Health
United States Officially Withdraws from World Health Organization After Year of Controversial Health Policy
22 January 2026 was the United States’ final day as a member of the World Health Organization (WHO) after a year of polemic health policy decisions.
The withdrawal process began on 20 January 2025, when President Donald Trump signed an executive order to formally leave the international agency, concluding a year later as the United Nations formally acknowledged the departure. This marked Trump’s second attempt to exit the WHO, following a previous effort in 2020.
The U.S. government cited multiple reasons for leaving the WHO, including the organisation’s handling of the COVID-19 pandemic, its response to other global health crises, its failure to implement urgent reforms, and concerns about undue political influence from member states. Over the last decade, the United States contributed between $160 million and $815 million annually to the WHO, whose budget ranges from $2 billion to $3 billion.
Following the announcement, the Department of Health and Human Services, including the Centers for Disease Control and Prevention (CDC), imposed a government-wide communication pause. Agencies were prohibited from updating websites, releasing case numbers, issuing health advisories, posting on social media, and meeting with external partners. While limited communications resumed after a few weeks, U.S. health agencies remained largely disengaged from the WHO, affecting collaboration with international counterparts, including the European and African disease prevention centres.
The United States also declined to endorse the WHO’s legally binding Pandemic Agreement, signed in May 2025 in Geneva. The agreement aims to strengthen preparedness, prevent future pandemics, and ensure equitable access to medical supplies like vaccines. The Trump administration dissolved the Directorate of Global Health Security and Biodefense, which had coordinated pandemic response across U.S. agencies following the 2014-2015 Ebola outbreak.
Domestically, the U.S. shifted its public health guidance. In early 2026, Secretary of Health Robert F. Kennedy unveiled new dietary guidelines prioritising animal proteins such as red meat, poultry, seafood, and eggs, diverging from WHO recommendations that emphasise plant-based proteins. Vaccine recommendations were also reduced from 17 to 11, with immunisations for hepatitis A and B, influenza, meningococcal disease, and chickenpox removed from universal guidance. Officials cited Denmark, which recommends 10 vaccines, as a model, though critics warned against applying other countries’ policies without adaptation.
International aid was affected as well, with the closure of the U.S. Agency for International Development (USAID) after six decades of operation. In 2023, the United States provided $71.9 billion in foreign aid, including $16.1 billion for global health initiatives. A study in The Lancet warned that continued reductions could result in an additional 14.1 million deaths worldwide by 2030, including 4.5 million children under five.
The U.S. withdrawal marks a significant realignment of American health policy, distancing the country from multilateral health cooperation and raising concerns about the global response to future health emergencies.
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