Detailed Instructions: You are given a sentence in Japanese. Your job is to translate the Japanese sentence into English.
Q: こうして国際保健に関する決断を下すとき根拠にされるデータは少ないか古いか存在しないかです
A:

Show your work and conclude with the exact phrasing "Therefore, the final answer is [answer]." where [answer] is just the final number or expression that solves the problem.
user
This is what we base our decisions on in global health: little data, old data, no data.