US Secretary of State Marco Rubio hailed the end of the US Agency for International Development (USAID) Tuesday as a new analysis found that its demolition could contribute to 14 million deaths in the next five years.

The State Department is taking over programs previously run by the U.S. Agency for International Development (USAID) in a move officials say will restructure U.S. foreign assistance and reorient it toward national interests,

The analysis, published in the Lancet, estimates the agency’s programs saved 91 million lives worldwide over two decades, playing a vital role in global health.