Since January 2025, North Carolina institutions lost $3 billion in future payments with 86% of USAID-funded awards terminated.

Date: 12/25

Region: North America

Country: United States

Topic: Health, Economy & Livelihoods

Policy Lens: Economic & Trade Interests

Entry Type: Operational Impact

Additional Context: North Carolina is home to one of the most sophisticated global health ecosystems in the U.S., with notable institutions including RTI International, FHI 360, UNC Gillings School of Global Public Health, and Duke Global Health Institute. The global health sector adds $31.9B to North Carolina's economy per year, often catalyzed by federal funding that drives productivity, creates new jobs, and increases competitiveness.

This data was compiled by the North Carolina Global Health Alliance utilizing baseline data from their 2022 Economic Impact Report compiled by RTI International. Other data was retrieved through publicly available employment data and direct outreach to affected organizations.

Source: North Carolina Global Health Alliance (2022 Report and2025 Update)