Monsoon Health Alert Nepal

Kathmandu Metropolitan City provided rabies vaccines to Shukraraj Tropical and Infectious Disease Hospital to address shortages and ensure continued vaccination services amid procurement challenges.

Nepal's Ministry of Health and Food Hygiene reported holding approximately 10,000 anti-rabies vaccine vials nationwide, including 2,500 received with WHO support and an additional 4,500 expected soon, ensuring ongoing rabies prevention and treatment.

Nepal's Ministry of Health confirmed a total of 10,011 anti-rabies vaccine vials available nationwide, including a 40-day reserve at Shukraraj Tropical and Infectious Disease Hospital and recent supplies of 2,500 vials from WHO with 4,500 more expected soon, ensuring ongoing rabies prevention and treatment.

Kathmandu experienced increased rabies fatalities due to severe vaccine shortages and challenges in dog vaccination programs, with a 48-year-old man dying after inadequate access to timely vaccination following a dog bite.

Nepal's two-day public holiday policy has strained healthcare access, with government hospitals overwhelmed on weekdays due to weekend closures, impacting patient care and increasing financial burdens.

The Ministry of Health and Food Safety asserted there is no shortage of rabies vaccines, confirming sufficient stock for emergency treatments and issuing a new tender for 5,000 vials after previous procurement attempts failed.

A man from Chandragiri died of rabies due to the unavailability of vaccines after a puppy bite, underscoring the ongoing critical shortage of anti-rabies vaccines and failures in procurement and distribution.

During June 15–21, Nepal recorded persistent cases of dengue (53 cases, highest in Lumbini Province), scrub typhus (19 cases in Sudurpaschim Province), and kala-azar (4 cases mostly in Sudurpaschim and Bagmati). Influenza and gastrointestinal illnesses also remained steady across multiple provinces.

Reports highlighted a persistent shortage of rabies vaccines across Nepal, with government and private facilities affected, raising risks of fatal rabies cases especially outside Kathmandu. The government faces pressure to ensure vaccine availability to reach the 2030 goal of eliminating dog-mediated rabies deaths.

A 48-year-old man in Chandragiri Municipality died of rabies after failing to receive the anti-rabies vaccine following a dog bite. He was treated at Shukraraj Tropical and Infectious Disease Hospital before passing away.

Bird flu spread severely in Kathmandu Valley districts, leading to the destruction of over 600,000 chickens and more than 1 million eggs. Consumer fear caused a 20 to 30 percent decline in chicken meat consumption, prompting intensified government control measures.

A 48-year-old man died of rabies in Chandragiri after a puppy bite and failure to receive timely vaccination due to acute rabies vaccine shortages at government health facilities. Victims often must travel to Kathmandu or pay privately to access vaccines amid these shortages.

The Ministry of Health announced the expected arrival of 4,500 rabies vaccine vials to ease the current shortage caused by high demand and delayed supply. A multi-year procurement plan is being developed to prevent future vaccine shortages.

Nepal's provincial governments allocated significant fiscal year 2026-27 budgets for healthcare improvements, focusing on hospital upgrades, rural health service expansion, and specialist care in provinces including Karnali and Lumbini.

Nepal's Department of Health Services activated a nationwide alert and deployed digital surveillance for monsoon diseases like cholera, dengue, and scrub typhus. Over 200 health workers received epidemiological training, supported by a 30 crore rupee epidemic control budget.

Nepali Congress MP demanded urgent government action to resolve shortages of essential cancer drugs like Cisplatin and Carboplatin, noting patients undergoing chemotherapy remain without access despite prior government instructions.

Nepal faces acute shortages of platinum-based chemotherapy drugs including cisplatin, carboplatin, and oxaliplatin, causing delays or halts in cancer treatments and forcing some patients to seek expensive alternatives.

The Ministry of Health launched the Free Health Portal to provide information on free hospital beds, serving over 1,200 poor patients with access to healthcare services nationwide.

Nepal recorded over 900 dengue infections across 68 districts, including new cases in mountain areas. Health officials warn of an expected surge in dengue cases with the approaching monsoon season.

A nationwide nutrition assessment found over 18,000 children suffering from severe acute malnutrition, with Madhesh Province hardest hit at 8,380 cases. Treatment is being provided with Ready-to-Use Therapeutic Food through 25 rehabilitation centers.

Nepal faces a severe shortage of rabies vaccines at public health facilities, affecting over 60,000 people who annually receive anti-rabies treatment. The Epidemiology and Disease Control Division has stopped vaccine procurement, shifting responsibility to local and provincial authorities.

Sukraraj Hospital in Kathmandu faces critical rabies vaccine shortages, with only a few hundred doses left amid over 500 patients daily seeking treatment. The federal health ministry has not supplied vaccines for months, shifting procurement to provincial and private sectors, risking increased rabies mortality.

The government of Nepal announced plans to vaccinate residents in 11 high-burden districts against Japanese encephalitis in the upcoming fiscal year, amid rising JE cases and fatalities. This program targets priority districts due to funding limits, despite recommendations for broader vaccination coverage.

Highly pathogenic H5N1 bird flu rapidly spread across 10 districts, causing culling of over 479,000 birds and threatening Nepal's Rs 60 billion poultry industry. The outbreak peaked in 2022 and expanded into Kathmandu Valley in 2026, impacting rural economy and food security.

Health Minister Nisha Mehta directed the Department of Drug Administration to expedite licensing, perform on-site monitoring of medicine suppliers, and conduct quality testing of generic medicines distributed free and through insurance schemes to ensure smooth medicine supply and address shortages.

Nepal reports approximately 67,000 new tuberculosis cases and 16,000 deaths annually, equating to 53 deaths per 100,000 people, with plans to expand the Tuberculosis-Free Nepal campaign to 256 local levels by next fiscal year.

Nepal faces predictable monsoon outbreaks of dengue, cholera, and typhoid, with climate change and urban growth expanding disease risks beyond traditional vulnerable areas to hills and mountains including Kathmandu Valley. Effective control requires integrated water safety, waste management, clinical preparedness, surveillance, and local government engagement.

Nepal's Ministry of Health issued a warning about rising heatwave risks due to climate change, advising vulnerable groups like children, elderly, and chronically ill to take protective measures such as avoiding peak heat and staying hydrated.

The Ministry of Health formed rapid response teams with trained doctors and health workers nationwide and implemented a national monsoon preparedness plan involving federal, provincial, and local bodies. Efforts focus on medicine management, health supplies, and public awareness for disease prevention during monsoon.