Ministry of Health and Population
Department of Health Services
Epidemiology and Disease Control Division

EWARS Weekly Bulletin
Week 10, 2025
21st March 2025
Highlights
Among the reported diseases, SARI is the leading cause of morbidity in Week 10 with 727 (probable/suspect/confirm) reported cases.
Overall reporting rate of Week 10 is 97.0% with 130 out of 134 sentinel sites reporting to EWARS.
 Week Summary

This bulletin includes data since January 2022 till date, including comparison of the same period last two year. In May 2019, 36 new sentinel sites (including public hospitals, private hospitals, and medical colleges) were added and was gradually oriented and started reporting. Recently, in November 2024, 17 reporting sites selected from all the provices of Nepal were upgraded to sentinel sites, thus the number of sentinel sites are increasing. The current number of sentinel sites is 134.
 

Trend of Outbreak Prone Diseases/Syndromes
AGE trend
SARI trend

Comparative Analysis by Disease/Syndrome (Week 10, 2025)

Disease (Probable/Suspect/Confirm) Week 9, 2025
(Previous Week)		 Week 10, 2025
(This Week)		 Change in
No. of Cases		 Week 10, 2024
(Last Year Same Week)
AGE 407354 -53 ■ 362
SARI 827727 -100 ■ 394
Cholera 53 -2 ■ 0
Malaria 01 1 ■ 0
Dengue 6669 3 ■ 31
Kala azar 35 2 ■ 8
Scrub Typhus 104107 3 ■ 62
Enteric Fever 7481 7 ■ 35
Influenza Like Illness 604558 -46 ■ 154
■ Increase in number of cases
■ Decrease in number of cases
■ No change in number of cases
Summary Observation
Most of the AGE cases were reported from PARSA (34 cases), KATHMANDU (31 cases), BHAKTAPUR (22 cases), RAUTAHAT (13 cases) and BARA (12 cases).
Most of the SARI cases were reported from KATHMANDU (64 cases), SUNSARI (52 cases), MORANG (50 cases), RUPANDEHI (43 cases) and KAILALI (31 cases).
Cholera case(s) were reported from MYAGDI (2 cases) and BHOJPUR (1 case).
Malaria case(s) were reported from KAILALI (1 case).
Most of the Dengue cases were reported from KATHMANDU (10 cases), RUPANDEHI (9 cases), JHAPA (9 cases), CHITAWAN (6 cases) and SUNSARI (5 cases).
Most of the Kala azar cases were reported from BANKE (1 case), PYUTHAN (1 case), SINDHULI (1 case), KATHMANDU (1 case) and TAPLEJUNG (1 case).
Most of the Scrub Typhus cases were reported from DANG (10 cases), CHITAWAN (10 cases), DADELDHURA (9 cases), ACHHAM (5 cases) and DOTI (5 cases).
Most of the Enteric Fever cases were reported from OKHALDHUNGA (10 cases), DARCHULA (8 cases), KATHMANDU (7 cases), JHAPA (7 cases) and PARSA (5 cases).
Most of the Influenza Like Illness cases were reported from KAILALI (159 cases), SOLUKHUMBU (79 cases), SINDHUPALCHOK (57 cases), ACHHAM (41 cases) and BHAKTAPUR (37 cases).

Province Reporting Status (Week 10, 2025)

Province Status

Acknowledgement: The Epidemiology and Disease Control Division (EDCD) highly acknowledges the contribution from all the sentinel sites, medical recorders, EWARS focal persons, rapid response team members and technical support from WHO and GIZ for preparation of this bulletin.

Note: This bulletin is also available at the EDCD website. Other information can also be accessed at the website www.edcd.gov.np. If you have difficulty reading this bulletin, you can access it online.