This document discusses the design, trust, and control of sterile manufacturing. It begins with opening questions about which dosage form approaches vital organs fastest (injection), which manufacturing area requires the highest control of particles and microorganisms (injection manufacturing), and which defect is most difficult to detect (contamination). The document then provides an overview of inherent challenges in sterile manufacturing and notes that injectables are easy to formulate but difficult to manufacture due to the need for strict control of contamination. It emphasizes that contamination in injectables can lead to serious health consequences since injections take effect rapidly and potential issues may not be reversible. The document stresses that particles and microbial contamination present a continuous challenge in sterile manufacturing.