Abstract
Surveillance systems are a critical component of public health. The primary goal of public health surveillance is to monitor the health status of a population, detect disease outbreaks, track long-term trends, and make public health policies and actions. Pakistan has a structured surveillance system in place, led by the Ministry of National Health Services, Regulations & Coordination in collaboration with various international organizations like the World Health Organization (WHO), Gavi the Vaccine Alliance and Centers for Disease Control and Prevention (CDC). Pakistan has a vast population that stands at 241.49 million according to 2023 census.1 The country faces diverse health challenges but has made strides in developing a national public health surveillance system. This expert opinion on SWOT(strengths, weaknesses, opportunities, and threats), analysis for surveillance systems implemented in Pakistan reveals crucial insights into its potential for growth, revealing areas of strength in community engagement but also exposing gaps in long- term sustainability and scalability.