“Dr. Tedros is the product of a deeply authoritarian regime,” said Jeffrey Smith, director of Vanguard Africa, a U.S.-based consultancy that lobbies for democracy in Africa. “Dictatorships are bad for public health, both inside their borders and globally.”
Ethiopia has become more democratic under its new prime minister, Abiy Ahmed, who took power in 2018. But before that, Mr. Smith said, it was a “highly repressive surveillance state in which a lack of government transparency was a hallmark.” And Dr. Tedros played a role in helping construct and maintain that state.