Trend · rank 49 of 250

Global health governance

Uneven funding and contested obligations are weakening international health bodies and outbreak reporting rules, leaving national preparedness more dependent on voluntary cooperation, regional arrangements and domestic surveillance capacity.

Governance & IntegrityPeople, health & workhealth systemsinstitutionsdisease

Second pass: Carried forward from the first pass unchanged. Held by all three panel models.

Sensitivity and network position

Rank
49of 250
Sensitivity
13.3rank 60
Breadth
2of 20 scenarios High or above, 2 Critical
PageRank
35.5rank 121
Eigenvector
3.1
Betweenness
56.0
Links
10trends at Moderate similarity or above
Composite
32.3

Attention over three years

How much this trend is read about on Wikipedia and searched for on Google, week by week, set against the typical trend in the list so that what moves every trend at once is taken out. 100 is this trend's own three-year average. The score measures public attention, which is not the same as the strength of the force: a trend can deepen unnoticed, and a news event can lift attention for a fortnight.

Now
95
Over a year
−13%Easing
Over three years
+18%
Peak
28619 Jan 2025
Sources
Bothagreement 0.20
Coverage
15languages · 60 nations

Trailing 4-week average. 100 is this trend’s three-year average.

By language

Wikipedia reading in each language edition where the trend’s pages are read enough to measure (15 of 28). Share is of all the readers counted.

LanguageShareNowOver a yearThree years
English57%77−22%
Spanish8%82−17%
Russian7%85−14%
German6%49−63%
French5%105+16%
Japanese3%95+15%
Chinese3%92+16%
Italian3%97−15%
Portuguese2%97−25%
Arabic2%111+39%
Persian2%67−11%
Ukrainian1%103+1%
Indonesian1%67−31%
Dutch1%60−26%
Malay0%105+6%

By country

Google search interest over the three years, as a share of each country’s searching. 100 is the nation where interest is highest. The search terms are English, which favours countries that search in English.

Ethiopia

Kenya

Uganda

Singapore

Ghana

Philippines

Nigeria

United Kingdom

South Korea

United States

Canada

China

100

75

69

66

65

58

55

53

52

52

51

49

The 12 highest of 60 nations with a reading.

By region and G20 member

Attention to this trend inside each place, from Google searches made in its countries and Wikipedia reading in the languages mostly read there, averaged where both exist. Each line compares the trend with its own past in that place; the lines do not compare places.

Regions

PlaceRead fromNow90 days1 year3 yearsThree years
North AmericaGoogle in 2 countries + Wikipedia in English87−21%−9%−14%
EuropeGoogle in 7 countries + Wikipedia in German, French, Italian, Dutch93−34%+2%+17%
ChinaGoogle in 1 country97−35%+135%−1%
Indo-PacificGoogle in 10 countries + Wikipedia in Japanese, Chinese, Indonesian, Malay92−30%+14%−6%
South AsiaGoogle in 2 countries63−22%−32%−49%
Gulf and Middle EastGoogle in 3 countries + Wikipedia in Persian, Arabic73−42%−16%−37%
AfricaGoogle in 5 countries69−6%−23%−41%
Latin America and CaribbeanGoogle in 6 countries + Wikipedia in Spanish, Portuguese88−38%−8%+27%
Russia and EurasiaWikipedia in Russian, Ukrainian89−22%−10%−8%

G20 members

PlaceRead fromNow90 days1 year3 yearsThree years
ArgentinaGoogle98−45%+55%+65%
AustraliaGoogle81−24%−5%−10%
BrazilGoogle + Wikipedia in Portuguese80−29%−30%−3%
CanadaGoogle122−5%+52%+36%
ChinaGoogle97−35%+135%−1%
FranceGoogle + Wikipedia in French96−25%+5%+27%
GermanyGoogle + Wikipedia in German64−43%−30%−34%
IndiaGoogle56−22%−35%−57%
IndonesiaGoogle + Wikipedia in Indonesian61−37%−36%−39%
ItalyGoogle + Wikipedia in Italian155−15%+80%+152%
JapanGoogle + Wikipedia in Japanese86−22%−6%−13%
South KoreaGoogle103−44%+95%+52%
MexicoGoogle90−40%+17%+58%
RussiaWikipedia in Russian85−27%−14%−13%
Saudi ArabiaGoogle64−11%−57%−58%
South AfricaGoogle66−31%−30%−18%
TürkiyeGoogle64−58%+1%−39%
United KingdomGoogle114+3%+14%+31%
United StatesGoogle + Wikipedia in English83−23%−15%−18%

Relation to each scenario

A trend relates to a scenario when it changes how likely the scenario is, how hard it lands, or is itself sharply changed by it. Each score is the median of three scores given separately by the members of the model panel.

RelationScenarioFamily
6 · CriticalA novel respiratory pathogen exceeds health surge capacity S10Health
6 · CriticalA live outbreak proves rapid distributed pandemic defence S20 ↗Health
3 · ModerateAffordable preventive treatments reduce chronic illness S19 ↗Health
1 · Very lowAI-directed research produces a reproducible discovery step S17 ↗Technology and infrastructure
0 · Not relatedCritical trade divides into rival blocs S01Economic and trade
0 · Not relatedA global funding seizure reaches sovereign balance sheets S02Economic and trade
0 · Not relatedA regional war closes a globally important sea route S03Geopolitical and security
0 · Not relatedHybrid coercion ends in an infrastructure blackout S04Geopolitical and security
0 · Not relatedA disputed transfer of power breaks effective government S05Geopolitical and security
0 · Not relatedTwo breadbasket failures trigger a food availability crisis S06Energy, climate and resources
0 · Not relatedA major disaster disables the national economic core S07Energy, climate and resources
0 · Not relatedAn AI deployment step causes abrupt labour displacement S08Technology and infrastructure
0 · Not relatedA cryptographic breakthrough invalidates digital trust S09Technology and infrastructure
0 · Not relatedA creditor agreement releases fiscal capacity S11 ↗Economic and trade
0 · Not relatedA cross-regional market access compact redirects investment S12 ↗Economic and trade
0 · Not relatedA great-power agreement lowers economic security barriers S13 ↗Geopolitical and security
0 · Not relatedA verified Middle East settlement restores access S14 ↗Geopolitical and security
0 · Not relatedCheap firm clean power becomes available at scale S15 ↗Energy, climate and resources
0 · Not relatedA validated farming package raises water-efficient output S16 ↗Energy, climate and resources
0 · Not relatedA public service platform reaches inclusive operation S18 ↗Technology and infrastructure

Similarity = 0.3 × shared tags (Jaccard) + 0.3 × likeness of scenario profiles (cosine) + 0.3 × likeness of names and descriptions (TF-IDF cosine) + 0.1 if in the same capability domain, cut into seven levels at 0.12, 0.22, 0.33, 0.45, 0.58, 0.72. Shown at Moderate and above.

SimilarityTrendThemeRank
3 · ModeratePublic procurement capabilityState capacity & governance6
3 · ModerateHealth workforce scarcityPeople, health & work48
3 · ModerateRegional medicines manufacturingPeople, health & work52
3 · ModerateHealth system demand imbalancePeople, health & work56
3 · ModerateChronic disease & obesity burdenPeople, health & work98
3 · ModerateAntimicrobial resistancePeople, health & work104
3 · ModerateAdaptable vaccine platformsPeople, health & work106
3 · ModerateMental health demand growthPeople, health & work127
3 · ModeratePathogen emergence pressurePeople, health & work163
3 · ModerateBiosecurity & dual-use biologyPeople, health & work216