And contributions to international relief agencies have plummeted because of "donor fatigue."
Relief workers blame the reluctance to help on "donor fatigue" with Afghanistan and its persistent problems.
"We have some sense of persistent donor fatigue in the long wake of 9/11," he said.
"I attribute that to donor fatigue after Sept. 11," he said.
He also acknowledged the possibility of donor fatigue as the conflict here grinds on.
There is a popular belief in Washington that Americans suffer from something called donor fatigue.
International commitment remained high, however, and there were no signs of donor fatigue for Afghanistan, he said.
But concern about so-called donor fatigue was largely unfounded.
We know that the international community is affected by donor fatigue.
Finally, the political ailment known as "donor fatigue" may have hit Hollywood.