President Donald Trump on Monday signed an executive order directing the United States to withdraw from the World Health Organization (WHO), citing concerns over its handling of the COVID-19 pandemic and its alleged bias toward China.

Speaking at the White House shortly after his inauguration, Trump criticized the financial disparity in contributions between the U.S. and China, stating, “World Health ripped us off.” The U.S., historically the largest donor to the WHO, provides critical funding that underpins its global health initiatives.

The withdrawal is expected to force significant restructuring within the WHO and could disrupt ongoing global health efforts, including pandemic preparedness programs.

This marks Trump’s second attempt to cut ties with the organization. During his first term, he initiated a withdrawal over similar concerns, accusing the WHO of being overly influenced by China. However, the decision was later reversed under President Joe Biden.

Trump’s new executive order also halts future U.S. funding and resources for the WHO, directing agencies to identify alternative partners to take over essential health activities. Additionally, the administration plans to review and rescind Biden’s 2024 Global Health Security Strategy, which aimed to combat infectious disease threats.

The timing of the U.S. exit comes as global health officials warn of the pandemic potential of the ongoing bird flu (H5N1) outbreak, which has already claimed one life in the United States.

Meanwhile, WHO member states are negotiating the first treaty on pandemic prevention and preparedness, a process now set to continue without U.S. involvement.