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The single most important public health measure of 2019 is the replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria. These three diseases, which currently kill around 2.5 million people per year, could be fully contained by 2030, with deaths reduced to nearly zero. The Global Fund is the primary instrument for success, and it needs to raise $10 billion per year to accomplish its mission.This was one of two reasons for creating the Global Fund in the first place: to bolster poorer countries' ability to control the epidemics.The Global Fund got off to a great start in the early 2000s, with strong bipartisan support in the US and similar cross-party support in other countries. In the previous replenishment round, the Global Fund identified a total three-year financing need of around $98 billion, of which all but around $30 billion could be met by domestic budgets and other sources. Yet, instead of filling the $30 billion gap (roughly $10 billion per year), the donors gave the Global Fund just $13 billion. The Global Fund will soon issue its own assessment of financing needs, but the numbers are unlikely to change much: around $30 billion over three years, or $10 billion per year.
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