US President Donald Trump has announced the severance of all US ties with the World Health Organisation (WHO).
He accused the UN agency of mishandling the coronavirus pandemic and becoming a puppet of China.
"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," Trump said, adding that the agency had failed to commit to reforms the US had listed out in mid-May.
It was not immediately clear when his decision would come into effect.
It comes days after Chinese President Xi Jinping pledged to give $2 billion to the WHO over the next two years to help combat the coronavirus.