“Diseases don’t stick to national boundaries, hence this decision is not only concerning for the US, but in fact for every country in the world,” says Pauline Scheelbeek at the London School of Hygiene and Tropical Medicine.“With the US no longer reporting to the WHO nor funding part of this process, the evidence on which public health interventions and solutions should be based is incomplete.”
“It’s going to hurt global health,” adds Moss. “It’s going to come back to bite us.”
There’s more on how the withdrawal could affect health programs, vaccine coverage, and pandemic preparedness in this week’s coverage.
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This isn’t the first time Donald Trump has signaled his desire for the US to leave the WHO. He proposed a withdrawal during his last term, in 2020. While the WHO is not perfect, it needs more power and funding, not less, Charles Kenny, director of technology and development at the Center for Global Development, argued at the time.
The move drew condemnation from those working in public health then, too. The editor in chief of the medical journal The Lancet called it “a crime against humanity,” as Charlotte Jee reported.
In 1974, the WHO launched an ambitious program to get lifesaving vaccines to all children around the world. Fifty years on, vaccines are thought to have averted 154 million deaths—including 146 million in children under the age of five.
The WHO has also seen huge success in its efforts to eradicate polio. Today, wild forms of the virus have been eradicated in all but two countries. But vaccine-derived forms of the virus can still crop up around the world.
At the end of a round of discussions in September among WHO member states working on a pandemic agreement, director-general Tedros Adhanom Ghebreyesus remarked, “The next pandemic will not wait for us, whether from a flu virus like H5N1, another coronavirus, or another family of viruses we don’t yet know about.” The H5N1 virus has been circulating on US dairy farms for months now, and the US is preparing for potential human outbreaks.
