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

EWARS Weekly Bulletin
Week 49, 2025
15th December 2025
Highlights
Among the reported diseases, SARI is the leading cause of morbidity in Week 49 with 476 reported cases.
Overall reporting rate of Week 49 is 95.5% with 128 out of 134 sentinel sites reporting to EWARS.
 Week Summary

This bulletin includes data since January 2023 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 provinces of Nepal were upgraded to sentinel sites, thus the number of sentinel sites have increased. The current number of sentinel sites is 134.
 

Trend of Outbreak Prone Diseases/Syndromes
AGE trend
SARI trend

Comparative Analysis by Disease/Syndrome (Week 49, 2025)

Disease Week 48, 2025
(Previous Week)		 Week 49, 2025
(This Week)		 Change in
No. of Cases		 Week 49, 2024
(Last Year Same Week)
AGE 238247 9 ■ 318
SARI 499476 -23 ■ 562
Cholera 00 0 ■ 0
Dengue 104129 25 ■ 226
Kala azar 45 1 ■ 2
Malaria 03 3 ■ 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 (22 cases), PARSA (16 cases), SANKHUWASABHA (15 cases), KAILALI (14 cases) and CHITAWAN (10 cases).
Most of the SARI cases were reported from KAILALI (36 cases), KATHMANDU (36 cases), MORANG (32 cases), RUPANDEHI (19 cases) and PALPA (18 cases).
Most of the Cholera cases were reported from BHAKTAPUR (3 cases), DHADING (2 cases) and DOLAKHA (1 case).
Most of the Malaria cases were reported from BAITADI (1 case), BARDIYA (1 case), PALPA (1 case) and BARA (1 case).
Most of the Dengue cases were reported from BAGLUNG (61 cases), KATHMANDU (10 cases), TANAHU (9 cases), LAMJUNG (5 cases) and GORKHA (4 cases).
Most of the Kala azar cases were reported from DOLPA (1 case), PALPA (1 case), GULMI (1 case), PYUTHAN (1 case) and LALITPUR (1 case).
Most of the Scrub Typhus cases were reported from DANG (29 cases), KAILALI (14 cases), PALPA (11 cases), SALYAN (10 cases) and GORKHA (7 cases).
Most of the Enteric Fever cases were reported from KAILALI (27 cases), KANCHANPUR (10 cases), PARSA (10 cases), JHAPA (8 cases) and KATHMANDU (6 cases).
Most of the Influenza Like Illness cases were reported from KAILALI (62 cases), SINDHUPALCHOK (38 cases), PARBAT (35 cases), KANCHANPUR (18 cases) and BHAKTAPUR (18 cases).

Province Reporting Status (Week 49, 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.