~ Who’s leading WHO?: A quantitative analysis of the Bill & Melinda Gates Foundation’s grants to WHO, 2000-2024 ~
• Published on: 10.28.25
• Authors: Johnathan Kennedy, Riddhi Thakrar
2)~ Abstract ~
• Introduction •
The Bill & Melinda Gates Foundation (BMGF) has been the World Health Organization’s (WHO) second biggest source of funding in recent years, contributing 9.5% of WHO’s revenues between 2010 & 2023 through voluntary contributions
It is widely assumed that BMGF’s financial power allows it to exert considerable influence over WHO
However, very little empirical research has been undertaken into the BMGF-WHO relationship
Our study investigates how the money that BMGF gives to WHO is spent
3) • Methods •
We constructed a dataset of BMGF grants to WHO for the period 2000–2024 by extracting & coding data retrieved from BMGF’s website
The dataset was analysed to examine the number & value of grants, & the diseases or health issues & activities that were funded
4) • Results •
BMGF made 640 grants worth $5.5 billion to WHO between 2000 & 2024
This is 6.4% of all BMGF’s grants by value in the period
Grants worth $4.5 billion focused on infectious diseases
This amounts to 82.6% of all BMGF contributions to WHO by value
Of these, $3.2 billion (58.9%) went to polio
$2.9 billion – 53.3% of the money BMGF disbursed to WHO – funded vaccine programmes & projects
Relatively little BMGF funding went to non-communicable diseases, strengthening health systems, & broader determinants of health, despite their importance to WHO strategy & global health more generally
5) • Conclusion •
WHO’s reliance on earmarked voluntary contributions means that global health challenges favoured by major donors’ are well funded while other issues receive insufficient funding
As one of WHO’s biggest donors, BMGF contributes to this problem by pursuing its narrow approach to global public health – one that focuses on technical solutions to infectious diseases – through WHO
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The Nuremberg Military Tribunal’s decision in the case of the United States v Karl Brandt et al. includes what is now called the Nuremberg Code, a ten point statement delimiting permissible medical experimentation on human subjects
According to this statement, humane experimentation is justified only if its results benefit society & it is carried out in accord with basic principles that “satisfy moral, ethical, & legal concepts
—“Permissible Medical Experiments.”Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law No. 10. Nuremberg October 1946 – April 1949, Washington. U.S. Government Printing Office (n.d.), vol. 2., pp. 181-182
1~ The voluntary consent of the human subject is absolutely essential
This means that the person involved should have legal capacity to give consent; should be situated as to be able to exercise free power of choice, without the intervention of any element of force, fraud, deceit, duress, over-reaching, or other ulterior form of constraint or coercion, & should have sufficient knowledge & comprehension of the elements of the subject matter involved as to enable him to make an understanding & enlightened decision
This latter element requires that before the acceptance of an affirmative decision by the experimental subject there should be made known to him the nature, duration, & purpose of the experiment; the method & means by which it is to be conducted; all inconveniences & hazards reasonably to be expected; & the effects upon his health or person which may possibly come from his participation in the experiment
The duty & responsibility for ascertaining the quality of the consent rests upon each individual who initiates, directs or engages in the experiment
It is a personal duty & responsibility which may not be delegated to another with impunity
2~ The experiment should be such as to yield fruitful results for the good of society, unprocurable by other methods or means of study, & not random & unnecessary in nature
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Some of the wonderful @KevinMcCairnPhD work that needs replicates GLOBALLY so we can help the injured
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~The Yale LISTEN Study~
LISTEN stands for: Listen to Immune, Symptom, & Treatment Experiences Now
Overview
• The Yale LISTEN Study, formally known as "Listen to Immune, Symptom, & Treatment Experiences Now," is an ongoing, patient-centered research initiative led by Yale University School of Medicine (@YaleMed)
• Launched in May 2022, it aims to better understand & characterize chronic conditions associated with COVID-19, including long COVID & post-vaccination syndrome (PVS)
• PVS—a term used for persistent symptoms reported by a small subset of individuals after receiving COVID-19 vaccines
• The study emphasizes collaboration with participants, using self-reported data, biological samples (e.g., blood & saliva), & immunophenotyping to identify potential biological mechanisms, diagnostic markers, & treatment pathways
• Unlike traditional top-down clinical trials, LISTEN adopts a "decentralized" & participant-driven approach, allowing remote enrollment via an online platform
• It has enrolled over 2,100 participants to date, focusing on those aged 18 & older who self-report symptoms
• The study is funded in part by the Howard Hughes Medical Institute and the Yale-Mayo Clinic Center of Excellence in Regulatory Science & Innovation, with principal investigators including immunologist Akiko Iwasaki (@VirusesImmunity) & cardiologist Harlan Krumholz (@hmkyale)
• It received Institutional Review Board (IRB) approval:
April 1, 2022
(HIC# 2000032207)
2) ~Objectives & Methodology~
Primary Goals:
- Document symptom patterns, health impacts, & treatment responses in long COVID & PVS
- Conduct deep immunological analyses to uncover differences between affected individuals & healthy controls
(e.g., immune cell profiles, antigen persistence, & T-cell exhaustion)
- Develop a knowledge-sharing network for participants, including exclusive events like town halls with investigators
Data Collection:
- Questionnaires on symptoms, psychosocial stress, & interventions tried (e.g., probiotics, medications)
- Biological samples for lab analysis, such as cytokine panels, S1 immune subset panels, & antigen tests for SARS-CoV-2 spike protein
- De-identified data with unique participant IDs for privacy
Eligibility:
- Open to those experiencing persistent symptoms post-COVID infection or vaccination
- Participants must consent electronically & can contribute remotely
- The study highlights the need for post-market surveillance of vaccines, noting limitations in pre-approval trials for detecting rare events like anaphylaxis, myocarditis, or chronic syndromes
3) ~Key Findings~
• LISTEN has produced several peer-reviewed & preprint publications, focusing on PVS as a chronic, debilitating condition affecting a "small fraction" of the vaccinated population
• While vaccines are credited with saving “millions of lives”, the study underscores the importance of investigating adverse events without politicizing them