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Countries Eye WHO Exit Despite Legal Uncertainty

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Several world leaders, including Argentina’s President Javier Milei and Hungary’s Viktor Orbán, have expressed their intentions to withdraw from the World Health Organization (WHO), following the United States’ decision to leave the global health body last month. However, the legal complexities of such a move present an unclear path forward.

No Clear Exit Mechanism in WHO Constitution

Unlike other international organizations, the WHO’s constitution—an international treaty signed by nearly every country—does not include a formal withdrawal clause. The organization was founded in 1946 with the intention of fostering universal cooperation in global health, making the idea of member states leaving a legal gray area.

“The idea in the field of public health was for the WHO to be as universal as possible,” said Stéphanie Dagron, an international law professor at the University of Geneva.

While the U.S. reserved the right to exit when it joined in 1948, no such provision exists for other nations. This means countries like Argentina and Hungary face legal uncertainty in their attempts to leave.

How Countries Could Withdraw

Despite the lack of a formal exit clause, international law provides some guidance. The 1969 Vienna Convention states that if a treaty does not specify withdrawal terms, member states must provide one year’s notice before leaving.

This suggests that Argentina and other nations would have to navigate a year-long process before officially cutting ties with the WHO, potentially slowing down their exit plans.

Pedro Villarreal, a researcher in global health law at the German Institute for International and Security Affairs, noted that while no clear precedent exists, withdrawal is still legally possible. “The fact that an international treaty does not envisage withdrawal does not mean that countries cannot withdraw,” he explained.

Inactive Status: A Middle Ground?

While an outright departure remains uncertain, historical precedent suggests that nations could instead take on an “inactive” status. When the Soviet Union stopped participating in the WHO in 1949, it was not seen as a formal withdrawal but rather as a period of inactivity. The USSR later rejoined in 1956 without needing to ratify the constitution again.

Whether countries like Argentina or Hungary could follow a similar path remains an open question. Steven Solomon, the WHO’s principal legal officer, acknowledged the ambiguity, saying, “The question of whether withdrawal is possible, and if so, how it would be given effect, and under what conditions, is a matter of interpretation.”

Potential Consequences of Withdrawal

If countries were to go inactive or withdraw, they would face significant consequences. Member states are required to pay annual fees, and those that stop contributing could lose their voting rights at the World Health Assembly. More importantly, they may also forfeit access to WHO-backed health programs and initiatives.

For nations with struggling healthcare systems, this could mean reduced support in areas such as disease prevention, vaccine distribution, and emergency health response.

What Happens Next?

For now, no formal withdrawal requests have been submitted, and the topic is not currently on the agenda for the WHO’s next World Health Assembly in May.

“At the moment, it’s a political announcement,” Dagron said, emphasizing that any final decisions on withdrawal will likely involve further legal and diplomatic negotiations.

As more countries weigh their options, the global health community is left watching to see how this unprecedented situation unfolds.

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Early-Onset Cancer Rates Rising in U.S., But Deaths Mostly Stable, Study Finds

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A new U.S. government study has revealed that while cancer diagnoses among people under 50 are on the rise, the overall death rates for most types of cancer in this age group remain stable.

Published Thursday in the journal Cancer Discovery, the study is one of the most comprehensive assessments to date of early-onset cancers, analyzing data from more than two million cases diagnosed in Americans aged 15 to 49 between 2010 and 2019.

The findings show that 14 out of 33 cancer types had increasing incidence rates in at least one younger age group. The most significant increases were seen in breast, colorectal, kidney, and uterine cancers. Women accounted for about 63 percent of the early-onset cases.

This pattern generally reflects something profound going on,” said Tim Rebbeck of the Dana-Farber Cancer Institute, who was not involved in the study. “We need to fund research that will help us understand why this is happening.”

The study found that, compared to 2010 data, there were 4,800 more breast cancer cases, 2,000 additional colorectal cancers, 1,800 more kidney cancers, and 1,200 extra uterine cancers by 2019.

Despite the rising numbers, researchers emphasized a key reassurance: death rates for most of these cancers are not increasing. However, exceptions were noted—colorectal, uterine, and testicular cancers saw slight rises in mortality among younger adults.

The causes behind the rise in early-onset cancers are not fully understood. The study’s datasets do not include information on potential risk factors such as obesity, lifestyle, or access to healthcare. However, researchers, including lead author Dr. Meredith Shiels of the National Cancer Institute, highlighted obesity as a possible driver.

Several of these cancer types are known to be associated with excess body weight,” said Dr. Shiels. She also pointed to advances in detection and changing screening practices as possible contributors to earlier diagnoses.

Breast cancer trends may also be influenced by shifting reproductive patterns, such as women having children later in life, which has been associated with increased cancer risk due to fewer years of pregnancy and breastfeeding—factors known to lower risk.

Not all cancer types followed the upward trend. Rates of more than a dozen cancers, including lung and prostate cancer, are decreasing among younger people. Researchers attribute the lung cancer decline to reduced smoking rates, while updated PSA screening guidelines are likely behind the drop in prostate cancer diagnoses.

Experts plan to convene later this year to further investigate the growing early-onset cancer burden and explore targeted prevention strategies.

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UK Scientists Develop Tool to Measure ‘Heart Age,’ Offering New Insights for Cardiovascular Health

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Researchers in the United Kingdom have developed a new tool that can determine how old a person’s heart is in comparison to their actual age, offering a potential breakthrough in the early detection and prevention of cardiovascular disease.

The study, led by scientists at the University of East Anglia (UEA), examined magnetic resonance imaging (MRI) scans from 557 individuals across the UK, Spain, and Singapore. Of those, 336 participants had known health risk factors such as obesity, high blood pressure, or diabetes.

Using these scans, the researchers measured structural and functional markers of cardiac health — including the size of the heart’s chambers and how effectively it pumps blood. These indicators were then used to create an algorithm that calculates the heart’s “functional age.”

The findings, published in the European Heart Journal, revealed that individuals with cardiovascular risk factors had hearts that were, on average, 4.6 years older than their chronological age. In people with obesity, the gap was even wider, indicating faster cardiac ageing.

People with health issues like diabetes or obesity often have hearts that are ageing faster than they should – sometimes by decades,” said Dr. Pankaj Garg, a cardiologist and lead author of the study. “This tool gives us a way to visualize and quantify that risk.”

While the tool shows promise, researchers noted some limitations. The model does not account for how long patients had lived with their conditions, and the study group primarily included older individuals who had survived with these health issues — raising concerns about survivor bias. The relatively small sample size also means the tool needs broader validation before it can be widely adopted.

Despite these limitations, the research team believes the tool could have valuable clinical applications in the future. Dr. Garg said it may help doctors counsel patients more effectively about their cardiovascular health and recommend lifestyle changes or treatments to slow heart ageing.

By knowing your heart’s true age, patients could get advice or treatments to slow down the ageing process, potentially preventing heart attacks or strokes,” he said. “It’s about giving people a fighting chance against heart disease.”

The team hopes the tool could eventually be integrated into routine care, empowering patients to take early steps toward improving their heart health through diet, exercise, and medical intervention.

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Global Health Inequities Persist as Progress on Life Expectancy and Mortality Slows, Says WHO

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While the world has made significant strides in narrowing health disparities between rich and poor nations over the past two decades, progress is now faltering — and in some cases reversing — according to a new report by the World Health Organization (WHO).

The report, the WHO’s first comprehensive analysis on health equity since 2008, finds that although gaps in life expectancy, child mortality, and maternal health have narrowed globally, none of the agency’s long-term health targets for 2040 are currently on track to be met.

There has been some progress narrowing health gaps between countries, but it is stalling,” said Dr. Sudhvir Singh, who leads the WHO’s equity and health unit, during a press briefing. He called for urgent action to address the underlying social, political, and economic factors driving health inequalities.

The WHO’s 2040 targets include halving the gap in life expectancy between countries, reducing adult mortality by half, slashing child deaths under age five by 90 percent, and cutting maternal mortality by 95 percent. Yet, the latest figures reveal that progress toward these goals has slowed dramatically.

A stark example is life expectancy. While people in high-income countries such as Japan enjoy an average lifespan of 84.5 years, those in countries like Lesotho live on average only 51.5 years — a gap of 33 years. The global average gap still stands at 12.5 years, well short of the WHO’s goal to reduce it to 8.2 years by 2040.

Child mortality has improved significantly, with global rates dropping from 77 deaths per 1,000 live births in 2000 to 37 in 2023. But children in low-income nations remain 13 times more likely to die before age five compared to those in wealthier countries. The WHO’s target of eight deaths per 1,000 by 2040 appears increasingly out of reach.

Maternal mortality has declined by 40 percent since 2000, yet the current global rate remains at 197 deaths per 100,000 live births — more than twelve times higher than the 2040 goal of just 16.

The report also highlights major disparities within countries. Poorer communities, women, ethnic minorities, and other marginalized groups continue to face worse health outcomes due to factors such as income inequality, poor access to public services, systemic discrimination, and environmental threats like climate change.

WHO officials warned that climate change alone could push up to 135 million people into extreme poverty in the next five years — further widening health gaps unless governments act decisively.

There’s a very positive return on investment from addressing these social determinants of health,” said Singh. “And there’s a huge cost of inaction.”

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