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

EWARS Weekly Bulletin
Week 28, 2025
21st July 2025
Highlights
Among the reported diseases, AGE is the leading cause of morbidity in Week 28 with 544 reported cases.
Overall reporting rate of Week 28 is 98.5% with 132 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 28, 2025)

Disease Week 27, 2025
(Previous Week)		 Week 28, 2025
(This Week)		 Change in
No. of Cases		 Week 28, 2024
(Last Year Same Week)
AGE 604544 -60 ■ 581
SARI 299353 54 ■ 293
Cholera 00 0 ■ 1
Dengue 6285 23 ■ 103
Kala azar 36 3 ■ 4
Malaria 513 8 ■ 1
■ 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 KATHMANDU (64 cases), PARSA (39 cases), LALITPUR (38 cases), BHAKTAPUR (27 cases) and KAILALI (22 cases).
Most of the SARI cases were reported from KATHMANDU (39 cases), BAITADI (16 cases), SUNSARI (15 cases), PALPA (14 cases) and MORANG (14 cases).
Most of the Cholera cases were reported from BHAKTAPUR (15 cases), RUPANDEHI (2 cases), SINDHUPALCHOK (2 cases), DOLAKHA (1 case) and JHAPA (1 case).
Most of the Malaria cases were reported from DADELDHURA (2 cases), SURKHET (2 cases), KASKI (1 case), LALITPUR (1 case) and KATHMANDU (1 case).
Most of the Dengue cases were reported from PALPA (15 cases), KATHMANDU (11 cases), LAMJUNG (9 cases), DANG (6 cases) and KASKI (6 cases).
Most of the Kala azar cases were reported from DAILEKH (1 case), KALIKOT (1 case), MAKWANPUR (1 case), LALITPUR (1 case) and TAPLEJUNG (1 case).
Most of the Scrub Typhus cases were reported from SANKHUWASABHA (17 cases), DANG (14 cases), PALPA (13 cases), GORKHA (13 cases) and CHITAWAN (11 cases).
Most of the Enteric Fever cases were reported from KAILALI (33 cases), PARSA (16 cases), KANCHANPUR (10 cases), KATHMANDU (10 cases) and DADELDHURA (5 cases).
Most of the Influenza Like Illness cases were reported from KAILALI (82 cases), BAITADI (38 cases), BHAKTAPUR (23 cases), SINDHUPALCHOK (21 cases) and KANCHANPUR (20 cases).

Province Reporting Status (Week 28, 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.