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“In all of them, we find that health experts, policy advocates, and politicians have competing visions about how to characterize the problem of biosecurity and about what constitutes the most appropriate response.”

“even experts who understand that social issues such as poverty and deteriorating health infrastructure are critical determinants of disease risk may propose narrower technical measures given the difficulty of implementing more ambitious schemes.”

“They suggest that the uncertainties endemic to contemporary biosecurity threats such as avian flu point to the need to develop new ways of living with and managing the possibility of outbreaks that are more nuanced than current attempts to achieve absolute security at the expense of local wellbeing.”

Financially they have to secure funding. They rely on private donations that may not always be consistent. They also have to maintain certified and experienced medical staff to provide care.. Finally the security and safety of their staff when they are in areas of conflict or high violence.