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WHO

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WHO
NameWorld Health Organization
CaptionEmblem of the World Health Organization
Formation7 April 1948
FounderUnited Nations
TypeSpecialized agency
HeadquartersGeneva
Region servedGlobal
MembershipMember States of the United Nations
Leader titleDirector-General
Leader nameTedros Adhanom Ghebreyesus
Parent organizationUnited Nations

WHO The World Health Organization is a specialized agency of the United Nations responsible for international public health, headquartered in Geneva. It was established in 1948 to coordinate health matters among Member States of the United Nations and to direct and coordinate international health within the UN system. The organization works with states, United Nations agencies, non-state actors such as Bill & Melinda Gates Foundation, and technical partners like the Centers for Disease Control and Prevention and the European Centre for Disease Prevention and Control.

History

The agency was created at a World Health Assembly convened in 1948, succeeding earlier efforts such as the International Sanitary Conferences and the Office international d'hygiène publique. Early campaigns included efforts against smallpox, influenced by initiatives in India, Brazil, and China. During the Cold War, coordination involved actors like the United States Public Health Service and the Soviet Union, while technical cooperation expanded through collaborations with institutions such as the Rockefeller Foundation and the Pan American Health Organization. Landmark achievements included the global eradication of smallpox and the later intensification of immunization through the Expanded Programme on Immunization with partners like UNICEF and Gavi, the Vaccine Alliance. Responses to crises—such as the HIV/AIDS pandemic, the Ebola virus epidemic in West Africa (2014–2016), and the COVID-19 pandemic—shaped reforms and reviews involving panels chaired by figures from Norway, United Kingdom, and Germany.

Organization and governance

The governing bodies include the annual World Health Assembly composed of delegations from Member States of the United Nations and an Executive Board of appointed experts from countries such as France, Japan, and Brazil. The Director-General, elected by the Assembly, has included leaders linked to institutions like the Addis Ababa University and the London School of Hygiene & Tropical Medicine. Regional offices cover Pan American operations based in Washington, D.C. with coordination through the Pan American Health Organization, a longstanding office predating the agency. Headquarters functions in Geneva coordinate with regional hubs in Cairo, Brazzaville, New Delhi, Manila, and Jakarta, while field offices engage with national ministries such as the Ministry of Health (Ethiopia), Ministry of Health (India), and Ministry of Health (Nigeria).

Mandate and functions

Under its constitution, the agency’s mandate includes setting norms and standards, providing technical assistance, and monitoring health trends—engaging with entities like the International Committee of the Red Cross, the World Trade Organization, and the International Labour Organization on overlapping issues. It produces influential publications including the World Health Report and disease classifications used by the International Statistical Classification of Diseases and Related Health Problems. Standard-setting activities intersect with regulators such as European Medicines Agency and research institutions like Johns Hopkins Bloomberg School of Public Health and Harvard T.H. Chan School of Public Health.

Global health priorities and programs

Priority programs address non-communicable diseases with links to work by the World Bank, tackle malaria in partnership with Roll Back Malaria and research centers like the Ifakara Health Institute, and pursue immunization initiatives with Gavi, the Vaccine Alliance and UNICEF. Maternal and child health programs coordinate with UNFPA and UNICEF, while nutrition efforts reference studies by the Food and Agriculture Organization and the International Food Policy Research Institute. Mental health, tobacco control through the WHO Framework Convention on Tobacco Control, and antimicrobial resistance aligned with the Global Action Plan on Antimicrobial Resistance involve collaborations with the Wellcome Trust and academic centers such as Karolinska Institutet.

Emergency response and outbreak management

The organization convenes rapid responses during outbreaks, coordinating information and resources with the Centers for Disease Control and Prevention, the European Centre for Disease Prevention and Control, and national public health agencies like Public Health England and the Chinese Center for Disease Control and Prevention. Notable emergency responses include operations during the Ebola virus epidemic in West Africa (2014–2016), the Zika virus epidemic in the Americas, and the COVID-19 pandemic, prompting interaction with bodies such as the Global Health Security Agenda and inspection regimes tied to the International Health Regulations (2005). After-action reviews often involve panels including representatives from African Union, World Bank, and civil society organizations like Médecins Sans Frontières.

Funding and partnerships

Funding mixes assessed and voluntary contributions from Member States of the United Nations, major donors including United States Department of State allocations, philanthropic contributors like the Bill & Melinda Gates Foundation, and multilateral lenders including the World Bank. Partnerships extend to Gavi, the Vaccine Alliance, UNICEF, academic consortia such as the European University Institute, and private sector collaborations with pharmaceutical companies regulated by agencies like the European Medicines Agency and the United States Food and Drug Administration.

Criticisms and controversies

Critiques have centered on timeliness of declarations during crises such as the Ebola virus epidemic in West Africa (2014–2016) and the COVID-19 pandemic, governance questions raised by member states including United States and China, and funding dependency concerns highlighted by analyses from the International Monetary Fund and the Centre for Global Development. Debates over intellectual property and access to medical countermeasures involved stakeholders like World Trade Organization negotiations and pharmaceutical firms such as Pfizer and AstraZeneca. Internal management reviews and external inquiries have featured experts from institutions like Harvard University, Oxford University, and London School of Economics.

Category:International public health organizations