Anna Maria Barry-Jester, Propublica

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.”

On the one-month anniversary of President Donald Trump’s inauguration earlier this year, a group of his appointed aides gathered to celebrate.

For four weeks, they had been working overtime to dismantle the U.S. Agency for International Development, freezing thousands of programs, including ones that provided food, water and medicine around the world. They’d culled USAID’s staff and abandoned its former headquarters in the stately Ronald Reagan Building, shunting the remnants of the agency to what was once an overflow space in a glass-walled commercial office above Nordstrom Rack and a bank.

There, the crew of newly minted political figures told the office manager to create a moat of 90 empty desks around them so no one could hear them talk. They ignored questions and advice from career staff with decades of experience in the field.

Despite the steps to insulate themselves, dire warnings poured in from diplomats and government experts around the world. The cuts would cost countless lives, Secretary of State Marco Rubio and the other Trump officials were told repeatedly. The team of aides pressed on, galvanized by two men who did little to hide their disdain for the agency: first Peter Marocco, a blunt-spoken Marine veteran, and then 28-year-old Jeremy Lewin, who, despite having no government or aid experience, often personally decided which programs should be axed.

By the third week in February, they were on track to wipe out 90% of USAID’s work. Created in 1961 to foster global stability and help advance American interests, USAID was the largest humanitarian donor in the world. In just a month’s time, the small band of appointees had set in motion its destruction.

In a corner conference room, it was time to party. They traded congratulatory speeches and cut into a sheet cake.