Covid-19: The World Health Organisation (WHO) Updates
The World Health Organisation website has currently been providing updates specific to the situation in Nepal. There have been 15 updates since 20/04/20; they tend to appear on a weekly basis.
The latest update can be found here.
Important updates include that SARS-CoV-2 is no longer present country wide. In some areas there have been no new cases confirmed by RT-PCR for 14 days, see image below (Figure 1) (correct from 28/07/20). This does not mean that there are no cases of SARS-CoV-2, as those infected could be asymptomatic and have not been tested.
The epidemic curves below (Figure 2) are for the different provinces of Nepal. As can be seen there are more cases within Province 2, Province 5 and Sudur Praschhim. Exact reasons for this are unknown. Potential reasons could include travel back from India, increased access to testing in these regions, more dense populations.
Figure 3 shows the distribution between ages and sex. It should be noted that men appear to be more represented in this. Reasons for this could be the way in which men work, a lot might be returning from India, more likely to travel on buses, more likely to take on risky behaviours. Exact reasons are currently unknown.
From the 19061 confirmed laboratory cases there is a breakdown of age and number of deaths. The data is skewed towards the total confirmed cases in the younger generations. A potential reason for this is that the median age of Nepal, according to Statista.com, is 24.6. This could also be because younger people living within cities are more likely to be exposed to crowds, or more likely to come back from India. However, these are just theories. It should be noted that there appears to be a higher age specific fatality ratio for those over the age of 85. There are not many cases in this age group, so the data could be skewed.
Key Notes from the WHO update
• Currently the international border and borders will remain closed until at least 16/08/2020
• Long bus routes, domestic flights and international passenger flights will resume from 17/08/2020