In a video address, the health secretary said the United States would no longer donate to Gavi, the vaccine agency. The organization rejected his claims.
A new drug that gives almost complete protection against the virus was to be administered across Africa this year. Now, much of the funding for that effort is gone.
The administration has gutted agencies like U.S.A.I.D., and President Trump has denigrated their work as wasteful and rife with fraud. His views on humanitarian assistance have seesawed since he entered political life.