Nepal conducted LF mapping in 2001 and 2005 and remapping in 2012 by using ICT (Immunochromatography Test card) which revealed 13% average prevalence of LF infection in the country, ranging from l<1% to as high as 39%. Based on the ICT survey, morbidity reporting and geo-ecological comparability sixty one districts of the country were mapped as endemic for LF. Epidemiology and Disease Control Division under the Department of Health Services has formulated a National Plan of Action (2003-2020 AD) for the Elimination of Lymphatic Filariasis in Nepal by establishing a National Task Force chaired by Director-General, Department of Health Services. The government initiated the implementation of Mass Drug Administration (MDA) in Parsa district in 2003. Since then the program has been expanded gradually in other endemic districts as well. MDA has been scaled up to all the endemic districts in FY 2069/70 (2013). This year MDA was conducted in 56 districts including 10 new districts of far western and mid-western regions. Of these 56 districts, 16 completed six rounds of MDA this year, 10 completed 4 rounds, 10 completed 3 rounds, another 10 completed 2 rounds and 10 were new districts which completed 1 round.
Jan 1
Flooding in the rural districts of Bagmati Province creates the classic postdisaster conditions for communicable disease transmission: contamination of drinking-water sources, destruction of latrines, displacement of populations into crowded temporary shelters, interruption of health services and cold chain, expansion of vector breeding habitat, and loss of livestock with associated zoonotic exposure. Floods do not import new pathogens; they amplify the pathogens already endemic in the area. Preparedness must therefore be built on what is known to circulate in Bagmati Province — including the enteric pathogens Vibrio cholerae O1, Salmonella Typhi and hepatitis A and E viruses, together with dengue virus, Orientia tsutsugamushi, Leptospira species, Japanese encephalitis virus, measles virus, and residual foci of malaria and visceral leishmaniasis. Two operational realities shape this plan. First, the interval between exposure and detectable clusters is short for enteric disease (2–14 days) and long for vector-borne and leptospiral disease (2–8 weeks), so surveillance intensity must be sustained well beyond the point at which media and political attention recede. Second, the routine surveillance system will be degraded exactly when it is most needed, because reporting health facilities may be damaged, staff displaced and connectivity lost. Apparent declines in reported cases in the first weeks after a flood are more often artefacts of reporting failure than evidence of control.
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Jan 1
Acute Gastro Enteritis was the highest reported condition, accounting for 721 cases.
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Jan 1
Acute Gastro Enteritis was the highest reported condition, accounting for 667 cases.
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