The RSTMH Annual Meeting 2019 will examine the changing world from a One Health perspective. Two major themes of surveillance and delivery of healthcare will be considered through the cross-cutting lenses of economics, social sciences and technology. We aim to end the meeting with a clear steer towards what RSTMH should be focusing on operationally and strategically in this space, as one of our priority areas. Delegates will: • Explore themes of surveillance and healthcare delivery with a range of speakers and through group discussions.