In Ghana and Kenya, insecticide and mosquito nets sit in warehouses because U.S. officials haven’t approved urgent anti-malaria campaigns.

Grief and “dizzying chaos” struck communities around the globe as networks for delivering medicine, nutrition and maternal care were abruptly shut down.

J ames Akot has three goats. He shares them with his wife, his mother, three younger siblings, and two of his cousin's children, in a household in Northern Bahr el Ghazal in South Sudan. The crops Akot's family planted were washed away in the floods last year, the fourth and worst flood in the region in four consecutive years.