The World Health Organisation's (WHO) members re-elected Tedros Adhanom Ghebreyesus as Director General by a strong majority for another five years.
The president of the World Health Assembly made the announcement on Tuesday.
The vote by secret ballot, announced by Ahmed Robleh Abdilleh from Djibouti at a major annual meeting, was seen as a formality since Tedros was the only candidate running.
Ministers and delegates took turns to shake hands and hug Tedros, a former health minister from Ethiopia, who has steered the UN agency through a turbulent period dominated by the COVID-19 pandemic.
Abdilleh had to use a gavel several times to interrupt the applause.
German Health Minister Karl Lauterbach tweeted on Tuesday: "Just re-elected as Director General of #WHO: @DrTedros. 155/160 votes, spectacular result. Congratulations, fully deserved."
Germany recently overtook the United States as the UN health agency's top donor.
A wave of bomb threats were issued to passenger flights around Europe on Friday for the third time this week, as Spain's foreign minister said the continent appeared to be facing "hybrid aggression and a form of psychological warfare".
John D. 'Jay' Rockefeller IV, the progeny of one of America's most famous and wealthiest families who during three decades in the US Senate sought expanded healthcare for the poor, died aged 89 on Friday at his home in Washington.
US Vice President JD Vance distanced himself from President Donald Trump's war on Iran on Wednesday, blaming it for Republicans' election losses that handed Democrats control of both chambers of Congress.
A Malaysian court has issued an order allowing the transfer to house arrest of jailed former Prime Minister Najib Razak, his lawyer said on Friday, after his party announced it had paid a fine under the terms of a royal pardon.
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