Draft, not yet released. In stewardship review. Not indexed until the first approved release.

Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.

The first annual edition of the health report. It fixes the 2026 reference state of the world’s health and One Health system, and the model, voice and positions, against which the 2027 edition will be read.

Read the executive summaryStart with chapter 1Cite this report
Editor
Saeed Valadbaygi
Desk
GCRI Systems Evidence
Publisher of record
GCRI for the Nexus Consortium
Evidence close
30 September 2026
Status
Draft in stewardship review; not yet released
ReportsGS-04

Global Sector Risk and Resilience

Global Health and One Health 2026

Baseline Edition 2026NR-SECTOR-HEALTH-GLOBAL-2026-BASELINEGCRI for the Nexus Consortium
Findings12each with its status and source
Sources56numbered, editor first
Chapters and annexes11plus the executive summary
Indicators18in the data appendix, with CSV and JSON

01 · Status

Status and boundaries.

This edition governs nothing and confers no certification. It records where the global evidence stood at the 2026 baseline. Every value resolves to its source or to its stated method; where neither exists, the edition says so instead of filling the gap.

Publication ID
NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE-v1.0.0
Series alias
NR-SEC-GS-04-2026-BL
Identifier status
Series alias and evidence cut are provisional until the owner confirms them. No UNI is minted.
Family · class
Global Sector Report GS-04 Health and One Health · Baseline Edition (inaugural annual)
Lifecycle state
Global Sector Report GS-04 Health · Baseline Edition (inaugural annual)
Publication date
October 2026
Evidence close
30 September 2026 · cut DC-SECTOR-HEALTH-GLOBAL-2026-B0
Reproducibility
sourced values cited; analytical values reproducible from stated parameters
Access class
PUBLIC-SAFE DERIVATIVE
Review
five passes scheduled before release (in Annex C)
Designed for
strategic planning · health-security screening · portfolio discussion · research · public communication
Not for
government assessment · official warning · rating · certification · investment advice · underwriting · procurement · operational authorisation
Registry
record NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE · current-version pointer at release
Corrections
registry correction pathway · history in Annex C
AI use
disclosed in Annex C
Next edition
NR-SECTOR-HEALTH-GLOBAL-2027-v1.0.0 · 2027 annual
Licence
text CC BY 4.0 · data on the terms of each source
Desk identifier
Collection

02 · Key messages

What the edition finds.

Five of the questions the edition answers, each with its status. The executive summary has all of them, with their sources.

  1. The service coverage index is 71 of 100 and 4.6 billion people were not fully covered in 2023.

    How far is the world from universal health coverage?Reported

  2. More than before, but 4.9 million under-fives died in 2024 and progress has slowed.

    Are children surviving?Reported

  3. Noncommunicable diseases lead; tuberculosis, malaria and HIV still kill about 2.4 million a year.

    Which diseases still kill most?Reported

  4. Yes. Resistance rose in over 40% of monitored pathogen and antibiotic pairs between 2018 and 2023.

    Is resistance growing?Reported

  5. Aid for health is estimated at USD 38.4 billion in 2025, about half the 2021 peak.

    Where is the pressure on money?Reported

All key messages and the headline finding

03 · Contents

Eight chapters and three annexes.

  1. ·

    Executive summary

    The edition on a few pages: the abstract, the key messages, the headline finding and what each steward reads in it.

  2. 1

    Chapter 1. Health is where the systems meet

    Part I describes systems and their couplings.

  3. 2

    Chapter 2. Key findings

    Twelve findings carry the health baseline.

  4. 3

    Chapter 3. Systems and sectors at baseline

  5. 4

    Chapter 4. Risks and capability

    Four health risk objects open the portfolio.

  6. 5

    Chapter 5. Outbreak, funding gap and heat season in fragile health systems

    A conditional statement under stated assumptions, never a prediction.

  7. 6

    Chapter 6. Readings from the other desks

    The health baseline is read through each steward’s lens, then once as a whole.

  8. 7

    Chapter 7. The 2027 agenda

    Eight bounded questions open the 2027 health agenda.

  9. 8

    Chapter 8. Systems in depth

    One section per system: its state at evidence close, its exposures and what the operational series will watch.

  10. A

    Annex A. Methodology

    How the edition was made: methods, the model card, the evidence cut and its age, the acceptance record and the glossary.

  11. B

    Annex B. Data appendix

    The indicator set with its sources, the source registers, the licences of every kind of material and the formats of the edition.

  12. C

    Annex C. References and record

    Every source the edition rests on, the publication record, the corrections log and the open record.

List of figures (4)
  1. S.1People left behind on the path to UHC (million)
  2. 1.1How large are the leading infectious killers? Deaths in the latest reported year (thousand)
  3. 1.2Couplings between the five systems
  4. 2.1People left behind on the path to UHC (million)
List of tables (45)
  1. 1.1Coupling matrix: from the row system to the column system
  2. 3.1Each domain read in words, not scored
  3. 3.2Sectors: baseline evidence and the exposure to watch
  4. 4.1Capabilities on the ladder of evidence: listed, exists, demonstrated, tested
  5. 6.1The quarterly rhythm every edition follows
  6. 6.2Who contributes what each quarter
  7. 6.32027 health readiness pack
  8. 6.4Standards and regulatory watch
  9. 6.5Peer-reviewed science and assessments
  10. 6.6Institutional flagships
  11. 6.7Statistics, financing and workforce
  12. 6.8Security, instruments and One Health
  13. 7.1Objects proposed for the first operational quarter
  14. 7.2Universe 2027: evidence pack for the health candidate mission
  15. 7.3Handoffs and routing
  16. 7.4Routing rules by publication class
  17. 7.5Feeds watched from 2027
  18. 7.6Signals at baseline
  19. 8.1State at baseline
  20. 8.2State at baseline
  21. 8.3State at baseline
  22. 8.4State at baseline
  23. 8.5State at baseline
  24. A.1Methods
  25. A.2Coupling strength scale (matrix and model card)
  26. A.3Status grammar
  27. A.4From the baseline cut to the federation cut
  28. A.5Evidence age and coverage
  29. A.6Coverage by system at baseline
  30. A.7Designed empty states: what is not bound, what would fill it and why
  31. A.8Quality dimensions at baseline
  32. A.9Publication acceptance record
  33. A.10The status every value carries
  34. A.11Series terms
  35. A.12Abbreviations used in this edition
  36. A.13Technical annex
  37. B.1Global baseline indicator set
  38. B.2Global baseline indicator set
  39. B.3Global source register
  40. B.4Regional reading: health across ten clusters
  41. B.5How countries appear in the health edition
  42. B.6National Baseline Editions in the 2026 programme
  43. B.7Licences of each kind of material
  44. B.8This edition in every format
  45. C.1Release path for this version

04 · GCRI reading

How GCRI reads this edition.

The evidence supports reading health as the outcome layer of the WEFH+B system. Coverage and survival have improved, financing and people are the binding constraints, and biological risk is rising on several fronts. Evidence is strongest for burden and coverage, and weakest for facility services and animal-side drivers.

HLT-001 · FIN-010 · GOV-008 · SYS-012

Chapter 6, lenses and readings

05 · Publication record

Version, dates and contributors.

The identity of this edition as its title pages record it. A review copy has no DOI; the DOI is issued at deposit.

Publication ID
NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE-v1.0.0
Version
1.0.0, review copy
Edition date
Evidence close
Status
Draft under stewardship review; not yet released
Editor
Saeed Valadbaygi
Publisher of record
The Global Centre for Risk and Innovation (GCRI)
Licence of the text
CC BY 4.0
DOI
Issued at deposit, on release
Previous edition
none: first edition of the series
Next edition
NR-SECTOR-HEALTH-GLOBAL-2027-v1.0.0

Contributors

RoleContributionBy
ConceptualisationSeries architecture and the health modelS. Valadbaygi (ed.)
MethodologyBaseline method, dependency scoring and status grammarReports editorial team, GCRI
Investigation · data curationSource review of health releases, statistics and the peer-reviewed literature to evidence closeReports editorial team, GCRI
Writing, original draftAll chapters; AI-assisted drafting, disclosed belowEditor · editorial team
Writing, review and editingFive review passes before releaseSteward reviewers (scheduled)
VisualisationPages, figures and tables in the Nexus design standardReports editorial team, GCRI
SupervisionEdition governance, registry record and depositS. Valadbaygi (ed.)

Review before release

PassScopeByState
1Scientific and technicalGCRI · key TScheduled
2Reproducibility of analytical valuesGCRI · key TScheduled
3Public meaning and claimsThe Global Risks Forum (GRF) · key MScheduled
4Finance-readiness boundaryThe Global Risks Alliance (GRA) · key FScheduled
5Regional and sector context, safeguardsRegional consortia · key NScheduled

AI assistance was used for drafting, consistency checks and page composition. Every number, citation and status label was checked against its source by the editorial team before freeze. No AI system is recorded as an author or a reviewer, and no AI output is printed as fact without a source.

06 · Downloads

Read it in print, take the data.

FormatWhat it isStateGet it
Complete edition, print or PDFA4 or Letter, chosen in the print dialog: cover, contents, every chapter and annex, endnotes and running heads Review copyOpen for print
Indicators, CSV18 indicators with unit, year, status and source On this pageDownload
Indicators, JSONThe same indicators with the edition’s identity and licence On this pageDownload
Findings, CSV12 findings with status, evidence-quality level and references On this pageDownload
Citation, BibTeXFor LaTeX and reference managers On this pageDownload
Citation, RISFor Zotero, EndNote and Mendeley On this pageDownload
PDF, A4 and US LetterPrinted from the edition pack in the Reports print design, with the publication ID, the evidence cut and the pack hash in its metadata; signed with its DOI at release At releaseNot yet issued
Data packageEvery table of the edition as CSV and JSON, with the citation files (CSL-JSON, BibTeX, RIS), built with the site With the editionAnnex B, data

The print and the files are produced from the same edition pack as the web pages, so they always agree. Until release they are review copies.

07 · Cite

Cite this report.

This edition is a draft in stewardship review. Cite it as a draft; the DOI and the UNI are issued at deposit, and the citation then names them.
Catalogue keyNR-SECTOR-HEALTH-GLOBAL-2026-BASELINE

Standards applied to NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE

Cite as

S. Valadbaygi (ed.), Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.. Reports, Baseline Edition 2026. The Global Centre for Risk and Innovation (GCRI) for the Nexus Consortium, Toronto, 2026. NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE. DOI at deposit.

Applied

NS-1 catalogue identity (a UNI is allocated at deposit and resolves to this record), NS-2 citation and attribution, NS-3b dataset metadata, NS-5 figures and maps, NS-12 software and AI disclosure.

Monitoring

Corrections are new versions with a published notice; the earlier version stays resolvable.

An attestation is evidence, not a certificate. Nexus Standards parts are preparatory working drafts (2026).

APA 7
Valadbaygi, S. (Ed.). (2026). Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System. (Baseline Edition 2026, Report No. NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE) [Draft under review]. The Global Centre for Risk and Innovation (GCRI). https://therisk.global/nexus-reports/editions/gs-04/
Chicago
Valadbaygi, Saeed, ed. Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.. Baseline Edition 2026. Nexus Reports NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE. Draft under review. Toronto: The Global Centre for Risk and Innovation (GCRI), 2026. https://therisk.global/nexus-reports/editions/gs-04/.
BibTeX
@techreport{NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE,
  editor      = {Valadbaygi, Saeed},
  title       = {{Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.}},
  institution = {The Global Centre for Risk and Innovation (GCRI)},
  address     = {Toronto},
  year        = {2026},
  type        = {Nexus Reports, Baseline Edition 2026},
  number      = {NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE},
  note        = {Draft under stewardship review; not yet released. DOI assigned at deposit},
  url         = {https://therisk.global/nexus-reports/editions/gs-04/}
}
RIS
TY  - RPRT
ED  - Valadbaygi, Saeed
TI  - Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.
T3  - Nexus Reports
ET  - Baseline Edition 2026
PY  - 2026
PB  - The Global Centre for Risk and Innovation (GCRI)
CY  - Toronto
SN  - NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE
UR  - https://therisk.global/nexus-reports/editions/gs-04/
N1  - Draft under stewardship review; not yet released. DOI assigned at deposit.
LA  - en
ER  -
NR-CIT-1 (house style)
S. Valadbaygi (ed.), Global Health Risk and Resilience Report 2026: Baseline Edition, The State of the World’s Health and One Health System.. Nexus Reports, Baseline Edition 2026. The Global Centre for Risk and Innovation (GCRI) for the Nexus Consortium, Toronto, 2026. NR-SECTOR-HEALTH-GLOBAL-2026-BASELINE. DOI at deposit.
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GCRI Systems Evidence deskGlobal Sector Risk and Resilience

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Every quarter closes on a sealed evidence cut. A correction, a source or a method received before the cut is reviewed for that edition.

ContributeCorrections log
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  • CC BY 4.0
  • Evidence close 30 September 2026

CC BY 4.0 Free to read. Text and figures: CC BY 4.0. Data: CC0 1.0. Authors keep copyright. Published by GCRI Canada.

Sector signature

The sectors behind Global Health and One Health.

A reading aid: the sectors the findings run through and how strongly they depend on each other.

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.
The Global Centre for Risk and Innovation

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