Medicine and Science from The BMJ

The Trump administration is an international health emergency

Apr 17, 2026
Matthew Herder, a global health law expert, and Fatima Hassan, a human rights lawyer focused on access to medicines, argue US policy now poses global health dangers. They discuss US withdrawal from WHO, funding cuts harming HIV and TB programs, rising health nationalism, vaccine hesitancy and weakened research institutions. They warn these political shifts have urgent international consequences.
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INSIGHT

US Policy Creates Extraordinary Global Health Risk

  • The Trump administration's policy shifts since 2025 create an extraordinary event that risks international spread of disease.
  • Matthew Herder argues withdrawal from WHO and repeated global health funding cuts forecast predictable rises in infections and deaths worldwide.
INSIGHT

Political Actions Can Meet IHR Emergency Threshold

  • Political actions can qualify as a public health emergency if they cumulatively create grave global health risks.
  • Fatima Hassan says funding cuts, policy shifts, and anti-science rhetoric together meet the IHR 'extraordinary event' threshold.
ANECDOTE

Funding Tied To Mineral Deals And Military Concessions

  • Fatima Hassan describes how conditional funding has been tied to mineral deals or military base concessions in Africa.
  • She reports programs restarted only after countries conceded resources or rights, illustrating extractive geopolitics driving health access.
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