For the second time, President Donald Trump has announced plans to pull the plug on U.S. support for the World Health Organization. The global health and humanitarian organization works to eradicate disease and track outbreaks, which often ignore international borders.

On January 20, Trump signed an executive order stating the United States’ intent to withdraw from the Switzerland-based organization, a process that takes 12 months. His first attempt to exit the WHO in July 2020 was thwarted by President Joe Biden, who took office in 2021 and reversed the decision.