Several leaked cables from the American Institute in Taiwan (AIT) show that the US made “considerable effort” in negotiations leading to a secret memorandum of understanding (MOU) signed between China and the WHO in 2005, in which Taiwan was referred to as “Taiwan, China,” and repeatedly urged Taiwan not to make the text public.
Among thousands of cables from the AIT published by WikiLeaks on Aug. 30, at least four cables show a US role in crafting the 2005 agreement.
It supported the use of the term “Taiwan, China” and it wished this to be kept confidential.
The information in the cables shows contradictions with the US policy of taking no position on Taiwan’s sovereignty and contradicts the view held by the Democratic Progressive Party (DPP) that the MOU came after closed-door talks between the Chinese Nationalist (KMT) and Chinese officials.
A cable dated May 13, 2005, shows the MOU was an integral part “of the four-part package that had been worked out after considerable effort by US negotiators” to enable Taiwan to participate in the global International Health Regulations (IHR) framework for infectious disease control.
On May 23, 2005, the WHO revised and expanded the IHR, implemented since 1969, to cover any significant public health risks and events, which constitutes public health emergencies of international concern as well as plague, which remains one of the diseases of concern at its annual World Health Assembly (WHA).
According to the cables, the then-DPP administration was aware of what was being discussed in the negotiations and raised objections to their possible content, but did not obtain a copy of the text.
The cable showed that Taiwan “cannot accept the use of the term ‘Taiwan, China’ in the MOU that the PRC [People’s Republic of China] plans to sign with the WHO Secretariat. It also insists that it is unreasonable for the WHO to notify the PRC representative office in Geneva before engaging in cooperation with Taiwan under the IHR,” as stated in a press release sent out on May 12 following a Chinese diplomatic note “that has been circulated and apparently made public in Geneva.”
In response to Victor Chin (秦日新), then the director-general of the Department of North American Affairs at the Ministry of Foreign Affairs, then-AIT deputy director David Keegan, who is not named in the cable, said that US negotiators worked on the negotiations “in full consultation with [their] Taiwan counterparts.”
A cable dated March 2, 2005, recording a meeting between then-AIT director Douglas Paal and John Chen (陳忠), then director-general of the ministry’s Department of International Organizations, quoted Paal as saying that the “US was grateful” that Taiwan and its diplomatic allies had not again raised the proposal to amend Article 65 of the IHR.
“The PRC had indicated that it would withdraw its concessions if there were further mention of Article 65,” Paal is quoted by the cable as saying.
A cable dated Oct 24, 2004, shows that Taiwan tried, with the help of Nicaragua, to add language to Article 65 of the draft IHR to extend coverage of the IHR to any “territory exercising competence over its external health relations” and requested US assistance in getting it accepted.
The talking points presented to the AIT by then-director of the Centers for Disease Control (CDC) Steve Kuo (郭旭崧) read that Taiwan “proposed that an amendment be made to Article 65 to include, in addition to non-member states, any entity with a separate health administration as well,” the cable showed.



