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California Steps Up as U.S. Withdraws from WHO

1/29/2026, 3:14:20 AM

California Joins WHO's Global Outbreak Alert & Response Network

As the United States officially withdraws from the World Health Organization (WHO), California has taken a proactive stance by becoming the first state to join WHO's Global Outbreak Alert & Response Network (GOARN). This decision comes in response to the Trump administration's criticisms of WHO's handling of the COVID-19 pandemic and its broader implications for global health. Dr. Erica Pan, director of the California Department of Public Health, emphasized the importance of this participation, stating that it enhances the state's ability to anticipate and respond to global health threats.

Implications of U.S. Withdrawal from WHO

The U.S. withdrawal, announced by President Donald Trump on his first day in office in 2025, has raised significant concerns regarding both domestic and international health collaboration. The U.S. State Department has indicated that it will not participate in WHO-led events, opting instead for direct health agreements with individual countries. Critics argue that this approach undermines global cooperation and could disrupt vital disease monitoring systems. Notably, the U.S. has outstanding dues of $260 million to WHO, raising legal questions about the legitimacy of its withdrawal.

Diverging Paths in Global Health Engagement

California's decision to join GOARN reflects a broader trend of states taking health matters into their own hands amid federal withdrawal. Dr. Gavin Yamey, a professor of global health at Duke University, noted that this move allows states to remain engaged in international health efforts despite the federal government's retreat. However, the potential for a divide between states that participate in WHO initiatives and those that do not could lead to disparities in public health information and resources.

Criticism of the U.S. Approach

While some conservative voices, such as Brett Schaefer from the American Enterprise Institute, acknowledge the need for U.S. participation in certain WHO forums, they express skepticism about California's decision. Schaefer described the state's move as "interesting but unclear," suggesting it may lack clarity on its status within WHO. He also warned that replicating WHO's international platforms could be inefficient for the U.S.

Official Responses and Future Considerations

WHO has not publicly commented on California's participation in GOARN or on the implications of the U.S. withdrawal. Global health leaders, including WHO Director-General Tedros Adhanom Ghebreyesus, have urged the U.S. to reconsider its departure, warning that it could weaken global health responses. Bill Gates, chair of the Gates Foundation, echoed this sentiment, emphasizing the necessity of WHO's role in coordinating global disease prevention efforts.

Conclusion: A New Model for State Engagement

As California steps into a leadership role in global health, it aims to collaborate with other states that may not join GOARN. This initiative highlights the evolving landscape of public health engagement in the U.S. and raises questions about the future of international health cooperation in the absence of federal participation. The implications of these developments will likely unfold in the coming years, as states navigate their roles in a fragmented global health system.