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El Global Risks Index
The Global Risks Index · GRX-IDX-HLT · VUL Human and systems vulnerability

Índice de riesgo de seguridad sanitaria

INFORM-style aggregation, on 0 to 10, of epidemic and AMR hazard, disease burden and undernutrition against health-system and IHR capacity, each component oriented by its own polarity.

Page GRX-IDX-HLTEdition Baseline Edition 2026Evidence close 2026-09-30Indicator Standard IDX.HLT.security.health_security_riskValues not yet publishedMethod v1.0.0-draft
FIG 1 · Method card
Aggregation

geometric

expert weights · floor 0.1 where geometric

Incertidumbre

1,000 draws

normalisation, weights, aggregation, imputation

Estructura

5 components

25 leaf indicators

Cobertura

67% minimum

modelled share ≤ 20%

From the Indicator Standard definition of this index.
25
leaf indicators
5
components
1,000
Monte Carlo draws
9
series read it
01Construction

From indicators to the composite

Shows where an outbreak is likely, where it would land on a vulnerable population and where the system could not contain it; each sub-index stays visible.

computation
How Health security risk is computed
Graph33 nodes
Grafo
01Indicadores
02Sub-indices
03Domain index
04Pilar
05Compuesto
100%
Índice
  1. Frecuencia de eventos epidémicos
    Indicator · IND · 1
    Average annual number of distinct infectious-disease outbreak events in the country reported by WHO or a regional public-health agency over the latest five years, counting each event once whatever its duration.
  2. Casos de cólera notificados, por cada 100,000 habitantes
    Indicator · IND · /10*5
    Cholera cases reported to WHO in the year per 100,000 of the mid-year population.
  3. Infecciones del torrente sanguíneo por SARM
    Indicator · IND · %
    Share of Staphylococcus aureus bloodstream infections that are methicillin-resistant, among patients with a tested blood sample.
  4. Infecciones del torrente sanguíneo por E. coli resistente a cefalosporinas de tercera generación
    Indicator · IND · %
    Share of Escherichia coli bloodstream infections resistant to third-generation cephalosporins, among patients with a tested blood sample.
  5. Tasa de mortalidad de menores de cinco años
    Indicator · IND · /10*3
    Probability, per 1,000 live births, that a child born in the year dies before reaching age five at current age-specific mortality.
  6. Razón de mortalidad materna
    Indicator · IND · /10*5
    Deaths of women from pregnancy-related causes during pregnancy or within 42 days of its end, per 100,000 live births, as modelled by the UN inter-agency group.
  7. Mortalidad prematura por las principales enfermedades no transmisibles
    Indicator · IND · %
    Probability, in percent, of dying between exact ages 30 and 70 from cardiovascular disease, cancer, diabetes or chronic respiratory disease.
  8. Incidencia de la tuberculosis
    Indicator · IND · /10*5
    Estimated new and relapse tuberculosis cases of all forms per 100,000 population in the year.
  9. Incidencia de la malaria
    Indicator · IND · /10*3
    Estimated new malaria cases per 1,000 people living in areas at risk of transmission.
  10. Incidencia del VIH
    Indicator · IND · /10*3
    New HIV infections in the year per 1,000 uninfected people of all ages.
  11. Retraso del crecimiento en menores de cinco años
    Indicator · IND · %
    Share of children under five whose height-for-age is more than two standard deviations below the WHO Child Growth Standards median (modelled estimate).
  12. Emaciación en menores de cinco años
    Indicator · IND · %
    Share of children under five whose weight-for-height is more than two standard deviations below the WHO Child Growth Standards median, from the latest national survey.
  13. Anemia en mujeres en edad reproductiva
    Indicator · IND · %
    Share of women aged 15 to 49 with haemoglobin below the WHO threshold for their pregnancy status, adjusted for altitude and smoking.
  14. Médicos por cada 1,000 habitantes
    Indicator · IND · /10*3
    Practising or professionally active medical doctors, generalists and specialists, per 1,000 population.
  15. Personal de enfermería y partería por cada 1,000 habitantes
    Indicator · IND · /10*3
    Nursing and midwifery personnel, professional and associate, per 1,000 population.
  16. Camas de hospital por cada 1,000 habitantes
    Indicator · IND · /10*3
    Inpatient beds in public, private, general and specialised hospitals and rehabilitation centres, per 1,000 population.
  17. Índice de cobertura de servicios de la CSU
    Indicator · IND · score
    Index from 0 to 100 of the average coverage of essential services across reproductive, maternal, newborn and child health, infectious disease, non-communicable disease and service capacity and access.
  18. Cobertura de vacunación DTP3
    Indicator · IND · %
    Share of surviving infants who received the third dose of diphtheria-tetanus-pertussis-containing vaccine, as estimated by WHO and UNICEF.
  19. Cobertura de la segunda dosis de la vacuna contra el sarampión
    Indicator · IND · %
    Share of children who received the second dose of measles-containing vaccine by the nationally recommended age.
  20. Partos atendidos por personal sanitario cualificado
    Indicator · IND · %
    Share of live births attended by a doctor, nurse or midwife trained to manage normal deliveries and refer complications.
  21. Gasto corriente en salud, porcentaje del PIB
    Indicator · IND · %
    Spending on health goods and services consumed in the year, from all financing sources, as a percentage of GDP (SHA 2011).
  22. Capacidad de laboratorio del RSI (SPAR C4)
    Indicator · IND · score
    Self-reported SPAR score, from 0 to 100, for national laboratory systems: specimen referral and transport, biosafety, quality and testing for priority pathogens.
  23. Capacidad de vigilancia del RSI (SPAR C5)
    Indicator · IND · score
    Self-reported SPAR score, from 0 to 100, for early-warning, event-based and indicator-based surveillance and event verification.
  24. Capacidad de gestión de emergencias sanitarias del RSI (SPAR C7)
    Indicator · IND · score
    Self-reported SPAR score, from 0 to 100, for emergency risk assessment, preparedness planning, emergency operations and logistics.
  25. Capacidad de comunicación de riesgos del RSI (SPAR C10)
    Indicator · IND · score
    Self-reported SPAR score, from 0 to 100, for risk communication systems, community engagement and management of misinformation in emergencies.
  26. Epidemic and AMR hazard sub-index
    Sub-index · SUB · w 1 · 22.2%
    Composite of outbreak event frequency, reported cholera and resistance among MRSA and E. coli bloodstream infections.
  27. Disease burden sub-index
    Sub-index · SUB · w 1 · 22.2%
    Composite of under-five and maternal mortality, premature non-communicable disease mortality and the incidence of tuberculosis, malaria and HIV.
  28. Undernutrition sub-index
    Sub-index · SUB · w 0.5 · 11.1%
    Composite of child stunting, child wasting and anaemia among women of reproductive age.
  29. Health-system capacity sub-index
    Sub-index · SUB · w 1 · 22.2%
    Composite of doctor, nurse and bed density, UHC service coverage, routine immunisation, skilled birth attendance and health spending.
  30. IHR operational capacity sub-index
    Sub-index · SUB · w 1 · 22.2%
    Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.
  31. Índice de riesgo de seguridad sanitaria
    Domain index · IDX · geometric
    INFORM-style aggregation, on 0 to 10, of epidemic and AMR hazard, disease burden and undernutrition against health-system and IHR capacity, each component oriented by its own polarity.
  32. Vulnerabilidad humana y de los sistemas
    Pillar · PILLAR · 8 indices
    How susceptible are people, livelihoods, ecosystems and essential systems to harm when a shock arrives?
  33. NXS-GRX (canonical data, provenance and risk) Composite Risk
    Composite · COMPOSITE · four pillars
    Composite = (HTE × VUL × MSF × LCC)^(1/4), each pillar on 0–10 floored at 0.1; pillar = expert-weighted geometric mean of its domain indices
Sin ejecutarEn cursoCompletado
FIG 2. 25 indicators, 5 components, real Indicator Standard weights (the bar under each node is its share). Select a node to trace what it feeds and what feeds it; Simulate run plays the computation in order. Schematic of the construction; source: Indicator Standard composite definitions.
02Simulator

Run this index’s own aggregation

Set each component, change the aggregation or the weight uncertainty, and watch the interval, the class probability and each component’s contribution respond.

FIG 3 · Simulator: aggregate health security risk on your numbers
Components (0 to 10)
3.0
5.0
7.0
4.0
6.0
25
1
–
se ejecuta en su navegador
Contribution of each component (leave one out)
Simulator: the index’s published aggregation run on numbers you set, with 1,000 draws over weights and aggregation. The slider positions are starting points for the explainer, not NXS-GRX values. Simulated on your own inputs; not a measured result.
03Método

Treatment, normalisation, weighting, aggregation, uncertainty

Treatment
WINSORISE
Outlier rule
|skew| > 2, kurtosis > 3.5
Normalisation
INFORM 0–10 rescaling
Imputation
NONE
Coverage minimum
67% of components
Modelled share cap
20% of weight
Weighting
experto
Aggregation
geometric
Scale
0 to 10
Incertidumbre
1,000 Monte Carlo runs over normalisation, weights, aggregation, imputation
Framework basis
INFORM Risk methodology (geometric dimensions); IHR (2005) monitoring framework; JRC COIN 10-step guide; OECD/JRC Handbook (2008)
Muy bajo0,0 a < 2,0
Bajo2,0 a < 3,5
Medio3,5 a < 5,0
Alto5,0 a < 6,5
Muy alto6.5 a 10.0
04Components

5 components, 25 indicators

Epidemic and AMR hazard sub-index w 1

Composite of outbreak event frequency, reported cholera and resistance among MRSA and E. coli bloodstream infections.

IndicadorUnidadEvidenciaFuentesProporción
Frecuencia de eventos epidémicosIND.HLT.epidemic.outbreak_event_frequency1Class Bwho-disease-outbreak-news, who-weekly-bulletin-afro, africa-cdc-epidemic-intelligence40.0%
Casos de cólera notificados, por cada 100,000 habitantesIND.HLT.epidemic.cholera_cases.p100k/10*5Class Bwho-gho, who-cholera-annual-report20.0%
Infecciones del torrente sanguíneo por SARMIND.HLT.amr.mrsa_bloodstream%Class Bwho-glass, who-gho20.0%
Infecciones del torrente sanguíneo por E. coli resistente a cefalosporinas de tercera generaciónIND.HLT.amr.ecoli_3gc_bloodstream%Class Bwho-glass, who-gho20.0%

Disease burden sub-index w 1

Composite of under-five and maternal mortality, premature non-communicable disease mortality and the incidence of tuberculosis, malaria and HIV.

IndicadorUnidadEvidenciaFuentesProporción
Tasa de mortalidad de menores de cinco añosIND.HLT.burden.under5_mortality/10*3Class Cun-igme, wb-wdi, who-gho16.7%
Razón de mortalidad maternaIND.HLT.burden.maternal_mortality/10*5Class Cun-mmeig, wb-wdi, who-gho16.7%
Mortalidad prematura por las principales enfermedades no transmisiblesIND.HLT.burden.ncd_premature_mortality%Class Cwho-ghe, wb-wdi16.7%
Incidencia de la tuberculosisIND.HLT.burden.tb_incidence/10*5Class Cwho-global-tb-programme, wb-wdi16.7%
Incidencia de la malariaIND.HLT.burden.malaria_incidence/10*3Class Cwho-world-malaria-report, wb-wdi16.7%
Incidencia del VIHIND.HLT.burden.hiv_incidence/10*3Class Cunaids, wb-wdi, who-gho16.7%

Undernutrition sub-index w 0.5

Composite of child stunting, child wasting and anaemia among women of reproductive age.

IndicadorUnidadEvidenciaFuentesProporción
Retraso del crecimiento en menores de cinco añosIND.HLT.nutrition.stunting%Class Cunicef-who-wb-jme, wb-wdi, who-gho33.3%
Emaciación en menores de cinco añosIND.HLT.nutrition.wasting%Class Bunicef-who-wb-jme, wb-wdi, smart-surveys33.3%
Anemia en mujeres en edad reproductivaIND.HLT.nutrition.anaemia_women%Class Cwho-gho, wb-wdi33.3%

Health-system capacity sub-index w 1

Composite of doctor, nurse and bed density, UHC service coverage, routine immunisation, skilled birth attendance and health spending.

IndicadorUnidadEvidenciaFuentesProporción
Médicos por cada 1,000 habitantesIND.HLT.system.physician_density/10*3Class Bwho-nhwa, wb-wdi11.1%
Personal de enfermería y partería por cada 1,000 habitantesIND.HLT.system.nurse_midwife_density/10*3Class Bwho-nhwa, wb-wdi11.1%
Camas de hospital por cada 1,000 habitantesIND.HLT.system.hospital_beds/10*3Class Bwho-gho, wb-wdi, oecd-health11.1%
Índice de cobertura de servicios de la CSUIND.HLT.system.uhc_service_coverage{score}Class Cwho-gho, wb-wdi22.2%
Cobertura de vacunación DTP3IND.HLT.system.dtp3_coverage%Class Cwho-unicef-wuenic, wb-wdi11.1%
Cobertura de la segunda dosis de la vacuna contra el sarampiónIND.HLT.system.mcv2_coverage%Class Cwho-unicef-wuenic, wb-hnp-stats11.1%
Partos atendidos por personal sanitario cualificadoIND.HLT.system.skilled_birth_attendance%Class Bunicef-who-joint-database, wb-wdi11.1%
Gasto corriente en salud, porcentaje del PIBIND.HLT.system.health_expenditure.gdp%Class Bwho-ghed, wb-wdi11.1%

IHR operational capacity sub-index w 1

Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.

IndicadorUnidadEvidenciaFuentesProporción
Capacidad de laboratorio del RSI (SPAR C4)IND.HLT.security.spar_laboratory{score}Class Bwho-spar, who-jee25.0%
Capacidad de vigilancia del RSI (SPAR C5)IND.HLT.security.spar_surveillance{score}Class Bwho-spar, who-jee25.0%
Capacidad de gestión de emergencias sanitarias del RSI (SPAR C7)IND.HLT.security.spar_emergency_management{score}Class Bwho-spar, who-jee25.0%
Capacidad de comunicación de riesgos del RSI (SPAR C10)IND.HLT.security.spar_risk_communication{score}Class Bwho-spar, who-jee25.0%
05Dominio

Salud

Disease burden, health-system capacity and health-security preparedness.

Sub-domainIndicadores
Disease burden and mortality8
Health system capacity11
Health security (IHR)5
Epidemic and outbreak2
Antimicrobial resistance2
Nutrition3

Anchor frameworks (pillar structure and definitions only): WHO GHO; IHR JEE 3rd ed.; IHR SPAR 2nd ed.; SDG 3.

06Indicadores

All 31 health indicators

FIG 4 · Indicators in scope, by domain and sub-domain
HLT · 31
Area is the number of indicator definitions; colour is the pillar the domain feeds (Macroeconomy and Space feed through their indices). Select a block to filter the table. Source: Indicator Standard Nexus Indicator Standard register.
IndicadorDominioSub-domainComponenteUnidadNivelesCrosswalks
Tasa de mortalidad de menores de cinco añosIND.HLT.burden.under5_mortalityHLTDisease burden and mortalityvulnerability/10*3COUNTRYWB_WDI SH.DYN.MORT SDG 3.2.1 WHO_GHO MDG_0000000007
Tasa de mortalidad neonatalIND.HLT.burden.neonatal_mortalityHLTDisease burden and mortalityvulnerability/10*3COUNTRYWB_WDI SH.DYN.NMRT SDG 3.2.2
Razón de mortalidad maternaIND.HLT.burden.maternal_mortalityHLTDisease burden and mortalityvulnerability/10*5COUNTRYWB_WDI SH.STA.MMRT SDG 3.1.1 WHO_GHO MDG_0000000026
Esperanza de vida al nacerIND.HLT.burden.life_expectancyHLTDisease burden and mortalityvulnerabilityaCOUNTRYWB_WDI SP.DYN.LE00.IN WHO_GHO WHOSIS_000001
Mortalidad prematura por las principales enfermedades no transmisiblesIND.HLT.burden.ncd_premature_mortalityHLTDisease burden and mortalityvulnerability%COUNTRYWB_WDI SH.DYN.NCOM.ZS SDG 3.4.1 WHO_GHO NCDMORT3070
Incidencia de la tuberculosisIND.HLT.burden.tb_incidenceHLTDisease burden and mortalityhazard/10*5COUNTRYWB_WDI SH.TBS.INCD SDG 3.3.2 WHO_GHO MDG_0000000020
Incidencia de la malariaIND.HLT.burden.malaria_incidenceHLTDisease burden and mortalityhazard/10*3COUNTRYWB_WDI SH.MLR.INCD.P3 SDG 3.3.3 WHO_GHO SDGMALARIA
Incidencia del VIHIND.HLT.burden.hiv_incidenceHLTDisease burden and mortalityhazard/10*3COUNTRYWB_WDI SH.HIV.INCD.TL.P3 SDG 3.3.1 WHO_GHO SDGHIV WB_WDI SH.HIV.INCD.ZS
Médicos por cada 1,000 habitantesIND.HLT.system.physician_densityHLTHealth system capacitycoping capacity/10*3COUNTRYWB_WDI SH.MED.PHYS.ZS WHO_GHO HWF_0001 SDG 3.c.1
Personal de enfermería y partería por cada 1,000 habitantesIND.HLT.system.nurse_midwife_densityHLTHealth system capacitycoping capacity/10*3COUNTRYWB_WDI SH.MED.NUMW.P3 WHO_GHO HWF_0006 SDG 3.c.1
Camas de hospital por cada 1,000 habitantesIND.HLT.system.hospital_bedsHLTHealth system capacitycoping capacity/10*3COUNTRYWB_WDI SH.MED.BEDS.ZS WHO_GHO WHS6_102
Índice de cobertura de servicios de la CSUIND.HLT.system.uhc_service_coverageHLTHealth system capacitycoping capacity{score}COUNTRYSDG 3.8.1 WHO_GHO UHC_INDEX_REPORTED WB_WDI SH.UHC.SRVS.CV.XD
Población con gastos catastróficos de bolsillo en saludIND.HLT.system.catastrophic_oopHLTHealth system capacityvulnerability%COUNTRYSDG 3.8.2 WB_WDI SH.UHC.OOPC.10.ZS
Gasto de bolsillo, porcentaje del gasto corriente en saludIND.HLT.system.oop_shareHLTHealth system capacityvulnerability%COUNTRYWB_WDI SH.XPD.OOPC.CH.ZS WHO_GHO GHED_OOPSCHE_SHA2011
Gasto corriente en salud, porcentaje del PIBIND.HLT.system.health_expenditure.gdpHLTHealth system capacitycoping capacity%COUNTRYWB_WDI SH.XPD.CHEX.GD.ZS
Cobertura de vacunación DTP3IND.HLT.system.dtp3_coverageHLTHealth system capacitycoping capacity%COUNTRYWHO_GHO WHS4_100 WB_WDI SH.IMM.IDPT SDG 3.b.1
Cobertura de la segunda dosis de la vacuna contra el sarampiónIND.HLT.system.mcv2_coverageHLTHealth system capacitycoping capacity%COUNTRYWHO_GHO MCV2 WB_WDI SH.IMM.MEA2 SDG 3.b.1
Partos atendidos por personal sanitario cualificadoIND.HLT.system.skilled_birth_attendanceHLTHealth system capacitycoping capacity%COUNTRYWB_WDI SH.STA.BRTC.ZS SDG 3.1.2
Tiempo de viaje hasta el centro de salud más cercanoIND.HLT.system.health_facility_travel_timeHLTHealth system capacityvulnerabilityminCOUNTRY, ADM1, ADM2, CITY, GRID
Puntuación de capacidades básicas del RSI (SPAR)IND.HLT.security.spar_capacityHLTHealth security (IHR)coping capacity{score}COUNTRYSDG 3.d.1 WHO_GHO SDGIHR2021 WHO_GHO SDGIHR2018
Capacidad de laboratorio del RSI (SPAR C4)IND.HLT.security.spar_laboratoryHLTHealth security (IHR)coping capacity{score}COUNTRYSPAR C4 WHO_GHO IHRSPAR2_C04 JEE D1
Capacidad de vigilancia del RSI (SPAR C5)IND.HLT.security.spar_surveillanceHLTHealth security (IHR)coping capacity{score}COUNTRYSPAR C5 WHO_GHO IHRSPAR2_C05 JEE D2
Capacidad de gestión de emergencias sanitarias del RSI (SPAR C7)IND.HLT.security.spar_emergency_managementHLTHealth security (IHR)coping capacity{score}COUNTRYSPAR C7 WHO_GHO IHRSPAR2_C07 JEE R1
Capacidad de comunicación de riesgos del RSI (SPAR C10)IND.HLT.security.spar_risk_communicationHLTHealth security (IHR)coping capacity{score}COUNTRYSPAR C10 WHO_GHO IHRSPAR2_C10 JEE R5
Frecuencia de eventos epidémicosIND.HLT.epidemic.outbreak_event_frequencyHLTEpidemic and outbreakhazard1COUNTRY, ADM1
Casos de cólera notificados, por cada 100,000 habitantesIND.HLT.epidemic.cholera_cases.p100kHLTEpidemic and outbreakhazard/10*5COUNTRYWHO_GHO CHOLERA_0000000001
Infecciones del torrente sanguíneo por SARMIND.HLT.amr.mrsa_bloodstreamHLTAntimicrobial resistancehazard%COUNTRYWHO_GHO AMR_INFECT_MRSA SDG 3.d.2
Infecciones del torrente sanguíneo por E. coli resistente a cefalosporinas de tercera generaciónIND.HLT.amr.ecoli_3gc_bloodstreamHLTAntimicrobial resistancehazard%COUNTRYWHO_GHO AMR_INFECT_ECOLI SDG 3.d.2
Retraso del crecimiento en menores de cinco añosIND.HLT.nutrition.stuntingHLTNutritionvulnerability%COUNTRYWB_WDI SH.STA.STNT.ME.ZS SDG 2.2.1 WHO_GHO NUTSTUNTINGPREV FAO_FAOSTAT 21025
Emaciación en menores de cinco añosIND.HLT.nutrition.wastingHLTNutritionvulnerability%COUNTRY, ADM1WB_WDI SH.STA.WAST.ZS SDG 2.2.2 WHO_GHO NUTRITION_WH_2 FAO_FAOSTAT 21026
Anemia en mujeres en edad reproductivaIND.HLT.nutrition.anaemia_womenHLTNutritionvulnerability%COUNTRYWB_WDI SH.ANM.ALLW.ZS WHO_GHO NUTRITION_ANAEMIA_REPRODUCTIVEAGE_PREV SDG 2.2.3 FAO_FAOSTAT 21043
07Cita

Health security risk index, world

The world reading of this index, every country as a tile and the largest movements since the previous edition.

NXS-GRX · HLT · 195 profiles · 0–10 scale
Health security risk index, world
–
Los valores se publican con la edición; el intervalo, la clase y la variación aparecen aquí.
Edición anterior
–
Range since 2016
–
Compuesto acoplado
–
Puntuación de acoplamiento S
–
Pulso, última semana
–
Outlook, 12 months
–
Método
Indicator Standard 1.0 · NXS-GRX 2026
Extracciones
1,000
Health security risk index, world, by edition

Aún no hay valores publicados. La primera edición trazará aquí la serie histórica con su banda de intervalo y los límites de clase.

The line is the point value by edition; the band is the 90% interval; dashed lines are the class bounds at 2, 3.5, 5 and 6.5.
Aún no hay movimientos. A partir de la segunda edición, aquí se enumeran los cambios respecto de la edición anterior, con los indicadores que los provocaron.
08Valores

Country values

FIG 5 · Health security risk index: countries (values when released)
Cargando el mapa
AndorraAntigua y BarbudaBaréinBarbadosComorasCabo VerdeDominicaMicronesia (Estados Federados de)GranadaKiribatiSaint Kitts y NevisSanta LucíaLiechtensteinMónacoMaldivasIslas MarshallMaltaMauricioNauruPalaosSingapurSan MarinoSanto Tomé y PríncipeSeychellesTongaTuvaluSanta SedeSan Vicente y las GranadinasSamoa
Equal Earth · Natural Earth 1:110mValues when released
Until the first edition is released the map shows UN M49 regions or the Nexus Reports edition; it then shows this index’s classes with each country’s interval on hover. Countries are listed by name, never ordered by value.
Teselas
/api/v1/public/grix/risk-products/tiles/hlt/{z}/{x}/{y}.mvt
Clave de observación
nis:IDX.HLT.security.health_security_risk:{ISO3}:{YEAR}:A
09Serie

Series that read this index

GLBGlobal SystemsThe state of interdependent global risk: the twenty domain indices aggregated to the world, the five core systems (water, energy, food, health, biodiversity) and their couplings, the global tail register and the gap between perceived and measured risk. GS-04Global HealthHealth security capacity, epidemic emergence and spread, heat and air-quality burden, health system stress and access. SR-01Global PolycrisisHow crises become entangled: common causes, domino effects and feedbacks across climate, economy, health and security. SR-12Health security and biosecurityPandemic and epidemic preparedness, antimicrobial resistance, zoonotic spillover and biosecurity controls, at public-safe level. XT-15Biotechnology and biosecurityBiotechnology capability and governance at public-safe level: laboratory biosafety, oversight and detection capacity; no capability information is published. XT-19Neurotechnology and human augmentationNeurotechnology and augmentation: safety, privacy, equity and governance risks. XT-20Converging technologiesRisks that emerge where frontier technologies combine (AI with biotechnology, autonomy with cyber, compute with energy) and outrun single-technology governance. TH-01Nexus InterdependencyThe water, energy, food, health and biodiversity systems read together: drought to energy stress, energy disruption to health stress, biodiversity loss to food-system stress, flood to water contamination, heat to health and grid stress, cyber-physical disruption across all five. TH-04Disaster Risk Intelligence (DRI)Signals, observations, event streams, geospatial layers and scenario packs turned into structured risk intelligence for preparedness and planning.
10Validity

Crosswalks and validity checks

Crosswalks map leaf indicators to source code lists; established indices are used for validity checks, never re-weighted as inputs.

Code systemLeaf indicators mapped
WHO_GHO22
WB_WDI18
SDG17
SPAR4
JEE4
FAO_FAOSTAT3
11En todo el Nexus

Platforms, standards and ways to take part

Field and service platforms of GCRI, GRF and GRA, the Nexus Risk Standards for this domain, learning, working groups and open calls. Every link is a live page.

12Citar

Citar y reutilizar

GCRI Canada (2026). The Global Risks Index (NXS-GRX): Health security risk index (GRX-IDX-HLT), Baseline Edition 2026. Preparatory working draft. https://risksindex.com/indices/health-security-risk/ UNI NXS-GRX-AR-000126.

See this index in every country profile

Each profile shows this index with its interval and class once released.