World Health Organization looks ahead to life without the US ...Middle East

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The annual assembly, with its week of sessions, votes and policy decisions, usually showcases the scale of the U.N. agency set up to tackle disease outbreaks, approve vaccines and support health systems worldwide.

“Our goal is to focus on the high-value stuff,“ Daniel Thornton, the WHO’s director of coordinated resource mobilisation, told Reuters.

One WHO slideshow for the event, shared with donors and seen by Reuters, suggested work on approving new medicines and responding to outbreaks would be protected, while training programmes and offices in wealthier countries could be closed.

Staff have been getting ready - cutting managers and budgets - ever since Trump's January announcement in a rush of directives and aid cuts that have disrupted a string of multilateral pacts and initiatives.

Trump - who accused the WHO of mishandling COVID, which it denies - muddied the waters days after his statement by saying he might consider rejoining the agency if its staff “clean it up”.

China takes lead

China's contribution will rise from just over 15% to 20% of the total state fee pot under an overhaul of the funding system agreed in 2022.

Others have suggested this might be a time for an even broader overhaul, rather than continuity under a reshuffled hierarchy of backers.

He said the changes had prompted a re-examination of the agency's operations, including whether it should be focussed on details like purchasing petrol during emergencies.

The ELMA Foundation, which focuses on children's health in Africa with offices in the U.S., South Africa and Uganda, has already recently stepped in with $2 million for the Global Measles and Rubella Laboratory Network known as Gremlin - more than 700 labs which track infectious disease threats, he added.

But the focus will remain on funding under the new world order. In the run up to the event, a WHO manager sent an email to staff asking them to volunteer, without extra pay, as ushers.

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