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Appraising cascading systemic risks, ‘watchpoints’, and interventions –methodological reflections

Published online by Cambridge University Press:  10 November 2025

Tom H. Oliver*
Affiliation:
School of Biological Sciences, Whiteknights Campus, University of Reading, Reading, UK
Bob Doherty
Affiliation:
School for Business and Society, University of York, York, UK
Andre Z. Dornelles
Affiliation:
School of Biological Sciences, Whiteknights Campus, University of Reading, Reading, UK
Matthew Greenwell
Affiliation:
School of Biological Sciences, Whiteknights Campus, University of Reading, Reading, UK
Laura Harrison
Affiliation:
Department of Environment and Geography, University of York, York, UK
Ian Jones
Affiliation:
School of Biological Sciences, Whiteknights Campus, University of Reading, Reading, UK
Alistair Lewis
Affiliation:
National Centre for Atmospheric Science, University of York, York, UK
Sarah Moller
Affiliation:
National Centre for Atmospheric Science, University of York, York, UK
Philip Tovey
Affiliation:
Department for Environment Food and Rural Affairs, Systems Innovations and Futures Team, Chief Scientific Adviser’s Office, London, UK
Nigel Gilbert
Affiliation:
Department of Sociology, University of Surrey, Guildford, UK
*
Corresponding author: Tom H. Oliver; Email: t.oliver@reading.ac.uk

Abstract

Non-technical summary

Continued global environmental degradation generates risks to human health, for example, through air pollution, disease, and food insecurity. This study focuses on these three types of health impact and explores what drives these risks. The risks can arise from diverse causes including political, economic, social, technological, legal/regulatory, and environmental factors. We assembled diverse experts to work together to produce ‘system maps’ for how risks arise, identifying monitoring ‘watchpoints’ to help track risks and interventions that can help prevent them materialising. We critically appraise this pilot methodology, in order to improve our capacity to understand and act to protect human health.

Technical summary

Systemic risks arise through a process of contagion across political, economic, social, technological, legal/regulatory, and environmental systems. The highly complex nature of these risks prevents probabilistic assessment as is carried out for more conventional risks. This study critically explores a new approach based on participatory systems mapping with experts from diverse backgrounds helping to appraise these risks and identify data and monitoring ‘watchpoints’ to track their progress. We focus on three case studies: air quality, biosecurity, and food security. We assembled 36 experts selected in a stratified way to maximise cognitive diversity, plus 14 members of the interdisciplinary project team. Across 7 workshops, we identified 39 ‘risk cascades’, defined as pathways by which systemic risk can have negative impacts on human health, and we identified 681 watchpoints and interventions. We identify a broad range of interventions to reduce risk, exploring systems approaches to help prioritise these interventions; for example, understanding co-benefits in terms of reducing multiple different types of risk, as well as trade-offs. In this paper, we take a reflective approach, critically discussing constraints and refinements to our pilot methodology, in order to enhance capacity to appraise and act on systemic risks.

Social media summary

How can we act on the risks from air pollution, disease, and food insecurity? Insights from a new systemic risk assessment methodology.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press.
Figure 0

Figure 1. Panel a, assessment of the participants’ expertise according to ‘PESTLE’ categories for the three case studies, carried out by SysRisk team members (n = 36 participants). Panel b, for the air quality study, comparison of the assessment of participants’ expertise carried out by SysRisk team members versus self-assessment by participants. Only individuals with both team and self-assessment scores are included (n = 9 participants).

Figure 1

Figure 2. Panel a shows generic elements of the ‘risk cascades’ developed by participatory mapping. Causal pathways by which risks flow through political, economic, social, technological, legal/regulatory, and environmental spheres are shown in green. The final impact on citizens’ health is shown in red. Interventions to reduce risks are shown in yellow along with data/monitoring initiative ‘watchpoints’ in blue, which can help track whether a specific risk cascade is being realised. Panel b shows an example risk cascade from the workshop on the focal area of soil health for food security (see Table 1 for full details and interactive link). Grey boxes show links to other risk cascades (Table 1).

Figure 2

Table 1. Project output directory for food security case study. This output directory contains hyperlinks to risk cascades, narratives, and overview theme maps. The four risk cascades prioritised as having high likelihood and impact, examined in workshop 2, are shown in bold. The individual food security risk cascades are highly interconnected, so in workshop 1 we used an overview map to help navigate these linkages (Figure S5). We also included three smaller themed overview maps (right hand column of table) to allow participants to explore the relationships between the different risk cascades

Figure 3

Figure 3. Scoring criteria for assessing the likelihood and impact of specific risk cascades (panel A). Mean scores and standard deviations as assessed by participants for air quality (B), biosecurity (C), food security, and (D) case studies. Cascades selected for workshop 2 are highlighted in Orange. Cascade numbers: Air Quality (panel B) 1. Weight, 2. Perception, 3. Scavenging, 4. Uptake, 5. Temperature effects, 6. Extreme weather, 7. Net-zero pressure, 8. Financial pressure, 9. Government resources, 10. NHS pressure, 11. Novel pollutants, 12. Domestic emissions, 13. Delivery vehicles, 14. Domestic energy, 15. Pollution resilience; Biosecurity (panel C) 1. Dormant pathogen, 2. Resource prioritisation, 3. Novel research, 4. Malicious actors, 5. Sample transport, 6. Food-borne pathogens, 7. Livestock, 8. Wildlife, 9. Household transmission, 10. Physical and mental health, 11. Vaccine uptake, 12. School closures, 13. Gender gaps, 14. Public health messaging; Food Security (panel D) 1. Soil health decline, 2. Water risks (shortages and floods), 3. Crop pests and diseases, 4. Policy and economic impacts on UK land use, 5. Non-tariff trade barriers, 6. Labour shortages, 7. Trade deals and retailer–grower power relationships, 8. Human transmissible disease, 9. Impact of system shocks such as the pandemic given increased reliance on food aid, 10. Livestock disease with human health impacts.

Figure 4

Figure 4. Visualisation of multifunctionality and degree of current implementation of interventions across the three case studies. Interventions listed in the centre of the Venn diagram have multiple benefits in terms of reducing multiple types of risk across the case studies. The intervention identity is shown by a code within each circle and can be found in Tables 1 (food security) or Tables S1 (air quality) and S2 (biosecurity).

Figure 5

Table 2. Example interventions from the three case studies, showing how implementation of interventions can occur at different levels, as categorised by Abson et al. (2017). See main text for definitions of these levels

Figure 6

Table 3. Example of interventions deemed to be multifunctional in terms of reducing multiple types of risk (across the case studies) versus those with specific, limited benefits to only one case study

Figure 7

Figure 5. Example of different ways that a multifunctional intervention from the biosecurity case study could be implemented.

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