The Trump administration is set to terminate U.S. financial support for Gavi, a global initiative that helps provide critical vaccines for children in developing countries.

Gavi estimates that without U.S. contributions—about 13 percent of its budget—75 million children will miss routine vaccinations in the next five years, potentially leading to 1.2 million preventable deaths.

Funding for the United Nations Food and Agriculture Organization has also been terminated. However, the administration will continue to support some grants for HIV and tuberculosis treatments, as well as food aid for nations affected by civil wars and natural disasters.

A spokesperson for the State Department, which now oversees U.S. foreign aid programs, confirmed the terminations, stating: “Each award terminated was reviewed individually for alignment with agency and administration priorities, and terminations were executed where Secretary Rubio determined the award was inconsistent with the national interest or agency policy priorities.”

Reacting to the decision, Dr. Sania Nishtar, head of Gavi, told the BBC that a U.S. funding cut would have a “disastrous impact on global health security.”