Abstract
In the ESSP GECHH science plan, Confalonieri and McMichael wrote: In general, the vulnerability of a population depends on the level of material resources, effectiveness of governance and civil institutions, quality of public health infrastructure, access to relevant local information and pre-existing burden of disease. Indeed, a mix of individual, community, political, social, economic, cultural and geographical factors determines vulnerability. These factors are not uniform across a region or nation; rather, there are geographic, demographic and socioeconomic differences..