The National Health Security Preparedness Index is an archived project previously supported by the Robert Wood Johnson Foundation. This site is no longer updated.
View the 2021 Index Release View the 2021 Release Key Findings
The Index combines measures from multiple sources and perspectives to offer a broad view of the health protections in place for the nation as a whole and for each U.S. state. The Index identifies strengths as well as gaps in the protections needed to keep people safe and healthy in the face of large-scale public health threats, and it tracks how these protections vary across the United States and change over time.
Select a Data Set
2013
2014
2015
2016
2017
2018
2019
2020
6.8

confidence interval

6.7 - 7.0
0 National Preparedness Level 10
Key Findings for 2021 Release
Preparedness by Domain
Health Security
Surveillance
8.4
National Confidence Interval: 8.2 - 8.7
Community Planning & Engagement
5.4
National Confidence Interval: 5.1 - 5.7
Incident & Information Management
8.9
National Confidence Interval: 8.7 - 9.1
Healthcare
Delivery
5.0
National Confidence Interval: 4.8 - 5.2
Countermeasure Management
6.2
National Confidence Interval: 5.9 - 6.6
Environmental & Occupational Health
6.9
National Confidence Interval: 6.6 - 7.2
*Full details of the Index methodological approach for the 2021 release are available here. The Index is an ongoing analysis, so periodic changes may occur.