• Reuters, Bloomberg

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U.S. Secretary of Health and Human Services Alex Azar will visit Taiwan in coming days, his office said Tuesday, making the highest-level visit by a U.S. official in four decades — a move that angered China, which claims the island as its own.

Azar's visit will worsen already poor Beijing-Washington relations, inflamed over trade, the pandemic and human rights, even as democratic Taiwan has welcomed the show of support in the face of unrelenting Chinese pressure.

During his visit, Azar will meet with President Tsai Ing-wen, Taiwan's Foreign Ministry said, which may infuriate China further.

"Taiwan has been a model of transparency and cooperation in global health during the COVID-19 pandemic and long before it," Azar said in a statement. "I look forward to conveying President Trump's support for Taiwan's global health leadership and underscoring our shared belief that free and democratic societies are the best model for protecting and promoting health."

His department, describing the trip as "historic," said Azar would be accompanied by Mitchell Wolfe, chief medical officer of the U.S. Centers for Disease Control and Prevention, and other members of the administration.

Taiwan Health Minister Chen Shih-chung, who will also meet Azar, said he was looking forward to the visit.

"It also greatly boosts our global status in public health," Chen told reporters. "This is a major step forward."

But China denounced the trip, saying it opposed any official interactions between the United States and Taiwan and had lodged "stern representations" with Washington.

"Taiwan is the most important and sensitive issue in Sino-U.S. relations," Foreign Ministry spokesman Wang Wenbin said in Beijing.

Taiwan has been especially grateful for U.S. support for its requests to get meaningful access to the World Health Organization during the pandemic.

Taiwan is not a member because of Chinese objections; Beijing considers the island merely one of China's provinces. Taiwan has denounced Chinese efforts to block its access, though Beijing says the island has been given the help it needs.

The visit is the latest signal of U.S. support for Taiwan in the face of an increasingly assertive leadership in Beijing. Officials in Taipei have raised concerns that China may attempt to accelerate it plans to gain control over Taiwan after imposing a national security law in Hong Kong that is being used to clamp down on democracy advocates.

Taiwan’s Defense Ministry reported a sharp increase in the number of Chinese military incursions into the island’s air defense identification zone in June.

As tensions between the U.S. and China have heightened over issues such as trade and the rise of Chinese technology companies in the past two years, President Donald Trump’s administration has indicated its support for Taiwan. In recent months it’s approved a possible $620 million deal to supply missile parts and backed an ultimately unsuccessful bid to have the island participate in this year’s World Health Assembly.

The United States, like most countries, has no formal diplomatic ties with Taiwan, having ditched Taipei in favor of Beijing in 1979, but is its main arms supplier and strongest backer on the international stage.

Gina McCarthy, then-head of the Environmental Protection Agency, was the last U.S. Cabinet-level official to visit Taiwan, in 2014. Her position is technically lower-ranking than Azar's.

Taiwan has won praise for its response to the coronavirus pandemic, having kept its case numbers low due to effective and early prevention steps.

The United States has more coronavirus cases and deaths than any other country.

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