President Trump’s decision to withdraw the United States from the World Health Organization is strict consequences in countries around the world that depends on institutions to achieve important health goals, such as daily vaccination, outbreak management, and nutritional programs. It may bring.
But it can also have an unfortunate and intentional impact on Americans.
According to public health experts, it would deprive the United States of important information about the appearance, such as MPOX and measles, and the resurrected appearance. In addition, many nations, such as Russia and China, can gain more power by setting global health issues and can damage the interests of American pharmaceutical and medical companies in the United States.
WHO’S WORK touches countless ways in American life. The agency edits the international classification of the disease, which is a diagnostic code system used by doctors and insurance companies. Assign a general name to a drug that can be recognized around the world. The extensive influenza monitoring network helps to choose seasonal influenza vaccine every year.
In addition, this agency closely tracks resistance to antibiotics and other drugs, and investigates a wide range of issues such as teenage mental health, material use, aging, etc. , You may notify the US policy.
“There is a reason for who was there,” Loyce said. He served as a secretary of the health welfare service under former President Joseph R. Biden. Gathering as a global community on global issues of World War II. “
“The United States cannot do this job alone, no matter how wonderful we are,” she said.
It takes one year to enable withdrawal, but it’s not clear that it can happen without the approval of Congress, but Trump’s announcement has already dramatic cost reduction measures with WHO. I’m prompted.
A memo to the employees has announced that the director Dr. Tedros Adhanom GHEBREYESUS has announced a limited number of employment frozen and major reorganization of major contracts, and that more measures will continue. He also stated that all conferences without prior approval should be completely virtual, and “missions to provide technical support to the country should be limited to the most important ones.” 。
Late Sunday, the employee of the US Disease Control Prevention Center was immediately effective and instructed to stop working with the WHO. The employees were told not to participate in the meeting or send e -mails including staff by e -mail.
WHO is often criticized as a trees -streamer bureaucrat, too late to act because the approach is too conservative. Mr. Trump Quotation The organization’s “COVID-19 Pandemic Incorrect operation” is one of the main reasons that the United States has withdrawn.
Many public health experts have been sought for decades reform We are strictly viewed that it is too much TI disease to call for members’ failures among the agencies. There are too many areas focus. Criticism Escalated during the pandemicWhen the WHO is delayed for several months after recognizing that the colon virus is in the air and the virus may spread without symptoms.
However, Dr. Thomas Frieden, who has been working with the WHO for decades, including the director of the former CDC, has no other organizations that can fit the WHO reach and influence in the world.
“Is there a lot of things that they can get better? Of course he said, but he added as follows.” Is they essential? Yes. “
The WHO has a relatively modest budget for all of that range, with a total of about $ 6.8 billion in 2024 and 2025. For comparison, the Road Island Health Bureau I spent only $ 6 billion Only in 2024.
The United States is the largest donor of WHO, accounting for almost 15 % of the planned budget.
According to Presidential order, Mr. Trump complained that WHO has been dissatisfied with “continuing to demand an incompetent payment from the United States, which is proportional to other countries,” and China has contributed almost 90 %. And added.
These claims are both incorrect.
Obligation expenses are calculated according to the population and income of each country using the officially approved formula. The budget from 2024 to 25 was a difference of $ 264 million in the United States and $ 181 million in China.
Mr. Trump’s claim that China is much less may be much less likely to be based on voluntary contributions. This is usually motivated by specific benefits such as eradication of polio. The United States has provided $ 442 million spontaneous contributions from 2024 to 2013, but has been given in China. Only $ 2.5 million. Nevertheless, China’s total contribution is about 74 % less than 90 %, rather than the United States.
“It’s not based on a healthy and de facto basis,” said Trump’s decision, said Helen Clark, a former New Zealand Prime Minister and a former UN development program.
On Monday, the Trump administration stopped distribution of HIV drugs purchased with US assistance. Health experts have warned that sudden terminations can be dangerous, expose the health of people living with HIV, lead to more infectious diseases, and promote the tolerance of available drugs.
The WHO program monitors drug resistance around the world for antibiotics and drugs for HIV, malaria, and other diseases.
“These are not invincible drugs. It is very important to know when resistant and why they need to change the strategy,” Meg Doherty instructs the WHO program on HIV and sexually transmitted diseases. Dr. said.
“They should be aware of the United States and may be concerned about them in the future,” she said.
If the United States loses access to WHO’s information and data sharing, online reports and unofficial communication may fill part of the voice, but they are filtered or impaired due to incorrect information. There is a possibility. And WHO and other countries have no obligation to share information on genetic arrays with the United States. This goes without saying that if the country is not a member, you will listen to that advice.
“If we were not there, we couldn’t speak at all,” said Dr. Frieden.
WHO began as a UN branch in 1948 and focused on global health. For decades, it has led to the eradication of natural POs, almost defeated the polio, and helped to control the use of tobacco and trans fat.
CDC or Food and Pharmaceutical Bureau countries depend on the WHO for public health guidelines, childhood vaccinations, and drug approval among many other health efforts.
Dr. Chris Viller, a director of Duke Global Health Institute and WHO, said:
Anil Soni, the highest executive officer of an independent entity that promotes the organization’s partnership and funds, said that the dynamics would affect American companies, and pharmaceutical companies and medical companies would close the WHO’s recommendations. I say that I can do it.
“The United States is not at the table to enable US companies to perform competitive positioning and set evidence and quality standards directly to US business,” said Soni.
Mr. Trump and others have Who criticized who Being unbelievable to China early on pandemic, and that the COVID-19 pandemic is too long to declare the emergency of public health.
However, Mr. Clark, who was the co -chair of the independent panel for preparing and responding to pandemic, noted who could not blame the member of the member. Who’s reaction To COVID-19 Pandemic.
“I don’t have the power to force the country to do something,” said Clark. “It has only the power of persuasion. China is not transparent, it hinders who react.”
Mr. Trump also states that China has too much influence on the WHO, but “The real problem is that the 100,000 small Pacific Islands are too powerful.” Dr. said.
“Who works in consensus, so every country can throw monkey wrenches and stop the lawsuit,” he said.
Trump, unlike most international agreements, can be unilaterally cut off with the Possibility of execution litigation and the WHO, which may require the Senate ratification. It is unknown. method.
David Worth, a former official of the Boston University of State and diplomatic law, states:
If the parliament approves, the United States must still notify the withdrawal of one year and fulfill the financial duty of the year.
Some experts are worried that Trump’s actions promote countries like Hungary and Argentina, and that their leaders are similar to ideology. Already, the Italian Deputy Prime Minister has suggested who will leave.
The withdrawal of the United States may also help authoritative members in the organization, such as Russia and China. Russia and China’s public health decisions were “much politically dominated, and it is dangerous for everyone,” said Dr. Bayler’s. “I don’t want to live in a world where Russia has a loud voice in global health governance.”
Mr. Trump said in the Presidential order that the United States would stop negotiating the revision of the international health regulations. It will come into effect in September.
Ironically, it was the first Trump administration, who was dissatisfied with the lack of transparency from a specific country between COVID-19, and was the first Trump administration that he negotiated the Biden administration. I said.
Mr. Pace also led the pandemic treaty negotiations to allow the government to cooperate during the international crisis. The treaty is stagnant and can now collapse.