Achievement of comprehensive, effective domestic and international biosurveillance is compromised by jurisdictional complexity and inefficiencies. Federal biosurveillance policy oversight should be established in the Executive Office of the President (EOP) with the National Security Staff (NSS) as the lead entity identified to coordinate investments, interagency collaboration, and program implementation including those activities in support of the President's Global Health Initiative. An outside representative advisory group should be established to facilitate key stakeholders' interface with...

Biosurveillance refers to the collection, management and integration of health-related data for the purpose of improving detection, characterization, prevention and management of health hazards. This report summarizes current NBAS concerns and challenges regarding governance; collection, exchange, and analysis of health information; and workforce needs. It also provides specific recommendations designed to enable rigorous, comprehensive, and efficient biosurveillance through modifications in governance, standardization of data collection, and investments in informatics, workforce education,...