With regard to assisting peoples in developing countries, I asked students to compile significant information from, and explain the significance of the WHO reports in terms of current improvements in world health and the challenges that lie ahead. The best student essays reflect on the challenges the writers perceive for themselves and other medical professionals in Japan, as well as their counterparts in other parts of the developed world. As before, these essays are by new participants in the worldwide, English-speaking medical community. Their work shows advanced achievements in both thinking and writing in English.