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美国退出世界卫生组织及美国国际开发署关闭的全球影响:挑战与战略政策考量

The global implications of U.S. withdrawal from WHO and the USAID shutdown: challenges and strategic policy considerations.

作者信息

Auwal Auwal Rabiu, Ishak Abubakar Sunusi, Saidu Musa Shuaibu, Musa Abbas, Saadu Abubakar, Riaz Anila

机构信息

Department of Biochemistry, Faculty of Sciences, Chulalongkorn University, Bangkok, Thailand.

School of Global Health, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

出版信息

Front Public Health. 2025 Jun 2;13:1589010. doi: 10.3389/fpubh.2025.1589010. eCollection 2025.

DOI:10.3389/fpubh.2025.1589010
PMID:40529700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12171363/
Abstract

The U.S. withdrawal from the WHO and the shutdown of USAID disrupt global health governance, threatening disease surveillance and reversing progress made in combating HIV/AIDS, tuberculosis, and malaria through initiatives like PEPFAR. The WHO's central role in coordinating global health responses, exemplified by its leadership in the COVAX initiative, is critical to pandemic preparedness and equitable vaccine distribution. The disengagement decision undermines humanitarian relief efforts, particularly in fragile states where U.S. contributions are vital for food security, education, and healthcare. This policy brief outlines actionable recommendations to mitigate the risks of U.S. disengagement, focusing on regional health capacity-building, public-private partnerships, and the continuation of critical investments in global health systems.

摘要

美国退出世界卫生组织以及关闭美国国际开发署扰乱了全球卫生治理,威胁到疾病监测,并使通过总统防治艾滋病紧急救援计划(PEPFAR)等倡议在抗击艾滋病毒/艾滋病、结核病和疟疾方面取得的进展出现倒退。世界卫生组织在协调全球卫生应对方面的核心作用,以其在新冠疫苗全球获得机制(COVAX)倡议中的领导地位为例,对大流行防范和公平的疫苗分配至关重要。这一脱离接触的决定破坏了人道主义救援努力,特别是在脆弱国家,美国的贡献对粮食安全、教育和医疗保健至关重要。本政策简报概述了减轻美国脱离接触风险的可采取行动的建议,重点是区域卫生能力建设、公私伙伴关系以及对全球卫生系统关键投资的持续进行。

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本文引用的文献

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The fate of tuberculosis programmes without USAID.没有美国国际开发署参与的结核病防治项目的命运。
Lancet Microbe. 2025 Apr 9:101145. doi: 10.1016/j.lanmic.2025.101145.
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Global partnerships in combating tropical diseases: assessing the impact of a U.S. withdrawal from the WHO.抗击热带疾病的全球伙伴关系:评估美国退出世界卫生组织的影响。
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US exit from WHO: it is about much more than WHO.美国退出世界卫生组织:其影响远不止于世界卫生组织本身。
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How the U.S. presidential election impacts global health: governance, funding, and beyond.美国总统选举如何影响全球健康:治理、资金及其他方面。
Glob Health Res Policy. 2024 Nov 20;9(1):49. doi: 10.1186/s41256-024-00391-w.
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J Int AIDS Soc. 2024 Jul;27 Suppl 2(Suppl 2):e26244. doi: 10.1002/jia2.26244.
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A Contribution to Sustainable Human Resource Development in the Era of the COVID-19 Pandemic.对新冠疫情时代可持续人力资源发展的贡献
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CDC's Response to the 2014-2016 Ebola Epidemic - Guinea, Liberia, and Sierra Leone.美国疾病控制与预防中心对2014 - 2016年埃博拉疫情的应对——几内亚、利比里亚和塞拉利昂
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