<figure><img width="971" height="487" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637204179c7e80680e0b2842jpeg.jpg" alt=""/><figcaption>Daily reported Covid-19 cases and deaths since January 2020, when the first case was detected in Nepal.</figcaption></figure>It was on 23 January 2020 that the first Covid-19 case was detected in Nepal. Two years later, the country is on the cusp of a <a href="https://www.nepalitimes.com/banner/vaccines-variants-and-a-third-wave/" target="_blank" rel="noopener noreferrer">third wave</a>.The time to sound an alarm about a new surge is long over. Action should have been taken months ago. All the government can do now is to launch a massive campaign to inoculate the unvaccinated, offer boosters to frontline workers, the elderly, and people in densely populated areas.Evidence elsewhere, including in neighbouring India, show that while the <a href="https://www.nepalitimes.com/opinion/omicron-is-coming-to-nepal-be-prepared/" target="_blank" rel="noopener noreferrer">Omicron strain</a> is 12 times more transmissible than previous variants, most of those infected do not need critical care in hospitals – unless unvaccinated or immuno-compromised.    Cases are rising fast in Nepal, doubling every 2 days to 3,075 new recorded infections on Wednesday. The positivity rate has soared 10 times in a week to 23.5%. At this rate, there will be 12,000 new confirmed cases by 16 January, which will be higher than the peak of the second wave in May 2021.“With Omicron now spreading in the community, we don’t need to gene sequence anymore,” says Epidemiology and Disease Control Division director Krishna Prasad Paudel.He is hoping Omicron will show a similar trajectory to elsewhere, and those infected will have <a href="https://www.nepalitimes.com/here-now/omicron-may-not-be-as-risky-but-take-care/" target="_blank" rel="noopener noreferrer">milder symptoms </a>compared to Delta. The new variant mostly impacts the upper respiratory tract, with lungs largely unaffected, hence lessening the need for oxygen and ventilators.However, Nepal’s low vaccination rate (50% partially, 40% fully) means that individuals need to continue taking precautions with masks and distancing.Read also: <a href="https://www.nepalitimes.com/latest/nepal-has-all-the-conditions-for-an-omicron-surge/">“Nepal has all the conditions for an Omicron surge”</a>, Nepali Times <figure><img width="2048" height="1366" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637204199c7e80680e0b2843jpeg.jpg" alt=""><figcaption> </figcaption></figure>A double dose of the vaccine is not as effective against Omicron, and most Nepalis have passed six months since they were inoculated, meaning that their antibody levels have fallen considerably by now. <a href="https://www.nepalitimes.com/here-now/boosting-booster-jabs-against-omicron/" target="_blank" rel="noopener noreferrer">Boosters would provide more protection</a>, but the government is only offering those to high risk groups from next week.Although Omicron is now the dominant strain, Delta is still circulating, and causing deaths. We know from the past two years that it takes a few weeks for mortality to pick up after <a href="https://www.nepalitimes.com/latest/nepal-needs-to-prepare-for-new-covid-wave/" target="_blank" rel="noopener noreferrer">cases start rising</a>. This has been seen in India, and Nepal closely follows health trends there.“We need to keep a close watch on our mortality figures, find out which variant is causing most deaths, and we will have to prepare hospitals and healthcare workers once again,” warns epidemiologist Lhamo Yangchen Sherpa of IPAS.Across Nepal, many <a href="https://www.nepalitimes.com/here-now/at-the-covid-19-frontlines-in-rural-nepal/" target="_blank" rel="noopener noreferrer">rural hospitals are still understaffed</a> and do not have trained personnel to operate ventilators and run ICU wards. Not all new oxygen plants are functional yet.But Sangeeta Kaushal Mishra of the Health Coordination Division assures that the government is in a better position this time: “We are prepared for hospitalisations if cases are milder, but we don’t know how the virus will behave."The sheer transmissibility of Omicron could mean severe symptoms and even deaths among the elderly and those with pre-existing conditions like diabetes.  Elsewhere in the world, even vaccinated health workers have been infected, overwhelming hospitals.Read also: <a href="https://www.nepalitimes.com/latest/all-vaccines-prevent-severe-covid/">“All vaccines prevent severe Covid”</a>, Nepali Times <img width="1594" height="986" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/6372041d9c7e80680e0b2844jpeg.jpg" alt="">The first line of defence against Covid is still masks and distancing. The second is <a href="https://www.nepalitimes.com/latest/vaccines-are-the-only-solution/" target="_blank" rel="noopener noreferrer">mass vaccination</a>. Nepal still has a stockpile of over 10 million doses in refrigerated stores, and 6 million more doses in the pipeline. A syringe shortage reduced the vaccination rate, but Mishra expects the drive to pick up next week. More than 200,000 people were vaccinated on Wednesday.“We were lucky Omicron is mild, but we should use this  opportunity to inoculate both the unvaccinated and boost the  vulnerable on war footing,” says physician Buddha Basnyat of Patan Academy of Health Sciences.The government is starting mass inoculation of children from 12-17 years, and has shut down schools for three weeks until 29 January due to the new surge. Gatherings of more than 25 people have been banned, masks are mandatory outdoors, and people will need vaccine cards to enter public spaces from next week.“The fact that Omicron is much milder has made people even more careless, so we must once again reinforce the importance of masks, ventilation and distancing,” warns virologist Sher Bahadur Pun at Teku Hospital.Equally important is the institutional isolation of active cases and contact tracing. Experts believe official <a href="https://www.nepalitimes.com/latest/nepal-covid-19-impact-worse-than-official-figures/" target="_blank" rel="noopener noreferrer">figures are under-reported</a> and total cases and fatality figures are much higher. The Economist tracks ‘excess deaths’ across countries and estimates that 2.3 million people had died from Covid-19 by May 2021 in India, compared to only 200,000 official fatalities.Its calculations show that when Nepal recorded its highest daily Covid deaths of 246 on 19 May 2021, the actual number was 425. The real infection rate was also much higher than official data.Read also: <a href="https://www.nepalitimes.com/here-now/living-with-covid-in-2022/">Living with Covid in 2022</a>, Sonia Awale

Sonia Awale

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3rd wave in 2 years

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce68b9c7e80680e096774jpeg.jpg" alt="" width="1411" height="940"/><figcaption>All photos: AMIT MACHAMASI</figcaption></figure>Spectators crowded outside the Tribhuvan University Cricket Ground in Kirtipur to watch Nepal play against the Netherlands during the final match of the Tri-Nations T-20 series on Saturday, even as a second Covid wave sweeps across the nation.The stadium had been closed off to spectators after the first three matches of the series owing to a rising number of coronavirus cases in the country.Nepal played against the Netherlands in the final, defeating the visitors by 142 runs after having set up a target of 239 runs in the first innings-- the highest ever in Nepal's international T20 history. The series marked Nepal's first international cricket tournament after a 13-month pandemic-induced pause, and the country's first win at home after more than a decade.Nepal recorded 2486 new coronavirus cases--644 among those in Kathmandu, 141 in Lalitpur, and 87 in Bhaktapur--and 14 Covid fatalities on Saturday, while 7525 PCR tests had been conducted in the last 24 hours.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce68f9c7e80680e096775jpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6939c7e80680e096776jpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6979c7e80680e096777jpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce69b9c7e80680e096778jpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce69e9c7e80680e096779jpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6a19c7e80680e09677ajpeg.jpg" alt="" width="1463" height="975"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6a59c7e80680e09677bjpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6a89c7e80680e09677cjpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6ac9c7e80680e09677djpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6b09c7e80680e09677ejpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110121152/636ce6b39c7e80680e09677fjpeg.jpg" alt="" width="1500" height="1000">Read also: <a href="https://www.nepalitimes.com/here-now/the-ball-is-in-nepals-cricket-court/">The ball is in Nepal's cricket court</a>, Prakash Guragain

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Nepal cricket wins amid Covid-19 surge

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9cc9c7e80680e080232jpeg.jpg" alt="" width="1513" height="1019"/><figcaption>All photos: BIKRAM RAI</figcaption></figure>With Dasain only two weeks way, people in Kathmandu are fully in festive mode, and many are forgoing safety precautions even as Nepal recorded the highest ever daily total for Covid-19 cases.Of the 4,364 new cases nationwide on Thursday, 2,540 were in Kathmandu Valley. Twelve people have died in the past 24 hours, bringing the total fatalities to 590.The Dasain Bazar in Asan and different parts of the capital this week saw huge crowds shopping in narrow alleyways, many of them without masks and even those with masks wore them around their chins.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9cf9c7e80680e080233jpeg.jpg" alt="" width="1883" height="1256"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9d39c7e80680e080234jpeg.jpg" alt="" width="1716" height="1119"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9d69c7e80680e080235jpeg.jpg" alt="" width="1920" height="1280"><figcaption></figcaption></figure>But even as Nepal's total confirmed cases near the 100,000 milestone, and fatalities cross 600, sections of the public are ignoring the pandemic. Government response is described by critics as being confused and ad hoc, while the citizens appear to be behaving recklessly. This has turned the Valley into a hotbed of the virus, and has dragged Nepal headlong into a health emergency.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9da9c7e80680e080236jpeg.jpg" alt="" width="1853" height="1235"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9dd9c7e80680e080237jpeg.jpg" alt="" width="1862" height="1242"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9e09c7e80680e080238jpeg.jpg" alt="" width="1274" height="909"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9e39c7e80680e080239jpeg.jpg" alt="" width="1443" height="1050"><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9e79c7e80680e08023ajpeg.jpg" alt="" width="1843" height="1229"><figcaption></figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9eb9c7e80680e08023bjpeg.jpg" alt="" width="1866" height="1280"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9ee9c7e80680e08023cjpeg.jpg" alt="" width="1466" height="1041"><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171148/636bd9f19c7e80680e08023djpeg.jpg" alt="" width="1371" height="965"><figcaption></figcaption></figure>The fact that Kathmandu Valley recorded an excess of 10,000 cases in a week forced the Health Ministry’s Jageshwor Gautam in his daily press briefing on Thursday to repeatedly request people to celebrate this year’s Dasin-Tihar-Chaat wherever they are at present, to prevent them from taking Covid-19 to their villages.

Dasain crowds disregard Covid-19 warnings

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Nepal cricket wins amid Covid-19 surge

Dasain crowds disregard Covid-19 warnings