This is a summary of the agreement reached during the Conference, Health Aspects of the Tsunami Disaster in Asia, convened by the World Health Organization (WHO) in Phuket, Thailand, 04–06 May 2005. There are 12elements to this agreement: (1) risk management and vulnerability capacities; (2) needs assessments and programmed management; (3) best public health practices; (4) benchmarks, standards, and codes of practice; (5) management and coordination; (6) supply systems, communication, and logistics; (7) volunteers; (8) demonstrated leadership; (9) military and commercial private sectors; (10) media; (11) accountability and ethics; and (12) preparedness.