This paper will look at what we have and have not achieved in reducing the risk to human life from earthquakes in the last 50 years. It will review how success has been achieved in a few parts of the world, and consider what needs to be done by the scientific and engineering community globally to assist in the future task of bringing earthquake risks under control. The first part of the talk will re-examine what we know about the casualties from earthquakes in the last 50 years. Almost 80% of about 1 million deaths turn out to have been caused by just ten great earthquakes, together affecting a tiny proportion of the territory at risk from heavy ground shaking. The disparity between richer and poorer countries is also evident, not only in fatality rates, but also in their rates of change. But the existing casualty database turns out to be a very poor basis for observing such differences, not only because of the small number of lethal events, but also because of the very limited data on causes of death, types and causes of injury. These have been examined in detail in only a few, recent events. All that can be said with certainty is that a few wealthier earthquake-prone countries or regions have made impressive progress in reducing the risk of death from earthquakes, while most of the rest of the world has achieved comparatively little, and in some areas the problem has become much worse. The second part of the paper looks in more detail at what has been achieved country by country. Based on a new expert-group survey of key individuals involved in earthquake risk mitigation, it will examine what are perceived to be the successes and failures of risk mitigation in each country or group of countries. This survey will be used to highlight the achievements of those countries which have successfully tackled their earthquake risk; it will examine the processes of earthquake risk mitigation, from campaigning to retrofitting, and it will consider to what extent the achievement is the result of affluence, scientific and technical activity, political advocacy, public awareness, or the experience of destructive events. It will ask to what extent the approaches pioneered by the global leaders can be adopted by the rest. The final section of the talk will argue that it can be useful to view earthquake R. Spence(B) Professor of Architectural Engineering