US President Donald Trump says he is terminating the US relationship with the World Health Organisation (WHO) over its handling of the coronavirus, saying it has essentially become a puppet organisation of China.
Appearing in the White House Rose Garden, Trump went ahead with repeated threats to eliminate American funding for the group, which amounts to several hundred million dollars a year.
Trump said the WHO had failed to make reforms to the organisation that the president had demanded in a 18 May letter to WHO Director-General Tedros Adhanom Ghebreyesus. That letter had given the WHO 30 days to commit to reforms.
At his Rose Garden appearance, Trump tied the WHO closely with China, where the coronavirus originated.
He said Chinese officials "ignored their reporting obligations" about the virus to the WHO and pressured the WHO to "mislead the world" when the virus was first discovered by Chinese authorities.
"China has total control over the World Health Organisation despite only paying $40 million per year compared to what the United States has been paying which is approximately $450 million a year. We have detailed the reforms that it must make and engaged with them directly but they have refused to act," said Trump.
"Because they have failed to make the requested and greatly needed reforms, we will be today terminating our relationship with the World Health Organisation and redirecting those funds to other worldwide and deserving urgent global public health needs."
Cutting the US contribution could have global implications as the WHO is involved in responding to the pandemic, which has hit dozens of countries.
Trump has long questioned the value of the United Nations and scorned the importance of multilateralism as he focuses on an "America First" agenda. Since taking office, Trump has quit the UN Human Rights Council, the UN cultural agency UNESCO, a global accord to tackle climate change and the Iran nuclear deal.
The World Health Organisation is a UN specialised agency - an independent international body that works with the United Nations. The WHO did not immediately respond to a request for comment on Trump's decision.
"We have consistently called for all states to support WHO," said a spokesman for UN Secretary-General Antonio Guterres when asked about Trump's decision.