<figure><img width="1500" height="1122" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc3f9c7e80680e0a0b7ajpeg.jpg" alt=""/><figcaption>Minor girls from Nepal stopped at the Indian border at Gaddachowki last week by an anti-trafficking group. They are handed over to their parents through the police if they are suspected to be victims of smugglers. All photos: NAMRATA SHARMA</figcaption></figure>The checkpoint at the India-Nepal border here has a whole range of Nepalis crossing over: innocent Nepali workers in search of jobs in India so they can support families back home, quite a few Indian workers crossing over, <a href="https://archive.nepalitimes.com/article/nation/epicentre-trafficking-migration,3256" target="_blank" rel="noopener noreferrer">Nepali girls being trafficked to India</a>, young women snared into relationships with Indians via social media, or people travelling for medical treatment in both directions.However, the <a href="https://www.nepalitimes.com/here-now/nepali-workers-returning-to-india/" target="_blank" rel="noopener noreferrer">open India-Nepal border</a> is also associated with crime and smuggling of goods, drugs, and people. The problems seem to have got worse in the past year of the pandemic, according to participants at a crossborder conference of Indian and Nepali journalists organised by the Human Rights Journalist Association in Dhangadi last week.The conference came soon after the disappearance of a young Nepali man who plunged into the swollen Mahakali as he tried to cross Nepal’s western border into India by hanging below a wire bridge. The SSB (Indian border security force) reportedly cut the wire with a hack just as the man was crossing.The man’s body has not been found. The case got high profile coverage in the Kathmandu media, putting Nepal’s new government in a tight spot, and threatening once more to sour the rocky relations between the two countries. Indian Journalist Rakesh Tiwari of the Hindustan Times in Dharchula claimed the Indian SSB would have never cut the cable on purpose while someone was crossing. “Actually, the border guards must have been trying to stop smuggling and did not know that a person was coming across on the wire,” said Tiwari. “It would not have been done intentionally, and unlike other border points, there have always been good relations between Nepal’s Darchula and Dharchula on the Indian side even during the pandemic.” Indeed, the open border between India and Nepal allows unrestricted travel in both directions, and during the pandemic checkpoints have had to deal with tens of thousands of Nepali and Indian migrant workers returning to their own countries. <figure><img width="1500" height="1122" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc429c7e80680e0a0b7bjpeg.jpg" alt=""><figcaption>The booth of the Peace and Rehabilitation Centre (PRC) stops 5-6 minors suspected of being trafficked to India at the border near Dhangadi.</figcaption></figure>Tiwari felt the death in Darchula spotlighted the border, and gave the wrong impression that there has always been tension and acrimony between people on the two sides.Although the plight of <a href="https://www.nepalitimes.com/here-now/workers-return-to-jobless-nepal/" target="_blank" rel="noopener noreferrer">Nepalis going to India</a> is often highlighted in the Kathmandu press, there are other problems that go unnoticed. For example, although many Nepalis go to India for medical treatment, there are also Indians streaming to Dhangadi Hospital for treatment. But they are now stopped by the Nepali authorities because of the pandemic.Indian journalist Mahesh Singh Bhadauria of the Dainik Jagaran Gaurifanta says this is unfortunate because Nepalis needing hospital treatment in Delhi are allowed smooth passage even during the pandemic. “It is very inhumane for the Nepali authorities to stop Indian patients from the border region seeking treatment in Dhangadi because they are often the poorest people,” Bhadauria said.Participants at the conference agreed that small problems at the India-Nepal frontier tend to get magnified by the media in both countries, and ultimately it is the <a href="https://www.nepalitimes.com/latest/lockdown-limbo-in-no-mans-land/" target="_blank" rel="noopener noreferrer">people living near the border on both sides who suffer from new rules and restrictions</a>. This is especially true during the Covid-19 crisis when the most vulnerable people are put at even more risk by overcrowding and lack of sufficient testing and quarantine facilities. It is the poorest and most distressed Nepalis who suffer: either when they are trying to leave the country for India, or returning. This pushes them even deeper into a vicious cycle of poverty.At the Indian border near here, there are again long lines of Nepali families queued up to cross over. The pandemic has heightened their desperation as they headed out to jobs in India. <figure><img width="1500" height="1122" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc469c7e80680e0a0b7cjpeg.jpg" alt=""><figcaption></figcaption></figure><img width="1500" height="1122" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc499c7e80680e0a0b7djpeg.jpg" alt=""><img width="1500" height="1122" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc4c9c7e80680e0a0b7ejpeg.jpg" alt="">Among them is a young woman carrying a baby, and she is stopped by a member of Nepali non-profit, Peace and Rehabilitation Centre (PRC), that is working to prevent human trafficking, especially of Nepali women to India.“Where are you going in India,” asked Sanjeet Singh, at the PRC booth at the Gaddachowki checkpoint one morning last week. Although she was with an infant, she looked like a minor herself.A man standing nearby answered on her behalf that they were going to Bengaluru to work. Not convinced, Singh asked for her Nepal citizenship card which she did not have. She looked like a minor.The man looked disappointed. They could very well be telling the truth, but the girl who fit the profile of someone being trafficked, and the police tried to get in touch with her parents.At the PRC booth, there is another 18-year-old girl from Dang who is accompanied by a boy from Kailali claiming to be 22, and living and working in Bengaluru. He said they wanted to get married, even though the girl was below the minimum age for marriage.The girl said she had <a href="https://archive.nepalitimes.com/article/nation/love-in-the-time-of-facebook,2021" target="_blank" rel="noopener noreferrer">met the boy on Facebook</a>, and they had been together for four years. She said at home her parents were always fighting each other, and she wanted to escape. The boy’s story was the same: they developed relationship via Facebook but it was the first time they met. He had come from Bengaluru to take her. Suspicious, the PRC booth handed the two over to the border police who called the girl’s father to come to Dhangadi to take her home to Dang. The boy is now in prison. <img width="1056" height="872" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110141124/636cfc4f9c7e80680e0a0b7fjpeg.jpg" alt="">Another 21-year-old woman from Kailali was also accompanied by someone she called her “boyfriend” from Biratnagar. However, he had an Indian identity card, and said he had permission from her parents to take her to India to get married.The PRC team was trying to contact the girl’s parents to find out if this was true. She would be in a shelter run by the centre till both parents come, and if they agree they would be allowed to cross into India. “We have had 5-6 cases like these every day since the pandemic,” says Umesh Shiwakoti of PRC in Kailali district. “We are at the border round the clock with the police to stop human trafficking. Sometimes it is difficult to find the facts, but we try our best.”Such is the <a href="https://www.nepalitimes.com/here-now/nepali-workers-returning-to-india/" target="_blank" rel="noopener noreferrer">desperation of Nepali workers headed to India</a> that they are willing to risk being cheated by bus operators and others to find a job in an Indian city. Many have taken loans to make the trip, and have to work many months before they can pay back the debts.

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People-to-people at India-Nepal border

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb30b9c7e80680e07bb18jpeg.jpg" alt="" width="1500" height="1000"/><figcaption>All photos: ROBIC UPADHYAY</figcaption></figure>The complete ban on the sale of alcohol in India’s Bihar state had fostered a booming business in bars and entertainment on the Nepal side of the border. The pandemic lockdown has reduced business, but some of the clandestine trade still persists.These photographs were taken before the lockdown, and show bhattis and fancy restaurants packed with Indian customers of various socio-economic strata. Taking advantage of the open border, the flow of tipplers is open and unregulated.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb30e9c7e80680e07bb19jpeg.jpg" alt="" width="1500" height="1000">Responding to this overwhelming demand, Nepal’s border cities are crammed with liquor shops, and their shelves are overflowing with wine, beer and spirits. Anyone caught selling alcohol in Bihar gets a five year jail term, so Nepal is an easy outlet.A whole range of liquors is available; from branded spirits to cheaper alternatives like locally brewed raxi, depending on the budget and preferences.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb3119c7e80680e07bb1ajpeg.jpg" alt="" width="1022" height="666"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb3139c7e80680e07bb1bjpeg.jpg" alt="" width="1500" height="1000">It is evening and a bunch of young men have already arrived from the other side. They are talking loudly about ex-lovers, older men talking about the difficulties at work, and there are older men in a corner reminiscing about the time they were young.There are even Indian government officials and policemen who come in from time to time, and try to keep a low profile in the corner. They can lose their jobs back home if caught drinking.<a href="https://archive.nepalitimes.com/article/nation/getting-over-the-influence,1134">Getting over the influence</a>, Hariz Baharudin and Sunir PandeyThe noise level is high, there is boisterous laughter, punctuated by someone yelling: “Saauni, arko ek bottle!” (One more bottle, please!). A full bottle is a delivered immediately to the table.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb3169c7e80680e07bb1cjpeg.jpg" alt="" width="1500" height="1000">Even after they have had enough and are unsteady in their feet, some customers hire locals as human mules to smuggle over a few more bottles of alcohol across less-guarded border points.Some shops in Nepal can have bottles home-delivered to doorsteps in Bihar, but there is a hefty markup. For some festivals, weddings or celebrations the entire party swarms across the border and whole restaurants or banquet halls are booked. Some Indian weddings have moved to Nepal so guests can be served alcohol with their buffets.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb31a9c7e80680e07bb1djpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb31c9c7e80680e07bb1ejpeg.jpg" alt="" width="1500" height="1000">Before the lockdown, it was the alcohol tourism that was helping the economy of Province 2. But it comes with social impact – there are frequent drunken brawls, deaths related to alcohol poisoning, and constant scuffles with police.But this does not dampen the spirits of the visitors from across the border. The Bihari revelers even have a song now: ‘Surya Asta toh Nepal Masta‘ (When the sun sets, the fun starts in Nepal).<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb31f9c7e80680e07bb1fjpeg.jpg" alt="" width="1500" height="1000"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb3229c7e80680e07bb20jpeg.jpg" alt="" width="1500" height="1000">This photo story was made during the International Storytelling Workshop 2020, hosted by photo.circle (Nepal) in collaboration with Oslo Metropolitan University (Norway), Pathshala South Asian Media Academy (Bangladesh), and VII Academy (USA).

When the sun sets, it is fun time in Nepal

<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba7ab9c7e80680e073797jpeg.jpg" alt="" width="1500" height="1000"/>UPDATE 29 August: Covid-19 fatality in Nepal now stands at 207. A total of 22 people are undergoing treatment with ventilator support: three in Province 1, 17 in Bagmati and two in Province 5.Although the initial wave of coronavirus cases in Nepal <a href="https://www.nepalitimes.com/here-now/returnees-may-be-taking-coronavirus-to-rural-nepal/">were from across the border in India</a>, public health experts now say it makes no sense to blame imported infection because the virus is now spreading in the community.India is now the country with the third largest caseload with over 3.3 million confirmed cases, and up to 70,000 new cases every day– the highest in the world. But compared to its 1.3 billion population, this is still a low figure and India’s fatality rate of 1.87% is one of the lowest.Yet, age-adjusted mortality rate paints an entirely different picture, which looks very similar to that of Nepal – SARS-CoV-2 is <a href="https://www.nepalitimes.com/latest/why-are-younger-people-in-poor-countries-dying-of-covid-19/">killing far higher percentages of younger people</a> than in the developed countries.Covid-19 similarities between India and Nepal do not end there: already poor health infrastructure in both countries <a href="https://www.nepalitimes.com/banner/nepals-virus-vortex/">are overwhelmed</a>, there is <a href="https://www.nepalitimes.com/banner/learning-from-hiv-to-fight-covid-19-in-nepal/">societal stigma</a>, health workers are infected, politicians have died, and the movement of migrant workers has affected people on both sides of the border.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba7ae9c7e80680e073798jpeg.jpg" alt="" width="640" height="707">What happens in India has always impacted Nepal because the two countries share an open border and this pandemic is no different, especially given Indian states bordering Nepal are some of the most affected: Uttar Pradesh, West Bengal and Bihar have 466,725 cases between them.Nepal saw the first surge of Covid-19 cases in late March when hundreds of thousands of Nepalis working in India come back home following lockdowns in both the countries. Between 8 March and 2 July alone, an estimated 500,000 Nepalis <a href="https://www.nepalitimes.com/here-now/workers-return-to-jobless-nepal/">returned from India</a>. While they were quarantined in the first few weeks, later arrivals were allowed to go straight home to their villages for self-isolation.“Nepal will always be at the risk because of the porous open border, even during the lockdown thousands of people managed to sneak in illegally,” says Sher Bahadur Pun of the Health Ministry. “Even if we are able to control the spread of the virus in Nepal and bring the cases down, we will never be safe until the virus spreading is not under control in India.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba7b19c7e80680e073799jpeg.jpg" alt="" width="2048" height="1366"><figcaption> </figcaption></figure>The second wave of infections happened after Nepal’s lockdown was <a href="https://www.nepalitimes.com/latest/nepal-ends-covid-19-lockdown/">relaxed on 21 June</a>, at a time when Covid-19 was raging across Bihar and Uttar Pradesh. Thousands of Indian workers poured across the border to rejoin jobs in factories along the Tarai industrial corridors.The border district of Parsa, which had brought the virus under control, was suddenly hit by an outbreak that spread like wildlife. From Birganj, the virus travelled easily to Kathmandu, making the Valley the next hotspot.As of 27 August, Nepal has registered 35,529 confirmed cases with 183 fatalities. Ten of Nepal’s 77 districts now have over 1,000 cases, Kathmandu leads with 3,455 cases, and the Valley saw a record 377 new cases on Thursday. Nationwide, the recovery rate has dropped from 73% in July to 56.7% now, since most new cases are symptomatic, or patients are serious enough to need ICU care.It is now clear that the clusters have merged and are spreading in the community, and just like with polio Nepal will not be able to fully defeat SARS-CoV-19 until it is under control in India.Because of this, public health experts say Nepal has no choice but to <a href="https://www.nepalitimes.com/opinion/prevention-while-searching-for-a-cure/">enforce distancing, mask wearing, hand-washing</a> and other precautions. The current lockdown in Kathmandu has been extended till 2 September.“If we can successfully implement safety measures and control the movement of the people at the border and inside the country, what is happening in India should not affect us so much,” says public health expert Sameer Mani Dixit.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba7b59c7e80680e07379ajpeg.jpg" alt="" width="1509" height="1098"><figcaption> </figcaption></figure>Despite India’s heavy daily caseload and fatalities, the country has opened limited domestic and international flights, trains, public transport and shops.There are also lessons to be learned from Delhi, which used to be a hotspot. The recovery rate there has surged from 55% in June to 90% this month. Delhi’s aggressive testing and tracing and home isolation are measures Nepal could easily emulate.The ‘<a href="https://www.nepalitimes.com/opinion/how-did-kerala-beat-covid-19-spread/">Kerala Model</a>’ is also worth noting: public health authorities there prioritised early detection through extensive testing, widespread contact tracing, and 28-day quarantines for everyone infected. Despite being the first state to report a case of Covid-19, Kerala has among the lowest fatality rates in India.“These models are particularly useful because over half of our cases are still asymptomatic, which means we need to keep up active contact tracing, mass testing and surveillance,” says Sher Bahadur Pun. “We also still need to better communicate safety measures, having a figure that the public trusts endorse masks and distancing will be very effective because lockdowns are not a long-term solution. Behavioural change is.”Indeed, lockdowns only seem to provide a false sense of security and would have been unnecessary if the public had adopted the safety measures after 21 July. The <a href="https://www.nepalitimes.com/banner/economic-cost-of-5-months-of-nepal-lockdown/" target="_blank" rel="noopener noreferrer">economic cost of five months of Nepal lockdown</a>, and the lack of treatment of existing diseases threaten to far outweigh benefits of the restrictions.Recently, the Nepal Health Research Council decided to allow international researchers to conduct <a href="https://www.nepalitimes.com/opinion/a-covid-19-exit-strategy-for-nepal/">Covid-19 vaccine</a>trials in Nepal as part of a global effort to stop the virus. There are at least 30 vaccines in clinical trials across India.Says Sameer Mani Dixit: “It looks like we are very close to peaking in Nepal, which is not to say there won’t be sporadic spikes, it will continue to happen until we have a vaccine. But in the meantime mandatorily wearing masks and not crowding will be the way of life into the future.”

Sonia Awale

As India peaks, Covid-19 spreads rapidly in Nepal

<figure></figure> <img width="1500" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914110/636ba5129c7e80680e0736a1jpeg.jpg" alt=""/><figcaption>A woman with her mask down walks by Sneha Shrestha mural in Pimbahal, Patan this week. Photo: BIKRAM RAI</figcaption> Five months after the first COVID-19 case was detected in Kathmandu, and after many experts were puzzled about why the virus was not spreading as fast as elsewhere, parts of Nepal and Kathmandu city are now in the vortex of the pandemic.Hospitals in Tarai cities are fast filling up with symptomatic cases, and doctors say patients requiring ICU treatment and ventilator support are on the rise.On Thursday, Kathmandu Valley recorded its highest daily rise of 87 positive cases. All beds are occupied in hospitals with designated wards for coronavirus patients. Overwhelmed, doctors are sending asymptomatic patients to home isolation. Some were diverted to Kathmandu Medical College’s facility in Duwakot and Ayurveda Hospital in Kirtipur.<a href="https://www.nepalitimes.com/banner/experts-caution-against-extending-nepal-lockdown/" target="_blank" style="background-color: rgb(255, 255, 255); font-size: 15px; letter-spacing: 0.01em;" rel="noopener noreferrer">Experts caution against extending lockdown</a>, Sonia Awale<a href="https://www.nepalitimes.com/editorial/lockdown-may-be-over-but-pandemic-is-not/" target="_blank" style="background-color: rgb(255, 255, 255); font-size: 15px; letter-spacing: 0.01em;" rel="noopener noreferrer">Lockdown may be over, but pandemic is not</a>, EditorialThe government has approached private hospitals to start opening COVID-19 wards, and had set the maximum treatment charge per patient. However, private hospitals are balking, they say the fees are too low for the care needed.“Self-isolation at home has worked elsewhere but in Nepal where people don’t strictly follow safety measures, patients are ostracised, and there is a lack proper rescue mechanism, it might not be the best strategy,” cautions BaburamMarasini, former head of the Epidemiology and Disease Control Division. “It would be better to move asymptomatic cases to available government training centres, non-profit institutions, and if needed even hotels and hostels.” <figure></figure> <img width="955" height="594" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914110/636ba5159c7e80680e0736a2jpeg.jpg" alt=""><figcaption> </figcaption> As of Thursday, Nepal has a total of 21,750 cases with 6,296 active. So far, 65 people have lost their lives, five of them on 6 August alone. Cases in Kathmandu Valley have reached 876, mostly in the capital city (see graphs). Eight people have been infected with coronavirus at the Ministry of Internal Affairs and Law and so has minister Gyanendra Kumar Yadav in Province 2.Says public health expert Sameer Dixit: “Local governments and security personnel should be facilitating self-isolation at homes. Admitting asymptomatic cases in hospitals depletes resources, as it exposes mildly infected patients to severe cases.”There are now 66 ICU cases across Nepal with 29 just in Bagmati Province (see map) where three patients are on ventilator support. Given the steep rise in symptomatic and severe COVID-19 cases, all 1,702 ICU beds nationwide and stock of 900 ventilators could be used up.“The rate of infection in Kathmandu is increasing, and this could lead to a shortage of hospital beds, equipment and heath workers,” warned Jageshwor Gautam of the Health Ministry, appealing to the public to remain at home and follow <a href="https://www.nepalitimes.com/opinion/prevention-while-searching-for-a-cure/" target="_blank" rel="noopener noreferrer">safety measures</a>. Several hundred traffic police in Kathmandu are in quarantine after the infections spread, and the Nepal Police headquarters was sealed this week after seven staff tested positive. <figure></figure> <img width="949" height="606" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914110/636ba5189c7e80680e0736a3jpeg.jpg" alt=""><figcaption> </figcaption> Special attention should also be given to the fact the virus SARS-CoV-2 is airborne, which is why <a href="https://www.nepalitimes.com/banner/masks-unmasked/" target="_blank" rel="noopener noreferrer">wearing mask</a> should be mandatory, spitting prohibited and ensuring cross ventilation in workstations at all times.Finance Minister and government spokesperson Yubaraj Khatiwada says the government does not want to re-impose a nationwide lockdown, but says some restrictions may have to be put into place.District administrations of Kathmandu, Lalitpur and Bhaktapur districts met on Thursday to draw up a joint strategy for the Valley. Among the measures being discussed are: strict protocols for government offices, banks, markets, and public transport. They are worried most people are not following guidelines for masks and physical separation, and warn that they may have to resort to punitive measures and fines to enforce the rules.Health experts fault Khatiwada’s <a href="https://www.nepalitimes.com/latest/nepal-ends-covid-19-lockdown/" target="_blank" rel="noopener noreferrer">announcement on 21 July</a> in which he categorically stated that the “lockdown has been lifted” even though it had only been relaxed. They said this had given people a <a href="https://www.nepalitimes.com/editorial/lockdown-may-be-over-but-pandemic-is-not/" target="_blank" rel="noopener noreferrer">false sense of security</a>, and especially allowed Indian factory workers, vendors, barbers and drivers to stream back to Nepal <a href="https://www.nepalitimes.com/latest/heightened-covid-19-risk-at-india-nepal-border/" target="_blank" rel="noopener noreferrer">across the open border</a>. This is the reason the Tarai cities were the first to be hit, and the virus is spreading to Kathmandu from there.    The COVID-19 Crisis Management Centre (CCMC) is said to be discussing modalities for a ‘smart lockdown’, including isolating areas where there are outbreaks and stricter enforcement of mask and separation rules. It is also going to decide this weekend whether or not to re-open long distance buses, as well as regular domestic and international flights which were supposed to resume on 17 August.Says Buddha Basnyat, a physician at Patan Academy of Health Sciences: “We are seeing a worrying surge in typical COVID-19 symptoms with advanced pneumonia, unlike before when most cases were asymptomatic and had co-morbidity.” <figure></figure> <img width="516" height="655" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914110/636ba51a9c7e80680e0736a4jpeg.jpg" alt=""><figcaption> </figcaption> Experts say the rise of symptomatic cases is also due to co-infection such as seasonal flu, typhoid and <a href="https://www.nepalitimes.com/opinion/the-dangers-of-the-dengue-virus/" target="_blank" rel="noopener noreferrer">dengue</a>, all infectious disease common during the monsoon. Some have pointed to high co-morbidity and delayed mass testing as  contributing factors to possible community transmission in the Tarai districts and Kathmandu.But despite the surge in symptomatic cases, health professionals have advised against re-imposing a blanket curfew, favouring a ‘<a href="https://www.nepalitimes.com/banner/experts-caution-against-extending-nepal-lockdown/" target="_blank" rel="noopener noreferrer">smart lockdown</a>’ where localities with cluster outbreaks are sealed off, and tested – while strictly enforcing masks in public places and preventing crowds.So far, shutdowns have been re-imposed in five Tarai districts, and semi-lockdowns in parts of nine others where there has been a surge in cases. <figure></figure> <img width="640" height="828" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914110/636ba51d9c7e80680e0736a5jpeg.jpg" alt=""><figcaption> </figcaption> “We are already experiencing semi-lockdown of sorts because of floods and landslides. A lockdown now will cause more harm than good. The only way to fight this pandemic is <a href="https://www.nepalitimes.com/editorial/open-and-shut-case/" target="_blank" rel="noopener noreferrer">behavioural reform, surveillance and isolation</a>,” says Marasini.Indeed, most experts agree that a focus on the coronavirus should not shift attention away from more devastating conditions that can <a href="https://www.nepalitimes.com/banner/children-are-collateral-damage-in-nepal-lockdown/" target="_blank" rel="noopener noreferrer">affect people’s well-being</a> because of economic collapse.

Nepal’s virus vortex

<figure><img width="760" height="428" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141144/636baefd9c7e80680e078027jpeg.jpg" alt=""/><figcaption>Nepali workers entering the border from India. Photo: MANORANJAN SHARMA</figcaption></figure>Compared to two months ago, there are no big crowds at the India-Nepal border these days. Although the border is supposed to be sealed, Nepalis still returning from India are not quarantined anymore, and this has raised fears that the mass spread of the virus in India could also affect Nepal.Here at the checkpoint at Behaliya there are no longer big crowds waiting to be tested and the <a href="https://www.nepalitimes.com/here-now/nepal-quarantines-hotspots-for-disease/" target="_blank" rel="noopener noreferrer">quarantine centres</a> on both sides of the border are empty. Returnees are allowed to enter freely, their temperature is checked, and if they show no symptoms they can travel directly to their home districts for a two-week quarantine.However, public health experts say that although the chaos at the border has been reduced, and the <a href="https://www.nepalitimes.com/latest/nepalis-still-stuck-in-no-mans-land/" target="_blank" rel="noopener noreferrer">flow of returnees is also not as big as before</a>, allowing people to travel to their home districts without tests risks the spread of the disease along the way.    “Earlier most of those who tested positive were asymptomatic, but in the past week the symptoms in patients tested in the border cities are all similar to those in Bihar and Uttar Pradesh,” says public health expert Rabindra Pandey.He adds that earlier most of those testing positive in Nepal were asymptomatic, and recovered quickly. But in the past fortnight, there are many with severe COVID-19 symptoms in the border cities.“This is proof that we have to be vigilant about the virus spreading to Nepal from people going back and forth across the border for trade or visits,” warns Pandey, “so far 95% of the confirmed cases in Nepal have a travel history of coming from India.”The fear is that the disease could easily spread to other parts of Nepal since <a href="https://www.nepalitimes.com/latest/nepal-ends-covid-19-lockdown/" target="_blank" rel="noopener noreferrer">travel restrictions have been lifted</a> within the country, and long-distance buses will be plying from 30 July.A family of five was tested positive in Kathmandu Valley this week, and contact tracing showed that the daughter-in-law of the household had travelled from Sitamarhi in Bihar and spread it to her family. The border cities of Rajbiraj, Birganj, Inaruwa and parts of Biratnagar have been sealed off this week after an increase in patients with severe symptoms. <figure><img width="1509" height="1098" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141144/636baeff9c7e80680e078028jpeg.jpg" alt=""><figcaption>It's business as usual at the Behaliya checkpoint in Rupandeni district near Indian border. Photo: MUKESH POKHREL</figcaption></figure>Lockdowns have been re-imposed in the Indian states of Bihar and Uttar Pradesh, but on Sunday there was busy movement of cargo trucks, traders and people crossing the checkpoint on foot. At present there are about 200 Nepalis entering the country daily from just the Behaliya checkpoint, a sharp drop from the thousands two months ago. <a href="https://www.nepalitimes.com/latest/indians-stuck-in-nepal-also-trying-to-get-home/" target="_blank" rel="noopener noreferrer">Indian workers</a> are allowed to re-entering Nepal if they have papers from the Home Ministry obtained by their employers. Rupandehi CDO Mahadev Pantha says: “We record details of every Nepali entering, their temperature is taken, and the Nepal Army notifies their municipalities and they are driven to their home districts where they are supposed to isolate themselves for 14 days.”Although there is some regulation at the main checkpoints, the India-Nepal border is open, and there are many places through which people can just walk back and forth. The Armed Police Force (APF) says it has posts every 1km along the Indian border, and in the past weeks there have been frequent clashes in Nawalparasi, Rautahat and Siraha districts when they have tried to stop people crossing over.“There are lots of people sneaking in through rivers and fields coming across, there is no way we can control this unless we put up barbed wire,” says an AFP officer here. India is now has the third largest caseload and fatalities from COVID-19 after the United States and Brazil. More worryingly, the daily new cases and deaths have been rising, with 35,000 new cases every day, and 720 deaths from the disease reported on Sunday. Although the caseload per million population and fatality rates in India are still lower than other countries, experts say that there may be many more cases there that are not detected.The states bordering Nepal have seen a sharp rise in cases. By 26 July, Uttar Pradesh had 67,000 cases and 1,400 fatalities, Bihar had 36,400 cases and 232 deaths, and Uttarakhand showed 6,000 positive cases and 63 deaths. Cases have also been rising in the other state bordering Nepal, West Bengal, which by Monday had more than 60,000 confirmed cases and 1,372 deaths from COVID-19. <img width="527" height="349" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141144/636baf019c7e80680e078029jpeg.jpg" alt="">Uttar Pradesh saw its highest daily rise with 3,620 new cases on Sunday. Sikkim, another Indian state bordering Nepal to the east has recorded 500 cases, and on Sunday saw its first COVID-19 death.The sharpest increase in new cases in the past week has been in Province 2, which has seven districts bordering Bihar in India. Chief Minister Lalbabu Raut announced over the weekend that border control would be made stricter, and he instructed all three security agencies to step up their vigilance.

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