Donald Trump’s move to cut most of the US funding towards foreign humanitarian aid could cause more than 14 million additional deaths by 2030, according to research published in The Lancet medical journal.

A third of those at risk of premature deaths were children, researchers projected.

Low- and middle-income countries were facing a shock “comparable in scale to a global pandemic or a major armed conflict,” said Davide Rasella, who co-authored the report.