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US–Africa health agreements draw scrutiny — Level A2 — opened black window

US–Africa health agreements draw scrutinyCEFR A2

19 Jan 2026

Level A2 – High beginner / Elementary
3 min
126 words

The United States has signed bilateral health agreements with fourteen African countries. The deals combine US funding with domestic money and ask partner states to increase health spending, report outbreaks quickly and expand disease surveillance. Kenya was the first to sign a Memorandum of Understanding in December. The Kenyan High Court has paused parts of the agreement that involve transfer and sharing of sensitive health data until a hearing in February.

Critics say the agreements raise questions about control of health data and pathogen samples. The State Department says support depends on countries meeting key health metrics. Experts warn that once specimens leave a country there are few guarantees about how they will be used. Many call for legislative review, stronger safeguards and regional surveillance approaches.

Difficult words

  • bilateralInvolving two countries or two sides.
  • fundingMoney given to support a project or service.
  • surveillanceCareful watching and checking for problems.
  • Memorandum of UnderstandingA written agreement between two organizations or countries.
  • sensitiveNeeding careful handling because of privacy or risk.
  • specimenA sample taken for study or testing.
    specimens

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Discussion questions

  • Do you think countries should share health data with other countries? Why or why not?
  • What rules or actions could protect sensitive health data better?
  • How would you feel if specimens from your country went to another country for study?

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