<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914118/636ba6839c7e80680e073727jpeg.jpg" alt="" width="1030" height="643"/><figcaption>Photo: MANISH PAUDEL</figcaption></figure>After Nepal registered 1,016 new cases of <a href="https://www.nepalitimes.com/latest/dont-take-covid-19-lightly/" target="_blank" rel="noopener noreferrer">Covid-19</a>, its biggest daily rise so far, the authorities have decided to re-impose lockdown for a week in Kathmandu Valley starting midnight Wednesday.The three Chief District Officers of Kathmandu, Lalitpur and Bhaktapur decided after a meeting on Tuesday to restrict all movement except essential services. Other cities and districts across the country, mainly in the Tarai, have had local shutdowns for the past week. Pokhara has also announced a curfew till Friday.Nepal had been under strict nationwide lockdown from 24 March, but it was <a href="https://www.nepalitimes.com/latest/nepal-ends-covid-19-lockdown/" target="_blank" rel="noopener noreferrer">eased on 21 June</a> allowing limited local public transport, opening of shops and restaurants. However, the announcement also saw a <a href="https://www.nepalitimes.com/latest/heightened-covid-19-risk-at-india-nepal-border/" target="_blank" rel="noopener noreferrer">surge of people entering Nepal from India</a>. After the Tarai cities started reporting spikes, the <a href="https://www.nepalitimes.com/latest/covid-19-spreads-closer-to-nepals-ruling-circle/" target="_blank" rel="noopener noreferrer">infection also spread to Kathmandu</a>.The steepest daily rise brought Nepal’s total confirmed cases to 28,257, and the seven <a href="https://www.nepalitimes.com/latest/nepal-covid-19-deaths-cross-100/" target="_blank" rel="noopener noreferrer">more fatalities</a> brought the number of dead so far from SARS-CoV-2 to 114. The number of dead has doubled in the past two weeks.Kathmandu Valley alone saw 205 new cases – also the highest daily rise so far. The difference from the first months of the pandemic is that many more of the infected patients are <a href="https://www.nepalitimes.com/banner/nepals-virus-vortex/" target="_blank" rel="noopener noreferrer">symptomatic, or are seriously ill</a>. Nationwide, there are said to be 110 Covid-19 patients in ICU, and eight are in ventilators, all of them in Bagmati Province.Although the numbers are alarming, some public health experts stress that the rise in cases may be related to the fact that the over 13,000 PCR tests in the last 24 hours was the highest daily rate so far. It could also be that results of some of the 3,000 swab samples from earlier this week that could not be tested because machines were out of order, could have bunched up on Tuesday.Either way, they say the restriction in movement is the government’s desperate attempt to bring the rising numbers under control. The government also appears to have been prompted to declare lockdowns in <a href="https://www.nepalitimes.com/banner/nepali-folk-songs-move-beyond-love-and-loss/" target="_blank" rel="noopener noreferrer">view of Tij</a> and other festivals in the coming week.The number of seriously ill patients prompted the government this week to order private hospitals in Kathmandu to set aside 20% of their beds for coronavirus treatment wards. However, few of the hospitals have complied, saying this would lead to mixing of patients and may actually spread the disease even more. They have urged that the government designate one big hospital just for Covid-19 patients.On Monday night, the Covid-19 Crisis Management Committee of the government <a href="https://www.nepalitimes.com/latest/chaos-as-nepal-bans-repatriation-flights/" target="_blank" rel="noopener noreferrer">put on hold the next phase of repatriation flights</a> that was supposed to bring home 7,000 workers from Gulf and other Asian countries by 31 August. There are still about 250,000 overseas Nepali workers who have registered with embassies to return and have been waiting for over five months. They may have to wait some more time.The restrictions in Kathmandu Valley means that no government, private or public transport will be allowed on the streets. However, food distribution, health services and security vehicles will be allowed. Pedestrians will also not be allowed into the streets except at specified times in the morning to buy provisions.

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Kathmandu Valley back to lockdown

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221129151140/638619f69c7e80680e0cccd2jpeg.jpg" alt="" width="1500" height="844"/><figcaption>Photo: MARTY LOGAN</figcaption></figure>It should not be surprising that <a href="https://www.nepalitimes.com/latest/the-story-of-nepals-first-covid-19-fatality/" target="_blank" rel="noopener noreferrer">Nepal’s first COVID-19 death was a new mother</a>. What was surprising was to hear Prime Minister K P Oli admitting in Parliament on Tuesday that Nepal’s coronavirus deaths represented a failure of his government.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/3rd-month-of-lockdown/" target="_blank" rel="noopener noreferrer">Three Nepalis have died with coronavirus</a> since the pandemic hit Nepal. But that is the number of mothers who died every day across Nepal at childbirth. Despite dramatic strides in reducing the <a href="https://www.nepalitimes.com/here-now/who-will-save-nepals-poor-new-mothers/" target="_blank" rel="noopener noreferrer">maternal mortality</a> rate, 1,200 mothers still die while giving birth every year.Government statistics show that this number has risen dramatically in March and April, as women avoid hospitals because of the COVID-19 scare, as well as because of the lack of transport during the lockdown.The 29-year-old woman from Sindhupalchok, whose name has not been released, died on 16 May of post-partum sepsis and a <a href="https://www.nepalitimes.com/here-now/bhaktapurs-covid-19-heroes/" target="_blank" rel="noopener noreferrer">coronavirus infection</a> 10 days after safely delivering her baby at Teaching Hospital in Kathmandu, then returning home. There were delays in taking her to hospital after complications because the family could not find an ambulance.Even before the COVID-19 crisis, one of the reasons far too many Nepali women still give birth unsafely at home was the <a href="https://archive.nepalitimes.com/regular-columns/Comment/mothers-in-Nepal-still-dying-at-childbirth,1007" data-saferedirecturl="https://www.google.com/url?q=https://archive.nepalitimes.com/regular-columns/Comment/mothers-in-Nepal-still-dying-at-childbirth,1007&amp;source=gmail&amp;ust=1590230096851000&amp;usg=AFQjCNHGPAy4FgQc1EbtnlKIZJMxrFl6XA">high cost of ambulance</a> to take them to health facilities.Nepal has made <a href="http://archive.nepalitimes.com/article/nation/people-politics-placentas-child-delivery-complications,3922" target="_blank" rel="noopener noreferrer">progress in reducing maternal mortality</a> and <a href="https://www.nepalitimes.com/banner/born-in-nepal/" target="_blank" rel="noopener noreferrer">newborn deaths</a> thanks to the Safe Motherhood program, for which it received global recognition. But that improvement was nowhere enough to conclude that the job was done and the country could rest on its laurels.Figures show that in 1990, 901 women died per 100,000 births. That number was slashed to 239 per 100,000 live births in 2015. Yet the target for 2030 under the global Sustainable Development Goals is less than 70.If the health of pregnant women is still a government priority it has not been obvious during the lockdown. Pregnant women have been too fearful to visit clinics for crucial antenatal checkups, but by now arrangements should have been made for them to do so safely — or alternatives put in place — and those plans communicated to women.Of course, post-partum mothers are not the only Nepalis dying because of the broken health system. <a href="https://www.nepalitimes.com/here-now/kidney-patients-dying-due-to-covid-19-lockdown/" target="_blank" rel="noopener noreferrer">Non-communicable diseases </a> NCDs) are now the cause of most deaths in the country, led by heart disease, lung disease and stroke, but an NCD Multisectoral Action Plan spanning 2014-20 has yielded no visible results.The main causes of maternal mortality include post-partum bleeding, unsafe abortions, high blood pressure and post-delivery infection. Abortions aside — because there is still stigma attached to having one and a lack of knowledge about their legality — the other causes are treatable.Some initiatives have been taken. The President’s Women Uplift Program has used helicopters to rescue dozens of pregnant or post-partum mothers in emergency situations and many local governments have started programs to cajole or coerce women to give birth in facilities andto properly care for themselves and their newborns in the crucial days following delivery. But too many health facilities that should be providing services to pregnant women remain <a href="https://www.nepalitimes.com/here-now/who-will-save-nepals-poor-new-mothers/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/here-now/who-will-save-nepals-poor-new-mothers/&amp;source=gmail&amp;ust=1590230096851000&amp;usg=AFQjCNEb9E7sQYw1XzmTTnMfGji3UmNybQ">under-staffed, ill-equipped and short of medicines</a>, and there is no visible national action plan, certainly no sense of urgency.Contrast media coverage of deaths of new mothers with those of women and girls practising chhaupadi in far western Nepal. Temporarily exiled from their homes during menstruation or after giving birth, they are at risk of snakebite, asphyxiation in tiny, windowless huts, and rape and physical assault. While outlawed, the practice continues.In recent years chhaupadi has been reported widely in Nepal and garnered numerous headlines in major global media. Yet, while roughly 15 women have died in <a href="https://www.nepalitimes.com/opinion/tipping-point-on-menstrual-banishment-in-nepal/" target="_blank" rel="noopener noreferrer">chhaupadi</a> in Nepal since 2010, there have been 15,000 women who died in that time from causes associated with giving birth. For much of the media, death during pregnancy has become too routine to deserve coverage.The prime minister was right to admit failure over the COVID-19 deaths to date: his government <a href="https://www.nepalitimes.com/latest/has-nepals-lockdown-just-postponed-covid-19/" target="_blank" rel="noopener noreferrer">has had ample time to craft a much more effective response, and has not</a>  The deficits in the health system overall have been evident, and discussed, throughout the decades that the prime minister and his colleagues in all parties have been in power. That deserves an admission of failure, followed by corrective action.

covid-19-fatality

Kathmandu Valley back to lockdown

3 Nepali mothers still die daily at childbirth