In this study of tree and forest pests and diseases conducted in 2015 for the Eastern African sub-region, Sudan, Ethiopia, Kenya and Rwanda were selected for detailed analysis to provide an overview of the status of forest health management in the region. Rwanda and Kenya have robust blue prints for national development based on which they formulated their forest policies. All countries in the region have prioritized expansion of forests to meet growing demands for forest goods and services. Other supplementary plans are to provide viable energy alternatives to lessen dependence of growing populations on limited forest resources. These measures are already bearing fruit in that tree cover is on the increase in the region with the best performance by Rwanda which is on course towards achieving a 30% target by 2020.