In June 2008, members of the Public Health Association of Serbia (PHAS) expressed interest in using the Circle of Health in a health promotion summer school entitled The Circle of Health: Understanding the Determinants of Health. The process of translating the tool into Serbian and adapting for learning in Serbian culture began. In June 2009, PHAS, in collaboration with the Canadian Public Health Association, conducted the Summer School. Subsequently two attendees traveled to PEI for training as facilitators. The Circle of Health has been subsequently used as a teaching tool by members of PHAS.