Nepal faces a severe shortage of testing kits and has only one laboratory for coronavirus tests.

Nepal faces a severe shortage of testing kits (read this ) and has only one laboratory for coronavirus tests--the National Public Health Laboratory (NPHL). But the lab is grossly under-equipped, can test a maximum seven swab samples a day and has even been turning away people with symptoms of Covid-19 infection.

Nepal’s foreign secretary Shanker Das Bairagi met Indian envoy to Nepal Vinay Mohan Kwatra Wednesday to list out Nepal’s immediate requirements. The two also discussed the possibility of shutting down the 1800-kilometer long Indo-Nepal border “if the situation worsens”.

Nepal has requested India to send emergency response teams equipped with medical equipment to contain the possible outbreak of coronavirus. India is also rushing face masks, gloves, hand sanitizers and testing kits to the Himalayan country.

Tens of thousands of Nepalis who work in other countries, including the worst affected ones, have returned home since January. But few have been screened at the country’s only international airport or advised home isolation.

The NPHL has been able to test only 512 swab samples since January. This has led to fears that Nepal is sitting on the vortex of a pandemic and can see a sudden explosion of the pandemic.

But the government seems to have adopted a ‘wait and watch’ approach. Nepal’s foreign minister Pradeep Gyawali said: “We are studying the measures adopted by China and India in tackling the pandemic and we will adopt the best practices”.

“All that the government has done is to suspend entry of foreigners (barring Indians) into the country. But we are terrible at the crucial task of testing even people who show symptoms of Covid-19 infection and isolating them,” said an opposition Nepali Congress lawmaker.

Nepal has, till date, had only one Covid-19 positive case--a student who returned from the worst-affected city of Wuhan in China in early-January. But he has since recovered.

Another dozen-odd who were admitted to Sukraraj Tropical & Infectious Diseases Hospital in Kathmandu have tested negative over the week and have been discharged.

“But this does not mean we are safe. Not at all. There may be many positive cases which are undetected and they are infecting many others. We may have an Italy-like situation where hundreds of serious cases come to light all of a sudden. This laxity in testing and sending people arriving from other countries to isolation will cost us dear,” said a renowned public health expert who did not wish to be named.

NPHL virologist Shravan Kumar, according to this report in The Himalayan Times, has said that Nepal faces a grave risk of an outbreak as people with flu and other symptoms of Covid-19 infection are not being tested for the deadly virus.

“These people should also undergo COVID-19 test because a person who has tested positive for common flu may also test positive for coronavirus,” said Dr Mishra.

Nepal’s Disaster Risk Reduction & Management Authority (DRRMA) held an emergency meeting on Thursday and urged the government to restrict movement along the open international border with India.