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Unveiling Health Security Patterns in the European Union through a Hybrid Entropy-CoCoSo and K-Means Clustering
Adel A Nasser1,2, Yahya Ali Al-Samawi3, Abed Saif Ahmed Alghawli4
1Department of Information Systems and Computer Science, Sa'adah University, Sa'adah University, Sa'adah, Yemen.
European Union health security varies significantly, with detection, reporting, and rapid response being key. Targeted investments are crucial to harmonize preparedness and address disparities across member states.
Area of Science:
- Global Health Security
- Public Health Policy
- International Relations
Background:
- Significant intra-regional disparities in health security (HeS) exist within the European Union (EU).
- Harmonizing preparedness measures across EU member states is essential for effective public health policy.
- Addressing national sovereignty while aligning with EU-wide HeS objectives presents a complex challenge.
Purpose of the Study:
- To examine health security (HeS) patterns across European Union (EU) member states.
- To address intra-regional disparities in health security.
- To propose evidence-based recommendations for harmonizing preparedness measures.
Main Methods:
- A hybrid multi-criteria decision-making framework (Entropy Weight Method and Combined Compromise Solution - CoCoSo) was utilized.
- Six Global Health Security Index (GHSI) indicators were employed to assess and rank EU countries.
- K-means clustering categorized countries into High, Intermediate, and Dangerous performance tiers, with temporal analysis of GHSI data (2019, 2021, 2017-2021).
Main Results:
- Detection and Reporting, and Rapid Response were the most critical HeS dimensions; Risk Environment and Compliance with Norms showed minimal differentiation.
- High-performing countries (e.g., Finland, Germany) excelled in surveillance and rapid response, while lower-tier nations (e.g., Cyprus, Luxembourg, Malta, Romania) showed vulnerabilities in biosecurity and emergency planning.
- Post-2019, health system resilience became more prominent, while compliance and risk environment were neglected, highlighting post-pandemic shifts in disparities.
Conclusions:
- Targeted investments in surveillance, laboratory infrastructure, and crisis preparedness are necessary to address specific HeS gaps.
- A metrics-driven framework can reduce regional disparities and promote equitable preparedness across the EU.
- Collaborative approaches and benchmarking against high-performing states are recommended for policymakers to mitigate health crises.
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