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While an influx of new residents from different cultures presents some challenges, "the United States has always been energized by its immigrant populations..."[citation needed] At the 1998 commencement address at Portland State University, U.S. president Bill Clinton voiced support for immigrants, including immigrants from Asia and Latin America when he said that "America has constantly drawn strength and spirit from wave after wave of immigrants...They have proved to be the most restless, the most adventurous, the most innovative, the most industrious of people.[5]
Half of the children in Haiti are unvaccinated and just 40% of the population has access to basic health care.[39] Even before the earthquake, nearly half the causes of deaths have been attributed to HIV/AIDS, respiratory infections, meningitis and diarrheal diseases, including cholera and typhoid, according to the World Health Organization.[40] Ninety percent of Haiti’s children suffer from waterborne diseases and intestinal parasites.[41] Approximately 5% of Haiti's adult population is infected with HIV.[42] Cases of tuberculosis (TB) in Haiti are more than ten times as high as those in other Latin American countries.[43] Some 30,000 people in Haiti suffer each year from malaria.[44]
Foreign aid makes up approximately 30–40% of the national government's budget. The largest donor is the United States followed by Canada, and the European Union also contributes. Venezuela and Cuba also make various contributions to Haiti's economy, especially after alliances were renewed in 2006 and 2007.