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California's Global Health Dividend: The Case for State Leadership

November 10, 2026

UCGHI is proud to collaborate with colleagues across the state of California on this report:

Read the Executive Summary

Read the Full Report

The takeaway: Drawing on disciplines from economics to epidemiology to political science, the study finds that California’s global health dividend reaches communities across the state and generates benefits spanning multiple sectors. Global health grants bolster California’s economy. Global health partnerships generate demand for California products. Global health surveillance helps California authorities detect and respond to biological threats. Global health partnerships influence California’s own health programs.

Key findings include:

  • Every federal global-health dollar spent in California generates an estimated $1.40 to $2.15 in economic activity, totaling more than $46 billion in the study period.
  • Patents arising from global health funding generate billions in estimated private value. 
  • Federal cuts threaten the co-location of the people and institutions that make California a hub of global health investment
  • International purchasing commitments give California companies predictable demand at scale, allowing greater development, investment, manufacture and reach
  • California relies on global field programs and monitoring capacity for its outbreak response.
  • Global health engagement gives California international influence beyond its formal authority.

Implications of this work:

  • US and California global health leadership is an investment in the state's safety, jobs, economy, innovation industries and its global relationships.
  • Congressional representatives from California have every reason to champion US global health leadership and investment and put this issue high on the agenda for the new Congress. 

Partners on the project:

  • University of California Global Health Institute
  • Alliance for Innovation in Global Health
  • Charles R. Drew University of Medicine and Science Office of International Affairs 
  • Friends of the Global Fight Against AIDS, Tuberculosis and Malaria
  • Stanford Center for Innovation in Global Health 
  • University of California, San Francisco Institute for Global Health Sciences
  • University of California, Los Angeles Center for Global Health Security
  • University of Southern California Institute on Inequalities in Global Health