World January 23, 2026

California Becomes First US State to Join WHO’s Global Outbreak Network Post Federal Withdrawal

State steps up international public health cooperation amid federal exit from World Health Organization

By Nina Shah
California Becomes First US State to Join WHO’s Global Outbreak Network Post Federal Withdrawal

Following the United States’ formal withdrawal from the World Health Organization (WHO), California has become the first U.S. state to join the WHO’s Global Outbreak Alert and Response Network (GOARN). This move represents California’s commitment to global health collaboration and pandemic preparedness despite federal disengagement from the agency.

Key Points

  • California is the first U.S. state to join the WHO’s Global Outbreak Alert and Response Network, enabling enhanced international cooperation on public health emergencies.
  • The move comes after the U.S. federal government officially withdrew from the WHO, citing dissatisfaction with its pandemic management.
  • Governor Gavin Newsom met with WHO leadership to discuss strengthening collaboration on emerging health threats, reflecting California’s proactive stance on public health preparedness.
In a significant public health development, California announced on Friday its intention to join the World Health Organization’s Global Outbreak Alert and Response Network (GOARN), positioning itself as the first state in the United States to align with this international effort. GOARN, which comprises over 360 technical institutions worldwide, offers a coordinated mechanism to deploy staff and essential resources swiftly to countries facing public health emergencies. It has historically played a central role in addressing diverse crises, including the COVID-19 pandemic.

The state's decision to engage with GOARN arrives after President Donald Trump’s administration initiated the United States’ formal withdrawal from the WHO, a process completed on Thursday. This federal retreat was justified by criticisms directed at the U.N. health agency’s handling of the coronavirus health crisis.

California Governor Gavin Newsom publicly rebuked the national government’s decision, labeling it as "reckless" and warning of its broad repercussions. "California will not bear witness to the chaos this decision will bring," Newsom declared in an official statement. He emphasized the state’s resolve to maintain and cultivate global partnerships to strengthen public health surveillance and emergency response capabilities. California’s membership in GOARN underscores this commitment, distinguishing it as the sole U.S. state actively participating in this vital global health network.

Moreover, Governor Newsom recently engaged in discussions with Dr. Tedros Adhanom Ghebreyesus, WHO’s Director-General, at the World Economic Forum in Davos, Switzerland. Their dialogue focused on strategies to collaborate more effectively in detecting and managing emerging health threats worldwide.

Efforts by California to independently uphold public health readiness highlight a divergence within national and sub-national levels in addressing global pandemic preparedness. Meanwhile, the WHO has yet to issue an official response regarding the state’s accession to GOARN.

Risks

  • The United States’ departure from the WHO may hamper federal coordination and resource sharing in global disease outbreak responses, potentially affecting public health sectors nationwide.
  • California’s independent membership in GOARN might create challenges in aligning state and federal policies related to international health cooperation and crisis responses.
  • Uncertainty surrounds the international and federal reaction to California’s unique position, which could impact public health funding and institutional partnerships.

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