This is the text for the Opening Address for the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04-06 May 2005. The frightening reality of the costs (human and material) must be balanced by what has been and can be learned that, if applied, can make the world more resilient for the next event. At the time of this Conference, we are moving from response to recovery. The immediate conclusion relates to the consequences of the realization of a truly interdependent world. Given the huge resourcesmade available, there is an increased need for accountability. Several factors will bear heavily on the outcomes: (1) risk of loss of momentum; (2) ensuring that no gaps in services occur; (3) ensuring that already marginalized communities do not become forgotten or even more marginalized; (4) support and respect of national leadership; (5) commit to enhanced coordination; and (6) develop mechanisms for joint and shared assessments. The available resources must be used to stablize the livelihoods of people for years. Lastly, the reliability and sustainability of the important contributions of the military and the commercial private sectors for future events must be established