From Vacuum Fluctuations to Radiation: Accelerated Detectors and Black   Holes
  The vacuum fluctuations that induce the transitions and the thermalisation of a uniformly accelerated two level atom are studied in detail. Their energy content is revealed through the weak measurement formalism of Aharonov et al. It is shown that each time the detector makes a transition it radiates a Minkowski photon. The same analysis is then applied to the conversion of vacuum fluctuations into real quanta in the context of black hole radiation. Initially these fluctuations are located around the light like geodesic that shall generate the horizon and carry zero total energy. However upon exiting from the star they break up into two pieces one of which gradually acquires positive energy and becomes a Hawking quantum, the other, its ''partner", ends up in the singularity. As time goes by the vacuum fluctuations generating Hawking quanta have exponentially large energy densities. This implies that back reaction effects are large. 
S. Massar and R. Parentani