As a trial the State of Tamil Nadu, in India, is piloting the use of mobile phones with Village Health Nurses (VHN) to talk with the Deputy Director of Health Service (DDHS) and Public Health Center (PHC) staff as and when they need. Indian Institute of Technology in Madras (IITM) will add on a m-Health Survey application to add value to the mobile phones for the VHN to share patient disease and syndrome information. Besides digitizing health records, the VHN are eager to learn other communcation features such as SMS, WWW (GPRS), and Email. Team of Researchers from IITM’s Rural Technology and Buisness Incubator (RTBI) visited with the Thirupathur Block VHNs to outline the Real-Time Biosurveillance Program, a pilot project carried out in India and Sri Lanka. The meeting is documented in the “IITM VHN meeting report“.