Trump cutting funding from the WHO amid coronavirus could exacerbate the crisis and cost more American lives

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Trump cutting funding from the WHO amid coronavirus could exacerbate the crisis and cost more American lives
Trump

Leah Millis/Reuters

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President Donald Trump listens during a meeting with healthcare executives in the Cabinet Room at the White House in Washington, U.S., April 14, 2020.

  • President Donald Trump on Tuesday announced he is cutting funds from the World Health Organization (WHO).
  • Trump accused the WHO of failing to "adequately obtain and share information" on the coronavirus pandemic "in a timely and transparent fashion."
  • Former US officials who worked on public health crises under both Republican and Democratic administrations warned this move could exacerbate the pandemic.
  • "If we throw a punch at WHO we're just going to end up connecting with our own jaw here, because it will make it harder to stop the outbreak globally and that is bad for our own interests," Jeremy Konyndyk, who oversaw the Obama administration's response to the Ebola outbreak in West Africa as director for foreign disaster assistance at USAID, told Insider.
  • "Defunding WHO will mean the withdrawal of medical advisors to these regions when they need it the most as the virus encroaches...The pandemic could last for many more months even years longer, and could even become permanent among human populations," Jack Chow, a US ambassador for global HIV/AIDS during President George W. Bush's administration and former WHO assistant director-general, told Insider.
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President Donald Trump's decision to cut funding to the World Health Organization (WHO) amid the coronavirus pandemic could exacerbate the crisis and cost more American lives, former US officials who worked on public health crises under Republican and Democratic administrations warn.

The WHO plays a crucial role in advising developing countries on medical issues and crises, and slashing its funds during this pandemic could translate into the virus spiraling out of control in such regions and lead it to return to developed countries who have successful contained it. The US contributes more to the WHO than any other country, providing roughly 15% of its budget.

"If we throw a punch at WHO we're just going to end up connecting with our own jaw here, because it will make it harder to stop the outbreak globally and that is bad for our own interests," Jeremy Konyndyk, a senior fellow at the Center for Global Development who oversaw the Obama administration's response to the Ebola outbreak in West Africa as director for foreign disaster assistance at USAID, told Insider.

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"As long as there's a fire of this burning somewhere in the world, all of us are vulnerable to those sparks," Konyndyk added. "And the WHO has a really, really crucial role in putting out those fires, and we should be enabling them to do that rather than starting fights with them."

Trump on Tuesday justified the move by contending the WHO is too China-centric, accusing it of not taking enough care to vet information from the Chinese government in the early days of the coronavirus outbreak.

"With the outbreak of the COVID-19 pandemic, we have deep concerns about whether America's generosity has been put to the best use possible," Trump said at the daily White House press briefing on coronavirus. "The reality is that the WHO failed to adequately obtain and share information in a timely and transparent fashion."

COVID-19, the disease caused by the novel coronavirus, originated in Wuhan, China. The Chinese government has been broadly accused of suppressing information on the scale of the outbreak in its country, and misleading the world on the nature of the virus. Trump and other critics have accused the WHO of assisting China in these efforts, particularly in relation to a claim in mid-January that there was no human-to-human transmission of the virus.

But former US officials have blamed the neutral mission and structure of the WHO for this.

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"The WHO is an international institution - it is created by and response to its member states," Konyndyk said. "Its member states have created it to be fairly deferential to them. Has it been very deferential to China? It absolutely has. Has it been very deferential to the US? It absolutely has. Was it very deferential to the Democratic Republic of Congo during the Ebola outbreak that's been going on there for two years? This is how it is built. I don't think it's at all unique to China."

Jack Chow, a US ambassador for global HIV/AIDS during the George W. Bush administration and former WHO assistant director-general, told Insider that the organization has been weakened by underfunding for decades which has made it "subject to donor policies and preferences."

"Its UN-based structure makes WHO's own diplomacy ponderous and bureaucratic as UN political dynamics often wend their way into how WHO makes decisions," Chow added. "As China holds a veto in the UN Security Council, it exerts extra influence throughout the UN eco-system, including WHO. WHO's accommodation of China's own spin on its response reflects WHO's recognition of China's influence in nearly all strategic realms."

In short, Trump may have just given China more influence in the WHO by cutting US funding.

WHO director general Tedros

AFP via Getty Images

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World Health Organization Director General Tedros Adhanom Ghebreyesus during a virtual news briefing on COVID-19 from WHO headquarters in Geneva on April 6, 2020.

'WHO is a pretty convenient scapegoat because they can't fight back. They can't and don't criticize their member states'

The WHO has not been perfect in responding to the coronavirus pandemic, Konyndyk said, and he would love to see it empowered to challenge member states more. But he said it would not be able to do this unilaterally and is therefore limited in its ability to publicly push back on information given to it by governments, including Beijing.

Konyndyk said this isn't really about what the WHO did or did not do, but more so about distracting from Trump's bungled response to the pandemic and the fact the US is now the epicenter of the crisis. The US government has been embarrassed on the global stage via its handling of the coronavirus, particularly in terms of failing to set up a robust testing system.

"WHO is a pretty convenient scapegoat because they can't fight back. They can't and don't criticize their member states. If the US is lobbing accusations at them, they kind of just have to sit there and take it, just by design," Konyndyk said. "It's a politically convenient scapegoat for the White House, but on the merits it's ridiculous to think they're somehow responsible for the slow US response."

Despite Trump's criticism of the agency, Konyndyk also said the WHO has been way ahead of the curve relative to the US in terms of handling coronavirus: "They were warning of pandemic potential from this while the US was still arguing the risk was low. They had a workable test they were distributing all of the world at a point when we didn't, even for our own domestic use."

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The WHO declared global health emergency over the novel coronavirus on January 30, less than a month after it had been identified as a new virus and a little over a week after the first confirmed case in the US. Weeks later, Trump was still downplaying the threat of the virus.

On February 26, for example, Trump said the number of coronavirus cases in the US would be "close to zero" in a "couple of days." The first death from the virus in the US was three days later. As of Tuesday evening, there were over 602,000 reported cases of the virus in the US, and over 25,000 confirmed fatalities.

'Until it is stopped everywhere we remain vulnerable here. The WHO has a super important role to play in that.'

Both Konyndyk and Chow underscored that slashing money to the WHO as coronavirus continues to spread across the world is self-defeating.

"In terms of cutting funding, it's deeply counterproductive to US interests because the US has an interest in stopping this virus everywhere. Until it is stopped everywhere we remain vulnerable here. The WHO has a super important role to play in that," Konyndyk said.

"They are listened to by every health ministry in the world, but they have particular influence in health ministries in the developing world," Konyndyk added. "Those countries that are heavily at risk of this and could continue to be incubators for the virus and have relatively weak tools for stopping it - they're going to be looking to WHO for help."

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Chow said that no matter Trump's grievances with the WHO, cutting funding at a time like this is a "profound mistake" given it is the leading provider of public health advice in major population centers across the world with fragile health systems .

"Defunding WHO will mean the withdrawal of medical advisors to these regions when they need it the most as the virus encroaches. Should COVID-19 accelerate in poverty zones, the pandemic could last for many more months even years longer, and could even become permanent among human populations," Chow said. "For Trump to cause a crisis within a crisis weakens the global response at a precarious time."

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