Swine flu outbreaks were reported in Nepal in the spring of 2015. Up to April 21, 2015 the disease had claimed 26 lives in the most severely affected district, Jajarkot in Northwest Nepal. Cases were also detected in the districts of Kathmandu, Morang, Kaski, and Chitwan. As of 22 April 2015 the Nepal Ministry of Health reported that 2,498 people had been treated in Jajarkot, of whom 552 were believed to have swine flu, and acknowledged that the government's response had been inadequate. The Jajarkot outbreak had just been declared an emergency when the April 2015 Nepal earthquake struck on 25 April 2015, diverting all medical and emergency resources to quake-related rescue and recovery.