"The human cost of hip fracture is enormous and poor quality care can result in patients enduring avoidable disability and even the loss of home and independence".
Aside from the bears – which outnumber humans by three to two – residents and visitors must contend with enormous distances, poor means of communication, strong winds, frozen seas, ice storms and, of course, the extreme cold.
Regulatory agencies also face enormous challenges including poor funding, lack of transport and poor policies that prioritize curative over preventive programs.
The small triumphs and enormous miseries of poor life in a ruthless city.
But mass incarceration has had an enormous impact on poor and minority communities.
No one doubts that corruption remains an enormous burden on poor countries, despite the Bank's efforts in the past decade.
The test could provide an enormous benefit in poor countries, where liver damage is widespread as a side effect of drugs administered to HIV and tuberculosis patients.
Yet China's vast size, still-authoritarian government and enormous ballast of poor people make it, to my mind, an unlikely contender.
It says it just about breaks even on domestic sales.This situation is bad for Gazprom but has benefits for Russia, which is an enormous, cold and poor country.
However, in the context of the times, of the enormous numbers of poor and neglected children who roamed the city streets, and in terms of what institutions existed to care for and nurture them, the placement system was a creative, pioneering and fruitful way to respond to children's needs.
