A European project to develop guidelines to strengthen public health surveillance and rapid response was launched in September 2010 for 3 years, under the name Triple-S (Syndromic Surveillance Survey, Assessment toward Guidelines for Europe). The project, co-financed by the European commission through the Executive Agency for Health and Consumers, involves 24 organizations from 13 countries (Fig. 1) . The DG Sanco, ECDC, WHO/Europe and ISDS are members of the advisory board of the project, to ensure an exchange of practices and expertise at both the European and the global level ( Fig. 1 ).