However, he also brings a necessary critique: “Last year, for instance, as the United States spent almost $3 billion on AIDS programs in Africa, it invested only about $30 million in traditional safe-water projects… Many millions of African children and adults die of malnutrition, pneumonia, motor vehicle accidents and other largely preventable, if not headline-grabbing, conditions… I was struck by this discrepancy between Western donors’ priorities and the real needs of Africans last month, during my most recent trip to Africa… [A]s in many other parts of West Africa and the developing world, inadequate access to safe water results in devastating diarrheal diseases. Shortages of food and basic health services like vaccinations, prenatal care and family planning contribute to large family size and high child and maternal mortality. Major donors like the President’s Emergency Plan for AIDS Relief, known as Pepfar, and the Global Fund to Fight AIDS, Tuberculosis and Malaria have not directly addressed such basic health issues. The Global Fund’s director, Michel Kazatchkine, has acknowledged, ‘We are not a global fund that funds local health’.”