During weeks 27-31 (July) 2019, rates of acute diarrhea plateaued during the month, but increases in weekly case rates of more than 15% were still seen in 5 governorates, the highest being Lattakia (20%) and Quneitra (26%). Meningitis case rates also stabilized since June, though Ar-Raqqa and Idleb saw increases in weekly case rates of 26% and 47% respectively. For the fourth month in a row, weekly cases of typhoid increased nationally, rising by 27% since June with the largest increases seen in Hama, Rural Damascus and Dar’a. Hepatitis A case weekly rates also increased – 16% nationally since June, with spikes of nearly 200% or more seen in As-Sweida, Hama and Tartous. Rates of influenza-like illness (ILI) rose for the first time in 5 months, increasing by 8% overall – Dar’a (42%) and Idleb (32%) saw the largest rise in weekly case rates. After reaching the lowest point in 2019 in June, weekly case rates of Leishmaniasis increased 6% in July while rates of severe acute respiratory illness (SARI) continued to decline, falling 12% during the month.