"During its 140th meeting in January 2017, the Executive Board of the WHO shortlisted Tedros as the front runner out of six candidates through two rounds of secret voting. He collected the most votes during both rounds.[citation needed] Tedros "was supported by a bloc of African and Asian countries, including China, which has considerable influence with those members" while "the US, UK and Canada... lent their support to... the British doctor David Nabarro." One observer called it "a really nasty" election."
Basically: "Oh, someone else can play the same game we've played for a century with UN, WHO, IMF, etc. - how dare they?"