J ames Akot has three goats. He shares them with his wife, his mother, three younger siblings, and two of his cousin's children, in a household in Northern Bahr el Ghazal in South Sudan. The crops Akot's family planted were washed away in the floods last year, the fourth and worst flood in the region in four consecutive years.

President Trump’s pause on aid, and the gutting of the primary aid agency, could jeopardize the health of more than 20 million people worldwide, including 500,000 children, experts say.