Respected Secretary and All,
Namaste!

On behalf of Dr. Chandra Bhal Jha, Director, Epidemiology, and Disease Control Division (EDCD), we are pleased to share with you the "EWARS Weekly Bulletin", Week 16, 2025, 2nd May 2025.

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

EWARS Weekly Bulletin
Week 16, 2025
2nd May 2025
Highlights
Among the reported diseases, AGE is the leading cause of morbidity in Week 16 with 570 reported cases.
Overall reporting rate of Week 16 is 96.3% with 129 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 16, 2025)

Disease Week 15, 2025
(Previous Week)		 Week 16, 2025
(This Week)		 Change in
No. of Cases		 Week 16, 2024
(Last Year Same Week)
AGE 559570 11 ■ 649
SARI 547400 -147 ■ 362
Cholera 10 -1 ■ 2
Dengue 3329 -4 ■ 32
Kala azar 14 3 ■ 5
Malaria 41 -3 ■ 0
■ Increase in number of cases
■ Decrease in number of cases
■ No change in number of cases
Summary Observation (including probable and suspect cases)
Most of the AGE cases were reported from PARSA (50 cases), KATHMANDU (41 cases), KAILALI (29 cases), RUPANDEHI (23 cases) and DHADING (20 cases).
Most of the SARI cases were reported from KATHMANDU (30 cases), SUNSARI (29 cases), MORANG (25 cases), RUPANDEHI (17 cases) and UDAYAPUR (16 cases).
Cholera case(s) were reported from BHAKTAPUR (10 cases) and PARBAT (1 case).
Most of the Dengue cases were reported from JHAPA (5 cases), KATHMANDU (4 cases), PALPA (3 cases), CHITAWAN (3 cases) and RAMECHHAP (3 cases).
Most of the Kala azar cases were reported from SURKHET (2 cases), KANCHANPUR (1 case), DOLPA (1 case), BARDIYA (1 case) and SINDHULI (1 case).
Most of the Scrub Typhus cases were reported from DADELDHURA (12 cases), DOTI (7 cases), KAILALI (6 cases), NAWALPARASI WEST (6 cases) and CHITAWAN (5 cases).
Most of the Enteric Fever cases were reported from SARLAHI (9 cases), BARA (7 cases), MAHOTTARI (7 cases), PARSA (5 cases) and KATHMANDU (4 cases).
Most of the Influenza Like Illness cases were reported from KAILALI (94 cases), BHAKTAPUR (35 cases), KANCHANPUR (29 cases), PARBAT (23 cases) and SINDHUPALCHOK (23 cases).

Province Reporting Status (Week 16, 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.

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