卫生安全风险指数
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.
geometric
expert weights · floor 0.1 where geometric
1,000 draws
normalisation, weights, aggregation, imputation
5 components
25 leaf indicators
67% minimum
modelled share ≤ 20%
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.
- 流行病事件频率Indicator · IND · 1Average 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.
- 报告的霍乱病例,每 100,000 人Indicator · IND · /10*5Cholera cases reported to WHO in the year per 100,000 of the mid-year population.
- MRSA 引起的血流感染Indicator · IND · %Share of Staphylococcus aureus bloodstream infections that are methicillin-resistant, among patients with a tested blood sample.
- 对第三代头孢菌素耐药的大肠杆菌引起的血流感染Indicator · IND · %Share of Escherichia coli bloodstream infections resistant to third-generation cephalosporins, among patients with a tested blood sample.
- 五岁以下儿童死亡率Indicator · IND · /10*3Probability, per 1,000 live births, that a child born in the year dies before reaching age five at current age-specific mortality.
- 孕产妇死亡率Indicator · IND · /10*5Deaths 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.
- 主要非传染性疾病导致的过早死亡率Indicator · IND · %Probability, in percent, of dying between exact ages 30 and 70 from cardiovascular disease, cancer, diabetes or chronic respiratory disease.
- 结核病发病率Indicator · IND · /10*5Estimated new and relapse tuberculosis cases of all forms per 100,000 population in the year.
- 疟疾发病率Indicator · IND · /10*3Estimated new malaria cases per 1,000 people living in areas at risk of transmission.
- HIV 发病率Indicator · IND · /10*3New HIV infections in the year per 1,000 uninfected people of all ages.
- 五岁以下儿童发育迟缓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).
- 五岁以下儿童消瘦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.
- 育龄妇女贫血Indicator · IND · %Share of women aged 15 to 49 with haemoglobin below the WHO threshold for their pregnancy status, adjusted for altitude and smoking.
- 每 1,000 人医生数Indicator · IND · /10*3Practising or professionally active medical doctors, generalists and specialists, per 1,000 population.
- 每 1,000 人护士和助产士数Indicator · IND · /10*3Nursing and midwifery personnel, professional and associate, per 1,000 population.
- 每 1,000 人医院床位数Indicator · IND · /10*3Inpatient beds in public, private, general and specialised hospitals and rehabilitation centres, per 1,000 population.
- UHC 服务覆盖指数Indicator · IND · scoreIndex 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.
- DTP3 免疫接种覆盖率Indicator · IND · %Share of surviving infants who received the third dose of diphtheria-tetanus-pertussis-containing vaccine, as estimated by WHO and UNICEF.
- 麻疹第二剂免疫接种覆盖率Indicator · IND · %Share of children who received the second dose of measles-containing vaccine by the nationally recommended age.
- 由熟练卫生人员接生的分娩Indicator · IND · %Share of live births attended by a doctor, nurse or midwife trained to manage normal deliveries and refer complications.
- 经常性卫生支出,占 GDP 比重Indicator · IND · %Spending on health goods and services consumed in the year, from all financing sources, as a percentage of GDP (SHA 2011).
- IHR 实验室能力(SPAR C4)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for national laboratory systems: specimen referral and transport, biosafety, quality and testing for priority pathogens.
- IHR 监测能力(SPAR C5)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for early-warning, event-based and indicator-based surveillance and event verification.
- IHR 卫生应急管理能力(SPAR C7)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for emergency risk assessment, preparedness planning, emergency operations and logistics.
- IHR 风险沟通能力(SPAR C10)Indicator · IND · scoreSelf-reported SPAR score, from 0 to 100, for risk communication systems, community engagement and management of misinformation in emergencies.
- Epidemic and AMR hazard sub-indexSub-index · SUB · w 1 · 22.2%Composite of outbreak event frequency, reported cholera and resistance among MRSA and E. coli bloodstream infections.
- Disease burden sub-indexSub-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.
- Undernutrition sub-indexSub-index · SUB · w 0.5 · 11.1%Composite of child stunting, child wasting and anaemia among women of reproductive age.
- Health-system capacity sub-indexSub-index · SUB · w 1 · 22.2%Composite of doctor, nurse and bed density, UHC service coverage, routine immunisation, skilled birth attendance and health spending.
- IHR operational capacity sub-indexSub-index · SUB · w 1 · 22.2%Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.
- 卫生安全风险指数Domain index · IDX · geometricINFORM-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.
- 人类与系统脆弱性Pillar · PILLAR · 8 indicesHow susceptible are people, livelihoods, ecosystems and essential systems to harm when a shock arrives?
- NXS-GRX (canonical data, provenance and risk) Composite RiskComposite · COMPOSITE · four pillarsComposite = (HTE × VUL × MSF × LCC)^(1/4), each pillar on 0–10 floored at 0.1; pillar = expert-weighted geometric mean of its domain indices
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.
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
- 专家
- Aggregation
- geometric
- Scale
- 0 to 10
- 不确定性
- 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)
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.
| 指标 | 单位 | 证据 | 来源 | 占比 |
|---|---|---|---|---|
流行病事件频率IND.HLT.epidemic.outbreak_event_frequency | 1 | Class B | who-disease-outbreak-news, who-weekly-bulletin-afro, africa-cdc-epidemic-intelligence | 40.0% |
报告的霍乱病例,每 100,000 人IND.HLT.epidemic.cholera_cases.p100k | /10*5 | Class B | who-gho, who-cholera-annual-report | 20.0% |
MRSA 引起的血流感染IND.HLT.amr.mrsa_bloodstream | % | Class B | who-glass, who-gho | 20.0% |
对第三代头孢菌素耐药的大肠杆菌引起的血流感染IND.HLT.amr.ecoli_3gc_bloodstream | % | Class B | who-glass, who-gho | 20.0% |
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.
| 指标 | 单位 | 证据 | 来源 | 占比 |
|---|---|---|---|---|
五岁以下儿童死亡率IND.HLT.burden.under5_mortality | /10*3 | Class C | un-igme, wb-wdi, who-gho | 16.7% |
孕产妇死亡率IND.HLT.burden.maternal_mortality | /10*5 | Class C | un-mmeig, wb-wdi, who-gho | 16.7% |
主要非传染性疾病导致的过早死亡率IND.HLT.burden.ncd_premature_mortality | % | Class C | who-ghe, wb-wdi | 16.7% |
结核病发病率IND.HLT.burden.tb_incidence | /10*5 | Class C | who-global-tb-programme, wb-wdi | 16.7% |
疟疾发病率IND.HLT.burden.malaria_incidence | /10*3 | Class C | who-world-malaria-report, wb-wdi | 16.7% |
HIV 发病率IND.HLT.burden.hiv_incidence | /10*3 | Class C | unaids, wb-wdi, who-gho | 16.7% |
Undernutrition sub-index w 0.5
Composite of child stunting, child wasting and anaemia among women of reproductive age.
| 指标 | 单位 | 证据 | 来源 | 占比 |
|---|---|---|---|---|
五岁以下儿童发育迟缓IND.HLT.nutrition.stunting | % | Class C | unicef-who-wb-jme, wb-wdi, who-gho | 33.3% |
五岁以下儿童消瘦IND.HLT.nutrition.wasting | % | Class B | unicef-who-wb-jme, wb-wdi, smart-surveys | 33.3% |
育龄妇女贫血IND.HLT.nutrition.anaemia_women | % | Class C | who-gho, wb-wdi | 33.3% |
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.
| 指标 | 单位 | 证据 | 来源 | 占比 |
|---|---|---|---|---|
每 1,000 人医生数IND.HLT.system.physician_density | /10*3 | Class B | who-nhwa, wb-wdi | 11.1% |
每 1,000 人护士和助产士数IND.HLT.system.nurse_midwife_density | /10*3 | Class B | who-nhwa, wb-wdi | 11.1% |
每 1,000 人医院床位数IND.HLT.system.hospital_beds | /10*3 | Class B | who-gho, wb-wdi, oecd-health | 11.1% |
UHC 服务覆盖指数IND.HLT.system.uhc_service_coverage | {score} | Class C | who-gho, wb-wdi | 22.2% |
DTP3 免疫接种覆盖率IND.HLT.system.dtp3_coverage | % | Class C | who-unicef-wuenic, wb-wdi | 11.1% |
麻疹第二剂免疫接种覆盖率IND.HLT.system.mcv2_coverage | % | Class C | who-unicef-wuenic, wb-hnp-stats | 11.1% |
由熟练卫生人员接生的分娩IND.HLT.system.skilled_birth_attendance | % | Class B | unicef-who-joint-database, wb-wdi | 11.1% |
经常性卫生支出,占 GDP 比重IND.HLT.system.health_expenditure.gdp | % | Class B | who-ghed, wb-wdi | 11.1% |
IHR operational capacity sub-index w 1
Composite of the SPAR laboratory, surveillance, health emergency management and risk communication capacity scores.
| 指标 | 单位 | 证据 | 来源 | 占比 |
|---|---|---|---|---|
IHR 实验室能力(SPAR C4)IND.HLT.security.spar_laboratory | {score} | Class B | who-spar, who-jee | 25.0% |
IHR 监测能力(SPAR C5)IND.HLT.security.spar_surveillance | {score} | Class B | who-spar, who-jee | 25.0% |
IHR 卫生应急管理能力(SPAR C7)IND.HLT.security.spar_emergency_management | {score} | Class B | who-spar, who-jee | 25.0% |
IHR 风险沟通能力(SPAR C10)IND.HLT.security.spar_risk_communication | {score} | Class B | who-spar, who-jee | 25.0% |
卫生
Disease burden, health-system capacity and health-security preparedness.
| Sub-domain | 指标 |
|---|---|
| Disease burden and mortality | 8 |
| Health system capacity | 11 |
| Health security (IHR) | 5 |
| Epidemic and outbreak | 2 |
| Antimicrobial resistance | 2 |
| Nutrition | 3 |
Anchor frameworks (pillar structure and definitions only): WHO GHO; IHR JEE 3rd ed.; IHR SPAR 2nd ed.; SDG 3.
All 31 health indicators
| 指标 | 领域 | Sub-domain | 组件 | 单位 | 级别 | Crosswalks |
|---|---|---|---|---|---|---|
五岁以下儿童死亡率IND.HLT.burden.under5_mortality | HLT | Disease burden and mortality | vulnerability | /10*3 | COUNTRY | WB_WDI SH.DYN.MORT SDG 3.2.1 WHO_GHO MDG_0000000007 |
新生儿死亡率IND.HLT.burden.neonatal_mortality | HLT | Disease burden and mortality | vulnerability | /10*3 | COUNTRY | WB_WDI SH.DYN.NMRT SDG 3.2.2 |
孕产妇死亡率IND.HLT.burden.maternal_mortality | HLT | Disease burden and mortality | vulnerability | /10*5 | COUNTRY | WB_WDI SH.STA.MMRT SDG 3.1.1 WHO_GHO MDG_0000000026 |
出生时预期寿命IND.HLT.burden.life_expectancy | HLT | Disease burden and mortality | vulnerability | a | COUNTRY | WB_WDI SP.DYN.LE00.IN WHO_GHO WHOSIS_000001 |
主要非传染性疾病导致的过早死亡率IND.HLT.burden.ncd_premature_mortality | HLT | Disease burden and mortality | vulnerability | % | COUNTRY | WB_WDI SH.DYN.NCOM.ZS SDG 3.4.1 WHO_GHO NCDMORT3070 |
结核病发病率IND.HLT.burden.tb_incidence | HLT | Disease burden and mortality | hazard | /10*5 | COUNTRY | WB_WDI SH.TBS.INCD SDG 3.3.2 WHO_GHO MDG_0000000020 |
疟疾发病率IND.HLT.burden.malaria_incidence | HLT | Disease burden and mortality | hazard | /10*3 | COUNTRY | WB_WDI SH.MLR.INCD.P3 SDG 3.3.3 WHO_GHO SDGMALARIA |
HIV 发病率IND.HLT.burden.hiv_incidence | HLT | Disease burden and mortality | hazard | /10*3 | COUNTRY | WB_WDI SH.HIV.INCD.TL.P3 SDG 3.3.1 WHO_GHO SDGHIV WB_WDI SH.HIV.INCD.ZS |
每 1,000 人医生数IND.HLT.system.physician_density | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.PHYS.ZS WHO_GHO HWF_0001 SDG 3.c.1 |
每 1,000 人护士和助产士数IND.HLT.system.nurse_midwife_density | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.NUMW.P3 WHO_GHO HWF_0006 SDG 3.c.1 |
每 1,000 人医院床位数IND.HLT.system.hospital_beds | HLT | Health system capacity | coping capacity | /10*3 | COUNTRY | WB_WDI SH.MED.BEDS.ZS WHO_GHO WHS6_102 |
UHC 服务覆盖指数IND.HLT.system.uhc_service_coverage | HLT | Health system capacity | coping capacity | {score} | COUNTRY | SDG 3.8.1 WHO_GHO UHC_INDEX_REPORTED WB_WDI SH.UHC.SRVS.CV.XD |
发生灾难性自付医疗支出的人口IND.HLT.system.catastrophic_oop | HLT | Health system capacity | vulnerability | % | COUNTRY | SDG 3.8.2 WB_WDI SH.UHC.OOPC.10.ZS |
自付支出,占经常性卫生支出比重IND.HLT.system.oop_share | HLT | Health system capacity | vulnerability | % | COUNTRY | WB_WDI SH.XPD.OOPC.CH.ZS WHO_GHO GHED_OOPSCHE_SHA2011 |
经常性卫生支出,占 GDP 比重IND.HLT.system.health_expenditure.gdp | HLT | Health system capacity | coping capacity | % | COUNTRY | WB_WDI SH.XPD.CHEX.GD.ZS |
DTP3 免疫接种覆盖率IND.HLT.system.dtp3_coverage | HLT | Health system capacity | coping capacity | % | COUNTRY | WHO_GHO WHS4_100 WB_WDI SH.IMM.IDPT SDG 3.b.1 |
麻疹第二剂免疫接种覆盖率IND.HLT.system.mcv2_coverage | HLT | Health system capacity | coping capacity | % | COUNTRY | WHO_GHO MCV2 WB_WDI SH.IMM.MEA2 SDG 3.b.1 |
由熟练卫生人员接生的分娩IND.HLT.system.skilled_birth_attendance | HLT | Health system capacity | coping capacity | % | COUNTRY | WB_WDI SH.STA.BRTC.ZS SDG 3.1.2 |
前往最近卫生设施的出行时间IND.HLT.system.health_facility_travel_time | HLT | Health system capacity | vulnerability | min | COUNTRY, ADM1, ADM2, CITY, GRID | |
IHR 核心能力得分(SPAR)IND.HLT.security.spar_capacity | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SDG 3.d.1 WHO_GHO SDGIHR2021 WHO_GHO SDGIHR2018 |
IHR 实验室能力(SPAR C4)IND.HLT.security.spar_laboratory | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C4 WHO_GHO IHRSPAR2_C04 JEE D1 |
IHR 监测能力(SPAR C5)IND.HLT.security.spar_surveillance | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C5 WHO_GHO IHRSPAR2_C05 JEE D2 |
IHR 卫生应急管理能力(SPAR C7)IND.HLT.security.spar_emergency_management | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C7 WHO_GHO IHRSPAR2_C07 JEE R1 |
IHR 风险沟通能力(SPAR C10)IND.HLT.security.spar_risk_communication | HLT | Health security (IHR) | coping capacity | {score} | COUNTRY | SPAR C10 WHO_GHO IHRSPAR2_C10 JEE R5 |
流行病事件频率IND.HLT.epidemic.outbreak_event_frequency | HLT | Epidemic and outbreak | hazard | 1 | COUNTRY, ADM1 | |
报告的霍乱病例,每 100,000 人IND.HLT.epidemic.cholera_cases.p100k | HLT | Epidemic and outbreak | hazard | /10*5 | COUNTRY | WHO_GHO CHOLERA_0000000001 |
MRSA 引起的血流感染IND.HLT.amr.mrsa_bloodstream | HLT | Antimicrobial resistance | hazard | % | COUNTRY | WHO_GHO AMR_INFECT_MRSA SDG 3.d.2 |
对第三代头孢菌素耐药的大肠杆菌引起的血流感染IND.HLT.amr.ecoli_3gc_bloodstream | HLT | Antimicrobial resistance | hazard | % | COUNTRY | WHO_GHO AMR_INFECT_ECOLI SDG 3.d.2 |
五岁以下儿童发育迟缓IND.HLT.nutrition.stunting | HLT | Nutrition | vulnerability | % | COUNTRY | WB_WDI SH.STA.STNT.ME.ZS SDG 2.2.1 WHO_GHO NUTSTUNTINGPREV FAO_FAOSTAT 21025 |
五岁以下儿童消瘦IND.HLT.nutrition.wasting | HLT | Nutrition | vulnerability | % | COUNTRY, ADM1 | WB_WDI SH.STA.WAST.ZS SDG 2.2.2 WHO_GHO NUTRITION_WH_2 FAO_FAOSTAT 21026 |
育龄妇女贫血IND.HLT.nutrition.anaemia_women | HLT | Nutrition | vulnerability | % | COUNTRY | WB_WDI SH.ANM.ALLW.ZS WHO_GHO NUTRITION_ANAEMIA_REPRODUCTIVEAGE_PREV SDG 2.2.3 FAO_FAOSTAT 21043 |
Health security risk index, world
The world reading of this index, every country as a tile and the largest movements since the previous edition.
- 上一版
- –
- Range since 2016
- –
- 耦合综合
- –
- 耦合得分 S
- –
- 脉搏,最近一周
- –
- Outlook, 12 months
- –
- 方法
- Indicator Standard 1.0 · NXS-GRX 2026
- 抽样次数
- 1,000
尚无已发布的数值。第一版发布后将在这里绘制历史,并附区间带和类别边界。
Country values
- 瓦片
/api/v1/public/grix/risk-products/tiles/hlt/{z}/{x}/{y}.mvt- 观测键
nis:IDX.HLT.security.health_security_risk:{ISO3}:{YEAR}:A
Series that read this index
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 system | Leaf indicators mapped |
|---|---|
WHO_GHO | 22 |
WB_WDI | 18 |
SDG | 17 |
SPAR | 4 |
JEE | 4 |
FAO_FAOSTAT | 3 |
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.
引用与再利用
See this index in every country profile
Each profile shows this index with its interval and class once released.
状态
The Global Risks Index 的方法、结构和定义为预备性工作草案(2026),供审阅和评论,不供实施。在从受治理的证据截取中发布版本之前,不会出现任何数值;届时数值将附有区间、类别、来源及其更正途径。模拟器以您选择的数字运行已发布的方法,绝不显示 NXS-GRX 数值。
NXS-GRX 不是什么
NXS-GRX 是研究和风险分析信息。它不是信用评级或 ESG 评级,不使用任何评级尺度;它不是金融工具的基准,不是官方统计,不是紧急警报或官方分类,也不是建议。不得用于评估自然人。风险等级是已发布尺度上的区间,绝不是对国家或个人的排名。
机构与来源
The Nexus Consortium is stewarded by three independent not-for-profit institutions: The Global Centre for Risk and Innovation (GCRI), through GCRI US in Washington, DC and GCRI Canada in Ontario, with GCRI Canada as Lead Institution, Consortium Secretariat and lead contracting organisation; The Global Risks Forum (GRF); and The Global Risks Alliance (GRA). Technology, infrastructure and service providers work with the Consortium at arm’s length under written agreements, like every other external party in the public-private-planet model, and hold no role in its stewardship.
每个数值均附有其来源的署名,这些来源保留各自的许可。外部名称仅为互操作性而引用。Nexus 撰写的文本拟在发布时采用 CC BY 4.0。
Avis en français
La méthodologie et les définitions du NXS-GRX sont un projet de travail préparatoire (2026). Le NXS-GRX est une information de recherche et d’analyse des risques : ni notation, ni indice de référence financier, ni statistique officielle, ni alerte, ni conseil. Les classes de risque sont des bandes sur une échelle publiée, non des classements.