雅各布·津巴 赞比亚卢萨卡——美国政府与赞比亚于周四签署了一项卫生筹资协议。此前，双方经协商删除了导致该协议迟迟未能缔结的样本共享和患者数据条款。
JACOB ZIMBA LUSAKA, Zambia — The U.S. government and Zambia signed a health financing deal on Thursday after agreeing to remove specimen-sharing and patient-data clauses that had stalled the conclusion of the pact.
赞比亚政府还表示，该协议不包含任何与该国丰富矿产资源相关的条款，矿产资源将另行谈判。
The Zambian government also said that the deal does not contain any clauses linked to the country’s abundant mineral resources, which will be negotiated separately.
赞比亚是非洲第二大铜生产国，此前人们担心美国会试图将该国的卫生协议与其自然矿产挂钩。
Zambia is Africa’s second-largest copper producer and there were concerns that the U.S. would try linking its health pact with the country to its natural minerals.
美国国务院表示，该协议总价值达24.9亿美元，其中美国将出资15.2亿美元，赞比亚则将在未来五年内在卫生系统中投入9.75亿美元。这一金额略低于赞比亚官员本周早些时候提出的36亿美元。
The U.S. State Department said the deal is worth a total of $2.49 billion, with the U.S. contributing $1.52 billion and Zambia investing $975 million into its health system over the next five years. The amount is somewhat less than the $3.6 billion mooted by Zambian officials earlier this week.
该协议是特朗普政府“美国优先全球卫生战略”的一部分。此前，美国取消了曾是全球最大人道主义捐助机构的美国国际开发署。
The deal is part of the Trump administration’s America First Global Health Strategy after it dismantled the U.S. Agency for International Development , once the world’s largest humanitarian donor.
新协议旨在促使非洲国家逐步增加对卫生服务的支出，同时美国则逐步减少其援助。
The new agreements aim to commit African nations to gradually increase spending on health services while the U.S. gradually phases out its assistance.
美国驻卢萨卡大使馆临时代办米奇·科克表示，这一伙伴关系也关乎共同的安全与繁荣。
Chargé d’Affaires at the U.S. Embassy in Lusaka, Mich Coker, said the partnership was also about shared security and prosperity.
“传染病不分国界。一个强大的赞比亚卫生系统可以为我们两国以及更广泛的地区提供第一道防线。通过帮助赞比亚快速发现并应对疫情爆发，我们在保护赞比亚人的同时也保护了美国人，”他说。
“Infectious diseases know no borders. A strong Zambian health system serves as a first line of defense for both our nations and for the broader region. By helping Zambia detect and respond to outbreaks quickly, we are protecting Americans as well as Zambians,” he said.
赞比亚卫生部长罗马·奇伦吉表示，该协议将支持在未来五年内招聘4万名医护人员，并且该协议不包含任何会通过数据共享危及赞比亚安全的条款。
Zambian Minister of Health Roma Chilengi said the agreement would support the recruitment of 40,000 healthcare workers over the next five years, and that the deal did not contain any clauses that would compromise Zambia’s security through data sharing.
“政府不会与美国共享任何样本，因为我们已经删除了所有引起担忧的内容，”他说。
“The Government will not be sharing any specimens with the United States because we removed all those aspects that raised concerns,” he said.
奇伦吉还驳斥了有关该协议与该国矿产资源，尤其是关键矿产挂钩的说法。他表示，即使是在最初的草案中，也不存在任何此类条款。
Chilengi also dismissed suggestions that the deal was tied to the country’s mineral wealth, particularly critical minerals. He said no such clause existed, even in the original draft.
“作为卫生部，我们从未见过任何提及矿物的谅解备忘录。其他任何谅解备忘录也完全没有被提及，”他说。
“As Ministry of Health, we never ever saw any MoU that speaks to minerals. There was no mention at all of any other MoU,” he said.
“我们在公众中确实听说过这些讨论，但当时存在争议的问题是关于样本共享和数据保护。”2025年，美国宣布将暂停对赞比亚卫生部门每年5000万美元的援助，理由是捐赠的药品和医疗用品存在“系统性盗窃”。
“We did hear of those conversations in the public, but the contentious matters that were there were about specimen sharing and data protection.”In 2025, the United States announced that it was withdrawing $50 million in annual aid to Zambia’s health sector over what it described as “systemic theft” of donated medicines and medical supplies.
上周，政府解雇了赞比亚药品和医疗用品局的全部150名员工，该机构负责在全国范围内分发药品和医疗用品。
Last week, the government fired all 150 workers at the Zambia Medicines and Medical Supplies Agency, which is responsible for the distribution of medicines and medical supplies across the country.
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，要求这些国家在收到请求后五天内提交数据和样本。
The U.S. has 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.
美国表示，其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治疗方法。
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.
包括津巴布韦、加纳和纳米比亚在内的一些非洲国家已拒绝了与美国提出的健康协议。有关非洲与发展更多内容：
Some African countries, including Zimbabwe, Ghana and Namibia, have rejected the proposed health deals with the U.S For more on Africa and development: