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On Friday, @StateDeptGHSD released its first wave of PEPFAR data, covering July-Sept 2025, after State took over USAID’s lifesaving health programs. Contrary to false media narratives, the data shows that President Trump’s foreign assistance review maintained and improved frontline lifesaving programs, while reducing NGO bloat and costs. During this transition period; - 20.6 million people w/ HIV received PEPFAR-supported antiretroviral treatment, exactly as many as during Biden’s last year - Early progress towards @SecRubio’s ambitious goal of ending mother-to-child transmission of HIV during @POTUS Trump’s second term, with preventive treatment initiated for 103k expectant/breastfeeding mothers, more than 2x as many as the same period a year earlier - Good initial progress moving programs, particularly in the treatment and testing space, to national health ministries as we champion self-reliance among health assistance countries This is all before the transformational investments in global health innovation and self-reliance made via the America First Global Health Strategy. Launched in Sept 2025, we have already signed 31 bilateral compacts worth more than $21 billion in U.S. commitments and country co-investment, and announced historic new innovation initiatives like our partnership with Gilead Sciences to get 3 million people in high-burden countries its new 99.9% effective twice yearly HIV prevention drug Lenacapavir. state.gov/releases/offic…

While recreational smoking and vaping is not advised, many people use short term vaping as a way to quit smoking cigarettes, which are arguably more toxic than vapes. During his 2024 campaign, President Trump made a clear promise on Truth Social: “I saved Flavored Vaping in 2019, and it greatly helped people get off smoking. I raised the age to 21, keeping it away from the ‘kids.’ ... I’ll save Vaping again!” He warned that the Democrats wanted to ban everything and kill small businesses across the country. Yet now, under Trump-appointed FDA @US_FDA Commissioner Marty Makary @DrMakaryFDA, the agency has rolled out new guidance that makes it much harder for flavored vaping products to stay on the market. The FDA says flavored vapes, including fruit, candy, and sweet flavors, pose a “substantial risk to youth” and are more appealing to kids than plain tobacco flavors. This guidance is being called a de facto ban on flavored options for adults who can make the choice themselves when it comes to vaping or not vaping. The move ignores strong evidence that many adults use flavored vapes to quit traditional cigarettes. Additionally, CDC numbers show youth vaping has been dropping, hitting its lowest level in years. Trump’s promise was straightforward: protect vaping as a tool to help smokers, support small businesses, and keep it away from kids. Many voters counted on that promise being fulfilled, but it appears the FDA isn’t complying with President Trump’s wishes. Cc: @SecKennedy