Ukraine Needs Money from the US and Europe to Keep Its Economy Running. Will the Aid Come? 

A general view shows a building heavily damaged by a Russian missile strike, amid Russia's attack on Ukraine, in central Kharkiv, Ukraine January 17, 2024. (Reuters)
A general view shows a building heavily damaged by a Russian missile strike, amid Russia's attack on Ukraine, in central Kharkiv, Ukraine January 17, 2024. (Reuters)
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Ukraine Needs Money from the US and Europe to Keep Its Economy Running. Will the Aid Come? 

A general view shows a building heavily damaged by a Russian missile strike, amid Russia's attack on Ukraine, in central Kharkiv, Ukraine January 17, 2024. (Reuters)
A general view shows a building heavily damaged by a Russian missile strike, amid Russia's attack on Ukraine, in central Kharkiv, Ukraine January 17, 2024. (Reuters)

Ukraine's hard-won economic stability is under threat again as the government faces a large budget hole and its two biggest allies and sponsors — the United States and the European Union — have so far failed to decide on extending more aid.

Without pledges of support by the start of February — when EU leaders meet to decide on aid — and if no money arrives by March, that could risk the progress Ukraine has made against inflation. It has helped ordinary people keep paying rent, put food on the table and resist Russia's efforts to break their society's spirit.

The issue was on the minds of US Secretary of State Antony Blinken and Ukrainian President Volodymyr Zelenskyy when they met at the World Economic Forum in Davos, Switzerland on Tuesday.

"We’re determined to sustain our support" for Ukraine, Blinken said, "we’re working very closely with Congress in order to do that. I know our European colleagues are doing the same thing."

Here are key things to know about Ukraine's economy and why funding from allies is crucial:

HOW IS UKRAINE'S ECONOMY DOING? The International Monetary Fund has said Ukraine's economy has showed "remarkable resilience." The first months of the war in 2022 saw the country lose a third of its economic output to occupation and destruction because Russia controls the heartland of Ukraine's heavy industry.

Inflation also soared to a whopping 26% because the central bank had to print money to cover yawning budget gaps.

However, things rebounded last year, with inflation falling to 5.7% and the economy growing 4.9% — more than some major economies like Germany. Ukraine's banking system has kept functioning, schools and health clinics are open, and pensions are being paid.

That's a lifeline for people like Nadiia Astreiko and her 93-year-old mother, who live on their combined pensions of $170 a month.

"The war has changed everyone’s life," said Astreiko, 63. "In terms of money, it’s also hard because now I have to count every penny. ... It's very hard for us."

WHY DOES UKRAINE NEED FINANCIAL HELP? Ukraine spends almost all the money it brings in through taxes to fund the war. That leaves a huge deficit because there are other bills to keep society functioning, like old-age pensions and salaries for teachers, doctors, nurses and state employees.

At the beginning of the war, Ukraine resorted to having the central bank print new money, a dangerous stopgap because it can fuel inflation and destroy the value of the country's hryvnia currency.

As donor contributions became more regular and predictable, Ukraine was able to halt the practice, and the budget passed by parliament in November does not rely on it.

One key accomplishment was adjusting old-age pensions, which can be about the equivalent of $100 per month, to compensate for inflation, said Hlib Vyshlinsky, executive director of the Center for Economic Strategy, a policy institution in Kyiv.

Printing money again and the resulting inflation "would bring a lot of people into real poverty," he said.

To avoid that again, Ukraine needs "a decision by the start of February, and the money by the beginning of March," Vyshlinsky said.

WHAT'S THE IMPACT ON ORDINARY PEOPLE? Ukraine is significantly poorer than the rest of Europe. Millions of people are like Astreiko and her mother, with 80% of their money covering food and the rest going to buy medicines for Astreiko's mother.

The only way to afford things like clothes or shoes is to skimp on food and medicine.

The pair eat fish twice a week, and meat once or twice a week. For vegetables, mushrooms and fruit, Astreiko grows them herself or picks them in the forest and cans or freezes them for winter.

She insists there are bigger worries than the economy — soldiers are dying and frequent missile strikes hit Kyiv, where her grandchildren live.

"We will survive. If only the war would end," Astreiko said.

The economic rebound has helped sustain businesses like Dmytro Felixov's concert.ua website, one of the most widely used in Ukraine for purchasing tickets to plays, concerts and comedy shows. He's been through more than one crisis, including Russia's 2014 seizure of the Crimea Peninsula.

He says the war has led to a "certain cultural renaissance" and sparked heightened interest in Ukrainian culture. He envisions a return to prewar profit levels around 2025, saying, "Our business will survive."

Even the frequent missile attacks no longer significantly affect Felixov’s business. During a record number of missile and drone attacks by Russia on Dec. 29, ticket sales dipped by 20%, only to rebound to normal levels the following day, he said.

If before people went to performances for relaxation, now they help people decompress, he said: "They go to concerts to heal."

WHERE DO THINGS STAND NOW? Ukraine's budget this year calls for $41 billion in donor money to close the deficit and avoid printing money. Ukraine is counting on $8.5 billion from the US and $18 billion from the EU, but that's still uncertain.

EU leaders in December failed to agree on a four-year, $52 billion package of assistance. Hungary blocked the agreement, which requires unanimity from all 27 EU members. The bloc is working, however, to find a way for the remaining 26 countries to come up with the money ahead of a leaders' summit on Feb. 1.

Less certain is the situation in Washington, where congressional Republicans have tied money for Ukraine to border security measures aimed at preventing illegal entry by migrants. There's no decision yet.

The White House in October asked Congress for $11.8 billion to provide 12 months of budget support. The money would "ensure that Putin does not succeed in collapsing the Ukrainian economy," Office of Management and Budget Director Shalanda D. Young wrote in an Oct. 20 letter to Congress.

Zelenskyy said Tuesday in Davos that he believed it was "a matter of weeks" until the EU and US come through with more aid.

The IMF has played a key role in rallying support, approving a $15.6 billion, four-year loan program for Ukraine. That money leveraged $115 billion more from other donors because it imposes conditions to ensure good economic policy and requires Ukraine to improve its legal and tax systems and fight corruption.

There's a debate about seizing some $300 billion in Russian assets held abroad that have been frozen by governments supporting Ukraine. That money could, in theory, relieve the logjams over taxpayer money in Washington and Brussels — but faces concerns about the legal precedent and economic impact of such a drastic step.



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.