The sureveillance system for HAV is clinically based, it includes also suspect and probable cases, and the reporting is according to available facilities. Case definition could be easily modified to cope with any addition Acceptability Timeliness Almost 38% of the reporting sites did not report any case in 2009; also, 23% of the reporting sites reported three cases or less, this could reflect that the surveillance for hepatitis A is not well accepted Almost all reporting centers reported to the health directorate in exact time by telephone, this is followed by paper reporting. Only 42% of the reports from Mafraq health directorate to the Communicable Diseases Directorate were done electronically; about 90% of the electronic reporting was done on time, 'Tuesday' the next week