雅各布·津巴，杰拉尔德·伊姆雷 赞比亚卢萨卡 — 赞比亚将与美国签署一份修订后的卫生协议，该协议将不包含要求该非洲国家与美国政府共享患者健康数据和样本的争议条款。
JACOB ZIMBA, GERALD IMRAY LUSAKA, Zambia — Zambia will sign a revised health agreement with the United States that will not include contentious clauses committing the African nation to share patient health data and specimens with the U.S. government.
赞比亚卫生部长罗马·奇伦吉周二在新闻发布会上表示，这项为期五年的协议总价值36亿美元，为赞比亚卫生服务提供联合资金，资金来源为两国共同出资。
The five-year deal is worth $3.6 billion in total, combined funding from both countries for the African nation’s health services, Zambian Minister of Health Roma Chilengi said at a press briefing on Tuesday.
他未透露美国将承担多少资金。不过，他在周一对赞比亚国家广播公司ZNBC表示，美国将在五年内提供15亿美元。
He didn’t say how much the U.S. would commit. However, he told Zambian state broadcaster ZNBC on Monday the U.S. would provide $1.5 billion over five years.
自去年以来，美国已与约二十个非洲国家签署了新的双边卫生协议，但部分国家对提供患者数据的要求提出了异议。
The U.S. has signed new bilateral health agreements with around two dozen African nations since last year, but some have pushed back on requirements to provide patient data.
特朗普政府在美国总统唐纳德·特朗普的“美国优先”方针下，在拆解曾是世界最大人道主义捐助机构的美国国际开发署后，正寻求与非洲国家达成双边协议。
The Trump administration is pursuing bilateral agreements with African nations under U.S. President Donald Trump’s “America First” approach after dismantling the U.S. Agency for International Development , once the world’s largest humanitarian donor.
新协议旨在承诺非洲国家逐步增加卫生服务支出，同时美国逐步减少援助。
The new agreements aim to commit African nations to gradually increase spending on health services while the U.S. gradually phases out its assistance.
然而，要求非洲国家应要求向美国政府移交健康数据和样本的条款一直备受争议。
However, the clauses that commit African countries to hand over health data and specimens to the U.S. government on request have been some of the most controversial.
奇伦吉表示：“我要在此宣布，目前的（协议）……不包含任何样本共享条件。”他补充说，要求赞比亚共享个人健康数据的条款也已“完全删除”。“赞比亚将不承担共享任何样本的义务，”他说。他称美国为关键合作伙伴，并表示赞比亚对援助心存感激。奇伦吉说，协议将于周四签署。
“I want to announce here that the (agreement) as it stands now ... has no reference to any specimen sharing conditions,” said Zambia’s Chilengi, adding that clauses committing Zambia to share individual health data had also been “completely removed.”“Zambia will not be obliged to share any specimen,” he said. He called the U.S. a critical partner and said Zambia was grateful for the assistance. The agreement will be signed on Thursday, Chilengi said. The U.S. has already signed health data and specimen-sharing agreements with at least nine African nations, committing them to send data and specimens within five days of a request, according to agreements published by the U.S. State Department.
根据美国国务院公布的协议，美国已与至少九个非洲国家签署了健康数据和样本共享协议，承诺这些国家在收到请求后五天内提供数据和样本。
The U.S. says it can then give the health data and specimens to up to 10 American “non-government entities” to develop diagnostics and medical treatments.
美国表示，随后可将这些健康数据和样本提供给多达10家美国“非政府实体”，用于开发诊断工具和医疗方案。协议中未具体指明这些实体。
The entities are not specified. The agreements say the information will help it track and prepare for new and emerging infectious diseases that have “epidemic or pandemic potential.”
协议称，这些信息将有助于追踪和防范具有“流行病或大流行潜力”的新发和突发传染病。但协议并未保证提供数据的非洲国家能从由此开发的医疗方案中受益。
But they do not guarantee that the African nation that provided the data would benefit from any medical treatments developed. They would only receive treatments developed “subject to the availability of funds” and “behind the U.S. government’s domestic need,” according to the agreements.
根据协议，这些非洲国家只有在“资金可用”且“在美国政府国内需求之后”的情况下，才能获得相关治疗手段，并且还需自行支付费用。
The African nation would also have to pay for them.
今年二月，津巴布韦作为赞比亚的邻国，因数据和样本共享要求而拒绝了与美国的健康合作协议。
In February, Zambia’s neighbor, Zimbabwe, rejected a U.S. health deal partially over the data and specimen-sharing requirements.
津巴布韦政府发言人尼克·曼格瓦纳当时表示：“实质上，我国将为科学发现提供原材料，却没有任何保证，确保在未来健康危机出现时，最终产品能为我国人民所用。”美国上月宣布，已终止对津巴布韦的所有健康援助。
“In essence, our nation would provide the raw materials for scientific discovery without any assurance that the end products would be accessible to our people should a future health crisis emerge,” Zimbabwe government spokesperson Nick Mangwana said at the time. The U.S. announced it ended all health assistance to Zimbabwe last month.
据当地媒体报道，另一个南部非洲国家纳米比亚也拒绝了部分条款。美国上月宣布将逐步停止对纳米比亚艾滋病治疗和预防项目的资助，尽管两国均未公开将这一决定与健康数据分歧联系起来。加纳也发出了类似的拒绝声明。
Namibia, another southern African nation, also rejected some of these clauses, according to local media reports. The U.S. announced it would phase out funding for Namibia’s HIV treatment and prevention program last month, though neither country publicly tied the decision to the disagreement over health data. Ghana has also issued a similar rejection .
加纳总统约翰·德拉马尼·马哈马上个月在纽约出席联合国大会期间表示，美国希望了解加纳关于地方性流行病和医疗记录的信息，但加纳无权检查进入该国的药品或医疗产品。
Ghanaian President John Dramani Mahama said last month while in New York for the United Nations General Assembly that the U.S. wanted information about endemic diseases and the country’s medical records, but Ghana would have no right to inspect medications or medical products brought into the country.
马哈马表示，加纳内阁审查了这一提议，并“以创纪录的速度将其否决”。伊姆雷从南非开普敦报道。如需了解更多关于非洲与发展方面的内容：
Mahama said Ghana’s Cabinet inspected the proposal and it was “thrown out in record time.”Imray reported from Cape Town, South Africa. For more on Africa and development: