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GENEVA: The World Health Organization chief asked global leaders to lean on Washington to reverse President Donald Trump’s decision to withdraw from the UN health agency, insisting in a closed-door meeting with diplomats last week that the US will miss out on critical information about global disease outbreaks.
But countries also pressed WHO at a key budget meeting last Wednesday about how it might cope with the exit of its biggest donor, according to internal meeting materials obtained by The Associated Press. A German envoy, Bjorn Kummel, warned: “The roof is on fire, and we need to stop the fire as soon as possible.”
For 2024-2025, the US is WHO’s biggest donor by far, putting in an estimated $988 million, roughly 14 percent of WHO’s $6.9 billion budget.
A budget document presented at the meeting showed WHO’s health emergencies program has a “heavy reliance” on American cash. “Readiness functions” in WHO’s Europe office were more than 80 percent reliant on the $154 million the US contributes.
The document said US funding “provides the backbone of many of WHO’s large-scale emergency operations,” covering up to 40 percent. It said responses in the Middle East, Ukraine and Sudan were at risk, in addition to hundreds of millions of dollars lost by polio-eradication and HIV programs.
The US also covers 95 percent of WHO’s tuberculosis work in Europe and more than 60 percent of TB efforts in Africa, the Western Pacific and at the agency headquarters in Geneva, the document said.
At a separate private meeting on the impact of the US exit last Wednesday, WHO finance director George Kyriacou said if the agency spends at its current rate, the organization would “be very much in a hand-to-mouth type situation when it comes to our cash flows” in the first half of 2026. He added the current rate of spending is “something we’re not going to do,” according to a recording obtained by the AP.
Since Trump’s executive order, WHO has attempted to withdraw funds from the US for past expenses, Kyriacou said, but most of those “have not been accepted.”
The US also has yet to settle its owed contributions to WHO for 2024, pushing the agency into a deficit, he added.
WHO’s leader wants to bring back the US
Last week, officials at the US Centers for Disease Control and Prevention were instructed to stop working with WHO immediately.
WHO Director-General Tedros Adhanom Ghebreyesus told the attendees at the budget meeting that the agency is still providing US scientists with some data — though it isn’t known what data.
“We continue to give them information because they need it,” Tedros said, urging member countries to contact US officials. “We would appreciate it if you continue to push and reach out to them to reconsider.”
Among other health crises, WHO is currently working to stop outbreaks of Marburg virus in Tanzania, Ebola in Uganda and mpox in Congo.
Tedros rebutted Trump’s three stated reasons for leaving the agency in the executive order signed on Jan. 20 — Trump’s first day back in office. In the order, the president said WHO mishandled the COVID-19 pandemic that began in China, failed to adopt needed reforms and that US membership required “unfairly onerous payments.”
Tedros said WHO alerted the world in January 2020 about the potential dangers of the coronavirus and has made dozens of reforms since — including efforts to expand its donor base.
Tedros also said he believed the US departure was “not about the money” but more about the “void” in outbreak details and other critical health information that the United States would face in the future.
“Bringing the US back will be very important,” he told meeting attendees. “And on that, I think all of you can play a role.”
Kummel, a senior adviser on global health in Germany’s health ministry, described the US exit as “the most extensive crisis WHO has been facing in the past decades.”
He also asked: “What concrete functions of WHO will collapse if the funding of the US is not existent anymore?”
Officials from countries including Bangladesh and France asked what specific plans WHO had to deal with the loss of US funding and wondered which health programs would be cut as a result.
The AP obtained a document shared among some WHO senior managers that laid out several options, including a proposal that each major department or office might be slashed in half by the end of the year.
WHO declined to comment on whether Tedros had privately asked countries to lobby on the agency’s behalf.
Experts say US benefits from WHO
Some experts said that while the departure of the US was a major crisis, it might also serve as an opportunity to reshape global public health.
Less than one percent of the US health budget goes to WHO, said Matthew Kavanagh, director of Georgetown University’s Center for Global Health Policy and Politics. In exchange, the US gets “a wide variety of benefits to Americans that matter quite a bit,” he said. That includes intelligence about disease epidemics globally and virus samples for vaccines.
Kavanagh also said the WHO is “massively underfunded,” describing the contributions from rich countries as “peanuts.”
WHO emergencies chief Dr. Michael Ryan said at the meeting on the impact of the US withdrawal last week that losing the US was “terrible,” but member states had “tremendous capacity to fill in those gaps.”
Ryan told WHO member countries: “The US is leaving a community of nations. It’s essentially breaking up with you.”
Kavanagh doubted the US would be able to match WHO’s ability to gather details about emerging health threats globally, and said its exit from the agency “will absolutely lead to worse health outcomes for Americans.”
“How much worse remains to be seen,” Kavanagh said.

AL-HOL, Syrian Arab Republic: Ahmad Abdullah Hammoud was lucky to have some food stored to feed his family after a US-funded organization abruptly suspended its aid activities at the sprawling tent camp in northeastern Syrian Arab Republic where they have been forced to stay for nearly six years.
His family is among 37,000 people, mostly women and children, with alleged ties to the Daesh group at the bleak, trash-strewn Al-Hol camp, where the Trump administration’s unprecedented freeze on foreign aid caused chaos and uncertainty and worsened the dire humanitarian conditions.
When the freeze was announced shortly after Trump took office, US-funded aid programs worldwide began shutting down operations, including the
Aid organization works under the supervision of the US-led coalition formed to fight Daesh.
The US-based Blumont briefly suspended operations, according to the camp’s director. It had been providing essentials such as bread, water, kerosene and cooking gas. Blumont didn’t reply to questions.
“We were troubled when Blumont suspended its activities,” said Hammoud, who denies links with Daesh and had been sheltering in an Daesh -controlled area after being displaced during Syrian Arab Republic’s civil war.
“Believe me, we did not find food. Even bread only came at 2 p.m.,” said another camp resident, Dirar Al-Ali.
Camp director Jihan Hanan told The Associated Press that other aid agencies, including the World Health Organization, had ceased some operations.
“It is a disgraceful decision,” Hanan said of the Trump administration’s action, adding that some residents argued they should be allowed to leave if food cannot be provided.
She said Blumont distributes 5,000 bags of bread daily at a cost of about $4,000, something that local authorities in the Kurdish-run enclave cannot afford.
Uncertain times ahead
Hanan said Blumont received a two-week waiver from the Trump administration and resumed work on Jan. 28. It is not clear what will happen once the waiver ends.
Mazloum Abdi, the commander of the US-backed Syrian Democratic Forces that control northeastern Syrian Arab Republic, said he has raised the aid freeze issue with officials from the US-led coalition.
“We are on the verge of finding an alternative to this decision,” Abdi said, adding that an exemption might be issued for northeastern Syrian Arab Republic.
The US freeze comes as Daesh tries to take advantage of the vacuum created by the fall of Assad’s government in early December to insurgents. Another cut in food supplies could lead to riots by camp residents that Daesh, which has sleeper cells there, could exploit.
Hanan said the camp had received information from the US-led coalition against Daesh, the Iraqi government and the US-backed and Kurdish-led SDF, that Daesh was preparing to attack the camp after Assad’s fall. Security was increased and the situation is under control, she said.
The SDF runs 28 detention facilities in northeastern Syrian Arab Republic holding some 9,000 Daesh members. Security at Al-Hol camp and the detention facilities are not expected to be affected by the US aid freeze, according to Hanan and an official at the largest detention facility in the northeastern city of Hassakeh, who spoke on condition of anonymity in line with regulations.
The main part of Al-Hol houses some 16,000 Iraqis and 15,000 Syrians. In a separate, heavily guarded section known as the Annex are another 6,300 people from 42 countries, the vast majority of them wives, widows and children who are considered the most die-hard Daesh supporters.
The camp has no paved roads and piles of trash. Teenagers and children with almost nothing to do spend their time playing soccer or wandering around.
Children in the Annex threw stones at visiting AP journalists and shouted “You are a Satan” and “The Islamic State is lasting.”
’Sustenance is from God’
A Chinese woman in the Annex, who identified herself as Asmaa Ahmad and said she came from the western region of Xinjiang, described her husband as “an Islamic State martyr” killed in 2019 in the eastern Syrian Arab Republic village of Baghouz, where Daesh lost the last sliver of land it once controlled.
Ahmad, who is in the camp with her four children, said she does not want to go back to China, fearing persecution. Asked about the temporary loss of US aid, she replied: “Sustenance is from God.”
She said she is waiting for Daesh members to rescue her family one day.
Al-Hol is the most dangerous place in the world, camp director Hanan asserted, adding that countries should repatriate their citizens to prevent children being fed the extremist ideology. “This place is not suitable for children,” she said.
The US military has been pushing for years for countries who have citizens at Al-Hol and the smaller, separate Roj Camp to repatriate them.
“Without international repatriation, rehabilitation and reintegration efforts, these camps risk creating the next generation of Daesh,” Gen. Michael Erik Kurilla, head of US Central Command, said during a visit to Al-Hol in mid-January.
Hanan said that since the fall of Assad, many Syrians in the camp have expressed a desire to return to their homes in areas held by the country’s new rulers. She said camp authorities decided that any Syrian who wants to leave can go.
Even if the camp population drops, “there will be a disaster” if US aid is suspended again, she added.