“We’ve never seen anything like this” is the refrain increasingly heard in every corner of the world in the wake of natural disasters. Indeed, intense natural disasters have increased nearly fourfold over the past four decades, with floods and storms representing 70% of the increase. Asia and the Pacific has been the worst hit region. Yet, the response to hazards of nature has been mostly to react when they strike. The upshot I see is this: unless prevention takes center stage, disasters will likely unravel progress.