In about three short months, the Trump administration took a wrecking ball to foreign aid, threatening millions of lives and livelihoods around the world. After initially pausing all US foreign aid spending for 90 days, President Donald Trump handed over the reins to Elon Musk’s Department of Government Efficiency (DOGE).

The damage as DOGE went about clear-cutting the US Agency for International Development (USAID) was swift and extensive. Health clinics from Afghanistan to Burundi shuttered. Oxygen tanks, HIV and malaria medications, and other medical supplies amounting to at least $240 million remain stuck at ports or storage facilities around the world. Ebola prevention and response funding, which Musk claimed at the end of February was restored with “no interruption” during the 90-day freeze, is reportedly still not operational, according to several public health experts. Whether it’s aid for malnutrition, clean water, or outbreak response, even a handful of days can undo years of progress in the making.