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.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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