What the U.S.’ Withdrawal from the WHO Means for Public Health – TIME
Jan 22, 2026 11:08 AM PT
The U.S. Has Pulled Out of the WHO. Here’s What That Means for Public Health
by Alice Park, Senior Correspondent
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The U.S. was one of the first countries to join the World Health Organization (WHO) when it was created in 1948 as part of the United Nations. But on Jan. 22, 2026, it officially withdrew from the global health group.
The U.S. has historically been the largest funder to the WHO, through both its assessed and voluntary contributions, so the departure is poised to disrupt both global and domestic health. “This is one of the most penny-wise and billion-dollar-foolish moves,” says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.
Here’s what to know.
Is the U.S. officially out of the WHO?
The WHO’s charter does not contain a clause allowing member states to withdraw. But in agreeing to join decades ago, the U.S. Congress included an option to leave the organization as long as the U.S. gave a year’s notice and met its financial obligations by paying its dues in full.
The first condition appears to have been met: A year ago, President Donald Trump gave notice that the U.S. would withdraw. But the U.S. has not paid its outstanding dues—including from the final year of the Biden Administration.
The WHO’s principal legal officer Steven Solomon said during a press briefing on Jan. 13 that the matter will be discussed by the organization’s executive board, which is scheduled to meet in February, and those talks could extend to the General Assembly that meets in May. “We look forward to member states discussing this,” he said. “Because these questions of withdrawal—questions of the conditions, the promise, and agreement reached between the U.S. and World Health Assembly [of the WHO]—these are issues reserved for member states, and not issues WHO staff can decide.”
Will the U.S. be prevented from working with the WHO?
Dr. Tedros Ghebreysus, WHO Director-General, has said he is open to accepting the U.S. back as a member and hopes it will reconsider the decision to withdraw.
“WHO has signaled—very intentionally, I think—that they want to continue to work with the U.S.,” says Dr. Judd Walson, chair of international health at the Johns Hopkins Bloomberg School of Public Health. “The flag of the United States continues to fly outside the WHO building [in Geneva], and that’s not a mistake. It’s a very intentional signal that they welcome us to re-engage.”
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Osterholm says researchers will likely continue to stay in touch with their global-health colleagues, but on an individual level that lacks the coordination and clout of federal-level participation. The yearly update of the flu vaccine is a good example. “The flu world has always been very close globally,” he says. “I am quite convinced that there will be unofficial information-sharing among this group. The question is, at what point does that information have to be official in order for companies to take action deciding which vaccine strains they are going to use?”
Walson sits on a few WHO committees and says he asked his colleagues there whether the U.S. decision changed his ability to participate. “They said absolutely not—that as a U.S. citizen, I still have the capacity to participate in the workings of the WHO. And there are scientists and technical experts engaging to continue to maintain our access [to the WHO] at the individual level. Clearly we have lost the coordination of all of these activities, but we will still have some engagement.”
Solomon echoed that intention. “While there is an open question when and how withdrawal happens, there is not an open question about what the constitution says about WHO’s overall mission. The constitution sets out the objective for the organization, of health for all people, wherever they live and without discrimination.”
What will change now that the U.S. is no longer a member of the WHO?
One of the first things that could change for U.S. scientists is their access to databases that are important for monitoring infectious diseases like influenza, as well as emerging threats that could affect the health of Americans, such as COVID. While many of these data sources are public, and U.S. scientists will continue to access them, they might not have as much insight into how the raw data were collected and processed, says Walson. That could be important for understanding how to interpret the information and for getting a head start on potentially dangerous outbreaks of new infectious diseases.
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