Read this and answer the question. If the question is unanswerable, say "unanswerable".

The foundation has donated billions of dollars to help sufferers of AIDS, tuberculosis and malaria, protecting millions of children from death at the hands of preventable diseases. However, a 2007 investigation by The Los Angeles Times claimed there are three major unintended consequences with the foundation's allocation of aid. First, sub-Saharan Africa already suffered from a shortage of primary doctors before the arrival of the Gates Foundation, but "by pouring most contributions into the fight against such high-profile killers as AIDS, Gates grantees have increased the demand for specially trained, higher-paid clinicians, diverting staff from basic care" in sub-Saharan Africa. This "brain drain" adds to the existing doctor shortage and pulls away additional trained staff from children and those suffering from other common killers. Second, "the focus on a few diseases has shortchanged basic needs such as nutrition and transportation". Third, "Gates-funded vaccination programs have instructed caregivers to ignore – even discourage patients from discussing – ailments that the vaccinations cannot prevent".

Vaccinations programs encouraged what
discourage patients from discussing – ailments that the vaccinations cannot prevent".