The term 'natural disaster' is often used to refer to natural events such as earthquakes, hurricanes or floods. However, the phrase 'natural disaster' suggests an uncritical acceptance of a deeply engrained ideological and cultural myth. At Risk questions this myth and argues that extreme natural events are not disasters until a vulnerable group of people is exposed. At Risk focuses on what makes people vulnerable. Often this means analyzing the links between poverty and vulnerability. However it is also important to take account of different social groups that suffer more in extreme events, including women, children, the elderly, ethnic minorities, refugees and people with disabilities. Vulnerability has also been increased by global environmental change and economic globalization - it is an irony of the 'risk society' that such efforts to provide 'security' often create new risks. Fifty years of deforestation in Honduras and Nicaragua opened up the land for the export of beef, coffee, bananas, and cotton. It enriched the few, but endangered the many when hurricane Mitch struck these areas in 1998. Rainfall sent denuded hillsides sliding down on villages and towns. The new edition of At Risk confronts a further ten years of ever more expensive and deadly disasters since it was first published and discusses disaster not as an aberration, but as a signal failure of mainstream 'development'. Two analytical models are provided as tools for understanding vulnerability. One links remote and distant 'root causes' to 'unsafe conditions' in a 'progression of vulnerability'. The other uses the concepts of 'access' and 'livelihood' to understand why some households are more vulnerable than others. The book then concludes with strategies to create a safer world.