The World Health Organization (WHO) is currently facing a significant financial crisis following the withdrawal of the United States from the agency. In response to this financial crunch, the WHO has made drastic cuts to its top management team.
One of the most notable departures from the WHO’s leadership is Mike Ryan, who has been leading the Health Emergencies Program since 2019 and has been a part of the WHO for many years. Ryan had also been serving as the WHO’s executive director. The announcement of his departure, along with several other key members of the management team, was made by Director-General Tedros Adhanom Ghebreysus during a speech at the opening of a meeting of the program, budget, and administration committee of the executive board.
The senior leadership team has been reduced from 14 members to seven, and the number of WHO departments has been cut from 76 to 34. Other notable departures from the top leadership include Samira Asma, the assistant director-general for data, analytics, and delivery, and Bruce Aylward, the assistant director-general for universal health coverage, life course. Jeremy Farrar, the former CEO of Wellcome Trust, has been appointed as the assistant director-general for health promotion and disease prevention and control.
Chikwe Ihekweazu, who has been leading the WHO Hub for Pandemic and Epidemic Intelligence, will now be taking over as the leader of the Health Emergencies Program. These changes come as the WHO grapples with a significant financial shortfall, with a projected salary gap of over $500 million in the next two years. To address this shortfall, the agency’s management team has proposed a 21% reduction in its budget for the 2026-2027 period.
The financial crisis facing the WHO can be attributed in part to the decision by former President Donald Trump to withdraw the United States from the agency. Although President Joe Biden rescinded the withdrawal notice when he took office in 2021, Trump again announced the U.S.’s departure from the WHO on his second inauguration day. The Trump administration has effectively severed all ties with the WHO, ceasing all payments to the organization and ordering the Centers for Disease Control and Prevention to stop interacting with the agency.
In light of these financial challenges, Director-General Tedros emphasized the need for the WHO to make significant cuts to its budget. He questioned how the WHO could be expected to serve the entire world on a budget that is less than what a mid-sized European hospital operates on. These changes in leadership and budget cuts signal a challenging road ahead for the WHO as it navigates its financial crisis and strives to continue its crucial work in global health.