On July 18, a mild, overcast night in Nairobi, Kenya, a team of President Donald Trump’s top foreign aid advisers ducked into a meeting room at the Tribe Hotel, their luxury accommodations in the city’s diplomatic quarter, for a private dinner.
The visitors from Washington included Marcus Thornton, a former Border Patrol agent known for a series of public lawsuits against the Biden administration’s COVID-19 vaccine mandate; Kenneth Jackson, a former oil executive who had done a stint in government under the first Trump administration; and Laken Rapier, who’d previously managed communications for the city of Fort Worth, Texas. This year, all had been appointed to leadership roles in the U.S. Agency for International Development, the premier government humanitarian agency in the world.
Five months earlier, some of the visiting aides had celebrated USAID’s destruction over cake and speeches in Washington. With that job done, they’d embarked on a world tour of half a dozen cities, including the Kenyan capital. They were granted special permission to fly business class “to help ensure maximum rest and comfort,” according to an internal memo. Thornton alone received authorization to expense more than $35,000 in taxpayer money for the trip. The plan was to conduct exit interviews with USAID’s top experts, who were being forced out of the agency amid the administration’s stated commitment to austerity.
When the U.S. embassy in Nairobi learned of the visit, officials there arranged the dinner with a goal in mind. It would be their last opportunity to explain, face-to-face, the catastrophic impact of Trump’s drastic cuts to foreign aid.
A top concern: the administration’s failure to fund the World Food Program’s operation in Kenya, where about 720,000 refugees, among the most vulnerable people on earth, relied on the organization to survive. After providing $112 million in 2024, the U.S. abruptly cut off money in January without warning, leaving the program with no time to find adequate support or import the food needed for the rest of the year.
For months afterward, U.S. government and humanitarian officials warned Washington that the cutoff had led to increasingly dire circumstances. They begged Trump’s political advisers, including Thornton, to renew WFP’s grant and give the money it needed to avert disaster. The embassy in Nairobi sent at least eight cables to the office of Secretary of State Marco Rubio, explaining the situation on the ground and projecting mass hunger, violence and regional instability.
Those warnings went unheeded. Rubio, facing pressure from lawmakers and humanitarian groups, nevertheless publicly asserted that the agency’s mass cuts had spared food programs — even as the administration failed to fund WFP in Kenya behind the scenes. “If it’s providing food or medicine or anything that is saving lives and is immediate and urgent, you’re not included in the freeze,” Rubio told reporters on Feb. 4. “I don’t know how much more clear we can be than that.”
By the spring, WFP still had not received funding, ran low on supplies and would be forced to stop feeding many of Kenya’s refugees. In Kakuma, the third-largest camp in the world, WFP cut rations to their lowest in history, trapping most of the 308,000 people in the camp with almost nothing to eat.
They began to starve, and many — mostly children — died because their malnourished bodies couldn’t fight off infections, ProPublica found while reporting in the camp. Mothers had to choose which of their kids to feed. Young men took to the streets in protests, some of which devolved into violent riots. Pregnant women with life-threatening anemia were so desperate for calories that they ate mud. Out of options and mortally afraid, refugees began fleeing the camp by foot and in overcramped cars, threatening a new migration crisis on the continent. They said they’d rather risk being shot or dying on the perilous route than slowly starving in Kakuma.
To press the urgency of the situation in East Africa at dinner, the embassy officials enlisted Dragica Pajevic, a WFP veteran of more than two decades. Pajevic arrived at the Tribe Hotel early. She brought props. The bag slung over her shoulder held a collection of Tupperware containers with different amounts of dry rice, lentils and oil.
As they ate, she placed each container on the table. The largest represented 2,100 daily calories, what humanitarians like her consider the minimum daily intake for an adult. The next container showed 840 calories. That is what a fifth of refugees in Kakuma were set to receive come August. Another third would get just over 400 calories. Then she showed an empty container. The rest — almost half of the people in Kakuma — would get nothing at all.
Pajevic ended her presentation by relaying a truism that she said a government official in Liberia had once told her: The only difference between life and death during a famine is WFP and the U.S. government, its largest donor.
“The one who’s not hungry cannot understand the beastly pain of hunger,” Pajevic said, “and what a person is willing to do just to tame that beastly pain.”
The response was muted, according to other people familiar with the dinner. Jackson, then USAID’s deputy administrator for management and resources, said the decision to renew WFP’s grant was now with the State Department, and gave no indication he would appeal on the organization’s behalf. Thornton, a foreign service officer who ascended to a leadership post under Trump, did not speak. Instead, he spent much of the meal looking at his cellphone.
The dinner plates were cleared and the visitors headed to the airport. “They just took zero responsibility for this,” one of the attendees said, “and zero responsibility for what’s going to happen.”
The details of this episode are drawn from accounts by six people familiar with the trip, as well as internal government records. Most people in this article spoke on the condition of anonymity for fear of reprisal. This year, ProPublica, The New Yorker and other outlets have documented violence and hunger due to the aid cuts in Kenya’s camps. But the scale of suffering throughout Kakuma — and the string of decisions by American officials that contributed to it — have not been previously reported.
The camp had seen similar spikes in pediatric malnutrition in recent years, but they were tied to natural causes, such as malaria outbreaks, extreme drought or COVID-19, according to staff of the International Rescue Committee, a U.S.-based nonprofit that operates Kakuma’s only hospital.
This was something different: an American-made hunger crisis. So far this year, community health workers have referred almost 12,000 malnourished children for immediate medical attention.
“What has come with Trump, I’ve never experienced anything like it,” said one aid worker who has been in Kakuma for decades. “It’s huge and brutal and traumatizing.”
In response to a detailed list of questions, a senior State Department official insisted that no one had died as a result of foreign aid cuts. The official also said that the U.S. still gives WFP hundreds of millions a year and the administration is shifting to investments that will better serve both the U.S. and key allies like Kenya over time. “We just signed a landmark health agreement with Kenya,” the official said, pointing to recent endorsements by government officials there. “That’s going to transform their ability to build their domestic capacity, to take care of their populations, to improve the quality of health care in Kenya.”
The day of the dinner, 370 miles from the Tribe Hotel, Mary Sunday sat on a vinyl bed in the pediatric malnutrition ward of Kakuma’s hospital, cradling her 7-month-old baby, Santina. The name means “little saint” in Italian, and Mary could only pray that God would save her baby’s life.
Slender, with close-cropped hair and arresting eyes, Sunday had rushed Santina to the hospital four days earlier after the infant developed severe diarrhea. Her husband, Juma Lotunya, had stayed behind to care for their 2-year-old, Grace.
Devout Christians in their early 20s, the couple fled to Kakuma together from South Sudan. They considered parenthood a sacred responsibility — especially Sunday, whose own mother died when she was young. As their family grew, Lotunya had hoped to start a small shop so he could afford to send their daughters to school. “I had that simple dream,” he said.
But in June, when Santina was 6 months old, WFP cut the camp’s food rations. Families like theirs were allotted just a small amount of rice and lentils — 630 daily calories per person — which they were expected to make last until August. Sunday and Lotunya stretched it as long as they could, eating one small meal per day. But the food ran out before the end of June. Sunday stopped producing enough breastmilk to feed Santina, and their chubby baby began to waste away. By the time they arrived at the hospital, Santina weighed only 11 pounds. Staff noted in her charts that she was severely malnourished, her eyes sunken.
Sunday watched helplessly under the clinic’s fluorescent lights as hospital staff pumped her baby with medicine and tried to reintroduce more calories.
On the clinic’s walls, next to decals of butterflies, monkeys and seahorses, loomed dry-erase boards with columns of data tracking how many children and babies had died in the room this year. Sunday spoke no English, but she knew what the numbers meant: One row listed admissions to the pediatric malnutrition ward — about 400 per month on average, including the highest number of edema cases, a key marker of severity, in years.
Another row on the whiteboards tallied those who never left the clinic: At least 54 children have died in the hospital with complications brought on by malnutrition in 2025 alone, including a surge in the spring when families first began rationing their food because of the USAID cuts. Worldwide, this year is the first in decades that early childhood deaths will increase, the Gates Foundation recently reported. Researchers said a key factor is the cuts to foreign aid.
In the hospital’s courtyard, another mother, 20-year-old Nyangoap Riek, leaned against a tree with her two children at her feet and said she was considering an extreme solution. “The thing I think about is committing suicide,” she told ProPublica, “because I heard the U.N. takes care of the kids when the parents are gone.”
