty interval [UI]: 8·5–19·7 million) across 133 low-income and middle-income countries by 2030.