Health Affairs February 3, 2025
Bailey Johnson, Tammy Bui, Ruby Congjiang Wang, Joseph R. Wilson, Cecilia Wang

The inauguration of President Trump has placed global health cooperation at a critical juncture. Within hours of being sworn in, President Trump issued an executive order directing the United States to withdraw from the World Health Organization (WHO). As a major funder of the WHO, with 1.284 billion US dollars contributed during the 2022–2023 biennium alone, this decision to withdraw funding and participation will have profound implications for global health efforts.

The executive order directed the Secretary of State to cease negotiations on the WHO Pandemic Agreement and amendments to the International Health Regulations (IHR)a set of legal frameworks guiding global cooperation to prevent and control the spread of diseases across borders. The order declared that such agreements will...

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