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"...responses to the problem of health and security are still taking shape" (p. 28)

" But in recent decades ... there has been an alarming shift in the 'elicate balance between humans and microbes.” (p. 7)

"The current concern with new microbial threats has developed in ... distinct domains: emerging infectious disease; bioterrorism; the cutting-edge life sciences; and food safety." (p. 9)

MSF finds it difficult to secure funding, as they rely on private donations that may not be steady as the economy changes. They also are challenged by finding qualified staff to provide medical care. Finally, they struggle with keeping their staff safe in hostile conditions.