Abstract: Objective This study was conducted to understand the current status and the existing problems of the direct network reporting of infectious diseases in the city of Taizhou. Methods Acomparative analysis of the reported data on the epidemic situations of infectious diseases occurring inTaizhou and Yangzhou in 2006 was made using the rate, the ratio and the chi- square test. Results It was found that the reported incidence of infectious diseases in Taizhou and Yangzhou was 149.90 and238.73/lakh, respectively. There was a similar proportion in the number of cases of reported infectious diseases in medical facilities at different levels in Yangzhou city. The proportion of the reported casesof infectious diseases from the town and township hospitals in Taizhou was five percent lower than thatin Yangzhou. As far as the top five diseases in terms of the reported number were concerned, the proportion of sexually transmitted diseases was higher in Yangzhou than in Taizhou. The reportedincidents of infectious diseases and the number of cases in Yangzhou were 6 and 4.44 times as manyas those in Taizhou. Conclusion Compared with those in Yangzhou, there was a higher missing report rate of infectious diseases in the town and township medical facilities in Taizhou with STDsbeing the major diseases that failed to be reported. Some loopholes existed in the reporting of epidemic outbreaks.