2026-04-21 22:35:45 UTC / 路透社
作者：西蒙·刘易斯
2026年4月21日 世界协调时22:35 更新于24分钟前
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2025年3月12日，在南非约翰内斯堡北部的戴普斯卢特一家诊所内，一名护士为一名儿童采集血样以进行艾滋病检测。路透社/西皮·西贝科/资料图片 购买授权许可
- 美国科学官员批评援助削减及将卫生资金作为对发展中国家施压的工具
- 美国国务院称里德是在承认自己无法提供无党派科学建议后离职的
- 里德警告称援助资金减少、监督存在漏洞，且卫生援助正转向军事开支
华盛顿4月21日路透电 —— 美国旗舰艾滋病防治项目的首席科学官本周离职，并批评特朗普政府削减对外援助，以及他所称的将援助作为美国商业利益施压工具的做法。
共和党籍总统唐纳德·特朗普去年解散了此前负责多数对外援助项目的美国国际开发署，但官员表示，在总统防治艾滋病紧急救援计划（PEPFAR）框架下主要在非洲发展中国家开展的救生工作将继续推进。该计划是两党在乔治·W·布什总统任内发起的举措。
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迈克·里德是一名执业传染病医生，曾在国务院全球卫生安全与外交局担任总统防治艾滋病紧急救援计划的首席科学官。他周一在Substack平台上发文称，过去18个月他之所以留任，是希望能保住面临风险的项目。
但他表示，海外卫生项目的资金正被用作对发展中国家施压的工具，并援引《纽约时报》上月的一篇报道称，美国国务院正考虑暂停向赞比亚艾滋病患者提供援助，以迫使该国与美国签署有利的关键矿产协议。
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“当治疗或预防服务的获取与关键矿产或地缘政治考量捆绑在一起时，这项工作就不再如其标榜的那样纯粹了，”他写道。
他补充道，全球卫生工作“本质上是反法西斯的”，与本届政府的“威权式”国内路线格格不入。
“美国优先”卫生战略
里德周二在接受路透社电话采访时表示，国务院周一看到他的帖子后，当即通知他终止雇佣关系。
当被问及里德的帖子时，国务院并未回应他的具体批评。一名部门发言人表示，里德在“承认自己无法再提供无党派科学建议”后，经双方同意离职。
“与每一届政府一样，总统及其团队制定政策，每位隶属于国务院的人员都有责任忠实地执行这些政策，”该发言人说道。
国务院上周发布的数据显示，由于总统防治艾滋病紧急救援计划项目中断，去年接受艾滋病检测的人数大幅下降。该计划自2003年启动以来，已挽救了2600万人的生命，并预防了780万名感染艾滋病病毒的母亲所生婴儿的感染。
国务院发言人表示，特朗普和国务卿马可·卢比奥“正致力于终结艾滋病疫情，因为他们倡导‘美国优先’全球卫生战略下的变革性工作”，并指出里德在其Substack帖子中赞扬了特朗普政府政策的某些方面。
这指的是里德承认，特朗普政府的战略旨在通过双边协议，让较贫穷国家自主应对本国的艾滋病及其他疾病防控工作。但里德同时写道，美国在推进这一目标的同时，却在削减对这些国家的整体援助资金，与此同时美国军事开支不断增加，且特朗普已对伊朗发动战争。
里德告诉路透社，将资金转向政府卫生机构而非非政府组织是正确的做法，但此举是在许多此前负责监督腐败及资金滥用问题的美国官员离职后推出的。
“我对改革的速度和缺乏监督感到担忧，”他说。
西蒙·刘易斯华盛顿报道；唐·杜菲和马修·刘易斯编辑
我们的准则：汤森路透信托原则。
Expert quits US HIV role, rebukes Trump global health approach
2026-04-21 22:35:45 UTC / Reuters
By Simon Lewis
April 21, 2026 10:35 PM UTC Updated 24 mins ago
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A nurse draws a blood sample from a child for an HIV test at a clinic in Diepsloot, north of Johannesburg, South Africa, March 12, 2025. REUTERS/Siphiwe Sibeko/File Photo Purchase Licensing Rights
- US science officer criticizes aid cuts and use of health funding as leverage over developing nations
- State Department says Reid left after admitting he could provide nonpartisan scientific advice
- Reid warns of reduced funding, oversight issues and shift toward military spending over health aid
WASHINGTON, April 21 (Reuters) – The chief science officer for the U.S. flagship HIV/AIDS program left his role this week and criticized the Trump administration’s cuts to foreign assistance and what he said was its use of aid as leverage for U.S. commercial interests.
Republican President Donald Trump last year dismantled the U.S. Agency for International Development, which previously oversaw most foreign aid programs, but officials said life-saving work mainly in developing African nations under the President’s Emergency Plan for AIDS Relief, a bipartisan initiative created under George W. Bush’s presidency, would continue.
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Mike Reid, a practicing infectious disease physician who served as chief science officer for PEPFAR in the State Department’s Bureau of Global Health Security and Diplomacy, said in a post on Substack on Monday he had stayed in the job for the past 18 months in hopes of preserving at-risk programs.
But he said funding for health programs overseas was being used as leverage over developing countries, citing a New York Times report last month that said the State Department was considering withholding assistance to help people with HIV in Zambia to push the country to sign a favorable critical-minerals deal with the U.S.
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“When access to treatment or prevention becomes entangled with access to critical minerals or geopolitical positioning, the work is no longer what it claims to be,” he wrote.
The work of global health was “inherently anti-fascist” and incompatible with the administration’s “authoritarian” domestic trajectory, he added.
‘AMERICA FIRST’ HEALTH STRATEGY
The State Department, after seeing the post on Monday, told Reid his employment was being ended immediately, he told Reuters in a phone interview on Tuesday.
Asked about Reid’s post, the State Department did not respond to his specific criticisms. A department spokesperson said Reid departed by mutual agreement after he “admitted he could no longer provide nonpartisan scientific advice.”
“As in every administration, the president and his team set policy, and it is the duty of every person affiliated with the department to faithfully execute that policy,” the spokesperson said.
The State Department last week published data showing that the number of people being tested for HIV dropped sharply last year amid interruptions to PEPFAR, which has been credited with saving 26 million lives and preventing HIV infections in 7.8 million babies born to HIV-infected mothers since its start in 2003.
The State Department spokesperson said Trump and Secretary of State Marco Rubio were “building to end the HIV/AIDS epidemic as they champion the transformational work happening under the America First Global Health Strategy,” and noted that Reid praised some parts of the Trump administration’s policy in his Substack post.
That referred to Reid’s acknowledgment that the Trump administration’s strategy seeks to have poorer nations take ownership of the fight against HIV/AIDS and other diseases in their countries through bilateral agreements. Reid also wrote, however, that the U.S. was doing so while reducing overall funding to those countries as U.S. military spending has increased and as Trump has launched a war with Iran.
Reid told Reuters that moving funding to government health bodies instead of nongovernmental organizations was the right approach, but that it was coming after many of the U.S. officials who previously monitored for corruption and other misuse of funds had lost their jobs.
“I am concerned at the speed and the lack of oversight,” he said.
Reporting by Simon Lewis in Washington; Editing by Don Durfee and Matthew Lewis
Our Standards: The Thomson Reuters Trust Principles.
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