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GENEVA — The World Health Organisation opened a meeting of global health ministers Monday amid concern over deadly hantavirus and Ebola outbreaks and uncertainty over announced US and Argentinian withdrawals.
While the rare hantavirus outbreak on a cruise ship that has gripped global attention is not officially on the agenda, it is expected to feature prominently in discussions, alongside the latest Ebola outbreak in the Democratic Republic of Congo.
The two outbreaks "are just the latest crises in our troubled world", WHO chief Tedros Adhanom Ghebreyesus told the opening of the UN agency's annual decision-making World Health Assembly.
"From conflicts to economic crises to climate change and aid cuts, we live in difficult, dangerous and divisive times."
United Nations chief Antonio Guterres said the global health challenges "have rarely felt more daunting".
"Over the past year, cuts to bilateral and multilateral aid have disrupted health systems and widened inequalities," Guterres said in a video address to the assembly.
The meeting, which runs through Saturday, comes after a difficult year for an organisation weakened by the announced US withdrawal and deep funding cuts.
"The WHO's budget has been reduced by around 21 percent, or nearly one billion dollars. Hundreds of jobs have been eliminated, programs have been reduced," Swiss Health Minister Elisabeth Baume-Schneider noted in her address.
"The WHO had to, and was able to, undergo profound reform in the midst of the emergency."
A number of sensitive resolutions are also on the table, including on Ukraine, the Palestinian territories and Iran, which could spark heated debate.
Much of this week's discussions will centre on whether to launch a formal reform process for the so-called "global health architecture", a mishmash of organisations that do not always work together and often overlap.
The reform aims to reduce the fragmentation and avoid duplication, and also to ensure that "controversial" issues like climate change and sexual and reproductive health rights are not sacrificed amid the dwindling international aid funding.
"Six years after the last global pandemic, Covid-19, the world health architecture is changing rapidly," Ghana President John Dramani Mahama told the assembly.
"We are witnessing the end of an era. We must have the courage to build the next one."