A successful electronic disease surveillance system requires both organizational support and the active participation of data contributors. The U.S. Department of Defense (DoD) has established the Respiratory Disease Dashboard (RDD) to monitor respiratory pathogens since the 2009 pandemic influenza. A user satisfaction survey conducted within the DoD's global surveillance network reflected challenges ahead with the implementation of electronic surveillance data entry in various settings. It is only with vigilant and proactive users in ensuring timely and accurate data input that an electronic surveillance system, such as RDD, can become a useful tool for the basis of disease detection and response
