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Blinken: PEPFAR ‘shows us what American diplomacy can do’

Secretary of state spoke at World AIDS Day event in D.C. on Friday

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Secretary of State Antony Blinken speaks at a World AIDS Day event at the Hay-Adams Hotel in D.C. on Dec. 2, 2022. (Screen capture via U.S. Department of State YouTube)

Secretary of State Antony Blinken on Friday noted the President’s Emergency Plan for AIDS Relief has saved more than 25 million lives since its launch in 2003.

Blinken, who spoke at the Business Council for International Understanding’s World AIDS Day event at the Hay-Adams Hotel in D.C., said the more than $100 billion the U.S. has earmarked for PEPFAR over the last two decades has funded 70,000 new community health clinics, 3,000 new laboratories and the hiring of 340,000 health care workers.

“Entire public health systems formed, with over a dozen countries which have either reached their HIV-treatment goals or managed control of the virus altogether,” said Blinken.

Then-President George W. Bush in 2003 signed legislation that created PEPFAR. California Democrat Barbara Lee, members of the Congressional Black Caucus and Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and chief White House medical advisor who is retiring at the end of this month, are among those who played a key role in PEPFAR’s creation.

“PEPFAR has benefitted from bipartisan support, as we’ve heard, across four presidencies, across ten Congresses,” said Blinken. “It’s resulted in an investment of more than $100 billion to the global HIV/AIDS response. This is the largest commitment by one country ever to address a single disease.”

Lee and Fauci were among those who attended the event alongside U.S. Global AIDS Coordinator John Nkengasong; Assistant Health Secretary Rachel Levine; Dr. Deborah Birx, the former White House Coronavirus Response Director, and HIV and Hepatitis Policy Institute Executive Director Carl Schmid.

Blinken in his speech noted “the systems put in place by PEPFAR have become an integral part of the health security architecture of countries around the world.”

Blinken also said PEPFAR has bolstered responses to COVID-19, Ebola and the avian flu.

“We are continuing to build on PEPFAR’s many successes to create a stronger global health security architecture to prevent, to detect, to respond to future health emergencies. Doctor Fauci, you once said that PEPFAR ‘shows what the goodwill of a nation can do,’ and you were right,” said Blinken. “PEPFAR also shows us what American diplomacy can do: Bring together governments, bring together the public and private sectors, communities to tackle challenges that none of us can actually effectively deal with alone and that creates and has created a healthier, safer and ultimately more secure world.” 

Five-year PEPFAR strategy to target LGBTQ people

Blinken acknowledged there is still “very serious work still required for us to end the global HIV health epidemic by 2030,” noting HIV/AIDS continues to disproportionately impact LGBTQ and intersex people and other marginalized groups.

“Too many countries still have fragile and insufficiently resourced public health systems, which makes it difficult to offer services beyond HIV/AIDS treatments, and that undercuts our capacity to respond to emerging threats,” he said.

Blinken noted the U.S. on Thursday announced a new PEPFAR strategy that will help “fill those gaps” over the next five years. It includes the following:

• Targeted programming to help reduce inequalities among LGBTQ and intersex people, women and girls and other marginalized groups

• Partnerships with local organizations to help reach “hard-to-reach” communities.

• Economic development and increased access to financial markets to allow countries to manufacture their own antiretroviral drugs, tests and personal protective gear to give them “the capacity to meet their own challenges so that they’re not dependent on anyone else.”

“This latest PEPFAR strategy will keep making advancements like that possible so that millions more people can live healthy lives and live lives to their full potential,” said Blinken. 

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State Department

Democracy Forward files FOIA request for State Department bathroom policy records

April 20 memo outlined anti-transgender rule

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(Photo courtesy of the Library of Congress)

Democracy Forward on Tuesday filed a Freedom of Information Act request for records on the State Department’s new bathroom policy.

A memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms” that the State Department issued on April 20 notes employees can no longer use bathrooms that correspond with their gender identity.

“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal, a conservative news website that first reported on the memo. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”

Democracy Forward’s FOIA request that the Washington Blade exclusively obtained on Tuesday is specifically seeking a copy of the memo that details the State Department’s new bathroom policy. Democracy Forward has also requested “all” memo-specific communications between the State Department’s Bureau of Global Public Affairs and the Daily Signal from April 1-21.

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State Department implements anti-trans bathroom policy

Memo notes directive corresponds with White House executive order

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(Photo courtesy of the Library of Congress)

The State Department on April 20 announced employees cannot use bathrooms that correspond with their gender identity.

The Daily Signal, a conservative news website, reported the State Department announced the new policy in a memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms.”

The State Department has not responded to the Washington Blade’s request for comment on the directive.

“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”

The Daily Signal notes the new State Department policy “does not prohibit single-occupancy restrooms.”

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Report: US to withhold HIV aid to Zambia unless mineral access expanded

New York Times obtained Secretary of State Marco Rubio memo

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(Image by rusak/Bigstock)

The State Department is reportedly considering withholding assistance for Zambians with HIV unless the country’s government allows the U.S. to access more of its minerals.

The New York Times on Monday reported Secretary of State Marco Rubio in a memo to State Department’s Bureau of African Affairs staffers wrote the U.S. “will only secure our priorities by demonstrating willingness to publicly take support away from Zambia on a massive scale.” The newspaper said it obtained a copy of the letter.

Zambia is a country in southern Africa that borders Tanzania, Malawi, Mozambique, Zimbabwe, Botswana, Namibia, Angola, and the Democratic Republic of Congo.

The Times notes upwards of 1.3 million Zambians receive daily HIV medications through PEPFAR. The newspaper reported Rubio in his memo said the Trump-Vance administration could “significantly cut assistance” as soon as May.

“Reports of (the) State Department withholding lifesaving HIV treatment in return for mining concessions in Zambia does not make us safer, stronger, or more prosperous,” said U.S. Sen. Jeanne Shaheen (D-N.H.), the ranking member of the Senate Foreign Relations Committee, on Tuesday. “Monetizing innocent people’s lives further undermines U.S. global leadership and is just plain wrong.”

The Washington Blade has reached out to the State Department for comment.

Zambia received breakthrough HIV prevention drug through PEPFAR

Rubio on Jan. 28, 2025, issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during a freeze on nearly all U.S. foreign aid spending. HIV/AIDS service providers around the world with whom the Blade has spoken say PEPFAR cuts and the loss of funding from the U.S. Agency for International Development, which officially closed on July 1, 2025, has severely impacted their work.

The State Department last September announced PEPFAR will distribute lenacapavir in countries with high prevalence rates. Zambia two months later received the first doses of the breakthrough HIV prevention drug.

Kenya and Uganda are among the African countries have signed health agreements with the U.S. since the Trump-Vance administration took office.

The Times notes the countries that signed these agreements pledged to increase health spending. The Blade last month reported LGBTQ rights groups have questioned whether these agreements will lead to further exclusion and government-sanctioned discrimination based on sexual orientation and gender identity.

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