In the context of public health surveillance, the aim is to monitor the occurrence of health-related events. Among them, statistical process monitoring focuses very often in the monitoring of rates and proportions (i.e. values in (0, 1)) such as the proportion of patients with a specific disease. A popular control chart that is able to detect quickly small to moderate shifts in process parameters is the EWMA control chart. There are various models that are used to describe values in (0, 1). However, especially in the case of rare health events, zero-values occur very frequently which, for example, denote the absence of the disease. In this paper, we study the performance and the statistical design of EWMA control charts for monitoring proportions that arise in a health-related framework. The proposed chart is based on the zero-inflated beta distribution, a mixed (discrete-continuous) distribution, suitable for modelling data in [0, 1). We use a Markov chain method to study the run length distribution of the EWMA chart. Also, we investigate the statistical design as well as the performance of the proposed charts. Comparisons with a Shewhart-type chart are also given. Finally, we provide an example for the practical implementation of the proposed charts.