In 2004, Sante publique France, the French Public Health Agency set up a reactive all-cause mortality surveillance based on the administrative part of the death certificate, in the final objectives 1/ to detect unexpected or usual variations in mortality and 2/ to provide a first evaluation of mortality impact of events. In 2007, an Electronic Death Registration System (EDRS) was implemented, enabling electronic transmission of the medical causes of death to the agency in real-time. To date, 12% of the mortality is registered electronically.