GCRI · Health Nexus

Complex systems modelling for health

Complex systems methods show how health risk emerges from interactions: people mixing and moving, hospitals sharing patients and staff, supply networks sharing suppliers, and health services depending on power and water. Agent-based and system dynamics models let these interactions be explored as scenarios, with every assumption visible.

01Register

Complex systems modelling for health on the record.

Method recordSTEM method
  1. MethodComplex systems and agent-based modelling
  2. Applied inHealth Nexus
  3. Canonical pageSTEM Commons
02Application

What complex systems and agent-based modelling does here.

Complex systems and agent-based modelling study systems whose behaviour emerges from interactions among many components. They help explain nonlinear dynamics, tipping points and collective behaviour. In health and biosecurity, complex systems approaches explore how interacting risks can produce sudden, systemic shifts. They support stress testing of policies against emergent behaviour. The canonical description is on the STEM Commons.

Contact and mobility networks

Agent-based models represent households, schools, workplaces and travel, so the effect of contact patterns and public health measures on transmission can be explored under stated parameters.

Cascades across health and infrastructure

System dynamics models link power, water, staff and supply buffers to service capacity, tracing how a grid outage or heatwave propagates into hospital functions over hours and days.

Patient transfer networks

Networks of referrals and transfers between hospitals are analysed to see where surges concentrate and how resistant organisms can spread between facilities.

03Geography

Environmental exposure in Africa.

Daytime surface heat, population density and haze over Africa, from NASA GIBS. Each layer carries its own date.

The interactive map needs JavaScript; the layer list and sources are below.

Layers 3

Environmental exposure, for this page

About this layer
Evidence
Observed (persistent cloud still leaves gaps)
Source
VIIRS NOAA-20 Level 3, 8-day (NASA LANCE)
Provider
NASA LANCE
Licence
NASA open data
Vintage
8-day; Satellite 8-day composite; persistent cloud still leaves gaps
Newest at build
2026-09-14
Resolution
about 1 km grid
Uncertainty
Satellite skin temperature of the ground over the 8 days ending on the date shown, a heat exposure indicator; not air temperature, heat index or a heat warning.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map
About this layer
Evidence
Estimated
Source
Gridded Population of the World v4.11 (NASA SEDAC (CIESIN, Columbia University))
Provider
NASA SEDAC (CIESIN, Columbia University)
Licence
CC BY 4.0
Vintage
null; Census-based estimate, static (2020)
Resolution
about 1 km grid
Uncertainty
Census-based estimate of people per square kilometre in 2020, shown as exposure context; not a count of people affected by any hazard.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map
About this layer
Evidence
Observed (clouds leave gaps)
Source
VIIRS NOAA-20 Deep Blue AOD (NASA LANCE)
Provider
NASA LANCE
Licence
NASA open data
Vintage
daily; Satellite retrieval; clouds leave gaps
Newest at build
2026-10-14
Resolution
about 2 km grid
Uncertainty
Satellite measure of haze, smoke and dust through the whole air column on the day shown; an exposure indicator, not ground-level PM2.5, an air quality index or a health warning.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map
About this layer
Evidence
Observed
Source
VIIRS NOAA-20 corrected reflectance (NASA LANCE)
Provider
NASA LANCE
Licence
NASA open data
Vintage
daily; Satellite image
Newest at build
2026-10-14
Resolution
about 250 m grid
Uncertainty
Satellite image. Satellite or model raster as the provider publishes it. Clouds, swath gaps and retrieval error leave gaps and noise; values are indicators, not measurements at a place.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map
About this layer
Evidence
Observed (clouds leave gaps)
Source
OMI Aura (NASA GES DISC)
Provider
NASA GES DISC
Licence
NASA open data
Vintage
daily; Satellite retrieval; clouds leave gaps
Newest at build
2026-10-10
Resolution
about 2 km grid
Uncertainty
Satellite column of nitrogen dioxide in the lower atmosphere on the day shown, mostly from combustion; not a ground-level concentration or a health warning.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map
About this layer
Evidence
Modelled (latest year GIBS publishes)
Source
MODIS Terra and Aqua land cover (MCD12Q1) (NASA LP DAAC)
Provider
NASA LP DAAC
Licence
NASA open data
Vintage
yearly; Satellite classification; latest year GIBS publishes
Newest at build
2024-01-01
Resolution
about 500 m grid
Uncertainty
Satellite land cover classes for the year shown, including croplands; a classification with known errors, not a farm register.
Reached through
gibs.earthdata.nasa.gov, only after you allow the live map

Latest available

NASA GIBS / EOSDIS · ASTER GDEM (METI, NASA) · Blue Marble (NASA) · © OpenStreetMap contributors (ODbL) · Natural Earth

Loading the latest NASA imagery.

Drag to move. Ctrl or ⌘ and scroll, pinch or the buttons to zoom; hover for the values under the pointer; reset returns to the region.

Environmental exposure, framed on Africa.Satellite and model products as NASA publishes them, each with its own date. They are indicators, not assessments of any place.

Data: NASA GIBS · ASTER GDEM · Blue Marble · © OpenStreetMap contributors · Natural Earth · NASA EONET · ESA Copernicus Sentinel-5P TROPOMI · NASA JPL OPERA DIST-ALERTSources and licences

  • We acknowledge the use of imagery provided by services from NASA’s Global Imagery Browse Services (GIBS), part of NASA’s Earth Science Data and Information System (ESDIS). Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • We acknowledge the use of imagery provided by services from NASA’s Global Imagery Browse Services (GIBS), part of NASA’s Earth Science Data and Information System (ESDIS). Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • VIIRS near-real-time products (flood, land surface temperature, snow cover, corrected reflectance), NASA LANCE; imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • Center for International Earth Science Information Network (CIESIN), Columbia University. 2018. Gridded Population of the World, Version 4 (GPWv4): Population Density, Revision 11. NASA Socioeconomic Data and Applications Center (SEDAC). Licensed under CC BY 4.0. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). doi:10.7927/H49C6VHW. CC BY 4.0
  • MODIS and VIIRS atmosphere products, NASA LANCE and LAADS DAAC; imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • OMI nitrogen dioxide (Aura) and OMPS aerosol index (Suomi NPP), NASA; distributed by the NASA GES DISC; imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • MODIS land products (vegetation indices, gross primary production, land cover), NASA LP DAAC and LANCE; imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • ASTER GDEM is a product of METI and NASA (ASTER Global Digital Elevation Model V003, NASA LP DAAC); imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). Cite as: NASA/METI/AIST/Japan Spacesystems and U.S./Japan ASTER Science Team (2019). ASTER Global Digital Elevation Model V003. doi:10.5067/ASTER/ASTGTM.003. NASA open data
  • Made with Natural Earth. Free vector and raster map data @ naturalearthdata.com. Public domain
  • © OpenStreetMap contributors (ODbL), via NASA GIBS (coastlines, boundaries, roads and place names). Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). ODbL
  • Blue Marble, NASA Earth Observatory; imagery via NASA GIBS. Colours redrawn from the published colour map; values averaged into hexagonal cells where shown (modified). NASA open data
  • Context on the globe and flat map: coastlines, boundaries, roads and place names from NASA GIBS reference layers (OpenStreetMap data, ODbL, © OpenStreetMap contributors); Blue Marble imagery as an optional base; 3D terrain and the elevation read-out from the ASTER GDEM elevation colour index (5 m to 200 m classes, exaggerated for legibility). Boundaries are drawn as published and imply no position on any territory.
  • Live events: NASA Earth Observatory Natural Event Tracker (EONET); events are indicative and keep their original source links.
  • Live: NASA EONET Events are indicative, not authority warnings.
  • Observed (EO): ESA Copernicus Sentinel-5P TROPOMI (contains modified Copernicus Sentinel data 2026). We acknowledge the use of imagery provided by services from NASA’s Global Imagery Browse Services (GIBS), part of NASA’s Earth Science Data and Information System (ESDIS).
  • Observed (EO): NASA JPL OPERA DIST-ALERT (contains modified Copernicus Sentinel data 2026). We acknowledge the use of imagery provided by services from NASA’s Global Imagery Browse Services (GIBS), part of NASA’s Earth Science Data and Information System (ESDIS).
  • NASA GIBS: We acknowledge the use of imagery provided by services from NASA’s Global Imagery Browse Services (GIBS), part of NASA’s Earth Science Data and Information System (ESDIS).
  • Air quality forecast, 5 days, PM2.5 (CAMS via Open-Meteo): Contains modified Copernicus Atmosphere Monitoring Service information 2026.
  • Past year, daily temperature (ERA5 via Open-Meteo): Contains modified Copernicus Climate Change Service information 2026.
  • Weather data by Open-Meteo.com (https://open-meteo.com/), licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/).
  • Optional layers (14 sources in the layer list: live, forecast, observed and context) print their provider credit on the map and here when switched on; forecasts are model output and derived indices are estimates.

Layers and dates

  • Land surface temperature, day, 8-day composite: VIIRS NOAA-20 Level 3, 8-day, NASA LANCE · 14 Sep 2026
  • Population density, 2020: Population: CIESIN, Columbia University, Gridded Population of the World v4.11 (2018), NASA SEDAC, CC BY 4.0 · static
  • Aerosol optical depth, daily: VIIRS NOAA-20 Deep Blue AOD, NASA LANCE · 13 Oct 2026
  • True colour: VIIRS NOAA-20 corrected reflectance, NASA LANCE · 13 Oct 2026
  • Nitrogen dioxide, lower atmosphere column: OMI Aura, NASA GES DISC · 10 Oct 2026
  • Land cover type (IGBP), yearly: MODIS Terra and Aqua land cover (MCD12Q1), NASA LP DAAC · 2024

04Data

What the method consumes.

Datasets and records used by complex systems and agent-based modelling on this platform, with the role each plays and the label its values carry. Sources are listed in the source register.

DataRoleLabel
Social contact surveysMixing matrices by age and settingOBSERVED
Aggregated mobility data from transport and telecommunicationsMovement between placesESTIMATED
Hospital transfer recordsReferral network structureREPORTED
Facility dependency inventoriesBuffers and failure thresholdsPublished statistics
05Simulator

Stocks, flows, delays and a tipping threshold.

Two stocks, pressure and adaptive capacity, joined by a reinforcing growth loop, a delayed balancing response and damage when pressure outruns capacity; past the threshold the system can tip. Teaching model with stated illustrative values, not a prediction. The map on this page shows Africa; the model itself is not tied to a place.

Controls

Growth of pressure
6.0% a year
Efficacy of capacity in reducing pressure
4.0% a year
Investment response to perceived pressure
20%
Perception delay
4.0 years
Tipping threshold of pressure
60 index
Amplification past the threshold
2.0 times
Years simulated
50 years

Readouts

Peak pressure
113 index
Capacity at the end
186 index
Years over the threshold
15.8 years
Numbers, methods and sources
YearPressureCapacityPerceived
020.050.020.0
423.344.921.2
827.242.224.0
1231.742.327.7
1636.845.532.2
2042.351.537.2
2447.960.342.6
2853.271.348.0
3257.884.353.1
3666.498.458.4
4082.7115.969.7
4497.8139.783.8
48109.1169.497.3

Methods

  1. System dynamics Forrester (1961), Industrial Dynamics, MIT Press; Sterman (2000), Business Dynamics
  2. Critical transitions and tipping points Scheffer and others (2009), Early-warning signals for critical transitions, Nature 461
  3. Causal loop diagram Sterman (2000), Business Dynamics, McGraw-Hill
  4. Uncertainty fan (parameter Monte Carlo) Spiegelhalter, Pearson and Short (2011), Visualising uncertainty about the future, Science 333
  5. One-at-a-time sensitivity (tornado) Saltelli and others (2008), Global Sensitivity Analysis: The Primer, Wiley

Data

No observed data enters this model: it runs on the teaching values set by the controls, to be replaced with a programme’s own evidence.

Stocks, flows, delays and a tipping threshold. Illustrative teaching model: it runs on the values set by the controls, not on measured data. Methods: System dynamics (Forrester (1961), Industrial Dynamics, MIT Press; Sterman (2000), Business Dynamics); Critical transitions and tipping points (Scheffer and others (2009), Early-warning signals for critical transitions, Nature 461); Causal loop diagram (Sterman (2000), Business Dynamics, McGraw-Hill).

Across the six pillars, led by Nexus Consortium

06Validation

How results are checked.

Models are evaluated by matching multiple stylised facts and patterns at different scales. Sensitivity and robustness analysis test dependence on assumptions.

CheckHow it is done
Pattern-oriented validationModels must reproduce several observed patterns at different scales, not a single curve
Global sensitivity analysisThe parameters that drive most of the outcome range are identified and reported
Structural alternativesResults are compared with simpler or differently structured models before conclusions are drawn

Many plausible models can reproduce the same patterns. Calibration and validation data are often limited.

07Twin and cascade simulator

Model complex systems modelling for health as a system. Run the cascade.

Assembled from the Nexus Standards area profile Health security and One Health: the hazards it names, the systems and sectors that carry the loss, the controls that dampen it and the data that observe it. Choose the components, pick an initiating hazard and step through the cascade. The Map view places the run on an example geography with open data. Every coupling weight is a stated assumption you can change. A teaching model, not a forecast, an assessment or a certification. To model a place of your own choosing, open the full System Builder.

Hazards

Controls

  • NS-0 Constitution and principles
  • NS-3 Risk record UNIs (grammar, legacy crosswalk, allocation authority)
  • NS-9 Contextual UNIs (deployments, instances, programme instances)
  • NS-10 Policies and clauses (machine-readable obligations: definition, binding, evaluation and enforcement)
  • NS-11 Verification and monitoring (evidence, attestations, zero-trust conformance observation)
  • NRS-H83 Hazard family: Health system capacity failure (NHS-1 health.system)
  • NRS-H42 Hazard family: Rare and persistent human infections (NHS-1 health.other-human)
  • NRS-H41 Hazard family: Animal-to-human spillover (NHS-1 health.zoonotic)
  • NRS-H43 Hazard family: Livestock and aquaculture epizootics (NHS-1 health.animal-health)
  • NRS-D3 Humanitarian response and resilient recovery
  • NRS-H46 Hazard family: Environmental and product harm to people (NHS-1 health.harm)

Observation

  • WHO Disease Outbreak News (listed for reference)
  • WAHIS animal health events (listed for reference)
  • WorldPop gridded population (listed for reference)
  • International Health Regulations capacity and health emergency preparedness
  • Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

Example geography

  • West Africa: 59 hexagonal cells
  • Night lights tonight, outages (VIIRS Day/Night Band), NASA GIBS
  • Surface water through cloud, 30 m (OPERA DSWx-S1 radar), NASA GIBS
  • Rain rate, last half hour (IMERG), NASA GIBS
09Sector signature

The sector signature of complex systems modelling for health.

The sectors complex systems modelling for health touches and how strongly they depend on each other: what a study has to observe and model together.

Select corners · hover lines6 / 15 relations

Signature

Health and its partners

Health gives workforce for operations to infrastructure (0.3), farm labour to food (0.3) and utility workforce to water (0.2).

W · E · I · F · H · B

Sectors
4 of 6
Relations
6 of 15
Coupling
0.42 share of total

Strongest relations in play

  • Water → Food · irrigation0.8
  • Food → Health · nutrition0.7
  • Infrastructure → Water · pipes, dams and treatment works0.6
  • Water → Health · drinking water and sanitation0.7
Teaching values for a typical city-region, not measurements for any place. Coupling is the summed strength of the relations in play, as a share of all fifteen.
10Stewardship

Who maintains the method.

Systems Science and Modelling stewards complex systems and agent-based modelling for the Consortium and reviews how it is applied across platforms.

11Methods and evidence

How complex systems modelling for health is modelled, measured and tested.

The model, its assumptions, its data and its uncertainty, in the form a scientist or engineer would check. Structures follow published methods. The values drawn are illustrative, not findings.

Model, equations and assumptions

The model structure used for complex systems modelling for health, the assumptions it makes and how each is tested.

Risk of element iRi = f(Hi, Ei, Vi, Ci)hazard, exposure, vulnerability and coping capacity
Expected annual lossEAL = ∑k pk · Lkover events k with annual probability pk
Coupled systemsxt+1 = A xt + B ut + εtA carries the couplings, u the shock, ε the error
AssumptionWhy it is madeHow it is tested
Hazard and exposure are independent within an eventKeeps the loss integral tractableCompare with a copula fit on joint records
Couplings are linear near the operating pointLets shocks propagate through APerturb beyond the linear range and compare
Vulnerability curves transfer between placesLocal curves are rarely availableValidate against observed losses where they exist
Inputs
versioned datasets with provenance
Outputs
distributions, never single numbers
Code
released with the model card and tests
Reproduction
same data, code, environment and seed
Standard risk and state-space formulations; the assumptions listed are typical of the method, stated for review, not results.
FAIR guiding principles · GO FAIR and FORCE11W3C PROV · World Wide Web ConsortiumGuidance on consistent treatment of uncertainties · IPCCCEOS Analysis Ready Data · Committee on Earth Observation Satellites
13Questions

Questions and answers.

What are the limits of complex systems and agent-based modelling in this field?
Many plausible models can reproduce the same patterns. Calibration and validation data are often limited.
How are results checked?
Models are evaluated by matching multiple stylised facts and patterns at different scales. Sensitivity and robustness analysis test dependence on assumptions.
Are the values on this page real?
The data names, roles and checks are real descriptions of practice. The canvas shows a design of the method’s use, not a run; no result is reported here.
Where else is this method applied?
The canonical method page lists every platform that applies it.
ReportsContribute

Contribute evidence from this page.

Reports is the Consortium’s quarterly publication. What you know about this subject can become evidence, a case or a correction in the next edition, credited to you and published under CC BY 4.0 where it is your own work.

GCRIHealth NexusGlobal Sector Risk and ResilienceCountry Systems Risk and ResilienceEvidence Brief
Health Nexus

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Editors and the expert reviewers named on each article decide what we publish. Funders and partners do not review or approve articles before publication.

Licence

Articles: CC BY 4.0. Figures, maps, twins and data: CC BY 4.0. Other uses: ask through the permissions form.