Biosurveillance; syndrome; developing countries Introduction Alcohol abuse is one of the major leading causes of preventable mortality in the United States (1). Binge drinking or excessive alcohol consumption, categorized as a pattern of drinking that brings a person's blood alcohol concentration (BAC) to 0.08 (2), has become a major cause for concern, especially in the 18-to 20-year-old population. Iowa City is home to the University of Iowa, a large public university of 30,000 students. On June 1, 2010, the city council enacted a new ordinance prohibiting persons under 21 from entering or remaining in bars (establishments after 10:00 PM whose primary purpose is the sale of alcoholic beverages) after 10:00 PM (3). Prior to the ordinance, Iowa City was the only municipality in the region where underage patrons were allowed on premises. The new ordinance was enacted largely in response to public safety concerns, including perceptions of increased violence and sexual assaults, especially at bar closing time.