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I-Global Risks Index

The Global Risks Index · SR-12 · Strategic systems series

Health security and biosecurity

Pandemic and epidemic preparedness, antimicrobial resistance, zoonotic spillover and biosecurity controls, at public-safe level.

Page GRX-SER-SR-12Edition Baseline Edition 2026Evidence close 2026-09-30Subject NXS-GRX (canonical data, provenance and risk) proposedNexus Reports SR-12 (planned)Values not yet publishedMethod v1.0.0-draft
FIG 1 · Series at a glance
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1

Health security risk

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136

4 index domains

Hazard families

27

Health and biosecurity · Land and ecosystems

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25

Health and epidemiology

Counts from the indicator, hazard and model registries.
1
domain indices
136
indicators in scope
2
hazard domains
4
client groups

01Ububanzi

Scope and questions

The subject of this index is proposed by NXS-GRX (canonical data, provenance and risk); the Nexus Reports edition with the same code sets its own subject at commissioning, and any difference is recorded as a crosswalk.

Public-safe screen. This series reads governance, detection and preparedness only; no capability, method or sensitive location information is published.
  1. Where is spillover risk highest relative to detection capacity?
  2. How prepared are systems for a fast-moving pathogen?
  3. Where is antimicrobial resistance eroding protection?
02Construction

Domain indices to the series index

The series index is the expert-weighted geometric mean of its domain indices, with the intervals and class rule of the methodology.

computation

How the Health security and biosecurity index is built

Graph5 nodes
Graph
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02Series index
03Readings

100%
List
  1. Health security risk

    Domain index · IDX · HLT
    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.
  2. Health security and biosecurity index

    Series index · SERIES · SR-12
    Pandemic and epidemic preparedness, antimicrobial resistance, zoonotic spillover and biosecurity controls, at public-safe level.
  3. Country readings

    Output · OUTPUT · 195 profiles
    Published with intervals and classes when the edition is released.
  4. Regional readings

    Output · OUTPUT · 5 regions
    Published with intervals and classes when the edition is released.
  5. Global reading

    Output · OUTPUT · population or exposure weighted
    Published with intervals and classes when the edition is released.
Not runIn progressDone
FIG 2. Select a domain index to open its full construction; Simulate run plays the computation. Schematic of the construction; source: Indicator Standard composite definitions.
03Izinkomba

Domain indices in this series

The Global Risks Index · SR-12 · 195 profiles · 0–10 scale
Health security and biosecurity index, world
–
Values publish with the edition; the interval, class and change appear here.
I-Index Value Change Change % 90% interval Class · probability Trend Range
Health security riskNXS-GRX · HLT – – – – –

Domains read: Health, Environment and biodiversity, Coping capacity and resilience, Governance and institutions.

04Izinkomba

136 indicators in scope

Every indicator whose primary or secondary domain is in scope, with unit, levels and crosswalks to source code lists.

FIG 3 · Indicators in scope, by domain and sub-domain
HLT · 31ENV · 22GOV · 20CRS · 18
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.
Indicator Domain Sub-domain Component Unit Amazinga Crosswalks
Expected annual fiscal cost of disasters, share of GDPIND.FIS.contingent.disaster_fiscal_cost.gdp FIS Contingent liabilities vulnerability % COUNTRY
LIC-DSF composite indicator score (published, reference)IND.FIS.capacity.lic_dsf_composite_indicator FIS Debt-carrying capacity coping capacity {score} COUNTRY
Account ownership, adultsIND.FIN.depth.account_ownership FIN Financial depth and inclusion coping capacity % COUNTRY WB_WDI FX.OWN.TOTL.ZS SDG 8.10.2
Insurance penetration (premiums to GDP)IND.FIN.nbfi.insurance_penetration FIN Non-bank financial intermediation coping capacity % COUNTRY WB_WDI GFDD.DI.09 WB_WDI GFDD.DI.10
Natural-catastrophe protection gapIND.FIN.nbfi.nat_cat_protection_gap FIN Non-bank financial intermediation vulnerability % REGION, COUNTRY
Natural-resource rents, share of GDPIND.ECO.concentration.natural_resource_rents.gdp ECO Export and import concentration vulnerability % COUNTRY WB_WDI NY.GDP.TOTL.RT.ZS
National adaptation plan submittedIND.CLI.adaptation.nap_submitted CLI Adaptation readiness adaptive capacity {bool} COUNTRY SDG 13.2.1
Economic readiness for adaptation investmentIND.CLI.adaptation.economic_readiness CLI Adaptation readiness adaptive capacity {score} COUNTRY ND_GAIN economic
Governance readiness for adaptationIND.CLI.adaptation.governance_readiness CLI Adaptation readiness adaptive capacity {score} COUNTRY ND_GAIN governance
International adaptation finance received per capitaIND.CLI.adaptation.adaptation_finance_received.pc CLI Adaptation readiness adaptive capacity [USD] COUNTRY
Multi-hazard average annual loss, share of GDPIND.HAZ.multi.aal.gdp HAZ Multi-hazard impact % COUNTRY, ADM1, CITY, PORTFOLIO
Probable maximum loss at 250-year return period, share of GDPIND.HAZ.multi.pml_rp250.gdp HAZ Multi-hazard impact % COUNTRY, ADM1, PORTFOLIO
Flood protection design standardIND.HAZ.flood.flood_protection_standard HAZ Flood coping capacity a COUNTRY, ADM1, CITY, SITE
Days of dangerous humid heat per yearIND.HAZ.heat.dangerous_heat_days HAZ Extreme heat hazard d/a COUNTRY, ADM1, CITY, GRID UNDRR_HIPS_2025 MH0501
Heatwave exposure events per personIND.HAZ.heat.heatwave_person_days HAZ Extreme heat exposure d/a COUNTRY, ADM1, CITY
Population exposed to extreme heat, shareIND.HAZ.heat.heat_population_exposed.share HAZ Extreme heat exposure % COUNTRY, ADM1, CITY
Annual burned area, share of land areaIND.HAZ.wildfire.burned_area.share HAZ Umlilo wamahlathi hazard % COUNTRY, ADM1, GRID UNDRR_HIPS_2025 EN0205 EMDAT nat-cli-wil-wil
Disaster deaths and missing persons per 100,000IND.HAZ.loss.deaths_missing_rate HAZ Losses and impacts impact /10*5 COUNTRY, ADM1 SENDAI A-1 SDG 1.5.1
People directly affected by disasters per 100,000IND.HAZ.loss.directly_affected_rate HAZ Losses and impacts impact /10*5 COUNTRY, ADM1 SENDAI B-1 SDG 1.5.1
Direct economic loss from disasters, share of GDPIND.HAZ.loss.direct_economic_loss.gdp HAZ Losses and impacts impact % COUNTRY, ADM1 SENDAI C-1 SDG 1.5.2
PM2.5 exposure, population-weighted meanIND.ENV.air.pm25_exposure ENV Air quality hazard ug/m3 COUNTRY, ADM1, CITY, GRID WB_WDI EN.ATM.PM25.MC.M3 SDG 11.6.2 EPI PMD
Population exposed above the WHO PM2.5 guideline, shareIND.ENV.air.pm25_guideline_exceedance.share ENV Air quality exposure % COUNTRY, ADM1, CITY WB_WDI EN.ATM.PM25.MC.ZS
Seasonal peak ozone exposureIND.ENV.air.ozone_exposure ENV Air quality hazard [ppb] COUNTRY, ADM1, CITY, GRID
Land areaIND.ENV.land.land_area ENV Land and forests context km2 COUNTRY, ADM1, ADM2, CITY WB_WDI AG.LND.TOTL.K2
Forest area, share of land areaIND.ENV.land.forest_cover.share ENV Land and forests vulnerability % COUNTRY, ADM1 SDG 15.1.1 WB_WDI AG.LND.FRST.ZS
Annual tree cover loss rateIND.ENV.land.tree_cover_loss.share ENV Land and forests hazard % COUNTRY, ADM1, ADM2, GRID EPI TCL
Degraded land, share of land areaIND.ENV.land.land_degradation.share ENV Land and forests hazard % COUNTRY, ADM1, GRID SDG 15.3.1
Road densityIND.ENV.land.road_density ENV Land and forests hazard km/km2 COUNTRY, ADM1, ADM2, CITY, GRID
Red List IndexIND.ENV.biodiversity.red_list_index ENV Ukuhlukahluka kwemvelo vulnerability 1 GLOBAL, REGION, COUNTRY SDG 15.5.1
Biodiversity Intactness IndexIND.ENV.biodiversity.biodiversity_intactness ENV Ukuhlukahluka kwemvelo vulnerability 1 COUNTRY, ADM1, GRID
Terrestrial protected areas, share of land areaIND.ENV.biodiversity.terrestrial_protected.share ENV Ukuhlukahluka kwemvelo response % COUNTRY, ADM1 WB_WDI ER.LND.PTLD.ZS
Key biodiversity areas covered by protected areasIND.ENV.biodiversity.key_biodiversity_area_protected.share ENV Ukuhlukahluka kwemvelo response % COUNTRY, REGION SDG 15.1.2
Marine protected areas, share of territorial watersIND.ENV.ocean.marine_protected.share ENV Ocean response % COUNTRY WB_WDI ER.MRN.PTMR.ZS SDG 14.5.1
Coastal eutrophication indexIND.ENV.ocean.coastal_eutrophication ENV Ocean hazard % COUNTRY, REGION SDG 14.1.1
Average marine acidity (pH)IND.ENV.ocean.ocean_acidity ENV Ocean hazard [pH] COUNTRY, REGION, SITE SDG 14.3.1
Fish stocks within biologically sustainable levelsIND.ENV.ocean.sustainable_fish_stocks.share ENV Ocean vulnerability % GLOBAL, REGION, COUNTRY SDG 14.4.1
Marine heatwave days per yearIND.ENV.ocean.marine_heatwave_days ENV Ocean hazard d/a COUNTRY, REGION, GRID UNDRR_HIPS_2025 MH0708
Municipal solid waste generated per capitaIND.ENV.pollution.msw_generation.pc ENV Pollution and waste hazard kg/a/{person} COUNTRY, CITY
Municipal solid waste managed in controlled facilitiesIND.ENV.pollution.msw_controlled_management.share ENV Pollution and waste coping capacity % COUNTRY, CITY SDG 11.6.1 EPI MSW
Mismanaged plastic waste per capitaIND.ENV.pollution.mismanaged_plastic_waste.pc ENV Pollution and waste hazard kg/a/{person} COUNTRY, ADM1
GDP in sectors highly dependent on nature, shareIND.ENV.nature_dependence.nature_dependent_gdp.share ENV Nature dependence exposure % COUNTRY, PORTFOLIO
Crop production value dependent on animal pollination, shareIND.ENV.nature_dependence.pollinator_dependent_crops.share ENV Nature dependence exposure % COUNTRY, ADM1
Population using safely managed drinking waterIND.WAT.access.safely_managed_drinking_water.share WAT Drinking water and sanitation vulnerability % COUNTRY, ADM1, CITY SDG 6.1.1 WB_WDI SH.H2O.SMDW.ZS EPI UWD
Population using at least basic drinking waterIND.WAT.access.basic_drinking_water.share WAT Drinking water and sanitation vulnerability % COUNTRY, ADM1 WB_WDI SH.H2O.BASW.ZS
Population using safely managed sanitationIND.WAT.access.safely_managed_sanitation.share WAT Drinking water and sanitation vulnerability % COUNTRY, ADM1, CITY WB_WDI SH.STA.SMSS.ZS SDG 6.2.1 EPI USD
Population with basic hand-washing facilitiesIND.WAT.access.basic_handwashing.share WAT Drinking water and sanitation vulnerability % COUNTRY, ADM1 WB_WDI SH.STA.HYGN.ZS SDG 6.2.1
Water bodies with good ambient water qualityIND.WAT.quality.good_ambient_water_quality.share WAT Water quality vulnerability % COUNTRY, ADM1 SDG 6.3.2
Wastewater flows safely treatedIND.WAT.quality.wastewater_safely_treated.share WAT Water quality coping capacity % COUNTRY, CITY SDG 6.3.1 EPI WWT
Dependency ratio on external renewable waterIND.WAT.dependence.external_water_dependency WAT Transboundary dependence exposure % COUNTRY
Transboundary basin area with operational cooperationIND.WAT.dependence.transboundary_cooperation.share WAT Transboundary dependence coping capacity % COUNTRY SDG 6.5.2
Critical services relying on satellites without backup, shareIND.SPC.dependence.satellite_service_exposure.share SPC Space-service dependence vulnerability % COUNTRY
Under-five mortality rateIND.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
Neonatal mortality rateIND.HLT.burden.neonatal_mortality HLT Disease burden and mortality vulnerability /10*3 COUNTRY WB_WDI SH.DYN.NMRT SDG 3.2.2
Maternal mortality ratioIND.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
Life expectancy at birthIND.HLT.burden.life_expectancy HLT Disease burden and mortality vulnerability a COUNTRY WB_WDI SP.DYN.LE00.IN WHO_GHO WHOSIS_000001
Premature mortality from major non-communicable diseasesIND.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
Tuberculosis incidenceIND.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
Malaria incidenceIND.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 incidenceIND.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
Medical doctors per 1,000 populationIND.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
Nurses and midwives per 1,000 populationIND.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
Hospital beds per 1,000 populationIND.HLT.system.hospital_beds HLT Health system capacity coping capacity /10*3 COUNTRY WB_WDI SH.MED.BEDS.ZS WHO_GHO WHS6_102
UHC service coverage indexIND.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
Population with catastrophic out-of-pocket health spendingIND.HLT.system.catastrophic_oop HLT Health system capacity vulnerability % COUNTRY SDG 3.8.2 WB_WDI SH.UHC.OOPC.10.ZS
Out-of-pocket spending, share of current health expenditureIND.HLT.system.oop_share HLT Health system capacity vulnerability % COUNTRY WB_WDI SH.XPD.OOPC.CH.ZS WHO_GHO GHED_OOPSCHE_SHA2011
Current health expenditure, share of GDPIND.HLT.system.health_expenditure.gdp HLT Health system capacity coping capacity % COUNTRY WB_WDI SH.XPD.CHEX.GD.ZS
DTP3 immunisation coverageIND.HLT.system.dtp3_coverage HLT Health system capacity coping capacity % COUNTRY WHO_GHO WHS4_100 WB_WDI SH.IMM.IDPT SDG 3.b.1
Second-dose measles immunisation coverageIND.HLT.system.mcv2_coverage HLT Health system capacity coping capacity % COUNTRY WHO_GHO MCV2 WB_WDI SH.IMM.MEA2 SDG 3.b.1
Births attended by skilled health personnelIND.HLT.system.skilled_birth_attendance HLT Health system capacity coping capacity % COUNTRY WB_WDI SH.STA.BRTC.ZS SDG 3.1.2
Travel time to the nearest health facilityIND.HLT.system.health_facility_travel_time HLT Health system capacity vulnerability min COUNTRY, ADM1, ADM2, CITY, GRID
IHR core capacity score (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 laboratory capacity (SPAR C4)IND.HLT.security.spar_laboratory HLT Health security (IHR) coping capacity {score} COUNTRY SPAR C4 WHO_GHO IHRSPAR2_C04 JEE D1
IHR surveillance capacity (SPAR C5)IND.HLT.security.spar_surveillance HLT Health security (IHR) coping capacity {score} COUNTRY SPAR C5 WHO_GHO IHRSPAR2_C05 JEE D2
IHR health emergency management capacity (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 risk communication capacity (SPAR C10)IND.HLT.security.spar_risk_communication HLT Health security (IHR) coping capacity {score} COUNTRY SPAR C10 WHO_GHO IHRSPAR2_C10 JEE R5
Epidemic event frequencyIND.HLT.epidemic.outbreak_event_frequency HLT Epidemic and outbreak hazard 1 COUNTRY, ADM1
Reported cholera cases, per 100,000 populationIND.HLT.epidemic.cholera_cases.p100k HLT Epidemic and outbreak hazard /10*5 COUNTRY WHO_GHO CHOLERA_0000000001
Bloodstream infections due to MRSAIND.HLT.amr.mrsa_bloodstream HLT Antimicrobial resistance hazard % COUNTRY WHO_GHO AMR_INFECT_MRSA SDG 3.d.2
Bloodstream infections due to E. coli resistant to third-generation cephalosporinsIND.HLT.amr.ecoli_3gc_bloodstream HLT Antimicrobial resistance hazard % COUNTRY WHO_GHO AMR_INFECT_ECOLI SDG 3.d.2
Stunting among children under fiveIND.HLT.nutrition.stunting HLT Nutrition vulnerability % COUNTRY WB_WDI SH.STA.STNT.ME.ZS SDG 2.2.1 WHO_GHO NUTSTUNTINGPREV FAO_FAOSTAT 21025
Wasting among children under fiveIND.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
Anaemia among women of reproductive ageIND.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
Cropland, share of land areaIND.FOO.agriculture.cropland.share FOO Agricultural production and dependence exposure % COUNTRY, ADM1, ADM2, GRID WB_WDI AG.LND.ARBL.ZS
Seats held by women in national parliamentIND.SOC.gender.women_in_parliament SOC Gender adaptive capacity % COUNTRY WB_WDI SG.GEN.PARL.ZS SDG 5.5.1
Population covered by at least one social protection benefitIND.SOC.protection.social_protection_coverage SOC Social protection coping capacity % COUNTRY SDG 1.3.1 ILO SDG_0131_SEX_SOC_RT WB_WDI per_allsp.cov_pop_tot
Population aged 65 and over, share of totalIND.DEM.structure.share_65plus DEM Age structure vulnerability % COUNTRY WB_WDI SP.POP.65UP.TO.ZS
Attacks on health careIND.CON.civilian.attacks_on_health_care CON Civilian harm impact 1 COUNTRY
Voice and accountability (WGI)IND.GOV.quality.voice_accountability GOV Governance quality coping capacity {score} COUNTRY WB_WGI GOV_WGI_VA.SC WB_WGI GOV_WGI_VA.EST
Political stability and absence of violence (WGI)IND.GOV.quality.political_stability GOV Governance quality coping capacity {score} COUNTRY WB_WGI GOV_WGI_PV.SC WB_WGI GOV_WGI_PV.EST
Government effectiveness (WGI)IND.GOV.quality.government_effectiveness GOV Governance quality coping capacity {score} COUNTRY WB_WGI GOV_WGI_GE.SC WB_WGI GOV_WGI_GE.EST
Control of corruption (WGI)IND.GOV.quality.control_of_corruption GOV Governance quality coping capacity {score} COUNTRY WB_WGI GOV_WGI_CC.SC WB_WGI GOV_WGI_CC.EST
Corruption Perceptions Index (Transparency International)IND.GOV.quality.corruption_perceptions GOV Governance quality coping capacity {score} COUNTRY
Press freedom score (RSF)IND.GOV.quality.press_freedom GOV Governance quality coping capacity {score} COUNTRY
Rule of law (WGI)IND.GOV.rule_of_law.rule_of_law GOV Rule of law coping capacity {score} COUNTRY WB_WGI GOV_WGI_RL.SC WB_WGI GOV_WGI_RL.EST
Property rights and rule-based governance (CPIA)IND.GOV.rule_of_law.property_rights GOV Rule of law coping capacity {score} COUNTRY WB_WDI IQ.CPA.PROP.XQ
Unsentenced detainees, share of prison populationIND.GOV.rule_of_law.unsentenced_detainees GOV Rule of law vulnerability % COUNTRY SDG 16.3.2
Bribery incidence among firmsIND.GOV.rule_of_law.bribery_incidence_firms GOV Rule of law vulnerability % COUNTRY WB_WDI IC.FRM.BRIB.ZS SDG 16.5.2
Regulatory quality (WGI)IND.GOV.policy.regulatory_quality GOV Policy and institutional quality coping capacity {score} COUNTRY WB_WGI GOV_WGI_RQ.SC WB_WGI GOV_WGI_RQ.EST
CPIA overall rating (IDA resource allocation index)IND.GOV.policy.cpia_overall GOV Policy and institutional quality coping capacity {score} COUNTRY WB_WDI IQ.CPA.IRAI.XQ
CPIA public-sector management and institutionsIND.GOV.policy.cpia_public_sector_management GOV Policy and institutional quality coping capacity {score} COUNTRY WB_WDI IQ.CPA.PUBS.XQ
CPIA transparency, accountability and corruption in the public sectorIND.GOV.policy.cpia_transparency GOV Policy and institutional quality coping capacity {score} COUNTRY WB_WDI IQ.CPA.TRAN.XQ
Efficiency of revenue mobilisation (CPIA)IND.GOV.policy.tax_administration GOV Policy and institutional quality coping capacity {score} COUNTRY WB_WDI IQ.CPA.REVN.XQ
Deviation of budget execution from the approved budgetIND.GOV.policy.budget_execution_deviation GOV Policy and institutional quality vulnerability % COUNTRY SDG 16.6.1
Statistical Performance Indicators overall scoreIND.GOV.statistics.spi_overall GOV Statistical capacity coping capacity {score} COUNTRY WB_WDI IQ.SPI.OVRL WB_WDI IQ.SCI.OVRL
Completeness of birth registrationIND.GOV.statistics.birth_registration GOV Statistical capacity coping capacity % COUNTRY WB_WDI SP.REG.BRTH.ZS SDG 16.9.1
Years since the last population censusIND.GOV.statistics.years_since_census GOV Statistical capacity vulnerability a COUNTRY SDG 17.19.2
Business environment score (B-READY)IND.GOV.business.bready_overall GOV Business environment coping capacity {score} COUNTRY
Population relying primarily on clean cooking fuels and technologiesIND.ENE.access.clean_cooking ENE Access vulnerability % COUNTRY, ADM1 SDG 7.1.2 WB_WDI EG.CFT.ACCS.ZS
Rural population within 2 km of an all-season roadIND.INF.transport.rural_road_access INF Transport coping capacity % COUNTRY, ADM1 SDG 9.1.1
Population covered by a mobile network, by technologyIND.INF.digital.mobile_network_coverage INF Digital connectivity coping capacity % COUNTRY, ADM1 SDG 9.c.1
Critical facilities with 72-hour back-up powerIND.INF.utilities.critical_facility_backup_power INF Utilities coping capacity % COUNTRY, ADM1, CITY ISO_37123 ISO 37123:2019
Lifeline facilities in high-hazard zones, shareIND.INF.utilities.lifeline_facilities_exposed.share INF Utilities exposure % COUNTRY, ADM1, ADM2, CITY, GRID
Health facilities damaged or destroyed by disastersIND.INF.disruption.health_facilities_damaged INF Service disruption impact 1 COUNTRY, ADM1 SENDAI D-2
ITU GCI legal measures pillarIND.CYB.capability.gci_legal CYB Cyber capability coping capacity {score} COUNTRY ITU_GCI Legal Measures
ITU GCI organisational measures pillarIND.CYB.capability.gci_organizational CYB Cyber capability coping capacity {score} COUNTRY ITU_GCI Organizational Measures
Data protection and privacy legislation in forceIND.CYB.capability.data_protection_law CYB Cyber capability coping capacity {bool} COUNTRY ITU_GCI Legal Measures
E-government developmentIND.CYB.dependence.egovernment_development CYB Digital dependence exposure {score} COUNTRY
Biosafety and biosecurity oversight of high-containment laboratoriesIND.TEC.bio.biosecurity_lab_oversight TEC Biotechnology coping capacity {score} COUNTRY
National DRR strategy aligned with the Sendai FrameworkIND.CRS.drr.national_drr_strategy CRS DRR strategy coping capacity {score} COUNTRY SENDAI E-1 SDG 1.5.3 SDG 11.b.1 SDG 13.1.2
Local governments with DRR strategies aligned to the national strategyIND.CRS.drr.local_drr_strategies CRS DRR strategy coping capacity % COUNTRY, ADM1 SENDAI E-2 SDG 1.5.4 SDG 11.b.2 SDG 13.1.3
Multi-hazard early warning system scoreIND.CRS.warning.mhews_score CRS Isixwayiso sokuqala coping capacity {score} COUNTRY SENDAI G-1
Multi-hazard monitoring and forecasting systemsIND.CRS.warning.monitoring_forecasting CRS Isixwayiso sokuqala coping capacity {score} COUNTRY SENDAI G-2
People covered by early warning informationIND.CRS.warning.early_warning_coverage CRS Isixwayiso sokuqala coping capacity /10*5 COUNTRY, ADM1 SENDAI G-3
Local governments with a plan to act on early warningsIND.CRS.warning.local_warning_action_plans CRS Isixwayiso sokuqala coping capacity % COUNTRY, ADM1 SENDAI G-4
Accessible disaster risk information and assessmentIND.CRS.warning.risk_information_access CRS Isixwayiso sokuqala coping capacity {score} COUNTRY SENDAI G-5
Exposed population protected by pre-emptive evacuationIND.CRS.warning.preemptive_evacuation CRS Isixwayiso sokuqala coping capacity % COUNTRY, ADM1 SENDAI G-6
Disaster risk financing strategy adoptedIND.CRS.financing.drf_strategy CRS Risk financing and protection gap coping capacity {bool} COUNTRY
Participation in a sovereign regional risk poolIND.CRS.financing.regional_risk_pool_membership CRS Risk financing and protection gap coping capacity {bool} COUNTRY
Pre-arranged contingent disaster credit, share of GDPIND.CRS.financing.contingent_credit.gdp CRS Risk financing and protection gap coping capacity % COUNTRY
Sovereign catastrophe risk transfer limit, share of GDPIND.CRS.financing.risk_transfer_cover.gdp CRS Risk financing and protection gap coping capacity % COUNTRY
Natural-catastrophe insurance protection gapIND.CRS.financing.insurance_protection_gap CRS Risk financing and protection gap vulnerability % COUNTRY
Non-life insurance premiums, share of GDPIND.CRS.financing.non_life_insurance_penetration CRS Risk financing and protection gap coping capacity % COUNTRY
Population within 15 minutes of emergency servicesIND.CRS.response.emergency_service_access CRS Response capacity coping capacity % COUNTRY, ADM1, CITY ISO_37120 ISO 37120:2018
INSARAG-classified urban search and rescue teamIND.CRS.response.usar_classification CRS Response capacity coping capacity {bool} COUNTRY
International official support for DRR received, share of GDPIND.CRS.response.international_drr_support.gdp CRS Response capacity coping capacity % COUNTRY SENDAI F-1
Shock-responsive social protection readinessIND.CRS.response.shock_responsive_social_protection CRS Response capacity coping capacity {score} COUNTRY
05Izingozi

Hazard families this series reads

families, each crosswalked to the UNDRR–ISC Hazard Information Profiles (2025) where a profile exists.

FIG 4 · Hazard families this series reads
LandImpilo163HAZARDS
2 hazard domains (inner ring) and 27 families (outer ring), sized by hazard count. Select a segment to filter the table below. Source: Hazard Standard Nexus Hazard Standard.
Family Domain Izingozi Count
Airborne and respiratory infection Impilo nokuvikelwa kwezinto eziphilayo Respiratory pandemic, Seasonal influenza epidemic, Zoonotic influenza spillover, Coronavirus outbreak, Tuberculosis surge, Bacterial meningitis outbreak 6
Vaccine-preventable outbreaks Impilo nokuvikelwa kwezinto eziphilayo Measles outbreak, Polio outbreak, Diphtheria and whooping cough outbreak, Other vaccine-preventable outbreak 4
Faecal-oral and foodborne infection Impilo nokuvikelwa kwezinto eziphilayo Cholera outbreak, Typhoid and paratyphoid fever, Shigellosis and dysentery outbreak, Viral diarrhoea outbreak, Faecal-oral hepatitis outbreak, Foodborne illness outbreak, Waterborne disease outbreak 7
Vector-borne infection Impilo nokuvikelwa kwezinto eziphilayo Dengue epidemic, Chikungunya and Zika outbreak, Yellow fever outbreak, West Nile and Culex-borne virus outbreak, Malaria resurgence, Plague outbreak, Trypanosomiasis outbreak, Tick-borne disease surge … 10
Haemorrhagic fever Impilo nokuvikelwa kwezinto eziphilayo Ebola and Marburg outbreak, Lassa fever outbreak, Crimean-Congo haemorrhagic fever outbreak 3
Blood-borne and sexually transmitted infection Impilo nokuvikelwa kwezinto eziphilayo HIV epidemic, Chronic viral hepatitis B and C burden, Sexually transmitted infection resurgence 3
Animal-to-human spillover Impilo nokuvikelwa kwezinto eziphilayo Zoonotic spillover event, Anthrax outbreak, Brucellosis outbreak, Rabies outbreak, Leptospirosis outbreak, Mpox outbreak, Rift Valley fever outbreak, Nipah and henipavirus outbreak 8
Rare and persistent human infections Impilo nokuvikelwa kwezinto eziphilayo Prion disease cluster, Smallpox reintroduction 2
Livestock and aquaculture epizootics Impilo nokuvikelwa kwezinto eziphilayo Swine fever epizootic, Foot-and-mouth epizootic, Ruminant respiratory epizootic, Vector-borne livestock disease, Poultry epizootic, Screwworm infestation, Aquaculture disease outbreak, Livestock disease outbreak 8
Plant disease and pests Impilo nokuvikelwa kwezinto eziphilayo Bacterial and fungal crop disease, Plant virus epidemic, Crop insect pest outbreak, Locust swarm, Invasive species spread 5
Systemic biological risks Impilo nokuvikelwa kwezinto eziphilayo Antimicrobial resistance, Deliberate or accidental biological-agent release 2
Environmental and product harm to people Impilo nokuvikelwa kwezinto eziphilayo Snakebite envenoming, Substandard and falsified medicines, Adulterated alcohol poisoning, Overdose epidemic 4
Climate-sensitive illness Impilo nokuvikelwa kwezinto eziphilayo Heat-related illness surge, Cold-related illness surge, Disease vector range expansion, Aeroallergen season intensification, Warm-water bacterial infection 5
Drug and insecticide resistance by pathogen class Impilo nokuvikelwa kwezinto eziphilayo Multidrug-resistant bacterial infection spread, Antiviral drug resistance, Antimalarial and antiparasitic drug resistance, Antifungal drug resistance, Insecticide resistance in disease vectors, Antimicrobial development and supply failure 6
Emerging and unknown infection threats Impilo nokuvikelwa kwezinto eziphilayo Unknown future pathogen emergence, Emerging fungal pathogen, Endemic fungal disease range expansion, Healthcare-associated infection outbreak, Undiagnosed illness cluster 5
Maternal, newborn and child health emergencies Impilo nokuvikelwa kwezinto eziphilayo Maternal mortality rise, Newborn mortality surge, Preterm and low birthweight birth rise, Childhood immunisation coverage collapse, Infant feeding disruption, Reproductive health service disruption 6
Mental health crises Impilo nokuvikelwa kwezinto eziphilayo Population mental distress surge, Post-disaster traumatic stress, Suicide rate rise, Youth mental health crisis, Climate-related psychological distress, Social isolation and loneliness epidemic, Mass psychogenic illness outbreak, Gambling harm surge 8
Noncommunicable disease surges Impilo nokuvikelwa kwezinto eziphilayo Cardiovascular disease surge, Diabetes epidemic, Obesity epidemic, Cancer burden rise, Chronic respiratory disease burden, Chronic kidney disease surge, Dementia burden growth, Post-infection chronic illness … 11
Malnutrition and micronutrient deficiency Impilo nokuvikelwa kwezinto eziphilayo Acute malnutrition surge, Chronic undernutrition and stunting, Micronutrient deficiency, Nutritional deficiency disease outbreak, Unhealthy diet transition, Crop nutrient decline 6
Occupational disease and injury Impilo nokuvikelwa kwezinto eziphilayo Occupational lung disease, Occupational heat strain, Occupational cancer, Occupational chemical poisoning, Workplace injury burden, Work-related psychosocial harm 6
Health system capacity failure Impilo nokuvikelwa kwezinto eziphilayo Health workforce shortage, Health worker industrial action, Health financing collapse, Catastrophic out-of-pocket health spending, Vaccine confidence collapse, Essential health service disruption, Disease surveillance failure, Health facility loss of function … 9
Vegetation and peat fire Land and ecosystems Extreme fire weather, Wildfire, Wildland-urban interface fire, Peat and underground fire, Fire regime shift 5
Forest and woodland stress Land and ecosystems Deforestation, Forest dieback, Large forest disturbance, Forest pest invasion, Native forest insect outbreak 5
Land and wetland degradation Land and ecosystems Land degradation, Desertification, Soil quality decline, Soil salinisation and sodicity, Wetland loss, Mangrove loss, Peatland drainage and degradation, Soil sealing … 9
Biodiversity and species stress Land and ecosystems Biodiversity loss, Coral bleaching, Pollinator decline, Fishery collapse, Mass wildlife mortality, Human-wildlife conflict, Wildlife disease panzootic, Insect decline … 12
Climate-state shifts Land and ecosystems Abrupt climate-system shift, Volcanic cooling 2
Ecosystem regime shifts Land and ecosystems Kelp forest collapse, Seagrass meadow loss, Lake clear-to-turbid shift, Woody plant encroachment, Coastal habitat squeeze, Food-web collapse 6
06Outlook

How the outlooks for this series are verified

FIG 5 · Explainer: how forecasts are verified
0.15
1.4
1
0
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runs in your browser

Explainer: 3,000 synthetic forecasts and outcomes from your settings, scored the way every Outlook model version is scored: reliability diagram, Brier score, skill against climatology and ROC area.
07Izindlela

Method libraries

Each method has a reference implementation or declares the specialist model, data or adapter it still needs; none is promoted beyond its evidence.

25 methods

Health and epidemiology

SIR Epidemiology · SEIR Epidemiology · Stochastic Epidemic · Rt Estimation · Health Nowcasting · Outbreak Detection · Syndromic Surveillance …

08Users

Who uses it

Governments and national risk agencies

Prioritise prevention and preparedness. Plan with subnational layers. Track Sendai targets. Co-develop a national index.

UN system and humanitarian organisations

Compare needs across contexts with intervals. Watch weekly signals for review. Read outlooks for anticipatory planning.

Insurers, reinsurers and risk pools

Read hazard, exposure and protection-gap context. Run scenario and tail analytics. Study parametric index design questions.

Universities and research

Replicate every value. Study methods. Contribute data and review.

09Imibiko

Nexus Reports

Edition code
SR-12
Edition status
planned
Isihloko
Set by Nexus Reports at commissioning

Nexus Reports

10Cite

Cite and reuse

GCRI Canada (2026). The Global Risks Index (NXS-GRX): Health security and biosecurity series (GRX-SER-SR-12), Baseline Edition 2026. Preparatory working draft. https://risksindex.com/series/sr-12/ UNI NXS-GRX-AR-000085.
Series key
grix:SER.SR-12:{ISO3}:{YEAR}:A
Domain keys
nis:IDX.HLT.security.health_security_risk:{ISO3}:{YEAR}:A

Every country reads this series

Each country profile carries the domain indices this series is built from.