Cholera Alert in Nepal: Madhes Province Records 84 New Cases in 24 Hours

The cholera outbreak in Madhes Province continues to intensify, with 84 new cases reported in the past 24 hours, raising the total number of confirmed infections to 624, according to the Epidemiology and Disease Control Division (EDCD).

Health authorities have described the outbreak as epidemic-level transmission, affecting multiple districts, including Parsa. Of the total cases, 437 patients have recovered and returned home, while 187 remain under treatment in hospitals across the province. Narayani Hospital is currently treating the largest number of active cases at 68, followed by Terai Hospital with 39, and Birgunj Healthcare Hospital with 19 patients.

 Causes and Risks

Cholera is an acute diarrheal disease caused by the bacterium Vibrio cholerae, typically transmitted through contaminated water or food. Poor sanitation and unsafe drinking water are major contributors to outbreaks. The disease can lead to severe dehydration and even death if not treated promptly, particularly among children, the elderly, and individuals with weakened immune systems.

Symptoms to Watch For

Common symptoms include watery diarrhea, vomiting, rapid dehydration, and muscle cramps. In severe cases, patients can develop shock due to fluid loss. Early treatment with oral rehydration salts (ORS) or intravenous fluids is crucial.

Prevention and Safety Measures

Health officials urge residents to take preventive steps to avoid infection:

• Drink only boiled or properly filtered water.

• Wash hands thoroughly with soap, especially before eating and after using the toilet.

• Avoid raw or undercooked food and unwashed fruits and vegetables.

• Seek immediate medical care if severe diarrhea or dehydration occurs.

Authorities emphasize that awareness and hygiene are key to controlling the outbreak and preventing further spread. The Ministry of Health continues to monitor the situation closely and has deployed additional resources to affected hospitals.

Government Response and Public Health Measures

In response to the escalating situation, the government has mobilized health officials to combat the spread of cholera in Birgunj and surrounding areas. Minister for Health and Population, Pradip Paudel, reaffirmed the government's commitment to controlling the outbreak and ensuring that necessary resources and support are provided to affected regions. During an inspection visit to Narayani Hospital, Minister Paudel interacted with patients and addressed concerns regarding the availability of medicines and treatment services.

To curb the spread of the disease, Birgunj Metropolitan City has implemented several measures, including public health awareness programs, chlorine powder spraying in rural drainage systems, and the closure of schools for three additional days to prevent further transmission.

The ongoing cholera outbreak in Madhes Province underscores the critical need for improved sanitation and access to clean drinking water. Public health experts emphasize the importance of community awareness and hygiene practices in preventing the spread of waterborne diseases. Residents are urged to stay informed, adhere to preventive measures, and seek prompt medical attention if symptoms arise.