Exposed measles and human cutaneous anthrax outbreaks, un profiled district, untimely weekly or immediately reportable diseases under surveillance reported, unplanned, but timely humanitarian need and existence of malnutrition cases. Even though commitments of different sectors was done, existence of malnutrition cases, but readers such as lactating mothers, health care providers and the responsible Field Epidemiologists didn`t know about.As a result , information from outbreak investigations have helped to identify susceptible groups, Substantial improvement seen in surveillance, detection , case management and targeted supplemental immunization campaigns on measles. Lack of awareness on early detection of the Human cutaneous case, vaccinating cattle's, burring and burning of dead cattle was not practiced and done so. Due to less preparedness plan in both Zones, attention to supply of financial, food and Emergency Drugs were given. Conducted standardized performance indicators that are used as an alarming tool for Severe Acute Management in different health facilities, ends with good quality service.