At least 24 HIV-positive sex workers in Kenya have died after losing access to antiretroviral treatment following the sharp reduction of US foreign aid earlier this year, according to health workers on the ground. Outreach programmes that previously delivered medication and condoms directly to vulnerable communities have ceased, leaving many unable or unwilling to attend public clinics due to fears of stigma. Health workers warn that the crisis extends beyond those already living with HIV, as unprotected sex work continues without access to condoms or treatment, placing entire communities at heightened risk of new infections.