A woman in her 70s holds a sign against the World Health Organization (WHO) in the rain outside the World Health Summit in Berlin, one of the main international forums on global health. The image catches the eye of Gevorg Tamamyan, an Armenian physician and candidate to lead the agency. “When I was a child, the WHO meant trust. Why has that trust become so fragile?” he asks hours later during the first debate among several of the seven contenders to succeed Tedros Adhanom Ghebreyesus.

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