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country is adequately prepared to respond to potentially catastrophic infectious disease outbreaks. Significant preparedness gaps remain, and some of those are playing out in the current crisis. The United States' response to the COVID-19 outbreak to date shows that capacity alone is insufficient if that capacity isn't fully leveraged. Strong health systems must be in place to serve all populations, and effective political leadership that instills confidence in the government's response is crucial.
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recommend avoiding using the scoring to determine priorities and compare countries with one another and said that they looked forward to a further refinement of the index process. Specifically, the doctors said that while the process was comprehensive, questions remained over the skew of indicators
196:, fared worse amid the pandemic than countries in Asia and Africa which ranked lower. In response to the attention that it was receiving, the index published an article in April 2020 in the wake of the pandemic which said that the position of the United States on the GHS Index Score did not reflect
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Given that overall finding, it is important to dispel misconceptions regarding the score of 83.5 (out of a possible 100) received by the United States. Although the United States received the top score of 195 countries assessed and was ranked number one, its score and rank do not indicate that the
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The index was first published in 2019 and said, among other things, that "no country is fully prepared for epidemics or pandemics, and every country has important gaps to address". The countries in the category "most prepared" were, in overall score order, the
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204:...its score and rank do not indicate that the country is adequately prepared to respond to potentially catastrophic infectious disease outbreaks. Significant preparedness gaps remain, and some of those are playing out in the current crisis.
277:, the countries' rankings in the GHSI did not meaningfully predict how many people would die from COVID-19 in those countries, with some low-ranked countries seeing fewer deaths and some high-ranked countries seeing more deaths.
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towards the priorities of high-income countries, the validity of some indicators, the scoring system and its weighting, and how the GHSI added value to existing assessments of global health security.
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Emerging research suggests that the country scores of the index reliably predict several important health-related outcome measures, including mortality from communicable diseases.
167:. The United States was ranked first with an index value of 83.5 out of 100. The largest number of countries in the category "least prepared" was in Western and Central Africa.
182:; one of the consultants who worked on the project said that while the US does rank at the top for the index, there were areas for improvement. A March 2020 article in
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The report is based on a questionnaire of 140 questions, organized across 6 categories, 34 indicators, and 85 subindicators. The six categories are:
362:"Trump held up a map showing the US is the best prepared country in the world for a pandemic, but only for the rich, influential, and fully insured"
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The index relies entirely on open-source information. The researchers worked with an international advisory panel of 21 experts from 13 countries.
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must be in place to serve all populations, and effective political leadership that instills confidence in the government’s response is crucial.
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Compliance with
International Norms: Commitments to improving national capacity, financing plans to address gaps, and adhering to global norms
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Detection and
Reporting: Early detection and reporting for epidemics of potential international concern
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as part of his argument that the United States was the best prepared country in the world for a
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Health System: Sufficient and robust health system to treat the sick and protect health workers
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attacked the report, saying that countries which were ranked the most prepared, such as the
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assessing and benchmarking of health security and related capabilities across 195 countries
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Risk
Environment: Overall risk environment and country vulnerability to biological threats
8:
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Sawyer Crosby, Joseph L. Dieleman, Samantha
Kiernan, and Thomas J. Bollyky (2020-06-30).
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The U.S. and COVID-19: Leading the World by GHS Index Score, not by
Response (2020-04-27)
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shows that capacity alone is insufficient if that capacity isn’t fully leveraged. Strong
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its preparedness to respond to potentially catastrophic infectious disease outbreaks
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442:"The U.S. and COVID-19: Leading the World by GHS Index Score, not by Response"
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Rapid
Response: Rapid response to and mitigation of the spread of an epidemic
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512:"Validation analysis of Global Health Security Index (GHSI) scores 2019"
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The GHS index came to prominence during the 2020 outbreak of the
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Razavi, Ahmed; Erondu, Ngozi; Okereke, Ebere (April 28, 2020).
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Prevention: Prevention of the emergence or release of pathogens
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Boyd, Matthew J.; Wilson, Nick; Nelson, Cassidy (2020-10-01).
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The development of the index was funded by, among others, the
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The United States' response to the COVID-19 outbreak to date
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461:"The Global Health Security Index: what value does it add?"
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610:"Study the role of hubris in nations' COVID-19 response"
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571:"All Bets Are Off for Measuring Pandemic Preparedness"
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389:"COVID-19 gives the lie to global health expertise"
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222:A July 2020 analysis of the index by doctors at
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659:"Where Year Two of the Pandemic Will Take Us"
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364:. Business Insider. Archived from
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174:. The map was used by President
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316:"GHS Index: About"
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372:29 February
345:29 February
321:29 February
165:Switzerland
149:South Korea
125:Netherlands
707:Categories
676:2021-01-14
580:2021-01-14
394:The Lancet
297:References
266:Validation
185:The Lancet
671:1072-7825
538:2059-7908
129:Australia
76:.ghsindex
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589:cite web
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215:—
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180:pandemic
161:Slovenia
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622:Bibcode
547:7592238
488:7213809
466:The BMJ
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281:Funding
153:Finland
145:Denmark
110:History
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614:Nature
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157:France
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640:PMID
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552:PMID
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