COIOSDeep risk insights through multi-disciplinary research across the globe
A dense crowd of people crossing a city street

The Crucible

Exploring the international drivers of population health. The Crucible gives perspectives on how population health is changing globally, drawing on research and insights across four domains.

The four domains, and the drivers of future risk within each

Health today

Health today is in flux: earlier diagnosis and better treatments, against a background of changing risks and people living longer, with more illness, than ever before. We focus on the key conditions that affect so many of us, and highlight where change is happening.

Drivers

  • Cancer

    Where is cancer incidence rising and falling, what screening and new tests find earlier, and what treatment has done to survival.

    7 this week
  • Obesity, diabetes and GLP-1

    Are obesity and diabetes still rising, what behavioural change and public policy do, and what difference do GLP-1s and other similar drugs make.

    9 this week
  • Heart and stroke

    Whether deaths from heart disease and stroke have stopped falling, what is found earlier, what treatment and prevention do now, and what the deaths say.

    3 this week
  • Mental health

    Deaths by suicide, the life expectancy gap in severe mental illness, and the physical disease that follows it: what mental illness costs in lives.

    1 this week
  • Dementia

    Whether dementia is becoming more or less common, what is now found, what treatment and prevention do, and what the deaths say.

    3 this week
  • Frailty and multimorbidity

    Whether the years added after 85 are healthy ones, how frailty and multiple conditions are measured, and where the data run out.

    2 this week

Everything in Health today

Behavioural science

Behavioural biases affect our every step and decision. The question is whether the right nudges can promote healthy behaviours effectively and efficiently, and whether those habits last.

Drivers

  • Diet, exercise and sleep

    What people eat and how much they move: what the measured evidence says each does to mortality, and what has been shown to change either.

    2 this week
  • Smoking and vaping

    How far smoking has fallen and how many deaths it still causes, what vaping is doing to the people who take it up, and what generational bans will show.

    2 this week
  • Alcohol and drug use

    What is happening to deaths from alcohol, drugs and suicide, whether they move together, and how much of it is behaviour and how much circumstance.

    1 this week
  • Social connection

    Isolation, loneliness and mortality: what the evidence shows, how far the relationship is causal, and what interventions have shown.

    None this week Earlier →
  • Infection and pandemics

    Infection and pandemics: the risks, and how well prepared we are

    5 this week
  • Adherence and persistence

    Whether a treatment is actually taken, for how long, and what changes either.

    1 this week

Everything in Behavioural science

Data, models and systems

Health data in its many forms, and what we can learn from them: official sources, data linked across large populations, better predictions from expert knowledge and machine learning, and the funding, economics and reach of healthcare.

Drivers

  • Forecasts and their record

    How the forecasts are made, how well they explained the past, and how well mortality can be forecast — and by whom.

    5 this week
  • What linked data reveals

    What linked registries make it possible to know about whole populations

    7 this week
  • AI in medicine

    Whether machine learning predicts, detects and decides better than the tools we have, and whether that has yet changed an outcome for a population.

    4 this week
  • Health systems and access

    What the health system can provide, who gets it, and whether the gaps in health between groups are widening.

    2 this week
  • Value in health

    What a treatment, health programme or policy is worth against what it costs, and how far the models that decide it can be trusted.

    6 this week
  • Revisions and new sources

    What the figures are built from, what is newly available, and how much the numbers move when they are revised.

    5 this week

Everything in Data, models and systems

Tomorrow's world

Every aspect of our daily lives will be transformed by technology, from sensors and robotics to nanotechnology — while a changing climate and emerging microbial threats reshape the risks we face.

Drivers

  • Innovation in treatment

    Treatments that did not exist before — drugs, operations, devices — and whether they reach the people who would benefit.

    1 this week
  • Changing behaviour at scale

    Whether new technology can change what people do at the scale of a population: apps, wearables, automated messages, digital programmes and platforms, and how far their effects last and reach.

    None this week Earlier →
  • Medicine at a distance

    What wearables, remote monitoring and care at home add to how health is measured and delivered, and whether it shows in outcomes.

    None this week Earlier →
  • A changing climate

    How air pollution, heat and cold affect deaths and survival, how the attribution is made, and how the balance is changing.

    4 this week
  • Slowing ageing itself

    Whether anything yet slows ageing itself, rather than treating one disease at a time, and how we would know if it did.

    3 this week

Everything in Tomorrow's world