Piryani Rano Mal, Piryani Suneel, Shah Jay Narayan
Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal.
Department of Community Health Sciences, Aga Khan University Karachi Pakistan.
J Nepal Health Res Counc. 2020 Apr 20;18(1):128-134. doi: 10.33314/jnhrc.v18i1.2608.
Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late December 2019. The first confirmed imported case in Nepal was reported in 2nd week of January 2020. The initial response of Nepal to COVID-19 were comparably slow but country geared efforts after it was declared a 'global pandemic' by WHO on 11 March, 2020. Government of Nepal's steps from 18 March, 2020 led to partial lock down and countrywide lockdown imposed on 24 March, 2020. Government devised comprehensive plan on 27 March, 2020 for quarantine for peoples who arrived in Nepal from COVID-19 affected countries. This article covers summary of global status, South Asian Association of Regional Cooperation (SAARC) status, and Nepal's response to contain COVID-19 infection discussed under three headings: Steps taken before and after WHO declared COVID-19 a global pandemic and lab services regarding detection of COVID-19. Nepal has documented five confirmed cases of COVID-19 till the end of March 2020, first in second week of 15 January, 2020 and 2nd case 8-weeks thereafter and 3rd case two days later, 4th on 27 March and 5th on 28 March. Four more cases detected during first week of April. Non-Pharmacological interventions like social distancing and excellent personal habits are widely practiced. Country has to enhance testing and strengthen tracing, isolation and quarantine mechanism and care of COVID-19 patients as Nepal is in risk zone because of comparably weak health system and porous borders with India. The time will tell regarding further outbreak and how it will be tackled. Keywords: COVID-19; lockdown; Nepal; pandemic; response.
尼泊尔是一个内陆国家，与两个人口最多的国家——印度和中国接壤。尼泊尔从东、南、西三面与印度接壤，边境开放。在北面，尼泊尔与中国接壤，而新型冠状病毒感染（COVID-19）于2019年12月底在那里开始。尼泊尔的首例确诊输入病例于2020年1月的第二周报告。尼泊尔对COVID-19的最初反应相对缓慢，但在2020年3月11日世界卫生组织宣布其为“全球大流行”后，该国加大了应对力度。尼泊尔政府从2020年3月18日开始采取措施，导致部分地区封锁，并于2020年3月24日实施全国封锁。2020年3月27日，政府制定了一项全面计划，对从受COVID-19影响国家抵达尼泊尔的人员进行检疫。本文涵盖了全球疫情状况、南亚区域合作联盟（SAARC）疫情状况以及尼泊尔为控制COVID-19感染所采取的应对措施，这些内容将在三个标题下进行讨论：世界卫生组织宣布COVID-19为全球大流行之前和之后采取的措施，以及关于COVID-19检测的实验室服务。截至2020年3月底，尼泊尔已记录了5例COVID-19确诊病例，第一例于2020年1月15日的第二周出现，第二例在8周后出现，第三例在两天后出现，第四例于3月27日出现，第五例于3月28日出现。4月的第一周又检测出4例病例。社会 distancing和良好个人习惯等非药物干预措施得到广泛实施。由于尼泊尔的卫生系统相对薄弱且与印度边境管控不严，处于风险区域，该国必须加强检测，强化追踪、隔离和检疫机制以及对COVID-19患者的护理。关于进一步的疫情爆发及其应对方式，时间会给出答案。关键词：COVID-19；封锁；尼泊尔；大流行；应对措施 。
需注意，原文中“CVOVID-19”应改为“COVID-19” ，“social distancing”直译为“社会距离”，在疫情语境下通常理解为“保持社交距离” 。
