Abstract
This paper analyses the mechanisms through which experts in the field of global health work to manage the future well-being of populations. It develops a contrast between two ways of approaching disease threats: actuarial and sentinel devices. If actuarial devices seek to map disease over time and across populations in order to gauge and mitigate risk, sentinel devices treat unprecedented diseases that cannot be mapped over time, but can only be anticipated and prepared for. The paper shows that a recent controversy over vaccination in Europe in response to the H1N1 pandemic can be understood in terms of the tension between these two kinds of security mechanisms.
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