USAID is moving to end U.S. funding for Gavi, a global vaccine alliance that has procured lifesaving vaccines for millions of children in poor countries for decades. Other cuts planned by USAID in a newly shared document include anti-malaria initiatives. Less than 900 active employees are currently staffing the agency, down from 6,000 before the Trump administration. Over 5,000 USAID projects have been eliminated. The gutting of USAID programs is being challenged in the courts. Gavi estimates the withdrawal of U.S. funding could lead to more than 1.2 million child deaths from preventable diseases.