MATTHEW LEE and GERALD IMRAY.

FILE - U.S. Secretary of State Marco Rubio, right, and Kenyan President William Ruto pose for photos before a meeting, Sept. 24, 2025, in New York. (AP Photo/Heather Khalifa, Pool, file)

US and Kenya sign first of what are expected to be dozens of ‘America First’ global health deals

The Trump administration has signed the first in what are expected to be dozens of “America First” global health agreements that prioritize combating infectious diseases in countries deemed to be aligned with the president’s broader foreign policy goals. The five-year, $2.5 billion agreement was signed Thursday by Kenyan President William Ruto and Secretary of State Marco Rubio to replace a patchwork of previous agreements that had traditionally been run by the U.S. Agency for International Development until it was dismantled earlier this year. A number of other African countries are expected to sign similar agreements by year’s end. But Nigeria and South Africa are not expected to be among that group due to political differences with Trump.

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