EARLY WARNING AND REPORTING SYSTEM (EWARS) ANNUAL REPORT 2022 & 2023 analyzes EWARS data from 2022 and 2023, highlighting key trends, seasonal disease patterns, and the performance of the reporting system. In 2022, dengue was the most frequently reported disease nationwide, followed by AGE and SARI. However, provincial variations were observed: SARI was most reported in Koshi, AGE in Madhesh and Lumbini, ILI in Karnali, and scrub typhus in Sudurpaschim. In 2023, dengue remained the most reported disease, with AGE leading in Madhesh, Lumbini, and Karnali, while SARI was the most reported in Sudurpaschim. A comparison of data from both years shows a notable increase in reported cases overall, with significant rises in AGE and SARI, although the proportion of dengue cases slightly decreased.