内容来源：https://www.geekwire.com/2025/innovation-vs-aid-cuts-gates-foundations-goalkeepers-report-sounds-alarm-on-global-health-retreat/

内容总结：

比尔及梅琳达·盖茨基金会近日发布年度《目标守卫者报告》，对全球健康领域国际资金削减的致命影响发出警告。报告指出，预算削减预计将逆转数十年来的发展成果，导致本世纪首次出现五岁以下儿童死亡人数上升。今年预计将有480万儿童死亡，较去年增加20万。

基金会首席执行官马克·苏兹曼在媒体简报会上表示："这是我们最不愿看到的数据，但残酷的现实已经摆在眼前。尽管成因复杂，但高收入国家大幅削减国际发展援助无疑是关键因素之一。"报告特别指出美国、英国、法国和德国均"大幅削减"了相关支持。数据显示，今年全球健康援助资金较去年骤降26.9%。

这份由盖茨基金会与华盛顿大学健康指标与评估研究所联合完成的报告模拟了援助减少的影响：若资金削减持续或加剧，未来20年可能额外导致1200万至1600万儿童死亡。报告同时指出，到2045年，改进的呼吸道合胞病毒疫苗和肺炎疫苗可挽救340万儿童生命，新型疟疾防治工具可再拯救570万儿童，而新型HIV预防药物也将发挥重要作用。

面对全球人道主义资金缩减和疫苗接种率下降的双重挑战，盖茨基金会宣布将在未来20年内投入2000亿美元，其中包含比尔·盖茨近乎全部个人财富。这家全球规模最大的慈善机构今年正值成立25周年，计划于2045年12月31日结束运营。

"如果我们能用更少资源做更多事情，并重建儿童健康投入体系，20年后我们将讲述一个不同的故事——关于如何让更多孩子平安降生、健康成长的故事。"比尔·盖茨在报告中写道。报告同时强调，智慧支出与创新技术的结合将为初级卫生保健、常规免疫接种、疫苗研发和数据应用等领域带来突破性进展。

中文翻译：

比尔·盖茨及其创立的盖茨基金会近日就国际资金削减对全球健康造成的致命影响发出警告。预算削减预计将使数十年来的发展进程出现倒退，导致本世纪首次出现五岁以下儿童死亡人数上升。据估算，今年将有约480万儿童死亡，较去年增加20万。

盖茨基金会首席执行官马克·苏兹曼本周在媒体简报会上表示："这是我们最不愿看到的数据，但残酷的现实已然发生。虽然存在多重诱因，但显然关键因素之一是高收入国家大幅削减了国际发展援助资金。"苏兹曼特别指出美国、英国、法国和德国"实施了显著的资金削减"。该慈善机构数据显示，今年全球健康援助资金较去年骤降26.9%。

盖茨基金会近日发布年度《目标守卫者报告》，持续追踪贫困、饥饿、清洁水源与能源获取、环境指标等多项发展目标的进展。这家总部位于西雅图的基金会与华盛顿大学健康指标与评估研究所合作，模拟了援助资金缩减可能产生的影响。研究发现，若援助削减趋势持续或加剧，未来20年或将额外增加1200万至1600万儿童死亡。

这份报告在呈现严峻预测的同时，更致力于呼吁各国政府及各类慈善机构采取行动。比尔·盖茨在报告中指出："本报告勾勒了前进的路线图——当明智的投入遇上规模化创新，就能开辟进步之路。"这位微软联合创始人特别列举了几大最具潜力的重点领域：初级卫生保健、常规免疫接种、改良疫苗研发以及数据创新应用。

报告预测模型显示，到2045年，针对呼吸道合胞病毒和肺炎的改良疫苗有望挽救340万儿童生命，新型疟疾防治工具可再拯救570万儿童，而新型抗HIV药物lenacapavir注射剂将有效防治艾滋病。在美国卫生部长小罗伯特·F·肯尼迪持续削弱公众疫苗接种信心的背景下，该基金会特别强调了疫苗接种的救命效益。

面对联邦政府削减全球人道主义资金与疫苗接种推广受阻的双重困境，比尔·盖茨今年早些时候宣布，计划在未来20年内通过盖茨基金会捐赠2000亿美元——这几乎涵盖其全部财富。今年适逢成立25周年的盖茨基金会将于2045年12月31日终止运营。作为全球规模最大的慈善组织，该基金会自创立以来已累计拨款1000亿美元。

盖茨在报告中写道："如果我们能用更少资源做更多实事——并重建一个能为儿童健康投入更多资源的世界——那么20年后，我们将能讲述截然不同的故事：一个关于如何守护更多新生儿平安降临、护航更多孩童健康成长的故事。"

英文来源：

Bill Gates and the Gates Foundation are raising the alarm over the deadly impacts of international funding cuts in global health. Slashed budgets are projected to reverse decades of progress, causing the number of children dying before their fifth birthday to rise for the first time this century. An estimated 4.8 million children are expected to die this year, an increase of 200,000 deaths compared to last year.
“That is something that we hope never to report on, but it is a sad fact. And there are many causes, but clearly one of the key causes has been significant cuts in international development assistance from a number of high-income countries,” said Mark Suzman, CEO of the Gates Foundation, in a briefing with media this week.
Suzman specifically called out the U.S., the United Kingdom, France and Germany for “making significant cuts” to their support. Internationally, funding plunged 26.9% below last year’s levels, according to the philanthropy.
The Gates Foundation today released its annual Goalkeepers Report, which tracks progress on measures including poverty, hunger, access to clean water and energy, environmental benchmarks and other metrics.
The Seattle-based foundation worked with the University of Washington’s Institute for Health Metrics and Evaluation to model the effects of reduced assistance. The researchers found that if the cuts to aid persist or worsen, an additional 12 million to 16 million children could die over the next 20 years.
While offering dire projections, the document aims to be a call to action for governments and philanthropists large and small.
“This report is a roadmap to progress,” Gates writes, “where smart spending meets innovation at scale.”
The billionaire Microsoft co-founder calls out some specific areas that could yield the most benefit, including primary healthcare, routine immunizations, the development of improved vaccines and new uses of data.
Modeling in the report predicts that by 2045, better vaccines for respiratory syncytial virus (RSV) and pneumonia could save 3.4 million children, while new malaria tools could save an additional 5.7 million kids. Shots of lenacapavir could successfully prevent and treat HIV.
The foundation calls attention to the life-saving benefits of vaccinations as the U.S. Secretary of Health Robert F. Kennedy Jr. continues to undercut public support of vaccines.
With the backdrop of reduced federal funding for global humanitarian causes and backpedaling on vaccinations, Gates earlier this year announced plans to give away $200 billion — including nearly all of his wealth — over the next two decades through the Gates Foundation.
The Seattle-based organization, which celebrates its 25th anniversary this year, will sunset its operations on Dec. 31, 2045. The philanthropy is the world’s largest and has already disbursed $100 billion since its founding.
“If we do more with less now — and get back to a world where there’s more resources to devote to children’s health — then in 20 years, we’ll be able to tell a different kind of story,” Gates writes in the report. “The story of how we helped more kids survive childbirth, and childhood.”