On 8 May 2018, Donald Trump signed Rescission Proposal
R18-1, asking the US government to take back $15bn in spending. At the time, coverage of these cuts focussed on the $7bn that would be taken from the Children’s Health Insurance Program. But the 38-page proposal details a swathe of other cuts. Among these was the removal of the remaining $252m budget for International Disaster Assistance that had been committed in 2015 as part of the Ebola response, and the State Department’s $30m Complex Crises Fund. The CDC, in response to previous funding cuts, had already reduced its pandemic preparedness activity in 39 countries. On the day R18-1 was signed, the WHO announced a new outbreak of Ebola in the Democratic Republic of Congo.