Overall reporting rate for notifiable diseases had increased compared to the previous quarter. Of 52 samples collected from suspected measles and rubella cases, three samples tested positive for measles IgM and two tested positive for rubella IgM. Forty-one Dengue fever cases, three malaria, three bacterial meningitis, and seven acute encephalitis syndromes were reported during the quarter. Highest number of diseases outbreak reported was of Hand Foot and Mouth Diseases (47), it was reported from almost all the Dzongkhags. Three outbreaks of Acute Gastroenteritis, was reported. A dengue outbreak was reported from the Phuntsholing. All outbreaks were investigated by the local health centers with the recommendation from RCDC.