Kathmandu, March 11
What happens if a small wave of coronavirus disease sputters in Kathmandu or any part of the country? Can Nepal’s health system handle the situation?
These are some of the questions that are being raised as the COVID-19 has made its way to 113 countries, killing close to 4,300 people and infecting over 118,000.
Nepal detected its first coronavirus patient around two months ago, who has since recovered. Since then blood samples and throat swabs of 445 people suspected to have contracted the disease have been collected but none has tested positive.
The government takes pride in referring to Nepal as a country with zero active coronavirus case. And it intends to prevent the disease from entering its territory in the coming days as well. To keep the country safe, the government has been screening passengers and checking their travel history at Tribhuvan International Airport and has halted issuing on-arrival visas to visitors from coronavirus hotspots. It has also asked Nepalis not to travel abroad unless it is urgent.
Despite these preventive measures, the possibility of the virus entering the country cannot be ruled out. And even if a few cases are detected, the number of infected people can multiply rapidly within a few days as seen in Iran, Italy and South Korea.
“If the infection spreads rapidly, we’ll see what needs to be done,” said Bikash Devkota, spokesperson for the Ministry of Health and Population.
Many countries are pulling out all the stops to fight the spread of the disease. But Nepal still lacks a cohesive plan to deal with the possible threat, which can overload the health system and cause it to break apart.
Nepal has around 2,000 hospitals across the country, of which about 150 are public, and about 4,000 health centres run by the government.
But the government does not have consolidated figure on number of hospital beds that have been dedicated to isolate suspected coronavirus patients.
There are 155 beds in various hospitals in Kathmandu valley for isolation, according to the MoHP. “But provincial governments are currently working on it. A team has visited the provinces and has studied the situation,” said Mahendra Shrestha, director general of Department of Health Services.
What is also in short supply are reagents and personal protective equipment. The National Public Health Laboratory has reagents to test only 1,500 samples, according to Runa Jha, director of NPHL. And there are only 1,150 PPEs for healthcare workers, who have to deal with coronavirus cases.
“The process of procuring these equipments is very long, which needs to be revised, as we need minimum of 15 days to place the order,” said Bhogendra Dotel, director Logistics Management Division of the DoHS.
Health experts across the globe have said intensive care units and ventilators are necessary to treat patients with severe coronavirus infection. But Nepal also lacks them.
Hospitals across Nepal, both public and private, have 700 ICUs. But none of these facilities has so far been redesigned to treat coronavirus patients. Nepal’s largest public hospital, Bir Hospital, for example has 23 ICUs and 20 ventilators.
“We need ICU beds in single rooms to treat coronavirus patients, which we don’t have,” said the hospital’s Director Kedar Century.
“This means all other patients must be removed from ICUs even to treat a single coronavirus patient.”
The situation is same at Tribhuvan University Teaching Hospital, which has 11 main ICUs and Sukraraj Tropical and Infectious Disease Hospital, which the government has designated for treatment of suspected coronavirus patients where three ICU beds are available.
How to self-quarantine
On Tuesday, Health Minister Bhanubhakta Dhakal requested Nepalis to remain in self-quarantine if they feared they had contracted coronavirus disease.
Here is how one can self quarantine:
A version of this article appears in print on March 12, 2020 of The Himalayan Times.
RAUTAHAT: The number of COVID-19 positive cases crossed hundred with 35 people testing positive for the infection in Rautahat district, on Wednesday. Among the new cases, eight people have been infected in Gaur Municipality, 16 in Ishanath Municipality, two in Dewahi Gonahi Municipality, two in K Read More...
Previous experience from Ebola epidemic in Liberia has already proven that discontinuing heath services unrelated to epidemic response resulted in more deaths than the epidemic itself. Most of the reproductive health services are time sensitive and further delay or denial in seeking services can inc Read More...
JAJARKOT: The families of the victims of Chaurjahari incident have filed a First Incident Report (FIR) against 20 persons for their involvement in the killings of Dalit youth Nawaraj BK and his friends, in District Police Office, Jajarkot on Wednesday. As per the FIR, Chaurjahari Municipality-8 c Read More...
JAJARKOT: A husband-wife duo have lost their lives in Jajarkot district after being buried in a sand dune. The deceased have been identified as Ekka Bahadur Singh, 36, of Nalagad Municipality-7 and his wife Kumari Singh, 33, the police verified. The incident occurred during the construction of Read More...
LOS ANGELES: Hollywood actor Chris Evans says there was a time when he was contemplating quitting acting, after suffering from a series of horrific anxiety and panic attacks. He added that he almost turned down the role of superhero Captain America. The actor is best known for essaying role of St Read More...
NEW DELHI: As India braces for a hotter than usual summer, many cities in the country's north are reeling under an intense heatwave with the temperatures on Wednesday crossing a scorching 45 degrees Celsius (113 degrees Fahrenheit). The temperatures in northern India are the highest that the coun Read More...