A new report by the U.N. AIDS agency says the sudden withdrawal of U.S. funding has caused a “systemic shock” to the global effort against AIDS and HIV.

The UNAIDS annual report warns that Trump era HIV funding cuts could lead to 6 million more infections and 4 million deaths by 2029 — as low-income countries struggle to fill the gap.

U.S. HIV funding cuts risk reversing decades of progress, potentially causing over 4 million AIDS-related deaths and 6 million new infections by 2029, destabilizing global HIV prevention and treatment efforts.