San Marino
2021 Index Score
32.9 out of 100
+0.7 From 2019
- Region Europe
- Population 10-50m
- Income Level High Income
The GHS Index offers objective, transparent, comparable data over time to support evidence-based decision-making, strengthen accountability, and guide investment priorities for preparedness and resilience.
Averages by category
Prevention
Prevention of the emergence or release of pathogens, particularly those that may constitute a Public Health Emergency of International Concern.
17.4 0.0 From 2019
Subcategories
25.0
Antimicrobial resistance (AMR)
Composite measure | Weighted average of the following indicators: 1.1.1-1.1.2
9.6
Zoonotic disease
Composite measure | Weighted average of the following indicators: 1.2.1-1.2.5
20.0
Biosecurity
Composite measure | Weighted average of the following indicators: 1.3.1-1.3.5
0.0
Biosafety
Composite measure | Weighted average of the following indicators: 1.4.1-1.4.2
0.0
Dual-use research and culture of responsible science
Composite measure | Weighted average of the following indicators: 1.5.1-1.5.2
50.0
Immunization
Composite measure | Weighted average of the following indicators: 1.6.1
N/A
Climate change adaptation and vector transmission
Composite measure | Weighted average of the following indicators: 1.7.1
Scores are out of 100
Detection and Reporting
Early detection and reporting of epidemics of potential international concern, which may spread beyond national or regional borders.
21.4 +4.2 From 2019
Subcategories
0.0
Laboratory systems strength and quality
Composite measure | Weighted average of the following indicators: 2.1.1-2.1.2
50.0
Laboratory supply chains
Composite measure | Weighted average of the following indicators: 2.2.1-2.2.2
0.0
Real-time surveillance and reporting
Composite measure | Weighted average of the following indicators: 2.3.1-2.3.3
53.3
Surveillance data accessibility and transparency
Composite measure | Weighted average of the following indicators: 2.4.1-2.4.5
25.0
Case-based investigation
Composite measure | Weighted average of the following indicators: 2.5.1-2.5.2
0.0
Epidemiology workforce
Composite measure | Weighted average of the following indicators: 2.6.1-2.6.2
Scores are out of 100
Rapid Response
Rapid response to and mitigation of the spread of an epidemic.
36.6 +7.8 From 2019
Subcategories
20.8
Emergency preparedness and response planning
Composite measure | Weighted average of the following indicators: 3.1.1-3.1.3
25.0
Exercising response plans
Composite measure | Weighted average of the following indicators: 3.2.1-3.2.2
0.0
Emergency response operation
Composite measure | Weighted average of the following indicators: 3.3.1
0.0
Linking public health and security authorities
Composite measure | Weighted average of the following indicators: 3.4.1
37.5
Risk communication
Composite measure | Weighted average of the following indicators: 3.5.1-3.5.2
73.2
Access to communications infrastructure
Composite measure | Weighted average of the following indicators: 3.6.1-3.6.4
100.0
Trade and travel restrictions
Composite measure | Weighted average of the following indicators: 3.7.1-3.7.2
Scores are out of 100
Health System
Sufficient and robust health system to treat the sick and protect healthcare workers.
28.6 0.0 From 2019
Subcategories
23.3
Health capacity in clinics, hospitals and community care centers
Composite measure | Weighted average of the following indicators: 4.1.1-4.1.2
0.0
Supply chain for health system and healthcare workers
Composite measure | Weighted average of the following indicators: 4.2.1-4.2.3
0.0
Medical countermeasures and personnel deployment
Composite measure | Weighted average of the following indicators: 4.3.1-4.3.2
51.9
Healthcare access
Composite measure | Weighted average of the following indicators: 4.4.1-4.4.3
0.0
Communications with healthcare workers during a public health emergency
Composite measure | Weighted average of the following indicators: 4.5.1
100.0
Infection control practices
Composite measure | Weighted average of the following indicators: 4.6.1
25.0
Capacity to test and approve new medical countermeasures
Composite measure | Weighted average of the following indicators: 4.7.1
Scores are out of 100
Norms
Commitments to improving national capacity, financing plans to address gaps, and adhering to global norms.
18.8 -7.8 From 2019
Subcategories
0.0
IHR reporting compliance and disaster risk reduction
Composite measure | Weighted average of the following indicators: 5.1.1-5.1.2
0.0
Cross-border agreements on public health and animal health emergency response
Composite measure | Weighted average of the following indicators: 5.2.1
37.5
International commitments
Composite measure | Weighted average of the following indicators: 5.3.1-5.3.2
0.0
JEE and PVS
Composite measure | Weighted average of the following indicators: 5.4.1-5.4.2
8.3
Financing
Composite measure | Weighted average of the following indicators: 5.5.1-5.5.4
66.7
Commitment to sharing of genetic & biological data & specimens
Composite measure | Weighted average of the following indicators: 5.6.1
Scores are out of 100
Risk Environment
Overall risk environment and country vulnerability to biological threats.
74.7 +0.2 From 2019
Subcategories
95.8
Political and security risk
Composite measure | Weighted average of the following indicators: 6.1.1-6.1.7
61.6
Socio-economic resilience
Composite measure | Weighted average of the following indicators: 6.2.1-6.2.6
91.7
Infrastructure adequacy
Composite measure | Weighted average of the following indicators: 6.3.1-6.3.3
58.8
Environmental risks
Composite measure | Weighted average of the following indicators: 6.4.1-6.4.3
65.9
Public health vulnerabilities
Composite measure | Weighted average of the following indicators: 6.5.1-6.5.4
Scores are out of 100
Report Builder
1 Select a subcategory
When you select a subcategory, its corresponding category and indicators will be included
1. Prevention of the emergence or release of pathogens 0 Selected
2. Early detection & reporting for epidemics of potential international concern 0 Selected
3. Rapid response to and mitigation of the spread of an epidemic 0 Selected
4. Sufficient & robust health sector to treat the sick & protect health workers 0 Selected
5. Commitments to improving national capacity, financing and adherence to norms 0 Selected
6. Overall risk environment and country vulnerability to biological threats 0 Selected
2 Add facets for comparison
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