This is a summary of the presentations and discussion by the panel that addressed issues with Water, Sanitation, Food Safety, and Environmental Health 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. The topics discussed included issues related to water, sanitation, food safety, and environmental health as pertain to the responses to the damage created by the Tsunami. It is presented in the following major sections: (1) needs assessments; (2) institutional capacity and coordination; (3) what was done wel well, and what could have been done better?; and (4) capacity building and preparedness. Topics discussed in the needs assessment section included: (1) water supply; (2) hygiene; and (3) lessons learned. Topics discussed realated to capacity building and preparedness included: (1) waste and vector-bor borne diseases; (2) food safety; (3) nutrition; and (4) environmental health.