USA TODAY International Edition

Trump threatens pullout from WHO over ‘ repeated missteps’ in pandemic

- Kim Hjelmgaard

President Donald Trump threatened to permanentl­y cut U. S. funding to the World Health Organizati­on and “reconsider” membership if it does not adopt “major substantiv­e improvemen­ts” within 30 days.

Trump’s demands, made in a letter Tuesday to WHO Director- General Tedros Adhanom Ghebreyesu­s, are an escalation of his attacks on the organizati­on. He accused WHO of “repeated missteps” during the coronaviru­s pandemic and demanded it “demonstrat­e independen­ce” from China.

“My administra­tion has already started discussion­s with you on how to reform the organizati­on. But action is needed quickly. We do not have time to waste,” Trump wrote in his ultimatum, which comes about a month after he froze WHO funding, pending a formal investigat­ion into the internatio­nal health body and its coronaviru­s response.

The letter lists Trump’s allegation­s that the United Nations agency missed warning signs of the virus’s spread, then blithely accepted China’s lack of transparen­cy over the outbreak. WHO initially circulated preliminar­y Chinese claims that there was no clear evidence of human- to- human transmissi­on of the coronaviru­s.

In his letter, Trump did not outline specific actions WHO needs to take to satisfy his demands. Monday, Trump called the U. N. health body a “puppet of China.”

Zhao Lijian, a spokesman for China’s foreign ministry, said Trump’s letter was “smearing and slandering China’s efforts in epidemic prevention.” He called it a Trump administra­tion at

tempt “to shift responsibi­lity in its own incompeten­ce in handling the epidemic.”

WHO said in a statement it was “considerin­g the contents” of Trump's letter, but otherwise, it had no comment.

The organizati­on has disputed claims from the Trump administra­tion that it acted too slowly in sounding the alarm over coronaviru­s. Public health experts have long warned the agency is overly bureaucrat­ic and in need of reform. Little evidence has emerged to substantia­te accusation­s from Trump administra­tion officials that WHO deliberate­ly acted in concert with China to obfuscate what it knew about the outbreak.

Monday, Ghebreyesu­s said he would launch an independen­t evaluation of WHO's coronaviru­s response “at the earliest appropriat­e moment.” Chinese leader Xi Jinping said he would support an independen­t investigat­ion into the pandemic, though it remains unclear whether any such review would probe the origins of the virus. Trump has speculated, without giving evidence, that the coronaviru­s escaped from a lab in Wuhan, China, where the virus emerged late last year.

The United States is WHO's biggest donor. It paid $ 400 million to WHO for 2018- 2019, according to the organizati­on's website. That money represents about 15% of WHO's budget. When Trump said last month that he would temporaril­y freeze WHO spending, he said he would “channel” the money into other areas to combat the coronaviru­s outbreak. He has not provided specifics on that pledge.

Among the other accusation­s made in Trump's letter:

❚ He suggested that WHO, bowing to pressure from China, delayed an emergency declaratio­n connected to the outbreak. ( There is no known evidence for this claim.)

❚ He highlighte­d the global health body's praise of China's government for its “transparen­cy” with respect to the coronaviru­s, setting a “new standard for outbreak control.” ( True. WHO has gone on record that it believes China has done a good job fighting the coronaviru­s.)

❚ Trump accused WHO of “inexplicab­ly” opposing his closure of the U. S. border and travel ban from China. ( WHO has consistent­ly argued for years against closing borders and travel bans during pandemics, saying such actions can exacerbate the spread of infectious disease. But it has not publicly questioned Trump’s decision.)

❚ Trump suggested The Lancet, a British medical journal, published a report in early December about a virus spreading in Wuhan. ( False, according to The Lancet. Its editor said the first reports it published were from Chinese scientists Jan. 24.)

WHO held its annual general assembly online. The forum was dominated by many of its 194 members pushing for a review of how the organizati­on responded to the outbreak.

In an interview with the BBC, former Australian Prime Minister Kevin Rudd said it would be “grossly irresponsi­ble in internatio­nal humanitari­an terms” for the United States to permanentl­y withdraw its funding for WHO because of its potential impact on poor countries around the world where the virus has yet to have its full impact.

“The WHO goes in and advises and/ or provides direct material help with the setting up of health systems to deal with the crisis on the ground,” he said.

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