translate English to French: Since the United States embargo prevents Cuba's access to United States products and suppliers, commodities linked to sexual and reproductive health assistance and related materials have to be purchased in Europe or Asia at higher prices and with higher freight charges.
b) Dommages économiques directs cumulés se chiffrant à plus de 86 milliards de dollars, d'où l'utilisation à d'autres fins de fonds indispensables au budget de la santé et à d'autres programmes sociaux;