The U.S.-Mexico Border Infectious Disease Surveillance project: Establishing binational border surveillance

Michelle Weinberg, Stephen Waterman, Carlos Alvarez Lucas, Veronica Carrion Falcon, Pablo Kuri Morales, Luis Anaya Lopez, Chris Peter, Alejandro Escobar Gutiérrez, Ernesto Ramirez Gonzalez, Ana Flisser, Ralph Bryan, Enrique Navarro Valle, Alfonso Rodriguez, Gerardo Alvarez Hernandez, Cecilia Rosales, Javier Arias Ortiz, Michael Landen, Hugo Vilchis, Julie Rawlings, Francisco Lopez LealLuis Ortega, Elaine Flagg, Roberto Tapia Conyer, Martin Cetron

Research output: Contribution to journalArticlepeer-review

57 Scopus citations


In 1997, the Centers for Disease Control and Prevention, the Mexican Secretariat of Health, and border health officials began the development of the Border Infectious Disease Surveillance (BIDS) project, a surveillance system for infectious diseases along the U.S.-Mexico border. During a 3-year period, a binational team implemented an active, sentinel surveillance system for hepatitis and febrile exanthems at 13 clinical sites. The network developed surveillance protocols, trained nine surveillance coordinators, established serologic testing at four Mexican border laboratories, and created agreements for data sharing and notification of selected diseases and outbreaks. BIDS facilitated investigations of dengue fever in Texas-Tamaulipas and measles in California-Baja California. BIDS demonstrates that a binational effort with local, state, and federal participation can create a regional surveillance system that crosses an international border. Reducing administrative, infrastructure, and political barriers to cross-border public health collaboration will enhance the effectiveness of disease prevention projects such as BIDS.

Original languageEnglish (US)
Pages (from-to)97-102
Number of pages6
JournalEmerging infectious diseases
Issue number1
StatePublished - Jan 1 2003

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases


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