He's quite literally responsible for more deaths than Pol Pot, there's a paper in the Lancet estimating the amount of casualities directly resulting from the sudden cancellation of USAID funds.
Edit: Here it is: https://www.thelancet.com/article/S0140-6736(25)01186-9/full...
"Forecasting models predicted that the current steep funding cuts could result in more than 14 051 750 (uncertainty interval 8 475 990–19 662 191) additional all-age deaths, including 4 537 157 (3 124 796–5 910 791) in children younger than age 5 years, by 2030."
They only cut the funding where they couldn't show where the money is going, e.g. the money never helped anyone, but went somewhere else. Obviously whoever got the money is claiming that a lot of people are dying.
The Lancet's model is a forecasting model and it isn't accurate at all. No excess mortality has actually been recorded.