A U.S. health aid initiative is encountering significant resistance in Kenya, despite a recent High Court order to cease operations. Seven American aid workers proceeded with establishing a U.S. isolation facility in central Kenya in mid-July, directly challenging both local protests and the court’s directive. This action stems from Washington’s “America First Global Health Strategy,” which prioritizes a new, bilateral approach to global health assistance. Locals have voiced strong opposition to the project, resulting in weeks of demonstrations. The defiance of the court order raises questions about the U.S.'s commitment to respecting Kenyan sovereignty and legal processes. This incident highlights a broader tension surrounding the implementation of U.S. health aid across the African continent.