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Julie A. Pavlin, MD, MPH, Farzad Mostashari, MD, MSPH, Mark G. Kortepeter, MD, MPH, Noreen A. Hynes, MD, MPH, Rashid A. Chotani, MD, MPH, Yves B. Mikol, PhD, Margaret A. K. Ryan, MD, MPH, James S. Neville, MD, MPH, Donald T. Gantz, PhD, James V. Writer, MPH, Jared E. Florance, MD, MS, Randall C. Culpepper, MD, MPH, Fred M. Henretig, MD and Patrick W. Kelley, MD, DrPH

Julie A. Pavlin, James V. Writer, Randall C. Culpepper, and Patrick W. Kelley are with the Department of Defense Global Emerging Infections System, Silver Spring, Md. Farzad Mostashari is with the New York City Department of Health. Mark G. Kortepeter is with the US Army Medical Research Institute of Infectious Diseases, Fort Detrick, Md. Noreen A. Hynes is with the Office of the Vice President, Public Health Service, Washington, DC. Rashid A. Chotani is with the Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md. Yves B. Mikol is with the New York City Department of Environmental Protection. Margaret A. K. Ryan is with the Naval Health Research Center, San Diego, Calif. James S. Neville is with the Air Force Institute for Environment, Safety and Occupational Health Risk Analysis, Brooks Air Force Base, Tex. Donald T. Gantz is with the Dept of Applied and Engineering Statistics, George Mason University, Fairfax, Va. Jared E. Florance is with the Prince William County Health District, Manassas, Va. Fred M. Henretig is with the Clinical Toxicology and Poison Control Department, Children’s Hospital of Philadelphia, Philadelphia, Pa.

Correspondence: Requests for reprints should be sent to Julie A. Pavlin, MD, MPH, Walter Reed Army Institute of Research, 503 Robert Grant Ave, Silver Spring, MD 20910-7500 (e-mail: julie.pavlin{at}amedd.army.mil).

A system designed to rapidly identify an infectious disease outbreak or bioterrorism attack and provide important demographic and geographic information is lacking in most health departments nationwide.

The Department of Defense Global Emerging Infections System sponsored a meeting and workshop in May 2000 in which participants discussed prototype systems and developed recommendations for new surveillance systems. The authors provide a summary of the group’s findings, including expectations and recommendations for new surveillance systems.

The consensus of the group was that a nationally led effort in developing health indicator surveillance methods is needed to promote effective, innovative systems.

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