Staff at the World Health Organization are 㽶Ƶֱdevastated㽶Ƶֱ by President Donald Trump㽶Ƶֱs executive order to pull the U.S. out of the agency, a Canadian global health specialist says.
Dr. Madhukar Pai, the Canada Research Chair in Epidemiology and Global Health, is at the WHO headquarters in Geneva this week for meetings about tuberculosis and was there at the time Trump signed the order Monday.
㽶ƵֱEverything went crazy,㽶Ƶֱ said Pai, who is also a global health professor at McGill University in Montreal, in an interview from Geneva on Tuesday.
㽶ƵֱEverybody here is absolutely stressed, devastated, and literally freaking out because some of their programs at WHO are extremely reliant on U.S. government funding,㽶Ƶֱ he said.
㽶ƵֱThey㽶Ƶֱre not even sure how to keep the lights on, keep their staff working, keep the programs going, so it㽶Ƶֱs a pretty massive crisis.㽶Ƶֱ
Losing the large amount of funding the U.S. provides the WHO 㽶Ƶֱ about 18 per cent of its budget in 2023, according to the agency 㽶Ƶֱ is a threat to public health, Pai said.
㽶ƵֱThere are wide-ranging impacts, I would say, to all countries, not just Canada,㽶Ƶֱ he said.
But Canada㽶Ƶֱs geographic proximity puts it at additional risk if its southern neighbour fails to respond appropriately to public health threats, Pai said.
㽶ƵֱI think we㽶Ƶֱll be hit, for example, if there is a new outbreak and (the) U.S. is simply not engaged with WHO or the global response. And if that outbreak spreads within the U.S. 㽶Ƶֱ I think Canada will be the first one to be impacted given the movement of population between our two countries, trade and our fairly open borders.㽶Ƶֱ
One current threat is H5N1 avian flu 㽶Ƶֱ a highly pathogenic strain of influenza that has wiped out poultry farms in both Canada and the U.S., he said. Although the illness has primarily infected U.S. farm workers with mild symptoms, one senior who was exposed to a backyard flock in Louisiana died of the virus earlier this month.
Canada has had one confirmed human case of H5N1 㽶Ƶֱa teenage girl in B.C. who became severely ill and was hospitalized.
Pai is calling on the Canadian government 㽶Ƶֱ along with other G7 countries 㽶Ƶֱ to 㽶Ƶֱstep up㽶Ƶֱ and help fill the funding void that will be left by the U.S., both through financial contributions to the WHO as well as by taking a leadership role in global health.
But he noted Canada㽶Ƶֱs own political turmoil 㽶Ƶֱ including the Liberal leadership race to replace Prime Minister Justin Trudeau and Trump㽶Ƶֱs threat to slap punishing tariffs on the country 㽶Ƶֱ could make that unlikely.
㽶ƵֱOur leaders are probably more worried about the tariffs than they are worried about anything else at this stage,㽶Ƶֱ Pai said.
Dr. Prabhat Jha, founding director of the Centre for Global Health Research at Unity Health Toronto, said he would also like to see the Canadian government increase support for the WHO.
But he said the country that will hurt the most from Trump㽶Ƶֱs withdrawal is the U.S. itself.
㽶ƵֱA lot of it is symbolism 㽶Ƶֱ Trump basically, you know, giving the middle finger to the world,㽶Ƶֱ Jha said in an interview from Sierra Leone on Tuesday.
㽶ƵֱIn the end, it㽶Ƶֱs going to hurt Americans because they lose the (health) intelligence, they lose the access to the global networks if there㽶Ƶֱs another pandemic,㽶Ƶֱ he said.
㽶Ƶֱ(The WHO) won㽶Ƶֱt share the information as easily with the U.S. as they would otherwise.㽶Ƶֱ
A bigger concern, Jha said, is the message the U.S. pullout 㽶Ƶֱsends about nationalism.㽶Ƶֱ
㽶Ƶֱ(It says) basically that you don㽶Ƶֱt need to have global co-operation on disease, which is absolutely stupid and completely self defeating.㽶Ƶֱ
Jha said the 㽶Ƶֱsilver lining㽶Ƶֱ of Trump㽶Ƶֱs move is that it could spark 㽶Ƶֱreform㽶Ƶֱ to make the WHO less dependent on the U.S.
㽶ƵֱIt means the world has to co-operate more, even if America goes it alone.㽶Ƶֱ
In a statement issued Tuesday, the World Health Organization said it 㽶Ƶֱregrets㽶Ƶֱ Trump㽶Ƶֱs decision.
㽶ƵֱWe hope the United States will reconsider and we look forward to engaging in constructive dialogue to maintain the partnership between the USA and WHO, for the benefit of the health and well-being of millions of people around the globe,㽶Ƶֱ it said.
Trump㽶Ƶֱs executive order claimed the U.S. was cutting ties with WHO for reasons including alleged 㽶Ƶֱmishandling of the COVID-19 pandemic㽶Ƶֱ and 㽶Ƶֱunfairly onerous payments.㽶Ƶֱ
Pai noted that the order comes as vaccine-preventable diseases are on the rise 㽶Ƶֱ including increasing cases of measles in both the U.S. and Canada.
In addition to losing WHO㽶Ƶֱs leadership on vaccination, he also worries about the 㽶Ƶֱanti-vaccine rhetoric㽶Ƶֱ from some of Trump㽶Ƶֱs picks for appointees to leadership positions, Pai said, noting increased vaccination efforts are urgently needed.
㽶ƵֱIt㽶Ƶֱs actually pretty shocking for me, stunning for me, to see that in 2025 we㽶Ƶֱre dealing with measles in Canada or (the) U.S.,㽶Ƶֱ he said.
㽶ƵֱWe cannot go back in time to a period where kids were getting paralyzed with polio or dying of measles and whooping cough. We had come a long, long way and we㽶Ƶֱre now starting to slip back and that㽶Ƶֱs very scary.㽶Ƶֱ
In an email to The Canadian Press, a spokesperson for the Public Health Agency of Canada said Canada㽶Ƶֱs membership in the WHO 㽶Ƶֱallows us to benefit from the availability of knowledge, resources and expertise from the global community.㽶Ƶֱ
㽶ƵֱCanada will continue working to ensure that the WHO is an effective, accountable, inclusive and well-governed institution, while maintaining our sovereignty,㽶Ƶֱ Anna Maddison wrote.