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List of Coronavirus disease (COVID-19) Hub Hospitals in Nepal

by Public Health Update March 28, 2020
written by Public Health Update

LIST OF COVID-19 HOSPITALS (COVID-19 CARE UNITS) IN NEPAL

Update: May 22, 2021

List of Coronavirus disease (COVID-19) Hub Hospitals in Nepal


Source of information: https://covid19.mohp.gov.np
Last updated: 12:18, March 28, 2020


  • Mahakali Zonal Hospital, Bhimdatta Nagarpalika,Kanchanpur

    099 – 521111

  • Seti Zonal Hospital

    Dhangadhi Upamahanagarpalika,Kailali091-524281

  • Far-west Sub Regional Hospital
    Amargadhi Nagarpalika,Dadeldhura
  • Narayani Sub Regional Hospital

    Birgunj Mahanagarpalika,Parsa051-521993

  • Gajendra Narayan Singh Sagarmatha Zonal Hospital

    Rajbiraj Nagarpalika,Saptari031-520155

  • Janakpur Zonal Hospital

    Janakpur Upamahanagarpalika,Dhanusha041-520133

  • Lumbini Zonal Hospital

    Butwal Upamahanagarpalika,Rupandehi071-540200

  • Rapti Zonal Hospital

    Tulsipur Upamahanagarpalika,Dang082-521624

  • Bheri Zonal Hospital

    Nepalgunj Upamahanagarpalika,Banke081-520120

  • Rapti Sub-Regional Hospital
    Ghorahi Upamahanagarpalika,Dang
  • Shree Birendra Hospital

    Kathmandu Mahanagarpalika,Kathmandu023-541235

  • Bir Hospital

    Kathmandu Mahanagarpalika,Kathmandu01-4221119

  • Civil Service Hospital

    Kathmandu Mahanagarpalika,Kathmandu01-4107000

  • Tribhuwan University Teaching Hospital

    Kathmandu Mahanagarpalika,Kathmandu01-4412303

  • PAHS

    Lalitpur Mahanagarpalika,Lalitpur01-5522295

  • Pokhara Health Science Academy

    Pokhara Lekhnath Mahanagarpalika,Kaski061-522674

  • Dhaulagiri Zonal Hospital

    Baglung Nagarpalika,Baglung068-520188

  • Koshi Zonal Hospital

    Biratnagar Mahanagarpalika,Morang021-530103

  • Mechi Zonal Hospital

    Bhadrapur Nagarpalika,Jhapa023-520172

  • B.P Koirala Institute of Health Sciences

    Dharan Upamahanagarpalika,Sunsari025-525555

  • Mid-Western Regional Hospital

    Birendranagar Nagarpalika,Surkhet083-520200

  • Bharatpur Hospital

    Bharatpur Mahanagarpalika,Chitawan056-527959

  • Bhaktapur Hospital

    Bhaktapur Nagarpalika,Bhaktapur01-6610798

  • Karnali Academy of Health Science

    Chandannath Nagarpalika,Jumla01-5525322

  • Dhulikhel Hospital

    Dhulikhel Nagarpalika,Kabhrepalanchok011-490497


Laboratory facility 
National Public Health Laboratory

Kathmandu Mahanagarpalika,Kathmandu01-4240217


Source of information: https://covid19.mohp.gov.np


Last updated: 12:18, March 28, 2020


Please visit official website of MoHP or HEOC for updated information.


Join Official MoHP Nepal VIBER GROUP


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Frequently Asked Questions About Novel Coronavirus Diseases (COVID)Test in Nepal

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Fourth positive case of COVID-19 confirmed in Nepal

by Public Health Update March 27, 2020
written by Public Health Update

Fourth positive case of COVID-19 confirmed in Nepal

The Ministry of Health and Population (MoHP) has confirmed the fourth positive case of COVID-19 in Nepal. The patient, 34-year-old male is in normal condition at Seti Provincial Hospital in Dhangadhi.

Press Briefing 


Call for Application to prepare roster- Nepal Public Health Association (NEPHA)

Extraordinary G20 Leaders’ Summit Statement on COVID-19

WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

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Extraordinary G20 Leaders’ Summit Statement on COVID-19

by Public Health Update March 27, 2020
written by Public Health Update

Extraordinary G20 Leaders’ Summit Statement on COVID-19

#G20 Leaders have concluded the Extraordinary #G20VirtualSummit on 26 March 2020 with a joint adoption of Leaders’ Statement on #COVID19.

The unprecedented COVID-19 pandemic is a powerful reminder of our interconnectedness and vulnerabilities. The virus respects no borders. Combatting this pandemic calls for a transparent, robust, coordinated, large-scale and science-based global response in the spirit of solidarity. We are strongly committed to presenting a united front against this common threat.

We are deeply saddened by the tragic loss of life and the suffering faced by people around the world. Tackling the pandemic and its intertwined health, social and economic impacts is our absolute priority. We express our gratitude and support to all frontline health workers as we continue to fight the pandemic.

The G20 is committed to do whatever it takes to overcome the pandemic, along with the World Health Organization (WHO), International Monetary Fund (IMF), World Bank Group (WBG), United Nations (UN), and other international organizations, working within their existing mandates.

We are determined to spare no effort, both individually and collectively, to:

  • Protect lives.
  • Safeguard people’s jobs and incomes.
  • Restore confidence, preserve financial stability, revive growth and recover stronger.
  • Minimize disruptions to trade and global supply chains.
  • Provide help to all countries in need of assistance.
  • Coordinate on public health and financial measures

Fighting the Pandemic

We commit to take all necessary health measures and seek to ensure adequate financing to contain the pandemic and protect people, especially the most vulnerable. We will share timely and transparent information; exchange epidemiological and clinical data; share materials necessary for research and development; and strengthen health systems globally, including through supporting the full implementation of the WHO International Health Regulations (IHR 2005). We will expand manufacturing capacity to meet the increasing needs for medical supplies and ensure these are made widely available, at an affordable price, on an equitable basis, where they are most needed and as quickly as possible. We stress the importance of responsible communication to the public during this global health crisis. We task our Health Ministers to meet as needed to share national best practices and develop a set of G20 urgent actions on jointly combatting the pandemic by their ministerial meeting in April.

We fully support and commit to further strengthen the WHO’s mandate in coordinating the international fight against the pandemic, including the protection of front-line health workers, delivery of medical supplies, especially diagnostic tools, treatments, medicines, and vaccines. We acknowledge the necessity of urgent short-term actions to step up the global efforts to fight the COVID-19 crisis. We will quickly work together and with stakeholders to close the financing gap in the WHO Strategic Preparedness and Response Plan. We further commit to provide immediate resources to the WHO’s COVID-19 Solidarity Response Fund, the Coalition for Epidemic Preparedness and Innovation (CEPI) and Gavi, the Vaccine Alliance, on a voluntary basis. We call upon all countries, international organizations, the private sector, philanthropies, and individuals to contribute to these efforts.

To safeguard the future, we commit to strengthen national, regional, and global capacities to respond to potential infectious disease outbreaks by substantially increasing our epidemic preparedness spending. This will enhance the protection of everyone, especially vulnerable groups that are disproportionately affected by infectious diseases. We further commit to work together to increase research and development funding for vaccines and medicines, leverage digital technologies, and strengthen scientific international cooperation. We will bolster our coordination, including with the private sector, towards rapid development, manufacturing and distribution of diagnostics, antiviral medicines, and vaccines, adhering to the objectives of efficacy, safety, equity, accessibility, and affordability.

We ask the WHO, in cooperation with relevant organizations, to assess gaps in pandemic preparedness and report to a joint meeting of Finance and Health Ministers in the coming months, with a view to establish a global initiative on pandemic preparedness and response. This initiative will capitalize on existing programs to align priorities in global preparedness and act as a universal, efficient, sustained funding and coordination platform to accelerate the development and delivery of vaccines, diagnostics and treatments.

Global

Photo: Twitter

 

Safeguarding the Global Economy

We commit to do whatever it takes and to use all available policy tools to minimize the economic and social damage from the pandemic, restore global growth, maintain market stability, and strengthen resilience.

We are currently undertaking immediate and vigorous measures to support our economies; protect workers, businesses—especially micro-, small and medium-sized enterprises—and the sectors most affected; and shield the vulnerable through adequate social protection. We are injecting over $5 trillion into the global economy, as part of targeted fiscal policy, economic measures, and guarantee schemes to counteract the social, economic and financial impacts of the pandemic. We will continue to conduct bold and large-scale fiscal support. Collective G20 action will amplify its impact, ensure coherence, and harness synergies. The magnitude and scope of this response will get the global economy back on its feet and set a strong basis for the protection of jobs and the recovery of growth. We ask our Finance Ministers and Central Bank Governors to coordinate on a regular basis to develop a G20 action plan in response to COVID-19 and work closely with international organizations to swiftly deliver the appropriate international financial assistance.

We support the extraordinary measures taken by central banks consistent with their mandates. Central banks have acted to support the flow of credit to households and businesses, promote financial stability, and enhance liquidity in global markets. We welcome the extension of swap lines that our central banks have undertaken. We also support regulatory and supervisory measures taken to ensure that the financial system continues to support the economy and welcome the Financial Stability Board’s (FSB) announced coordination of such measures. We also welcome the steps taken by the IMF and the WBG to support countries in need using all instruments to the fullest extent as part of a coordinated global response and ask them to regularly update the G20 on the impacts of the pandemic, their response, and policy recommendations. We will continue to address risks of debt vulnerabilities in low-income countries due to the pandemic. We also ask the International Labour Organization (ILO) and the Organisation for Economic Cooperation and Development (OECD) to monitor the pandemic’s impact on employment.

 

Addressing International Trade Disruptions

Consistent with the needs of our citizens, we will work to ensure the flow of vital medical supplies, critical agricultural products, and other goods and services across borders, and work to resolve disruptions to the global supply chains, to support the health and wellbeing of all people. We commit to continue working together to facilitate international trade and coordinate responses in ways that avoid unnecessary interference with international traffic and trade. Emergency measures aimed at protecting health will be targeted, proportionate, transparent, and temporary. We task our Trade Ministers to assess the impact of the pandemic on trade. We reiterate our goal to realize a free, fair, non-discriminatory, transparent, predictable and stable trade and investment environment, and to keep our markets open.

 

Enhancing Global Cooperation

We will work swiftly and decisively with the front-line international organizations, notably the WHO, IMF, WBG, and multilateral and regional development banks to deploy a robust, coherent, coordinated, and rapid financial package and to address any gaps in their toolkit. We stand ready to strengthen the global financial safety nets. We call upon all these organizations to further step up coordination of their actions, including with the private sector, to support emerging and developing countries facing the health, economic, and social shocks of COVID-19. We are gravely concerned with the serious risks posed to all countries, particularly developing and least developed countries, and notably in Africa and small island states, where health systems and economies may be less able to cope with the challenge, as well as the particular risk faced by refugees and displaced persons. We consider that consolidating Africa’s health defense is a key for the resilience of global health. We will strengthen capacity building and technical assistance, especially to at-risk communities. We stand ready to mobilize development and humanitarian financing. We task our top relevant officials to coordinate closely in support of the global efforts to counter the pandemic’s impacts, including through proportionate border management measures in accordance with national regulations and to provide assistance where necessary to repatriate citizens.

We value the efforts to safeguard our people’s health through the postponement of major public events, in particular the decision by the International Olympic Committee to reschedule the Olympic Games to a date no later than summer 2021. We commend Japan’s determination to host the Olympic and Paralympic Games Tokyo 2020 in their complete form as a symbol of human resilience. We stand ready to react promptly and take any further action that may be required. We express our readiness to convene again as the situation requires. Global action, solidarity and international cooperation are more than ever necessary to address this pandemic. We are confident that, working closely together, we will overcome this. We will protect human life, restore global economic stability, and lay out solid foundations for strong, sustainable, balanced and inclusive growth.


WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic


 

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WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

by Public Health Update March 27, 2020
written by Public Health Update

WHO Director-General calls on G20 to Fight, Unite, and Ignite against COVID-19

#G20VirtualSummit

26 March 2020 

News release Geneva

 

Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization, addressed Heads of State at extraordinary G20 Leaders’ Summit focused on COVID-19. 

He told them, “You have come together to confront the defining health crisis of our time: We are at war with a virus that threatens to tear us apart – if we let it.“

He welcomed the G20‘s initiative to find joint solutions and work together: “This is a global crisis that requires a global response.”

 “Fight, unite, ignite“

Dr Tedros’ call was clear. First, he urged leaders to fight without excuses, without regrets – thanking countries who have already taken steps and urgently asking that they do more.

Second, he encouraged them to unite, stressing that no country can fight this alone, and calling on all countries to build on the solidarity already sparked by the crisis.

Third, he exhorted them to ignite a global movement to ensure this never happens again. 

He welcomed G20 leaders‘ commitment “to do whatever it takes to overcome the pandemic” to protect lives and livelihoods, as well as restore confidence and shore up stability currently threatened in trade and other sectors, and to commit to take all necessary health measures and seek to ensure adequate financing to contain the pandemic and protect people, especially the most vulnerable.“

The G20 committed to support and further strengthen WHO’s mandate in coordinating the response, and called for full funding of WHO‘s Strategic Preparedness and Response Plan.

G20 members pledged to work together to increase research and development funding for vaccines and medicines, strengthen international scientific cooperation, and leverage digital technologies.

In turn, they tasked WHO and other relevant organizations with assessing gaps in pandemic preparedness and report the findings of this assessment to the G20 Finance and Health Ministers, in order to establish a global initiative on pandemic preparedness and response together.


World Health Organization


Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

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Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal

by Public Health Update March 26, 2020
written by Public Health Update

Guideline for use of Personal Protective Equipments in relation to COVID-19 in Nepal


Source of info: Viber Group (MoHP Nepal COVID19, Viber Group), March 26, 2020
Approved by: Ministry of Health and Population, Nepal 


COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 1 scaled COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 2 scaled COVID 19 को सन्दर्भमा व्यक्तिगत सुरक्षा सामग्री पी.पी. इ. को प्रयोग सम्बन्धी निर्देशिका 3 scaled

 

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WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

by Public Health Update March 26, 2020
written by Public Health Update

WHO Director-General’s opening remarks at the media briefing on COVID-19 – 25 March 2020

25 March 2020

Good morning, good afternoon and good evening, wherever you are.

The pandemic continues to take a massive toll not just on health, but on so many parts of life.

Yesterday, the Government of Japan and the International Olympic Committee took a difficult but wise decision to postpone this year’s Olympic and Paralympic Games.

I thank Prime Minister Abe and the members of the IOC for making this sacrifice to protect the health of athletes, spectators and officials.

We look forward to next year’s Olympics and Paralympics, which we hope will be an even bigger and better celebration of our shared humanity – and I look forward to joining.

We have overcome many pandemics and crises before. We will overcome this one too.

The question is how large a price we will pay.

Already we have lost more than 16,000 lives. We know we will lose more – how many more will be determined by the decisions we make and the actions we take now.

To slow the spread of COVID-19, many countries have introduced unprecedented measures, at significant social and economic cost – closing schools and businesses, cancelling sporting events and asking people to stay home and stay safe.

We understand that these countries are now trying to assess when and how they will be able to ease these measures.

The answer depends on what countries do while these population-wide measures are in place.

Asking people to stay at home and shutting down population movement is buying time and reducing the pressure on health systems.

But on their own, these measures will not extinguish epidemics.

The point of these actions is to enable the more precise and targeted measures that are needed to stop transmission and save lives.

We call on all countries who have introduced so-called “lockdown” measures to use this time to attack the virus.

You have created a second window of opportunity. The question is, how will you use it?

There are six key actions that we recommend.

  • First, expand, train and deploy your health care and public health workforce;
  • Second, implement a system to find every suspected case at community level;
  • Third, ramp up the production, capacity and availability of testing;
  • Fourth, identify, adapt and equip facilities you will use to treat and isolate patients;
  • Fifth, develop a clear plan and process to quarantine contacts;
  • And sixth, refocus the whole of government on suppressing and controlling COVID-19.

These measures are the best way to suppress and stop transmission, so that when restrictions are lifted, the virus doesn’t resurge.

The last thing any country needs is to open schools and businesses, only to be forced to close them again because of a resurgence.

Aggressive measures to find, isolate, test, treat and trace are not only the best and fastest way out of extreme social and economic restrictions – they’re also the best way to prevent them.

More than 150 countries and territories still have fewer than 100 cases.

By taking the same aggressive actions now, these countries have the chance to prevent community transmission and avoid some of the more severe social and economic costs seen in other countries.

This is especially relevant for many vulnerable countries whose health systems may collapse under the weight of the numbers of patients we’ve seen in some countries with community transmission.

Today I joined United Nations Secretary-General Antonio Guterres, Under-Secretary General for UNOCHA Mark Lowcock and UNICEF Executive Director Henrietta Fore to launch the Global Humanitarian appeal, to support the most fragile countries who have already suffered years of acute humanitarian crises.

This is much more than a health crisis, and we’re committed to working as one UN to protect the world’s most vulnerable people from the virus, and its consequences.

We also welcome the Secretary-General’s call for a global ceasefire. We are all facing a common threat, and the only way to defeat it is by coming together as one humanity, because we’re one human race.

We’re grateful to the more than 200,000 individuals and organizations who have contributed to the COVID-19 Solidarity Response Fund. Since we launched it less than two weeks ago, the fund has raised more than US$95 million. I would like to offer my deep thanks to GSK for its generous contribution of US$10 million today.

Although we are especially concerned about vulnerable countries, all countries have vulnerable populations, including older people.

Older people carry the collective wisdom of our societies. They are valued and valuable members of our families and communities.

But they are at higher risk of the more serious complications of COVID-19.

We are listening to older people and those who work with and for them, to identify how best we can support them.

We need to work together to protect older people from the virus, and to ensure their needs are being met – for food, fuel, prescription medication and human interaction.

Physical distance doesn’t mean social distance.

We all need to check in regularly on older parents, neighbours, friends or relatives who live alone or in care homes in whatever way is possible, so they know how much they are loved and valued.

All of these things are important at any time, but they are even more important during a crisis.

Finally, the COVID-19 pandemic has highlighted the need for compelling and creative communications about public health.

Last year, WHO announced our first Health for All Film Festival. The volume, quality and diversity of entries far surpassed our expectations.

We received more than 1,300 entries from 110 countries, and today we are announcing a short list of 45 excellent short films about vital health topics.

We are also announcing a distinguished panel of jurors who will judge the short list, with the winners to be announced in May.

We will be showing all the short-listed films in the coming weeks on our website and social media channels.

In these difficult times, film and other media are a powerful way not only of communicating important health messages, but of administering one of the most powerful medicines – hope.

I thank you.


WHO


New WHO recommendations to prevent tuberculosis aim to save millions of lives

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

Enrolment open: “Research Writing in the Social Sciences” Online Course 2020

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New WHO recommendations to prevent tuberculosis aim to save millions of lives

by Public Health Update March 25, 2020
written by Public Health Update

New WHO recommendations to prevent tuberculosis aim to save millions of lives

24 March 2020 

News release
Geneva –  New World Health Organization (WHO) guidance will help countries accelerate efforts to stop people with tuberculosis (TB) infection becoming sick with TB by giving them preventive treatment.

A quarter of the world‘s population is estimated to be infected with TB bacteria. These people are neither sick nor contagious. However, they are at greater risk of developing TB disease, especially those with weakened immunity. Offering them TB preventive treatment will not only protect them from becoming sick but also cut down on the risk of transmission in the community.  

As we mark World TB Day 2020, the disease remains the world’s top infectious killer. In 2018, 10 million people fell ill with TB worldwide and 1.5 million people lost their lives to this disease.

“COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be,“ said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “The world committed to end TB by 2030; improving prevention is key to making this happen. Millions of people need to be able to take TB preventive treatment to stop the onset of disease, avert suffering and save lives”.

Dr Tedros highlighted the importance to continue efforts to tackle longstanding health problems, including TB during global outbreaks such as COVID-19. At the same time, programmes already in place to combat TB and other major infectious diseases can be leveraged to make the response to COVID-19 more effective and rapid.

Although some progress has been made towards targets set at the UN high-level Meeting on TB in 2018, TB preventive treatment has been largely neglected. Global leaders committed to ensuring access to TB preventive treatment to at least 24 million contacts of people with active TB and 6 million people living with HIV by 2022.  To date only a fraction of that target has been reached, with countries putting less than 430,000 contacts and 1.8 million people on TB preventive treatment in 2018.

TB remains the top cause of death among people with HIV. TB preventive treatment works synergistically with antiretroviral therapy to prevent TB and save lives. Reinvigorated efforts by governments, health services, partners, donors and civil society will be needed to increase access to TB preventive treatment to the levels targeted.

The new consolidated guidelines recommend a range of innovative approaches to scale up access to TB preventive treatment:

  • WHO recommends a scale-up of TB preventive treatment among populations at highest risk including household contacts of TB patients, people living with HIV and other people at risk with lowered” immunity or living in crowded settings.
  • WHO recommends an integration of TB preventive treatment services into ongoing case finding efforts for active TB. All household contacts of TB patients and people living with HIV are recommended to be screened for active TB. If active TB is ruled out, they should be initiated on TB preventive treatment.
  • WHO recommends that either a tuberculin skin test  or interferon-gamma release assay (IGRA) be used to test for TB infection. Both tests are helpful to find people more likely to benefit from TB preventive treatment but should not become a barrier to scale-up access. Testing for TB infection is not required before starting TB preventive treatment in people living with HIV, and children under 5 years who are contacts of people with active TB.
  • WHO recommends new shorter options for preventive treatment in addition to the widely used 6 months of daily isoniazid. The shorter options that are now recommended range from a 1 month daily regimen of rifapentine plus isoniazid to 3 months weekly rifapentine plus isoniazid, 3 months daily rifampicin plus isoniazid, or 4 months of daily rifampicin alone.

“As people around the globe come together to commemorate World TB Day, WHO is calling on governments, affected communities, civil society organizations, health-care providers, donors, partners and the industry to unite forces and step up the TB response – notably for TB preventive treatment – to ensure no one is left behind,” said Dr Tereza Kasaeva, Director of WHO’s Global TB Programme. “The new WHO guidance shows the way forward for millions to rapidly access new tools and shorter, safer options for preventive treatment. The time for action is now.”

TB preventive treatment is an affordable intervention that can prevent families from sliding into poverty and preserve the health and economy of whole communities. WHO anticipates that as new and safer drugs come onto the markets, and as prices fall, it will become a highly-cost effective way to save millions of lives.

WHO


National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

WHO announces updates on new molecular assays for the diagnosis of tuberculosis and drug resistance

WHO calls for urgent, aggressive actions to combat COVID-19, as cases soar in South-East Asia Region

Align national TB strategies with commitment to end TB by 2030: WHO


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

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WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

by Public Health Update March 25, 2020
written by Public Health Update

WHO urges countries to ensure the continuity of malaria services in the context of the COVID-19 pandemic

Safety of front-line health workers a primary concern

The COVID-19 pandemic is testing the resilience of robust health systems around the world. Recognizing the heavy toll that malaria exacts on vulnerable populations in sub-Saharan Africa, as well as the region’s fragile health infrastructure, WHO underlines the critical importance of sustaining efforts to prevent, detect and treat malaria.

“As COVID-19 continues its rapid spread, WHO would like to send a clear message to malaria-affected countries in Africa,” said Dr Pedro Alonso, Director of the WHO Global Malaria Programme. “Do not scale back your planned malaria prevention, diagnostic and treatment activities. If someone living in a place with malaria develops a fever, he or she should seek diagnosis and care as soon as possible.”

Ensuring access to core malaria prevention measures is an important strategy for reducing the strain on health systems; these include vector control measures, such as insecticide-treated nets and indoor residual spraying, as well as chemoprevention for pregnant women and young children (intermittent preventive treatment in pregnancy, intermittent preventive treatment in infants and seasonal malaria chemoprevention). Additional special measures could ease the burden on health systems in the context of COVID-19, such as presumptive malaria treatment and mass drug administration. 

Any interventions must consider the importance of both lowering malaria-related mortality and ensuring the safety of communities and health workers. WHO will provide guidance for countries to safely maintain essential health services in the context of the COVID-19 response.

Global Malaria Programme, WHO


IR toolkit to inform the implementation and scale-up of digital technologies for TB

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IR toolkit to inform the implementation and scale-up of digital technologies for TB

by Public Health Update March 24, 2020
written by Public Health Update

IR toolkit to inform the implementation and scale-up of digital technologies for TB (IR4DTB)

The IR toolkit to inform the implementation and scale-up of digital technologies for TB, known as IR4DTB, is being developed in partnership with WHO’s Global TB Programme. IR4DTB aims to generate new evidence to bridge the knowledge gaps on an optimal application of digital health technologies specific to TB work and inform future WHO guidance on their use. This tool is an adaptation of the IR Toolkit developed by TDR in 2014 and contains six modules designed to guide users through the key IR steps, resulting in the development of a comprehensive IR proposal.

The modules have been designed to reflect key steps in the IR process, namely:

  1. Understanding IR
  2. Identifying the IR challenge
  3. Research methods and data management
  4. Planning and implementation
  5. Knowledge translation

The toolkit also includes practical activities that have been designed to inform the development of an IR proposal to be used to support resource mobilization for IR projects. Illustrative case studies from real-life applications of digital technologies within TB programmes are also included. Activities throughout the toolkit have been designed to inform the development of a proposal document that can be used to support resource mobilization for IR projects.

The toolkit will be piloted in select locations to gather feedback from users. The final toolkit will be released by the end of 2020 and made freely available on TDR’s website.

READ MORE: WHO TDR


Read more about: Implementation Research

March 24, 2020 0 comments
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Communicable DiseasesFact SheetHealth in DataNational Plan, Policy & GuidelinesPH Important DayPresentation SlidesPublic HealthPublic Health NotesPublic Health ProgramsPublic Health UpdateResearch & Publication

National Tuberculosis Program Update in Nepal #WorldTBDay #EndTB

by Public Health Update March 24, 2020
written by Public Health Update

National Tuberculosis Program Update in Nepal #WorldTBDay #EndTB


Vision

  • TB Free Nepal

Goal

  • To reduce the mortality, morbidity and transmission of tuberculosis until it is no longer a public health problem and ultimately to eliminate TB.

Recommended: National TB Prevalence Survey, 2018-19 Key findings

Objective

  • To reduce the incidence of TB by 20% by 2021 and 90% by 2035
  • To reduce the TB deaths by 35% by 2020 and 95% by 2035
  • To reduce the catastrophic cost to families due to TB to 0% by 2035

SDG targets

 20152019202220252030
SDG targets: 3.3.2 Tuberculosis incidence (per 100,000 population)15885675520

Burden of TB in Nepal

Burden of TB in Nepal


Case Notification in Rates and Numbers (National)  Annual Trend

  • Globally, an estimated 10.0 million people fell ill with TB in 2075/76.
  • Nepal population contributed to 0.35% of the global population, but with regards to TB, Nepal accounted for 0.5% of global TB cases.
  • Among 32043 reported case, 82% of pulmonary cases were bacteriologically confirmed

Screen Shot 2020 03 24 at 10.31.51


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

Case notification in numbers and rates (Provincial level)

  • Compared to National CNR – 109 / 100,000
  • Bagmati province, Province 5 and 2 shared highest burden.
  • Other provinces- under detection.

Screen Shot 2020 03 24 at 10.29.33


Screen Shot 2020 03 24 at 10.33.18


Proportion of child cases notified among TB cases 

  • National Childhood TB proportion- 5.5% (far less than Global estimates, under detection)
  • Karnali province à very high rates (14.6%) than others, needs assessment.

Treatment Success Rate (%)

Sustained High treatment success rates in Nepal. Among reported, 32313 TB cases were successfully treated (TSR >90%) à better than global commitment of 85% or more.


DR Case notification, treatment coverage and outcome

  • 392 reported cases of RR MDR; 0.6% new TB cases and 20% previously treated case (compared to 3.4% of new TB and 18% of previously treated cases globally)à possible under detection in Nepal
  • Some progress in testing, detection, and treatment of MDR/RR-TB
  • TB were tested for rifampicin resistance, up from 57% in 2074/75 to 78% in 205/76.
  • The coverage of testing was 79% for new and 74% for previously treated TB patients.
  • 71% were successfully treated (compared to global TSR of 56 %).
  • 5% of MDR TB were treated with the new shorter regimen with 65% success rates.
  • Key Challenges: nearly 38% are lost to follow up.

TB Preventives Services

NTP recommends TB preventive treatment for:

  • PLHIV
  • household contacts under 5 years of bacteriologically confirmed pulmonary TB cases.

A total of 2026 PLHIV were started on TB preventive treatment in 2075/76, based on data from NCASC.
TBPT for children under five years who are the contacts of TB cases increased by 4-fold compared to FY 74/75 to 2,397.health
BCG vaccination is being provided as part of national childhood immunization programmes. The coverage of BCG vaccine was 92% in FY 74/75.2075/76, 2 397 children and 2 026 PLHIV received the TB preventive therapy which has improved since 2074/75. BCG vaccine can also confer protection, but mostly from severe forms of TB in children. BCG coverage in Nepal was more than 90%.


Key facts regarding Facilities

Treatment Facilities

FacilitiesCurrent
DOT Centers4382
Urban DOT96
MDR Treatment Centers21
MDR Treatment Sub Centers86
DR Home1

Laboratory facilities

FacilitiesNo.Services
Microscopy Centers604Microscopy Centers
GeneXpert facility56Uses sputum sample, Result in 2 hour
Culture labs and DST2Duration of test is 2 month
Line Probe Assay(LPA)2Confirmation of DR TB from sputum positive samples, in 2 days

NTP achievements

  • Domestic resources have been increased in the program 27% in 2013/14 and 55% in 2017/18.
  • 3% decline of incidence per year, but gap still high.
  • Treatment success rate for DSTB above 90% and DRTB- nearly 70%. 
  • Successfully completion of National TB prevalence survey in Nepal
  • Expansion of sensitive molecular diagnostic tools (Genexpert) in the country from 22 Xpert centers in 2014 and 63 centers currently.
  • DRTB patients are covered under health insurance (no premium needed).
  • Tertiary hospital for TB program under construction.
  • Initiated a shorter treatment regimen (9 months) for DRTB patients all over the country from 2017 and transition into all oral longer regimen as recommended by WHO.

Note: Information published here was obtained from presentation prepared by Dr. Anuj Bhattachan, Director, National Tuberculosis Program, Nepal.  Download: World TB day 2020 NTP Presentation


Press release

World TB Day 2020 Press Release 1 1 scaled

World TB Day 2020 Press Release 2 scaled World TB Day 2020 Press Release 3 scaled


National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

Rapid Communication: Key changes to the treatment of drug-resistant tuberculosis

WHO announces updates on new molecular assays for the diagnosis of tuberculosis and drug resistance

WHO calls for urgent, aggressive actions to combat COVID-19, as cases soar in South-East Asia Region

Align national TB strategies with commitment to end TB by 2030: WHO


Recommended;

National TB Prevalence Survey, 2018-19 Key findings

World Tuberculosis Day 2020! It’s time to End TB!

National Guideline on Drug Resistant TB Management 2019, Nepal

National Tuberculosis Management Guideline 2019, Nepal

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

March 24, 2020 0 comments
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