
From the Industrial Age to the Internet Age, internet tools have brought about an exponential increase in efficiency. People believe they have saved time, but in reality, they have accelerated the pace of life to N times its previous speed, leaving them busy all day and unable to eat or rest properly. Amidst this constant tug-of-war, people’s health has gradually sounded the alarm.
Prior to the modern era, more than 90% of the world’s population were peasants. While kings, officials, warriors, clergy, artists, and thinkers constituted a small elite, the vast majority of people were engaged in relentless agricultural labor. Under these circumstances, the health status of most individuals was extremely precarious.
Before the rise of European capitalism, average life expectancy across all regions of the world was very short. Historical records indicate that during China’s Song Dynasty, the national average life expectancy was only 30 years; in the Qing Dynasty, it was 33 years. In the 18th century, with the rapid development of European capitalism and the ensuing improvement in people’s material living conditions, average life expectancy in Europe began to increase significantly.
In the mid-19th century, the average life expectancy in Europe exceeded 40 years for the first time. By the end of the 20th century, the average life expectancy for men and women in developed regions had reached 71.1 years and 78.7 years, respectively.
“No Disease Equals Health!” This was the prevailing concept among people in the mid-20th century. In 1977, the World Health Organization defined health not merely as the absence of disease and infirmity, but as a state of complete physical, mental, and social well-being.By the 1990s, the concept of health had incorporated environmental factors, defining health as a harmonious integration of four dimensions: physiological, psychological, social, and environmental. Entering the 21st century, the six characters—health, wellness, intelligence, happiness, beauty, and morality—have come to constitute a comprehensive concept of “Great Health,” becoming the “standard configuration” for a happy life.
National Health Index
Just as an individual may face health issues, so too can a nation. The National Health Index (NHI) comprehensively measures dimensions such as a country’s development status, development model, and governance structure.
Since the turn of the 21st century, the overall health status of nations worldwide has shown a "growth trend." Specifically, the National Health Index (NHI) has increased in 27 countries, remained at "zero growth" in 5 countries, and experienced "negative growth" in 13 countries.
“National Health Report” is an analytical report on China’s health status released in 2013 by the National Health Research Group of the Chinese Academy of Sciences, which first introduced the new concept of “national health.”
“National Health Report” constructs a national health assessment indicator system, conducts a comprehensive evaluation and analysis of the national health status and development trends of 45 sample countries worldwide, and interprets from a brand-new perspective that national health is a new model leading national development and governance in the 21st century.
This report categorizes the national health status of 100 sample countries worldwide into four types: “Health Surplus,” “Health Target Met,” “Health Deficit,” and “Health Vulnerable.” The study shows that in 2011, China’s National Health Index (NHI) ranked 11th among the 100 sample countries, surpassing developed nations such as the United States, the United Kingdom, and France.
The Dilemma of Sharing: The Data Cage
On January 4, 2017, the National Population and Health Science Data Sharing Platform released the "2016 Annual Scientific and Technological Resources of the National Population and Health Science Data Sharing Platform."
For the first time in its 15 years of operation, the platform has publicly released big data resources in the fields of population and health in China, comprising a total of 237 datasets (49.1 TB in volume, containing 280 million records). These datasets span seven major categories: biomedicine, basic medicine, clinical medicine, public health, Traditional Chinese Medicine (TCM), pharmaceutical sciences, and population and reproductive health.
At present, China lacks a standardized medical data system. With the development of medical informatization, the interoperability of information within hospitals is gradually being resolved; however, information remains incompatible between hospitals, between hospitals and communities, and across different regions, with information silos still persisting.
In response, Cao Xuetao, an academician of the Chinese Academy of Engineering and President of the Chinese Academy of Medical Sciences, stated, “The difficulty in data sharing is the biggest bottleneck in the development and application of big data in medicine and health in China; without sharing, it is difficult to realize application value.”
Personal Health Behavior Index: “M Value”
In today’s society, we have long entered the era of Industry 4.0. The entire healthcare industry is also transitioning into the Health Industry 4.0 era, driven by informatization and big data.
By leveraging big data, various health metrics and vital sign indicators are consolidated into individual databases and electronic health records. Through the application of big data analytics, this approach promotes integrated health services encompassing prevention, treatment, rehabilitation, and health management across the entire life cycle. Undoubtedly, this represents the new trend in future health service management.
As Academician Cao previously stated, the establishment of data systems in research institutions is constrained by costs and acquisition difficulties; therefore, it cannot proceed without the participation and support of enterprises and social capital. The Public-Private Partnership (PPP) model will gradually become mainstream in the healthcare and health industries.
In July last year, the China Health Promotion and Education Association, in collaboration with More Health and Archimedes Medical, jointly launched the “Health Big Data X Plan: Health Behavior Promotion Project” in Beijing. The concept of the “Health Behavior Index”—the “M Value” (More Health Behavior Score)—was one of the emerging outcomes of this initiative.
What Is the “M Value”?
Miao Health collects user health-related behaviors through its mobile application and evaluates them using specific algorithms to generate scores that assess whether these behaviors promote physical health or their degree of benefit to health.
Simply put, user health-related behaviors are categorized into six aspects:Health responsibility, self-actualization, nutrition, interpersonal relationships, stress coping, and exercise. Meanwhile, each item is adjusted according to the characteristics of mobile-based data collection to ensure the objectivity and accuracy of the assessment. Additionally, an algorithm is used to convert these metrics into a Daily Health Behavior Index for users.
With quantifiable standards, users can intuitively monitor their health behaviors on a daily basis. Completing health-promoting activities or actions each day increases the M-Score. A higher M-Score indicates healthier behavior. Consistently engaging in health-promoting activities and completing the health tasks prompted by the app will help users achieve the target M-Score. Over time, this guidance fosters the development of healthy habits, effectively improving users' overall health status.
Where Does Health Data Come From?
The composition of big medical data is highly complex, encompassing pharmaceuticals, medical records, prescriptions, imaging data, and more. From a temporal perspective, this pertains to the post-diagnosis and treatment phase. Preventive healthcare, driven by both national cost-containment objectives and public health demands, will become the prevailing trend in the future.
With the development of powerful cloud computing platforms, the Internet of Things (IoT), and mobile internet, health data management is gradually becoming a reality.
Users' varying behavioral characteristics and health indicator information influence their health status in certain aspects. Therefore, the extent of health data collection largely determines the scientific rigor and accuracy of health interventions, as well as the assessment of individual health behaviors.Determining the diversity and accuracy of health data should encompass two dimensions: one is the hardware entry point, and the other is the internet entry point.
Health Assessment: A Mature Practice Abroad
In Europe and the United States, a mature system of metrics for assessing individual health behaviors has long been established. The European Prospective Investigation into Cancer and Nutrition (EPIC) consortium, for instance, employs the Healthy Lifestyle Index Score (HLIS) to investigate the impact of lifestyle improvements on the risk of postmenopausal breast cancer.
Studies have shown that over three decades of effort can reduce cardiovascular disease mortality by 50%, with two-thirds of this reduction achieved through improvements in behavior and lifestyle. The HLIS scores five factors—diet, physical activity, smoking, alcohol consumption, and anthropometrics—on a scale of 0 to 4, with higher scores indicating healthier behaviors.
Project Gilgamesh
2150 BC–2000 BC, during the Third Dynasty of Ur in the Sumerian period, cuneiform script recorded an ancient epic poem.
Legend has it that Gilgamesh committed numerous evils. Relying on his power, he abducted men and women, forced the city’s residents to build walls and temples, and inflicted immense suffering upon the people. In their anguish, the people prayed to the gods in heaven for salvation. The sky god then commanded Aruru to create Enkidu, a half-human, half-beast warrior, to contend with Gilgamesh. The two fought with all their might, yet neither could gain the upper hand. Impressed by each other’s courage, they swore brotherhood and joined forces to benefit the people, becoming heroes beloved by all.
Gilgamesh and Enkidu joined forces to slay Humbaba, the forest demon who plagued humanity, and killed the Bull of Heaven, which had brought calamity upon the people of Uruk. However, by killing the Bull of Heaven, they incurred the wrath of the gods, who decreed that one of the two must die as punishment. Enkidu ultimately perished, leaving Gilgamesh overcome with grief. Terrified by the prospect of death, he sought divine assistance. After crossing mountains and seas and enduring immense hardships, he finally reached the dwelling place of his ancestor, who had been granted immortality.
He learned from his ancestors that a certain magical herb could restore life, so he unhesitatingly plunged into the sea to search for it. Unexpectedly, while bathing in a spring later on, the herb he had found through immense hardship was snatched away by a serpent. Disheartened and helpless, Gilgamesh returned to the city of Uruk. At this point, he missed his deceased friend Enkidu even more. With divine assistance, he managed to meet Enkidu’s spirit and implored him to reveal the “laws of the earth.” Only then did he understand that immortality is unattainable for humans.
In Sapiens: A Brief History of Humankind, Israeli author Yuval Noah HarariThe Gilgamesh Project was previously mentioned. This is a human enhancement initiative aimed at significantly extending human lifespan by substantially improving physiological functions and preventing and treating intractable diseases. The implementation of this project could lead to the emergence of superhumans, prompting predictions that individuals with extreme longevity will appear around 2050.
Will “superhumans” emerge, and if so, when? This remains uncertain. However, improving human health standards and reducing disease incidence are fully achievable at the present stage.
Humanity has traversed the eras of hunting and gathering, agriculture, industry, and the internet. In the protracted struggle against disease, we have moved from “Passive Healthcare"Gradually transition to"Proactive Health”, shifting from a “disease-centered” to a “health-centered” approach. This fundamental transformation will drive a revolution across the entire healthcare industry.
Fusion has begun to spread. The old system, like a prehistoric behemoth, relies on its apex position in the food chain to desperately guard its narrow rent-seeking turf. Although the new forces remain weak, they resemble evolving Homo sapiens: once they master the crafting of spears and stone tools and learn the winning strategy of forming coalitions, even the most massive beasts will inevitably fall to individuals far weaker than themselves.