Washington, D.C. — A senior official with the U.S. Agency for International Development (USAID) warned in an email on Sunday that the Trump administration’s dismantling of the agency would result in unnecessary deaths, only to email his staff less than 30 minutes later to announce he had been placed on administrative leave.
Nicholas Enrich, USAID’s acting assistant administrator for global health, shared a seven-page memo with staff, seen by Reuters, stating that “political leadership” had made it impossible to deliver lifesaving humanitarian assistance globally. This contradicted assurances from Secretary of State Marco Rubio that such aid would continue despite President Donald Trump and billionaire Elon Musk’s cost-cutting campaign.
Twenty minutes later, Enrich sent another email, also seen by Reuters, stating he had “just received notification that I have been placed on administrative leave, effective immediately.” A source familiar with the matter said the decision to put Enrich on leave was made Wednesday, before he sent his email on the consequences of USAID’s dismantling.
Spokespeople for the State Department and the Department of Government Efficiency (DOGE) did not immediately respond to requests for comment. Enrich did not respond to a query from Reuters.
The blocked USAID programs include efforts to help contain a deadly Ebola outbreak in Uganda that had killed two and infected ten, according to Enrich’s memo. “This will no doubt result in preventable death, destabilization, and threats to national security on a massive scale,” Enrich wrote in the memo, dated February 28 and shared widely with staff in the global health division on Sunday afternoon.
The Trump administration announced last week that it was canceling nearly 10,000 foreign aid grants and contracts worth almost $60 billion, ending about 90% of USAID’s global work. The shuttering of USAID is part of an unprecedented downsizing of the federal government by Musk’s so-called Department of Government Efficiency. The agency’s sudden demise has thrown global humanitarian relief efforts into chaos.
In a separate memo seen by Reuters, Enrich estimated that a year-long pause in lifesaving aid from USAID would cause between 71,000 and 166,000 additional malaria deaths, a nearly 40% increase; an increase of between 28% and 32% in tuberculosis cases worldwide; and up to 28,000 cases of emerging infectious diseases such as Ebola.
After Trump ordered all foreign aid frozen in January pending a review, Secretary of State Marco Rubio issued a temporary waiver for lifesaving assistance, such as essential medicines, food, and shelter. However, Enrich said DOGE workers and other political appointees have made it impossible to approve payments for those critical programs. According to Enrich’s memo, various officials at USAID and the State Department issued conflicting guidance on what programs would qualify for the waiver and how they would be funded.
Since February 14, Enrich said, “zero lifesaving health activities” have been approved. Even when a program was approved under the waiver, DOGE had cut off access to the agency’s payment systems. For instance, USAID obtained permission to conduct Ebola response activities in Uganda a month ago, but partner organizations on the ground were not able to draw down funds.