Haitians with HIV defy stigma as they publicly denounce USAID cuts and dwindling medication

PORT-AU-PRINCE, Haiti (AP) — A video showing dozens of people marching toward the office of Haiti’s prime minister elicited gasps from some viewers as it circulated recently on social media. The protesters, who were HIV positive, did not conceal their faces — a rare occurrence in a country where the virus is still heavily stigmatized.

“Call the minister of health! We are dying!” the group chanted.

The protesters risked being shunned by society to warn that Haiti is running out of HIV medication just months after the administration of U.S. President Donald Trump slashed more than 90% of USAID’s foreign aid contracts and $60 billion in overall aid across the globe.

At a hospital near the northern city of Cap-Haitien, Dr. Eugene Maklin said he struggles to share that reality with his more than 550 HIV patients.

“It’s hard to explain to them, to tell them that they’re not going to find medication,” he said. “It’s like a suicide.”

More than 150,000 people in Haiti have HIV or AIDS, according to official estimates, although nonprofits believe the number is much higher.

David Jeune, a 46-year-old hospital community worker, is among them. He became infected 19 years ago after having unprotected sex. “I was scared to let people know because they would point their finger at you, saying you are infecting others with AIDS,” he said.

His fear was so great that he didn’t tell anyone, not even his mother. But that fear dissipated with the support Jeune said he received from nonprofits. His confidence grew to the point where he participated in Monday’s protest.

“I hope Trump will change his mind,” he said, noting that his medication will run out in November. “Let the poor people get the medication they need.”

Patrick Jean Noël, a representative of Haiti’s Federation of Associations of HIV, said that at least five clinics, including one that served 2,500 patients, were forced to close after the USAID funding cuts.

“We can’t stay silent,” he said. “More people need to come out.”

But most people with HIV in Haiti are reluctant to do so, said Dr. Sabine Lustin, executive director of the Haiti-based nonprofit Promoters of Zero AIDS Goal.

The stigma is so strong that many patients are reluctant to pick up their medication in person. Instead, it is sent via packages wrapped as gifts to not arouse suspicion, Lustin said.

Lustin’s organization, which helps some 2,000 people across Haiti, receives funding from the U.S. Centers for Disease Control and Prevention. While their funding hasn’t been cut, she said that shortly after Trump was sworn in, the agency banned prevention activities because they targeted a group that is not a priority. By that, Lustin said she understood they were referring to gay men.

That means the organization can no longer distribute up to 200,000 free condoms a year or educate people about the disease.

“You risk an increase in infections,” she said. “You have a young population who is sexually active who can’t receive the prevention message and don’t have access to condoms.”

On a recent sunny morning, a chorus of voices drowned out the din of traffic in Haiti’s capital, growing louder as protesters with HIV marched defiantly toward the office of Haiti’s prime minister.

“We are here to tell the government that we exist, and we are people like any other person,” one woman told reporters.

Another marching alongside her said, “Without medication, we are dying. This needs to change.”

Three days after Monday's protest, the leader of Haiti’s transitional presidential council, Louis Gérald Gilles, announced that he had met with activists and would try to secure funding.

Meanwhile, nonprofit organizations across Haiti are fretting.

“I don’t know what we’re going to do,” said Marie Denis-Luque, founder and executive director of CHOAIDS, a nonprofit that cares for Haitian orphans with HIV/AIDS. “We only have medication until July.”

Her voice broke as she described her frantic search for donations for the orphans, who are cared for by HIV-positive women in Cap-Haitien after gang violence forced them to leave Port-au-Prince.

Denis-Luque said she has long advocated for the orphans’ visibility.

“We can’t keep hiding these children. They are part of society,” she said, adding that she smiled when she saw the video of Monday’s protest. “I was like, whoa, things have changed tremendously. The stigma is real, but I think what I saw … was very encouraging to me. They can’t be silenced.”

Experts say Haiti could see a rise in HIV infections because medications are dwindling at a time that gang violence and poverty are surging.

Dr. Alain Casseus, infectious disease division chief at Zamni Lasante, the largest non-governmental healthcare provider in Haiti, said they expected to see a surge in patients given the funding cuts, but that hasn’t happened because traveling by land in Haiti is dangerous since violent gangs control main roads and randomly open fire on vehicles.

He warned that abruptly stopping medication is dangerous, especially because many Haitians do not have access or cannot afford nutritious food to strengthen their immune system.

“It wouldn’t take long, especially given the situation in Haiti, to enter a very bad phase,” he said of HIV infections. And even if some funding becomes available, a lapse in medication could cause resistance to it, he said.

Casseus said gang violence also could accelerate the rates of infection via rapes or physical violence as medication runs out.

At the New Hope Hospital run by Maklin in Haiti’s northern region, shelves are running empty. He used to receive more than $165,000 a year to help HIV/AIDS patients. But that funding has dried up.

“Those people are going to die,” he said. “We don’t know how or where we’re going to get more medication.”

The medication controls the infection and allows many to have an average life expectancy. Without it, the virus attacks a person’s immune system, and they develop AIDS, the late stage of an HIV infection.

Reaction is swift when Dr. Maklin tells his patients that in two months, the hospital won’t have any HIV medication left.

“They say, ‘No, no, no, no!’” he said. “They want to keep living.”

Coto reported from San Juan, Puerto Rico.

Follow AP’s coverage of Latin America and the Caribbean at https://apnews.com/hub/latin-america

A patient cradles a baby while waiting to receive medicine at New Hope Hospital in Plaine-du-Nord, Haiti, Wednesday, May 21, 2025. (AP Photo/Patrice Noel)

Children watch a movie after receiving their medication at the Caring for Haitian Orphans with AIDS orphanage, in Balan, Plaine-du-Nord, Haiti, Wednesday, May 21, 2025. (AP Photo/Patrice Noel)

Nurse Préjuste Mexandra administers medicine to a child at the Caring for Haitian Orphans with AIDS orphanage, in Balan, Plaine-du-Nord, Haiti, Wednesday, May 21, 2025. (AP Photo/Patrice Noel)

Dr. Execuel Laguerre checks inventory in the room where medications are stored at the New Hope Hospital, in Plaine-du-Nord, Haiti, Wednesday, May 21, 2025. (AP Photo/Patrice Noel)

A nurse enters the medicine inventory room at New Hope Hospital in Plaine-du-Nord, Haiti, Wednesday, May 21, 2025. (AP Photo/Patrice Noel)

ST. LOUIS (AP) — World champions Ilia Malinin and the ice dance duo of Madison Chock and Evan Bates will anchor one of the strongest U.S. Figure Skating teams in history when they head to Italy for the Milan Cortina Olympics in less than a month.

Malinin, fresh off his fourth straight national title, will be the prohibitive favorite to follow in the footsteps of Nathan Chen by delivering another men's gold medal for the American squad when he steps on the ice at the Milano Ice Skating Arena.

Chock and Bates, who won their record-setting seventh U.S. title Saturday night, also will be among the Olympic favorites, as will world champion Alysa Liu and women's teammate Amber Glenn, fresh off her third consecutive national title.

U.S. Figure Skating announced its full squad of 16 athletes for the Winter Games during a made-for-TV celebration Sunday.

"I'm just so excited for the Olympic spirit, the Olympic environment," Malinin said. “Hopefully go for that Olympic gold.”

Malinin will be joined on the men's side by Andrew Torgashev, the all-or-nothing 24-year-old from Coral Springs, Florida, and Maxim Naumov, the 24-year-old from Simsbury, Connecticut, who fulfilled the hopes of his late parents by making the Olympic team.

Vadim Naumov and Evgenia Shishkova were returning from a talent camp in Kansas when their American Airlines flight collided with a military helicopter and crashed into the icy Potomac River in January 2025. One of the last conversations they had with their son was about what it would take for him to follow in their footsteps by becoming an Olympian.

“We absolutely did it,” Naumov said. “Every day, year after year, we talked about the Olympics. It means so much in our family. It's what I've been thinking about since I was 5 years old, before I even know what to think. I can't put this into words.”

Chock and Bates helped the Americans win team gold at the Beijing Games four years ago, but they finished fourth — one spot out of the medals — in the ice dance competition. They have hardly finished anywhere but first in the years since, winning three consecutive world championships and the gold medal at three straight Grand Prix Finals.

U.S. silver medalists Emilea Zingas and Vadym Kolesnik also made the dance team, as did the Canadian-born Christina Carreira, who became eligible for the Olympics in November when her American citizenship came through, and Anthony Ponomarenko.

Liu was picked for her second Olympic team after briefly retiring following the Beijing Games. She had been burned out by years of practice and competing, but stepping away seemed to rejuvenate the 20-year-old from Clovis, California, and she returned to win the first world title by an American since Kimmie Meissner stood atop the podium two decades ago.

Now, the avant-garde Liu will be trying to help the U.S. win its first women's medal since Sasha Cohen in Turin in 2006, and perhaps the first gold medal since Sarah Hughes triumphed four years earlier at the Salt Lake City Games.

Her biggest competition, besides a powerful Japanese contingent, could come from her own teammates: Glenn, a first-time Olympian, has been nearly unbeatable the past two years, while 18-year-old Isabeau Levito is a former world silver medalist.

"This was my goal and my dream and it just feels so special that it came true,” said Levito, whose mother is originally from Milan.

The two pairs spots went to Ellie Kam and Danny O'Shea, the U.S. silver medalists, and the team of Emily Chan and Spencer Howe.

The top American pairs team, two-time reigning U.S. champions Alisa Efimova and Misha Mitrofanov, were hoping that the Finnish-born Efimova would get her citizenship approved in time to compete in Italy. But despite efforts by the Skating Club of Boston, where they train, and the help of their U.S. senators, she did not receive her passport by the selection deadline.

“The importance and magnitude of selecting an Olympic team is one of the most important milestones in an athlete's life,” U.S. Figure Skating CEO Matt Farrell said, "and it has such an impact, and while there are sometimes rules, there is also a human element to this that we really have to take into account as we make decisions and what's best going forward from a selection process.

“Sometimes these aren't easy," Farrell said, “and this is not the fun part.”

The fun is just beginning, though, for the 16 athletes picked for the powerful American team.

AP Olympics: https://apnews.com/hub/milan-cortina-2026-winter-olympics

Amber Glenn competes during the women's free skating competition at the U.S. Figure Skating Championships, Friday, Jan. 9, 2026, in St. Louis. (AP Photo/Stephanie Scarbrough)

Alysa Liu skates during the "Making Team USA" performance at the U.S. Figure Skating Championships, Sunday, Jan. 11, 2026, in St. Louis. (AP Photo/Stephanie Scarbrough)

Maxim Naumov skates during the "Making Team USA" performance at the U.S. Figure Skating Championships, Sunday, Jan. 11, 2026, in St. Louis. (AP Photo/Stephanie Scarbrough)

Madison Chock and Evan Bates skate during the "Making the Team" performance at the U.S. Figure Skating Championships, Sunday, Jan. 11, 2026, in St. Louis. (AP Photo/Stephanie Scarbrough)

Gold medalist Ilia Malinin arrives for the metal ceremony after the men's free skate competition at the U.S. Figure Skating Championships, Saturday, Jan. 10, 2026, in St. Louis. (AP Photo/Jeff Roberson)