World: 'The headline concern for the tsunami victims, living and dead, will be with us for a few weeks; by contrast, their need for assistance and reform will stretch over decades. Huge sums have been pledged in aid and a bold commitment made to build an Indian Ocean tsunami warning system. But, if past is precedent, only a fraction of recent pledges will materialise and the already overdue warning system will remain a pipe dream for the affected communities. The headlines rightly applaud the compassionate outpouring of the public around the world but fail to question the logic of promoting one-off giving from individuals rather than sustained involvement by governments. Disasters are part of normality, and if we are to have a longlasting effect we need to rethink the way aid is delivered and invest in development to help minimise the effects of natural phenomena.' (BMJ)