covid-19 pandemic in nepal covid-19 pandemic in nepal the covid-19 pandemic in nepal is part of the worldwide pandemic of coronavirus disease 2019 (covid-19) caused by severe acute respiratory syndrome coronavirus 2 (sars-cov-2). the first case in nepal was confirmed on 23 january 2020 when a 31-year-old student, who had returned to kathmandu from wuhan on 9 january, tested positive for the disease. it was also the first recorded case of covid-19 in south asia. nepal's first case of local transmission was confirmed on 4 april in kailali district. the first death occurred on 14 may. a country-wide lockdown came into effect on 24 march 2020, and ended on 21 july 2020. as of 26 july 2022, the ministry of health and population (mohp) has confirmed a total of 984,475 cases, 968,802 recoveries, and 11,959 deaths in the country. in the meantime, 5,804,358 real-time rt-pcr (rt-qpcr) tests have been performed in 40 laboratories across the country. the viral disease has been detected in all provinces and districts of the country, with bagmati province and kathmandu being the worst hit province and district respectively. as for nepalese abroad, as of 26 july 2020, the non-resident nepali association has reported a total of 12,667 confirmed cases, 16,190 recoveries, and 161 deaths across 35 countries. covid-19 pandemic in nepaldiseasecovid-19virus strainsars-cov-2locationnepalfirst outbreakwuhan, hubei, chinaindex casekathmandu, bagmati provincearrival date9 january 2020(3 years, 3 months, 2 weeks and 6 days)date23 january 2020confirmed cases1,003,157 (updated 13 may 2023)active cases 3,714 (26 july)recovered968,802 (26 july)deaths12,031 (updated 13 may 2023)fatality rate 1.21% (26 july)territoriesactive cases in out of 77 districtsvaccinations27,794,462 (total vaccinated)24,357,523 (fully vaccinated)61,825,430 (doses administered)government websitecovid-19 dashboard (mohp) nepal covid-19 official situation reports nepal covid-19 monitor (ndrrma) between january and march, nepal took steps to prevent a widespread outbreak of the disease while preparing for it by procuring essential supplies, equipment and medicine, upgrading health infrastructure, training medical personnel, and spreading public awareness. starting in mid-january, nepal established health-desks at tribhuvan international airport as well as at border checkpoints with india. land borders with india as well as china were later completely sealed off, and all international flights were suspended. all academic examinations were cancelled, and schools and colleges were closed. quarantine centres and temporary hospitals are being set up across the country. laboratory facilities are being upgraded and expanded. hospitals have been setting up icu units and isolation beds. the saarc countries have pledged to cooperate in controlling the disease in the region. india, the united states and germany increased their support to nepali health sectors. the pandemic forced nepal to cancel the then ongoing visit nepal year 2020 tourism campaign. the country's economy is expected to be severely affected due to the pandemic's impact on tourism, remittance, manufacturing, construction, and trade. the world bank has warned that the pandemic could push about one-third of the country's population below the international poverty line (i.e., $1.90 per day). vaccination for covid-19 began in nepal on 27 january 2021. background covid-19 pandemic covid-19 cases in nepal () deaths recoveries active cases202020202021202120222022janjanfebfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdecjanjanfebfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdecjanjanlast 15 dayslast 15 days date# of cases# of deaths 2020-01-231(n.a.) ⋮ 2020-01-291(n.a.) ⋮1(=)0(n.a.) 2020-03-232(+1) 2020-03-242(=) 2020-03-253(+1) 2020-03-263(=) 2020-03-274(+1) 2020-03-285(+1) ⋮5(=)0(n.a.) 2020-04-026(+1) 2020-04-036(=) 2020-04-049(+3) ⋮9(=)0(n.a.) 2020-04-1212(+3) 2020-04-1314(+2) 2020-04-1416(+2) 2020-04-1516(=) 2020-04-1616(=) 2020-04-1730(+14) 2020-04-1831(+1) 2020-04-1931(=) 2020-04-2031(=) 2020-04-2142(+11) 2020-04-2245(+3) 2020-04-2348(+3) 2020-04-2449(+1) 2020-04-2549(=) 2020-04-2652(+3) 2020-04-2752(=) 2020-04-2854(+2) 2020-04-2957(+3) 2020-04-3057(=) 2020-05-0159(+2) 2020-05-0259(=) 2020-05-0375(+16) 2020-05-0475(=) 2020-05-0582(+7) 2020-05-0699(+17) 2020-05-07101(+2) 2020-05-08102(+1) 2020-05-09109(+7) 2020-05-10110(+1) 2020-05-11134(+24) 2020-05-12217(+83) 2020-05-13243(+26) 2020-05-14249(+6) 2020-05-15267(+18) 2020-05-16281(+14)1(n.a.) 2020-05-17295(+14)2(+1) 2020-05-18375(+80)2(=) 2020-05-19402(+27)2(=) 2020-05-20427(+25)2(=) 2020-05-21457(+30)3(+1) 2020-05-22516(+59)3(=) 2020-05-23584(+68)3(=) 2020-05-24603(+19)3(=) 2020-05-25682(+79)4(+1) 2020-05-26772(+90)4(=) 2020-05-27886(+114)4(=) 2020-05-281,042(+156)5(+1) 2020-05-291,212(+170)6(+1) 2020-05-301,401(+189)6(=) 2020-05-311,572(+171)8(+2) 2020-06-011,811(+239)8(=) 2020-06-022,099(+288)8(=) 2020-06-032,300(+201)9(+1) 2020-06-042,634(+334)10(+1) 2020-06-052,912(+278)11(+1) 2020-06-063,235(+323)13(+2) 2020-06-073,448(+213)13(=) 2020-06-083,762(+314)14(+1) 2020-06-094,085(+323)15(+1) 2020-06-104,364(+279)15(=) 2020-06-114,614(+250)15(=) 2020-06-125,062(+448)16(+1) 2020-06-135,335(+273)18(+2) 2020-06-145,760(+425)19(+1) 2020-06-156,211(+451)19(=) 2020-06-166,591(+380)19(=) 2020-06-177,177(+586)20(+1) 2020-06-187,848(+671)22(+2) 2020-06-198,274(+426)22(=) 2020-06-208,605(+331)22(=) 2020-06-219,026(+421)23(+1) 2020-06-229,561(+535)23(=) 2020-06-2310,099(+538)24(+1) 2020-06-2410,728(+629)24(=) 2020-06-2511,162(+434)26(+2) 2020-06-2611,755(+593)27(+1) 2020-06-2712,309(+554)28(+1) 2020-06-2812,772(+463)28(=) 2020-06-2913,248(+476)29(+1) 2020-06-3013,564(+316)29(=) 2020-07-0114,046(+482)30(+1) 2020-07-0214,519(+473)31(+1) 2020-07-0315,259(+740)32(+1) 2020-07-0415,491(+232)34(+2) 2020-07-0515,784(+293)34(=) 2020-07-0615,964(+180)35(+1) 2020-07-0716,168(+204)35(=) 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2020-08-1224,432(+484)91(+8) 2020-08-1324,957(+525)95(+4) 2020-08-1425,551(+594)99(+4) 2020-08-1526,019(+468)102(+3) 2020-08-1626,660(+641)104(+2) 2020-08-1727,241(+581)107(+3) 2020-08-1828,257(+1,016)114(+7) 2020-08-1928,938(+681)120(+6) 2020-08-2029,645(+707)126(+6) 2020-08-2130,483(+838)137(+11) 2020-08-2231,117(+634)146(+9) 2020-08-2331,935(+818)149(+3) 2020-08-2432,678(+743)157(+8) 2020-08-2533,533(+855)164(+7) 2020-08-2634,418(+885)175(+11) 2020-08-2735,529(+1,111)183(+8) 2020-08-2836,456(+927)195(+12) 2020-08-2937,340(+884)207(+12) 2020-08-3038,561(+1,221)221(+14) 2020-08-3139,460(+899)228(+7) 2020-09-0140,529(+1,069)239(+11) 2020-09-0241,649(+1,120)251(+12) 2020-09-0342,877(+1,228)257(+6) 2020-09-0444,236(+1,359)271(+14) 2020-09-0545,277(+1,041)280(+9) 2020-09-0646,257(+980)289(+9) 2020-09-0747,236(+979)300(+11) 2020-09-0848,138(+902)306(+6) 2020-09-0949,219(+1,081)312(+6) 2020-09-1050,465(+1,246)317(+5) 2020-09-1151,919(+1,454)322(+5) 2020-09-1253,120(+1,201)336(+14) 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2020-10-13115,358(+3,556)663(+18) 2020-10-14117,996(+2,638)675(+12) 2020-10-15121,745(+3,749)694(+19) 2020-10-16126,137(+4,392)715(+21) 2020-10-17129,304(+3,167)727(+12) 2020-10-18132,246(+2,942)739(+12) 2020-10-19136,036(+3,790)757(+18) 2020-10-20139,129(+3,093)765(+8) 2020-10-21144,872(+5,743)791(+26) 2020-10-22148,509(+3,637)812(+21) 2020-10-23153,008(+4,499)829(+17) 2020-10-24155,233(+2,225)842(+13) 2020-10-25158,089(+2,856)847(+5) 2020-10-26159,830(+1,741)862(+15) 2020-10-27160,400(+570)876(+14) 2020-10-28162,354(+1,954)887(+11) 2020-10-29164,718(+2,364)904(+17) 2020-10-30168,235(+3,517)920(+16) 2020-10-31170,743(+2,508)937(+17) 2020-11-01173,567(+2,824)960(+23) 2020-11-02176,500(+2,933)984(+24) 2020-11-03179,614(+3,114)1,004(+20) 2020-11-04182,923(+3,309)1,034(+30) 2020-11-05185,974(+3,051)1,052(+18) 2020-11-06188,883(+2,909)1,070(+18) 2020-11-07191,636(+2,753)1,087(+17) 2020-11-08194,453(+2,817)1,108(+21) 2020-11-09197,024(+2,571)1,126(+18) 2020-11-10199,760(+2,736)1,148(+22) 2020-11-11202,329(+2,569)1,174(+26) 2020-11-12204,242(+1,913)1,189(+15) 2020-11-13206,353(+2,111)1,202(+13) 2020-11-14208,299(+1,946)1,215(+13) 2020-11-15209,776(+1,477)1,221(+6) 2020-11-16210,973(+1,197)1,230(+9) 2020-11-17211,475(+502)1,247(+17) 2020-11-18212,917(+1,442)1,259(+12) 2020-11-19215,020(+2,103)1,276(+17) 2020-11-20216,965(+1,945)1,298(+22) 2020-11-21218,639(+1,674)1,305(+7) 2020-11-22220,308(+1,669)1,321(+16) 2020-11-23222,288(+1,980)1,337(+16) 2020-11-24224,078(+1,790)1,361(+24) 2020-11-25226,026(+1,948)1,389(+28) 2020-11-26227,640(+1,614)1,412(+23) 2020-11-27229,343(+1,703)1,435(+23) 2020-11-28230,723(+1,380)1,454(+19) 2020-11-29231,978(+1,255)1,479(+25) 2020-11-30233,452(+1,474)1,508(+29) 2020-12-01234,756(+1,304)1,529(+21) 2020-12-02236,246(+1,490)1,538(+9) 2020-12-03237,589(+1,343)1,551(+13) 2020-12-04238,861(+1,272)1,567(+16) 2020-12-05239,885(+1,024)1,577(+10) 2020-12-06240,981(+1,096)1,594(+17) 2020-12-07241,995(+1,014)1,614(+20) 2020-12-08243,377(+1,382)1,637(+23) 2020-12-09244,433(+1,056)1,651(+14) 2020-12-10245,650(+1,217)1,663(+12) 2020-12-11246,694(+1,044)1,674(+11) 2020-12-12247,593(+899)1,689(+15) 2020-12-13248,423(+830)1,698(+9) 2020-12-14249,244(+821)1,716(+18) 2020-12-15250,180(+936)1,730(+14) 2020-12-16250,916(+736)1,743(+13) 2020-12-17251,692(+776)1,749(+6) 2020-12-18252,474(+782)1,765(+16) 2020-12-19253,184(+710)1,777(+12) 2020-12-20253,772(+588)1,788(+11) 2020-12-21254,514(+742)1,795(+7) 2020-12-22255,236(+722)1,798(+3) 2020-12-23255,979(+743)1,803(+5) 2020-12-24256,592(+613)1,808(+5) 2020-12-25257,200(+608)1,816(+8) 2020-12-26257,700(+500)1,819(+3) 2020-12-27258,181(+481)1,825(+6) 2020-12-28258,840(+659)1,832(+7) 2020-12-29259,548(+708)1,840(+8) 2020-12-30260,059(+511)1,847(+7) 2020-12-31260,593(+534)1,856(+9) 2021-01-01261,019(+426)1,864(+8) 2021-01-02261,438(+419)1,870(+6) 2021-01-03261,859(+421)1,878(+8) 2021-01-04262,262(+403)1,885(+7) 2021-01-05262,784(+522)1,893(+8) 2021-01-06263,193(+409)1,899(+6) 2021-01-07263,605(+412)1,903(+4) 2021-01-08264,159(+554)1,909(+6) 2021-01-09264,521(+362)1,912(+3) 2021-01-10264,780(+259)1,917(+5) 2021-01-11265,268(+488)1,927(+10) 2021-01-12265,698(+430)1,932(+5) 2021-01-13266,143(+445)1,937(+5) 2021-01-14266,546(+403)1,943(+6) 2021-01-15266,816(+270)1,948(+5) 2021-01-16267,056(+240)1,954(+6) 2021-01-17267,322(+266)1,959(+5) 2021-01-18267,644(+322)1,965(+6) 2021-01-19267,992(+348)1,969(+4) 2021-01-20268,310(+318)1,975(+6) 2021-01-21268,646(+336)1,979(+4) 2021-01-22268,948(+302)1,986(+7) 2021-01-23269,180(+232)1,994(+8) 2021-01-24269,450(+270)2,001(+7) 2021-01-25269,789(+339)2,011(+10) 2021-01-26270,092(+303)2,017(+6) 2021-01-27270,375(+283)2,020(+3) 2021-01-28270,588(+213)2,020(=) 2021-01-29270,745(+157)2,025(+5) 2021-01-30270,854(+109)2,027(+2) 2021-01-31270,959(+105)2,029(+2) 2021-02-01271,118(+159)2,029(=) 2021-02-02271,289(+171)2,030(+1) 2021-02-03271,431(+142)2,031(+1) 2021-02-04271,602(+171)2,033(+2) 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2021-11-14816,966(+291)11,477(+6) 2021-11-15817,333(+367)11,478(+1) 2021-11-16817,672(+339)11,482(+4) 2021-11-17818,035(+363)11,483(+1) 2021-11-18818,307(+272)11,489(+6) 2021-11-19818,578(+271)11,494(+5) 2021-11-20818,787(+209)11,495(+1) 2021-11-21819,019(+232)11,496(+1) 2021-11-22819,386(+367)11,500(+4) 2021-11-23819,699(+313)11,509(+9) 2021-11-24820,004(+305)11,513(+4) 2021-11-25820,285(+281)11,516(+3) 2021-11-26820,527(+242)11,518(+2) 2021-11-27820,724(+197)11,521(+3) 2021-11-28820,878(+154)11,523(+2) 2021-11-29821,121(+243)11,524(+1) 2021-11-30821,366(+245)11,526(+2) 2021-12-01821,651(+285)11,529(+3) 2021-12-02821,949(+298)11,535(+6) 2021-12-03822,172(+223)11,535(=) 2021-12-04822,392(+220)11,540(+5) 2021-12-05822,592(+200)11,541(+1) 2021-12-06822,830(+238)11,543(+2) 2021-12-07823,102(+272)11,545(+2) 2021-12-08823,357(+255)11,547(+2) 2021-12-09823,554(+197)11,549(+2) 2021-12-10823,786(+232)11,552(+3) 2021-12-11823,980(+194)11,553(+1) 2021-12-12824,222(+242)11,554(+1) 2021-12-13824,535(+313)11,557(+3) 2021-12-14824,764(+229)11,559(+2) 2021-12-15825,016(+252)11,565(+6) 2021-12-16825,176(+160)11,567(+2) 2021-12-17825,445(+269)11,570(+3) 2021-12-18825,603(+158)11,572(+2) 2021-12-19825,736(+133)11,573(+1) 2021-12-20825,954(+218)11,574(+1) 2021-12-21826,206(+252)11,577(+3) 2021-12-22826,423(+217)11,579(+2) 2021-12-23826,664(+241)11,581(+2) 2021-12-24826,901(+237)11,582(+1) 2021-12-25827,058(+157)11,583(+1) 2021-12-26827,271(+213)11,585(+2) 2021-12-27827,522(+251)11,586(+1) 2021-12-28827,763(+241)11,588(+2) 2021-12-29827,972(+209)11,590(+2) 2021-12-30828,207(+235)11,590(=) 2021-12-31828,431(+224)11,594(+4) 2022-01-01828,773(+342)11,594(=) 2022-01-02828,986(+213)11,596(+2) 2022-01-03829,277(+291)11,598(+2) ⋮ 2022-01-13845,501(n.a.)11,613(n.a.) source: nepali ministry of health and population via official website the ongoing pandemic of coronavirus disease 2019 (covid-19) is caused by severe acute respiratory syndrome coronavirus 2 (sars-cov-2). the outbreak was first identified in wuhan city, hubei, china, in december 2019 and recognised as a pandemic by the world health organization (who) on 11 march 2020. as of 13 may 2023, 2023-05-13 cases of covid-19 have been reported, resulting in 6,927,365 reported deaths. many people have recovered, although there may be a possibility of reinfection. the case fatality rate was estimated to be 4 percent in china, but varies significantly between countries. common symptoms include fever, cough and shortness of breath. complications may include pneumonia and acute respiratory distress syndrome. the time from exposure to onset of symptoms is typically around five days, but may range from two to fourteen days. there is no known vaccine or specific antiviral treatment. primary treatment is symptomatic and supportive therapy. recommended preventive measures include hand washing, covering one's mouth when coughing, maintaining distance from other people, and monitoring and self-isolation for people who suspect they are infected. authorities worldwide have responded by implementing travel restrictions, quarantines, curfews, workplace hazard controls, and facility closures. the pandemic has led to severe global economic disruption, the postponement or cancellation of sporting, religious, political and cultural events, and widespread shortages of supplies exacerbated by panic buying. schools, universities and colleges have closed either on a nationwide or local basis in 63 countries, affecting approximately 47 percent of the world's student population. misinformation about the virus has spread online. due to reduced travel and closures of heavy industry, there has been a decrease in air pollution and carbon emissions. nepal nepal is a landlocked country with china in the northern side and india in the east, west and south. nepal shares a 1,414 kilometres (879 mi) border with tibet autonomous region, in the himalayas. china is nepal's second-largest trading partner. nepal has an 1,800-km open border with india in the east, west and south. nepal lies in south asia, one of the least developed and most densely populated world regions, that performs poorly in education as well as health care and sanitation metrics. as such, nepal was considered one of the highest risk areas for the pandemic, and also one of the least prepared. however, who later re-classified nepal to less at risk from its initial classification as "very vulnerable". according to the kathmandu post, before the pandemic, hospitals in nepal had few icu beds (just three in teku hospital) which were almost always occupied, with people in critical condition usually having to wait for the beds to become empty. it reported doctors as saying that it would be next to impossible to admit new patients to icu as soon as they need them. teku hospital, the only one designated for handling infectious diseases, had built an isolation ward during the avian influenza outbreak a decade ago, but had never brought it into use, as it did not have experts to evaluate or maintain the required standards. as news of a new infectious disease in china broke, concerns were raised in nepal over the high potential risk, the need to implement preventive measures and a severe lack of necessary medical equipment and infrastructure. according to baburam marasini, former director of epidemiology and disease control division, nepal lacked double-cab ambulances to transport highly infectious patients safely, isolation wards in hospitals, or biosafety level-3 or better laboratories needed to test for highly infectious diseases. timeline main article: timeline of the covid-19 pandemic in nepal major events during the covid-19 pandemic in nepal 23 jan first confirmed case, in a wuhan returnee 22 mar suspension of international flights and the visit nepal 2020 campaign 24 mar beginning of a nation-wide lockdown 4 apr first locally transmitted case, confirmed in kailali 14 may first death, of a woman from sindhupalchowk 28 may 1,000 confirmed cases 8 jun 100,000 rt-pcr tests 23 jun 10,000 confirmed cases 13 jul 10,000 recoveries 21 jul end of the nation-wide lockdown 15 aug 100 deaths 3 nov 1,000 deaths the first covid-19 case in nepal was confirmed on 23 january in a 32-year-old man who had returned from china on 9 january. the patient had shown mild symptoms, and was confirmed recovered when he tested negative on 29 and 31 january. though a few suspected patients were treated in the makeshift isolation ward of teku hospital, no new cases were reported until the last week of march. nepal focused its efforts on planning, prevention and preparation. in the third week of march, nepal began to see a significant influx of people from india as india saw increase in new cases throughout the country. a noticeable outflux of people from the kathmandu valley was reported. the second case was confirmed on 23 march in a young woman who had recently flown to kathmandu from france via qatar. a nationwide lockdown was implemented on 24 march. by 4 april, six additional cases had been recorded in people who had recently returned from abroad. the same day, the first case of local transmission was confirmed; a relative of one of the patients confirmed that day also tested positive. the figures nearly doubled on a single day on 17 april, when 12 indian nationals from delhi, quarantined in a