The Global Outbreak Alert and Response Network (GOARN) is a network composed of numerous technical and public health institutions, laboratories, NGOs, and other organizations that work to observe and respond to threatening epidemics. GOARN works closely with and under the World Health Organization (WHO), which is one of its most notable partners. Its goals are to: examine and study diseases, evaluate the risks that certain diseases pose, and improve international capability to deal with diseases.
The World Health Organization realized at the start of the 21st century that it did not have the resources required to adequately respond to and prevent epidemics around the world. Thus, a "Framework for Global Outbreak and Response" was created by the Department of Communicable Diseases Surveillance and Response, and Regional Offices. This framework was put then forth in a meeting in Geneva from April 26–28, 2000. In this meeting, which was attended by 121 representatives from 67 institutions, the decision was made to form GOARN to contribute resources, coordination, surveillance, and technical assistance towards combating diseases.
It was decided that GOARN would be directed by a Steering Committee made of 20 representatives of GOARN partners and an operational support team (OST) based in WHO. The steering committee oversees and plans the activities of GOARN, and the OST is composed of a minimum of 5–6 WHO staff. Task forces and groups were established to deal with specific issues. GOARN resources are primarily coordinated by the World Health Organization.
The WHO's guiding principles are to standardize "epidemiological, laboratory, clinical management, research, communication, logistics, support, security, evacuation, and communication systems" and coordinative international resources to support local efforts by GOARN partners to combat outbreaks. It also focuses on improving long term ability to provide technical assistance to affected areas.
GOARN has grown to now have over 600 partners in the form of public health institutions, networks, laboratories, and United Nations and non-governmental organizations. Technical institutions, networks, and organizations that have the ability to improve GOARN's capabilities are eligible for partnership. Through its partners, GOARN is staffed by a variety of individuals who specialize in public health, such as "doctors, nurses, infection control specialists, logisticians, laboratory specialists; communication, anthropology and social mobilization experts, emergency management and public health professionals among others."
As its biggest partner, WHO plays a large role in GOARN. Alongside coordinating its resources to combat outbreaks, WHO provides much of the staffing and assistance for GOARN, though as will be covered later, does not fund GOARN directly. Since the network is primarily led by the WHO, there is some uncertainty as to whether WHO should be considered a partner in GOARN or if the network should be considered a WHO initiative.