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A PROJECT REPORT ON STATUS OF COVID-19 IN HOME DISTRICTS

Preprint · November 2020


DOI: 10.13140/RG.2.2.31055.00165

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KATHMANDU UNIVERSITY
SCHOOL OF ENGINEERING
DEPARTMENT OF GEOMATICS ENGINEERING

A PROJECT REPORT ON
EMERGENCY HANDLING OF COVID-19 IN HOME DISTRICTS

PREPARED BY:
MANOJ KUMAR BHAT, 07
BINOD PRASAD BHATTA, 08
HRITIK BHATTARAI, 10
KAVI RAJ MISHRA, 35
JIYA THAPA, 52

NOVEMBER, 2020

i
ABSTRACT

This report has been prepared on the project of topic - Emergency COVID-19
Handling by the students of Geomatics Engineering (first year-second semester) of
Kathmandu University. This is an outcome for the project launched under the
department of Geomatics Engineering, a two-credit course for first year of
undergraduate studies. Due to the effect of corona virus all over the world, education
status also affected by this and in order to continue the course, department launched a
new format. The main objective of this project is to study timely trend of COVID-19
in home districts of the students (allocated group) along with the comparative study of
situations.
Initially we collected raw data through official websites of MoHP, District
Administration Office and related local level websites which was followed by sorting
data in excel sheets. Afterwards we analyzed the collected data. We also presented our
improvement in different time period through mid- term presentation and discussions
with supervisors.
Finally, we carried out comparison of the district based data using different way of
representation.

Keywords: COVID, MoHP

ii
ACKNOWLEDGEMENT

We extend our gratitude to Department of Geomatics Engineering, Kathmandu


University for entrusting us with this project and their support. We would like to
express our sincere gratitude to our supervisors Er. Dinesh Bhatta and Er. Basanta
Awasthi for their support and invaluable suggestions during the project. Lastly, we
would like to thank everyone who has helped us directly and indirectly for
successfully completing this project.

iii
TABLE OF CONTENTS

ABSTRACT................................................................................................................... ii
ACKNOWLEDGEMENT.............................................................................................iii

LIST OF FIGURES....................................................................................................... vi
LIST OF TABLES.......................................................................................................viii
LIST OF ABBREVIATIONS........................................................................................ix
1. INTRODUCTION.................................................................................................. 1
1.1 Background...................................................................................................... 1
1.2 Problem Statement........................................................................................... 2
1.3 Objectives.........................................................................................................3
1.4 Scope................................................................................................................ 3
2. METHODOLOGY................................................................................................. 4
2.1 Literature Review.............................................................................................4
2.2 Study Area........................................................................................................5
2.3 Work-flow........................................................................................................ 6
2.3.1 Planning.................................................................................................... 6
2.3.2 Data Collection......................................................................................... 7
2.3.3 Data Analysis............................................................................................ 7
2.3.4 Software Used...........................................................................................7
3. OUTCOME & ANALYSIS....................................................................................8
3.1 Quantitative Outcome...................................................................................... 8
3.1.1 Jhapa District............................................................................................ 8
3.1.2 Lalitpur District.......................................................................................12
3.1.3 Bhaktapur................................................................................................17
3.1.4 Kanchanpur............................................................................................. 19
3.1.5 Dadeldhura..............................................................................................26
3.2 Qualitative Output.......................................................................................... 32
4. Discussion............................................................................................................. 34
4.1 Infected versus Test Ratio.............................................................................. 34
4.2 Infected versus Recovered Rate..................................................................... 35
4.3 Infected Versus Death Rate............................................................................35
5. Limitation..............................................................................................................36
6. CONCLUSION AND RECOMMENDATION....................................................36
6.1 Conclusion......................................................................................................36

iv
6.2 Recommendation............................................................................................37
7. REFERENCES..................................................................................................... 38
8. ANNEXES............................................................................................................39

v
LIST OF FIGURES

Figure 1: Sample Picture of Corona Virus..................................................................................1


Figure 2: Workflow of the project...............................................................................................6
Figure 3: Political map of Jhapa District..................................................................................... 8
Figure 4: Bar Diagram showing the variation of infected cases with Age..................................9
Figure 5: Bar Diagram showing the infected cases with gender............................................... 10
Figure 6: line chart showing the infected cases in different months......................................... 10
Figure 7: Pie-Chart showing the overall status of COVID-19 in Jhapa.................................... 11
Figure 8: Political Map of Lalitpur District...............................................................................12
Figure 9: Chart showing total PCR & RDT test done in Lalitpur............................................. 13
Figure 10: Chart showing total infected population.................................................................. 13
Figure 11: Gender Wise COVID-19 Cases............................................................................... 14
Figure 12: Age wise COVID-19 Cases..................................................................................... 15
Figure 13: Overall status of the Lalitpur District...................................................................... 16
Figure 14: Political Map of Bhaktapur...................................................................................... 17
Figure 15: Total infected cases in Bhaktapur............................................................................ 17
Figure 16: Age Basis infected cases in Bhaktapur.................................................................... 18
Figure 17: Overall status of the Bhaktapur................................................................................19
Figure 18: Political map of Kanchanpur....................................................................................20
Figure 19: Chart showing Number of people in Quarantine..................................................... 21
Figure 20: Chart Showing No. of Population returned from Foreign....................................... 22
Figure 21: No. of Swab test report in Kanchanpur....................................................................22
Figure 22: Total infectants in Kanchanpur................................................................................ 23
Figure 23: line chart showing active cases according to genderwise........................................ 24
Figure 24: Age Basis Data.........................................................................................................24
Figure 25: Overall Status of the District....................................................................................25
Figure 26: Political map of Dadeldhura.................................................................................... 26
Figure 27: Numbers of People in Quarantine............................................................................28
Figure 28: Swab test Report...................................................................................................... 28
Figure 29: Total infected population......................................................................................... 29
Figure 30: Gender wise infected data of Dadeldhura................................................................ 30
Figure 31: Age basis data of Dadeldhura.................................................................................. 30
Figure 32: Overall status of Dadeldhura....................................................................................31

vi
Figure 33: Bar diagram showing infected population in accordance with infected
population..................................................................................................34
Figure 34:bar-diagram showing the recovering rate in accordance with infected
population....................................................................................................35
Figure 35:Line chart showing the death count in accordance with infected
population....................................................................................................35

vii
LIST OF TABLES

Table 1: Tests done in different centers of Jhapa.......................................................... 9


Table 2: Health facilities provided in Jhapa................................................................. 11
Table 3: Isolation Center: Mechi Hospital (DCC Jhapa).............................................12
Table 4: Hospitals and their facilities........................................................................... 27

viii
LIST OF ABBREVIATIONS

CDO: Chief District Officer


COVID: Corona Virus Disease
DAO: District Administration Office
DCC: District Co-ordination Committee
ICU: Integrated Care Unit
MoHP: Ministry of Health & Population
nCOV: Nobel Corona Virus
PCR: Polymerase Chain Reaction
PPE: Personal Protective Equipment
RDT: Rapid Diagnostic Test

ix
x
1. INTRODUCTION

1.1 Background

Corona virus widely known as COVID-19 are a large family of viruses that are known
to cause illness ranging from the common cold to more severe diseases such as Middle
East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS).

Figure 1: Sample Picture of Corona Virus

Image source: https://www.webmd.com/lung/news/20200124

The virus out-braked on Nov-2019 from Wuhan city of china. The virus affected south
China for about a month and then it spread throughout the world making the path
through Europe. The champion’s league game between Atlanta and Valencia became
the poison for spreading the virus in Europe as more than 80,000 spectators were in
stadium. Till date, the virus had spread in about 235 territories affecting more than 55
million of population.
Nepal also reported its first COVID-19 case on 23 January 2020 which today tallied to
208,299 cases. The timely imposing of the lockdown controlled the chances of rapid
incrementation of infected population till June. But with the foreign manpower being
brought to home country and loosening of lockdown after July, the number of infected
population increased in the exponential way.
The large number of people are being infected and killed on daily basis all over the
world. And the data of death, infected and recovered cases are being provided on

1
different websites, Google, webpages etc. But these data are only limited to national
and international level. Therefore, with the necessity to bring the data of local level
with effective analysis, and to make a project work possible through virtual classes we
the students of Geomatics engineering were assigned with project “Emergency
Handling of COVID-19 in Home Districts”. We all were divided into different groups
with 5 members from 5 different districts in each. Hence, with the guidelines of
supervisors and strong group work, we have finally completed our engineering project.

1.2 Problem Statement


With an outbreak of COVID -19 in Nepal, ‘Ministry of Health and Population’ is
providing the data on daily basis through websites, newspaper, Facebook and different
Medias. But these data are only based on national level. Such sites highlight the
national level infected, recovered, death cases. But it doesn’t provide systematic
district level data. Thus proper analysis of district level data through pictorial
representation are not available in these sites. Hence, with the need to highlight the
district, local level data and to do effective analysis and evaluation we were assigned
with the project on study of COVID-19 in our home districts.
During the project every student did the thorough study of COVID-19 cases in their
home districts with help of available sites, web-pages, newspapers and virtual
communication with local bodies like municipality , Rural Municipality, etc. From
these we collect different random data and refined it in systematic form like gender
wise, age wise infected people of every month .similarly to visualize the timely trend
of Covid-19 in our home districts along with the comparative study of situations, we
present these data in the pictorial form like bar graph, pie chart, and line chart and so
on. Hence, our project addressed the district level data and present it in an effective
way.

2
1.3 Objectives
The primary objective of our project is:
 To study timely trend of Covid-19 in our home districts along with the
comparative study of situations,

The secondary objectives of our project are:


 To determine the possible analytical outcomes of COVID-19 situations based on
different age groups and other divisions.
 To study and evaluate the provided facilities, works done to minimize the effect
and spreading of virus from a local level.
 To develop the idea and concept of teamwork, field project and analytical skills to
us.

1.4 Scope
We have collected the COVID-19 data through different sources. We have used the
official website of Ministry of Health and Population, CDO Offices of individual
home districts, and Municipality’s website. We have refined, and analyzed those data
in different aspects and displayed it in a systematic form .So this report/project can be
helpful to different students who are doing COVID -19 research and project of
different districts. Similarly, local level bodies can utilized it to study the pattern of
COVID-19 and formulate the further plans as per need.

3
2. METHODOLOGY

2.1 Literature Review


COVID-19 is a disease caused by a new strain of corona virus. 'CO' stands for corona,
'VI' for virus, and 'D' for disease. Formerly, this disease was referred to as '2019 novel
corona virus' or '2019-nCoV.' It was first detected in the Wuhan city located in South
China which mend its way to America and throughout the world devastating central
Europe.
Its effect reached to our country in no time and now there are more than 200,000 cases
in the country. The general public of the country have been facing lockdown since last
six months and been going through numerous difficulties with lots of fear in their
mind.
Lots of data have been published nationally but the people are unaware about the
situation in their locality. As, we being from all parts of the country are analyzing the
situation in our home districts so that we could provide some relevant information to
the local people. Thus we had picked up this project as emergency handling of covid-
19 in our home districts.
There have been Mapathon and thematic competition regarding the presentation and
exposing of COVID-19 data by different media. It contributed a lot for researchers
like us in completing our project. As the local data were unavailable through the web-
pages of governmental offices and we were unable to participate physically in
extracting through primary sources these competition helped us a lot in extracting the
un-highlighted data and analyze them in a systematic manner.
The Mapathon held by the NGES, contributed us to get the data. There were many
participants and they have presented the different Maps showing the COVID-19 Cases
of different districts, municipalities and national level data.

4
2.2 Study Area
Since, we are five members in our group our study is limited to five districts of our
country. Jhapa district lies in the Eastern terai of the Nepal which shares an open
border with the India. Whereas, Kanchanpur lies in Far-west terai and Dadeldhura lies
in Far-west hilly region. Similarly, Lalitpur and Bhaktapur lies inside the valley which
has immense population density despite being the smaller ones.
Table 2.1: Information about our home districts

Name of District Area(sq.km) Population No. Of local


bodies
Jhapa 1,606 812,650 15
Bhaktapur 119 81,728 4
Lalitpur 350 226,728 6
Kanchanpur 1610 104,444 9
Dadeldhura 1,538 142,094 7

5
2.3 Work-flow

Figure 2: Work-flow of the project

2.3.1 Planning
After getting suggestion and ideas from our project orientation and respective
supervisors we did discussion with our group members via Google meet.
In our first phase of planning, we share our personal prospective regarding our project,
discussed situation of COVID-19 in our home districts, and possible ways to get data
like different web-pages, from nearest local level authorities or through different
communication channels e. g. Phone, email. Similarly, we planned to do some
research and study on different sites so to find an updated, accurate and authorized
websites and pages from which we can extract reliable data.
In our second phase of planning, we planned the ways to sort the data, analyzed them
through different aspects and finally present them in a systematic form.

6
2.3.2 Data Collection
After some research we found that the website of “Ministry of Health and Population”
websites of CDO and DAO Office of individual home districts are the most updated
and accurate sites so we have followed this site for most of our data. Similarly, we
have visited the nearest local level authorities and communicated via phone and email
for local level data. Finally, we collected data on different basis like: Gender wise
covid-19 data, Age wise, total infected, total recovered, total death, no of quarantine in
our home district and no of PCR and RDT test.

2.3.3 Data Analysis


It was third and the last phase of our project. After collecting the data, as per our
planning we prepared the different excel sheet and recorded them. We sorted the
collected data and represent those using different visualization method like Bar graph,
Pie charts ,Line Charts, columns and analyzed them making comparative study of the
COVID -19 situation.
Detailed analysis and output is described in the Output Section

2.3.4 Software Used


Microsoft Excel was used to collect the data in a systematic way and to visualize them.
We have prepared different sheets in the Excel and stored the data. Microsoft Excel
makes us easier to provide some better visualization of the data. We have used
different charts, bars and graphs to represent the data.

7
3. OUTCOME & ANALYSIS

3.1 Quantitative Outcome

3.1.1 Jhapa District


In this section, we have presented and analyzed the data of Jhapa District.

Figure 3: Political map of Jhapa District

Jhapa lies in the eastern part of Nepal which shares an open international border with
India. Jhapa is one of the biggest district of Nepal with population of about 1million
and 15 local bodies.
First COVID-19 case was reported in April, 2020 here which tallied 2288 till 31st
October 2020. Since, the border has been sealed from the initial days of the Virus and
lockdown was imposed soon, Jhapa had not reported much cases compared to other
bordered districts.

8
3.1.1.1 Tests Done and Results:
Particularly only around 32,000 tests have been done in jhapa where 1214 are seen to
be positive. The other infected had travelled from other place to their home town. Out
of the total tests 1296 patients are waiting their report to come. Birtamod municipality
conducted the most tests (4382) compared to Haldibari Rural Municipality the least
(521).
Table 1: Tests done in different centers of Jhapa

Test Positive negative Total

RDT 58 3485 3681

PCR 1214 24978 27814

Total 1272 28463 31495

2508 PCR tests have been done till now in Mechi Hospital out of which only 17 are
reported to be infected. Also in the 25 beds available here, 150 patients are admitted
out of which 65 were positive and 127 are already discharged.

3.1.1.2 Total Cases (Age Basis)

This chart shows the variation of infected cases with the age group. Since 21-50 being
working population and have
higher mobility they have been
much affected by the pandemic
despite having much greater
immunity than other age
groups.The life expectancy of
our country limits to 67 years
so
Figure 4: Bar Diagram showing the variation of infected cases with Age

with the population being less, older aged are less affected.

9
3.1.1.3 Total Infected (Gender Basis)
This chart shows the infected
data according to the
gender .This chart marks the
dominance of male in outdoor
activities in our society as males
are more infected than the
females.

Figure 5: Bar Diagram showing the infected cases with gender

3.1.1.4 Total Infected


This line chart shows the total infected people in the period of seven months. As the
Border was sealed and
lockdown was imposed, there is
not much affect in the initial
four months. But with lifting of
lockdown and limiting
quarantine to home only, the
number of infected cases started
climbing the Everest with no
intention to stop.

Figure 6: line chart showing the infected cases in different months

10
3.1.1.5 Summary of the status of COVID-19 in Jhapa
Here pie-chart shows the overall status of the COVID-19 Data in the district.
Out of all the infected,
774 people recovered
from the virus. The
recovery rate is quite
good but not
impressive as there are
1514 active cases,
there is high chance of
exponential increment
of infection if safety
measures are not followed during this festive season.
Being a border district, Figure 7: Pie-Chart showing the overall status of COVID-19 in Jhapa
despite the border is sealed
1092 people have entered Jhapa out of which 591 are reported to have come from
India.

3.1.1.6 Health facilities


Table 2: Health facilities provided in Jhapa

Quarantine Centers 31

No. of quarantine beds 1444

Quarantined Population 967

No. of people in home quarantine 1160

Isolation Centers 1

No. of isolation beds 414

Isolated Population 127

No. of ICU's 2

11
Above table shows the facilities in our district. There are lesser number of quarantine
centers compared to the population as the isolation centers and number of beds. People
are compelled to stay in home quarantine with a huge chance of infecting other
members of the family. The home quarantined population tallies to 1160 till date.

Table 3: Isolation Center: Mechi Hospital (DCC Jhapa)

Isolation PPE Mask Medical Lab


Center Nurses Doctors set N95 Gown Technician Volunteers

Mechi
Hospital 8 15 71 26 34 3 2
The table provides the detailed information about the only isolation center of Jhapa
district. The condition seem to be very poor as it is not able to handle the all patients
and in result they are referred to Ghopa Hospital, Dharan.

3.1.2 Lalitpur District


Lalitpur district lies in Bagmati province. It is one of the three districts in the
Kathmandu Valley, along with Kathmandu and Bhaktapur. It covers an area of 350
sq.km. and Lalitpur is the district
headquarter. According to the 2011
census, population of Lalitpur district was
466,784. Likewise, Kathmandu,
Bhaktapur, Makwanpur, Kavre are the
neighbor district. There are six
municipalities in Lalitpur District,
including three Rural Municipalities and
one Metropolitan city.
Nepal reported its first COVID-19 case
on January, the virus travelled all over the
country in no time. Lalitpur district also
reported its first COVID-19 case on May

12

Figure 8: Political Map of Lalitpur District


which today tallied to 8718. After loosening of lockdown the virus started increasing
rapidly in neighboring district, Kathmandu. As Lalitpur is directly linked with it so
virus travelled here as well in no time. But to control the virus infection, the local units
are awaring local people via Medias, Facebook pages. Different facilities like
quarantine, COVID test in different parts are being provided in Lalitpur district.

3.1.2.1 Total PCR & RDT test done


This bar graph show the total PCR and RDT test done starting from July to October in
Lalitpur district. Till July less test was done due to less equipment, laboratories,
manpower. But from August
the number of test increased
due to increase in medical
facilities. Likewise, with the
increased in private hospitals,
laboratories providing the
facilities of COVID test in
Lalitpur district ,the total
number of test has also
Figure 9: Chart showing total PCR & RDT test done in Lalitpur
increased by twice at the end
of October.

3.1.2.2 Total COVID-19 infected in Lalitpur District:


It show that less number of people were infected till July. But the cases increases
exponentially from August. It’s
all because of loosening of
lockdown and increase in PCR
Test.

Similarly, the graph show the


highest infection case in October.
This year October was the

13
Figure 10: Chart showing total infected population
festive month, so we had greatest Hindu festival, Dashain in October. So, markets,
department stores, malls were crowded. And due to migration of people from one
region to another, the infected cases increased rapidly in October.

3.1.2.3 Gender wise COVID-19 Cases in Lalitpur district:


This bar graph show the gender wise COVID- 19 data of Lalitpur districts. According
to the bar graph the COVID cases in Lalitpur district start being detected from May. It
show that less number
of people were infected
till July but the infection
number increases in
exponential way starting
from August. The
massive increment in
infected number is due
to loosening of
Figure 11: Gender Wise COVID-19 Cases
lockdown and with the
foreign manpower being brought to home district.

Similarly, graph show that male are more infected than female. Since male in
Nepalese society are much involved in outer chores like business, jobs, cultural
activities so they come in contact with different people. Hence this might be the reason
why we have more male infected.

14
3.1.2.4 Age wise COVID -19 data:

Figure 4 line chart showing the age wise data

This line chart show the age wise COVID cases of both male and female in Lalitpur
district. From the line chart we can see that age between 0-20 and 70+ are not much
infected. Because these age group include children, teenager and old people who are
quite safe these days in their home due to closed schools, colleges, universities,
temples, etc.

How else the age interval of 21-50 are more infected because people of these age
group are active, matured and they involved in different profession. They work in
different places so they travelled more due to which they come in contact of different
people. Hence, they are more infected.

15
3.1.2.5 Overall status of the Lalitpur District:

This pie chart show the total active Figure 13: Overall status of the Lalitpur District
cases, total death and recovered
COVID cases in Lalitpur district. From above we clearly see that with increasing
number of virus infection, we also have large COVID-19 recovered cases (about 75%).
It means we can overcome the virus easily if we take good care, apply some safety
measures. The virus transmission in Lalitpur district as well as whole country can be
controlled completely if we maintain strict social distancing and stayed in home
isolation if required.

Till the date the Virus has killed 77 people in the district. According to medical person,
the virus is severe only if it cause disease like Middle East Respiratory Syndrome
(MERS) and Severe Acute Respiratory Syndrome (SARS).The active case is about
24%. Among them some serious cases are being treated in different hospital and one
with minor symptoms are in home isolation.

16
3.1.3 Bhaktapur
Bhaktapur district lies in Bagmati province. It is one of the three districts in the
Kathmandu Valley, along with Kathmandu and Lalitpur. It covers an area of 119 km2
and Bhaktapur is the
district headquarter.
According to the 2011
census, population of
Bhaktapur district was
304,651. Likewise,
Kathmandu, Lalitpur,
Kavre are the neighbor
district. There are four
municipalities in
Bhaktapur District. Figure 14: Political Map of Bhaktapur

Bhaktapur district also reported its first COVID-19 case on May which today tallied to
5673. Being the smallest district of Nepal, it is reporting maximum number as it has
the dense population and it is connected with the Kathmandu District which has the
most COVID- 19 cases in the country.

3.1.3.1 Total infected Cases


This chart show the total infected cases in the Bhaktapur district of different months. It
shows that less number of people were infected till July. The cases increases rapidly

17

Figure 15: Total infected cases in Bhaktapur


from August.

There were just 4 cases on May and this number reached to 5673 in October. Similarly,
the graph show the highest infection case in October. As lockdown was strictly
implemented in the initial month there were less cases and less PCR-test were done at
that time, but after lifting the lockdown the city was crowded and people did not
follow the safety protocols which results in the higher infected cases.

3.1.3.2 Gender wise Infected Cases


This line chart shows the infected data in the gender basis. There were 2 male and 2
female infected cases in the Bhaktapur District.
This chart shows that
male are more infected
than the females. As
male are more engaged
in business activities
and jobs. Female are
more involved in
household activities so
that, male had been more infected.

3.1.3.3 Age Basis infected cases

This chart shows the total cases of COVID-19 According to the age group. It shows
that young group had been more
infected due to this virus. Child
age group and the people above
60 years are less effected.
Young aged groups are more
involved in different outside
works so that they get more
infected due to COVID-19.
Figure 16: Age Basis infected cases in Bhaktapur

18
3.1.3.4 Overall status of the District
This pie chart shows the overall status of the district. Out of all the infected cases,
67% have already been recovered and 32% cases are still under treatment. The death
percentage in the district is 1%.
As people are not following the
safety protocols, more cases have
been appeared in the district.
Although the district is small it is
reporting higher number of cases
day by day.

Figure 17: Overall status of the Bhaktapur

3.1.4 Kanchanpur
In this section, Kanchanpur COVID-19 data is presented and analyzed.

19
Kanchanpur district lies in the far west of Nepal. This district has the open boarder
with India. Many people travel to India to get a job and earn some money for their

family. Here are 9 local units.

Corona Virus travelled to our Kanchanpur district ad well. The first case appeared in
Baishakh Month. In India, Corona virus was rapidly infecting the people. So, many
Nepalese returned to their Country. In Kanchanpur as well, many people of the
Farwest province returned through the boarder “Gaddachauki”.
People returned from gulf country as well. Those people stayed at the different
quarantine places which was established by the local level government and many
people stayed in the home quarantine. Lockdown was strictly implemented in the
district.
These data show the COVID-19 Status in Kanchanpur District.

Figure 18: Political map of Kanchanpur


20
3.1.4.1 No. of People’s in Quarantine

Here in the line chart we can see that, there were just 58 people in the quarantine
places in chaitra Month and in Baishakh this number reached to 130 but after
Baishakh the number of
people in quarantine grows
rapidly and number reached
to 8385. The number
declined and in Ashar there
were 2006 people in
quarantine. In Bhadra, there
were only 165 people were
in quarantine similarly in
Ashoj there were 276 people Figure 19: Chart showing Number of people in Quarantine
in the quarantine.

After spreading this Corona virus in the whole world, people were returning to their
country. Many people from different country arrived in our district as well and the
most number of people were from india. Corona Virus was in control in the India but
after few weeks the number grows rapidly. So, to feel secure and to be not infected by
the corona virus many Nepalese returned. So, the line chart clearly depicts that in the
month of Jestha there were many people who arrived from different nation and stayed
in the quarantine places. Many people were already here so, we can see that the
number is decreasing in the line chart.

21
3.1.4.2 No. of Population returned from Foreign
This line chart shows the no. of population returned from foreign. 5151 people
returned in the Chaitra District out of them just 58 people stayed in quarantine as we
can see the data in previous line chart. Returned population reached to 5815 in
Baishakh and in Jestha
Month this number
reached to 14190. Huge
number of people returned
to the district in this month.
And in Ashar this number
reached to 18700. In
Bhadra 22719 people
returned. This number
reached to 22946 in Ashoj.

Many people don’t feel


safe in foreign country and
Figure 20: Chart Showing No. of Population returned from Foreign
the corona virus was rapidly
increasing in those country. So, many people returned to Nepal and in our district.
Here it was in the control as lockdown was strictly implemented.

3.1.4.3 Swab Test Report


This chart shows the number of
swab test done in different
months. Here in Chaitra, only
11 swab test was done. In
Baishakh this number reached
to 205. In jestha, 685 test was
done and the number of swab
test report reached to
Figure 21: No. of Swab test report in Kanchanpur

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2054 in Asar. In Bhadra and Ashoj, huge number of test was done.
There were less human resources and equipment to do more test in the initial months.
So that we can see in the chart that only 11 test was done. The samples collected here
in the district were transported to Seti Zonal Hospital for the test. The government has
deployed more human resources and added testing machine in the hospital. So that we
can see in the chart that many test has been done later on. And another factor for more
number of test can be many number of people were returned from Foreign in these
months.

3.1.4.4 Total Infected


This bar chart shows the total infected people in the different months. First case of
COVID-19 appeared in the
Baishakh Month. There were
9 cases in the Jesth Month and
in Ashar, 344 cases were seen.
Likewise, 237 cases were
appeared in the Shrawan and
in Bhadra 132 cases were
appeared. There were 182
cases in Ashoj Month.
Here in the chart we can see that, in Baishakh and jestha there were less cases. Less
test has been done in these
Figure 22: Total infectants in Kanchanpur
months and lockdown was
strictly implemented in these months and in Asar, more number of cases appeared. In
this month more swab test has been done. In the other month as well, lockdown was
strictly implemented. This virus was in under control. The people who were returned
from foreign has been highly infected due to this virus. As they were staying in the
quarantine places, this virus did not spread in the community and it is still under
control now.

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3.1.4.5 Gender wise infected data
This line chart shows the infected data in the gender basis. The first infected case was
male. Here from this
chart we can see
that, males were
more infected
than the females.
.

Figure 23: line chart showing active cases according to genderwise

3.1.4.6 T
otal Cases (Age Basis)
This chart shows the total cases of COVID-19 According to the age group. Here we
can see that the age
interval of 21-30 has been
highly affected due to
corona virus.
Child age group and the
people above 60 years are
less effected.
Young people are highly
infected. As young people
are involved in business
and outside work they

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Figure 24: Age Basis Data


have to travel different places and in doing so there is the high chance of infecting
with the virus.

3.1.4.7 Overall status of the District


Here pie-chart shows the overall status of the COVID-19 Data in the district.
There is no any death cases in the district. Out of all the infected 1037 patients, 986
people recovered from the virus. And there are just 49 active cases. As lockdown was
strictly implemented, the
infected population is
relatively small than the
other district. There was
the high chance of having
more number of COVID-
19 Patients in the district
as this district has the open
boarder with the India. But
Figure 25: Overall Status of the District
government has sealed the
border. Those who were returned from foreign were stayed in the quarantine. So, that
corona did not spread in the community.
As we are celebrating our festivals, there is the high chance of having more infection
in the coming days.

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3.1.5 Dadeldhura

Here in this section effect of Coronavirus in Dadeldhura district is discussed:


Dadeldhura is a part of Sudurpaschim Pradesh, is one of the seventy-seven districts of
Nepal. It is a mountainous district although it contains a very beautiful part of inner
terai (Jogbudha). This district has the border with India. The border is separated by
Mahakali River in the west. The average literacy rate is about 60%. The common
language is Doteli, followed by Nepali. Many people travel to India to get a job and
earn some money for their family. Here are 7 local units.

Figure 26: Political map of Dadeldhura

Corona Virus travelled to Dadeldhura as well. The first case appeared in Jestha Month.
In India, Corona virus was rapidly infecting the people. So, many Nepalese returned to
their hometown. People were afraid of lives and were returning to the hometown. In
Dadeldhura as well, many people of the Farwest province returned through the nearest

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border of Kanchanpur district through ‘Gaddachauki’, ‘Banbasa’ and through border
of Kailali i.e. Gauriphanta border.
People returned from gulf country as well. Those people stayed at the different
quarantine places which was established by the local level government and many
people stayed in the home quarantine. Lockdown was strictly implemented in the
district. Masks and sanitizers were distributed among the public through Local
government and many motivating practices were performed. People managed their
daily life as simply as they could. Schools and colleges were also stopped and those
places and others governmental buildings were modified into Quarantine places and
help desks.
Governmental authorities established help desk and temporary health checkup post
that can check temperature of the immigrants from India and provide sanitizer and
masks as they needed.
These data show the COVID-19 Status in Dadeldhura District

Table 4: Hospitals and their facilities

Rural/ Municipality Hospital Primary Health post Ambulance Isolation


Amargadhi Municipality 1 6 3 10
Parashuram
Municipality 1 4 2 8
Ajaymeru Gaupalika 0 5 1 5
Ganyapdhura Gaupalika 0 4 1 5
Nawadurga Gaupalika 0 12 1 10
Bhageshwor Gaupalika 0 6 1 3
Aalital Gaupalika 0 4 1 4

3.1.5.1 Quarantined population


Here in this graph we can see the data is plotted in the interval of one month. In
chaitra and Baishakh i.e. the initial days of Lockdown there were no any people in the
quarantines.

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After Jestha 18 i.e. peak hour of lockdown people from foreign (mostly from India)
were returning to the hometown. And such peoples were managed to stay at allocated
quarantines. And most of the cases were identified after the RDT test and further
performing PCR tests. In the interval of Jesth and Asar there were most number of
people in quarantines and the number reached to 3441. And hence the graph is at the
highest level of increment.
After certain days of quarantine, people were sent to the home quarantines and hence

Figure 27: Numbers of People in Quarantine

this graph decreasing sequentially. People are being sent to the home quarantines in
different time period. And after the lockdown period immigrants prefer to stay at
home quarantines rather than the quarantines. Due to this reason quarantined number
of people decreased and reached to minimum now. This graph shows the trend of
quarantined population in Dadeldhura district.

3.1.5.2 Swab test report


This chart
shows the
number of
swab test done
in different
months (Jestha
to Ashoj).

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Figure 28: Swab test Report
Here in Jestha, only 25 swab test were done. Due to increase in immigrant’s
population from foreign in quarantines, the swap test increased unexpectedly and the
number of swab test reached to 2104 till Asar 18. In Srawan comparatively less
number of swab were collected and tested. And then this increases gradually.
Since in the Jestha the approach of RDT test was employed and for this the maximum
number of swab was collected and after first week of Srawan this test was band due to
unsuitable results and after this the swab collection rate comparatively decreased
though it increased in number.
The samples collected here in the district were transported to Seti Zonal Hospital for
the test. The government has deployed more human resources and added testing
machine in the hospital. So that we can see in the chart that many test has been done
later on. And another factor for more number of test can be many number of people
were returned from Foreign in these months.

3.1.5.3 Total infected population


This bar chart shows the total infected population in the different months. First case of
COVID 19 was tested in Jestha month and there were 39 cases in jestha month. After
the increase in swab collection and testing the number increases suddenly and reached
to 228 in Asar 18. At the same time the border with India were sealed and lesser

Figure 29: Total infected population

number of people entered Nepal and lesser number of tests were done in comparison

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with Asar month results less number of PCR positive cases i.e. 83 in Srawan 18 and in
Bhadra and Ashoj the cases were appeared similar and in this way Dadeldhura had
355 PCR positive cases till Ashoj 18
Here this diagram include all the data in Bar diagram as described above showing one
case in Jestha, 228 cases in Asar, 83 cases in Srawan and so on.

3.1.5.4 Gender wise infection


This graph shows the infected data in the gender basis. The first infected case was
male. Here from this chart we can see that, males were more infected than the females.
Many number of males from foreign were returned in Nepal and hence the much tests
were of course done in Males
resulting more infectious
number of males.
In case of female, mostly it is
being seen from my survey
that the males who tested
positive, their wives were
also tested positive. And
other family members Figure 30: Gender wise infected data of Dadeldhura

too due to not maintaining social distance and unhygienic health environment. But
some of the females were tested positive in quarantines too.

3.1.5.5 Age based infection


This chart shows the total cases of COVID-19
According to the age group. Here we divided the
age group into different categories. From this
diagram we can see that the age group 21-30 is
highly infected due to corona virus and the
number reached to 163 which is much greater
than other age group.
Here in Dadeldhura as mentioned earlier the
education percentage is almost 60%, many
Figure 31: Age basis data of Dadeldhura
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school students used to go India and other countries for the employment purpose and it
becomes trend now. During the effect of corona virus all over the world this age group
returned to homes and tested positive compared with other age group.
And here in the chart we can clearly see that young age groups has been more infected.
Child age group and the people above 60 years are less effected.

3.1.5.6 Overall status of the district


Here pie-chart shows the overall status of the COVID-19 Data in the district.
Out of all the 347 infected cases, 312 people were recovered from the infection. And
there are just 12 active cases.
There is one death cases in
the district. And PCR test
report of 22 people is in
pending i.e. is in process of
test. As lockdown was
strictly implemented, the
infected population is
relatively small than the
Figure 32: Overall status of Dadeldhura
other districts. There was
the high chance of having more number of COVID-19 Patients in the district as this is
the nearest Kanchanpur which has the open boarder with India. But government has
sealed the border. Those who were returned from foreign were stayed in the
quarantine. So, that corona did not spread in the community. In this way the
coronavirus has affected in health condition of the district.
Till Kartik month total 429 cases are tested positive and total 390 people are recovered
and still 38 people are in isolation.

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3.2 Qualitative Output
Since we were unable to explore the different infected areas physically, we had
prepared a questionnaire and circulated to the five district through social media to
gather public perception regarding the pandemic, its impact and effect in their locality.
Following are the sample of our questionnaire and their result.
 From survey it is seen that, most of the people are strictly following the
imposed lockdown to be safe from the pandemic.

 The day to day life of people have been severely affected by the lockdown but
its returning back to normal after lockdown as people are taking it as a new
way of normal life.

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 With the increase in equipment’s and health facilities followed by returning of
people from foreign it is found that the PCR test is increasing day by day.

 With the fear of being infected all the people are following all safety measures
when they visit outside.

 Most of the public places are used for the quarantine purpose.

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lockdown is not always the solution but starting the day to day activities with
safety measures could be the effective step.

Other samples are kept in Annexes.

4. Discussion

4.1 Infected versus Test Ratio

Figure 33: bar-diagram showing the infected population in accordance with swab test

This bar chart shows the infected population in five districts with the total number of
test done. Comparing the data, Lalitpur reported maximum number of infected
population (28%) while Dadeldhura reported the least (6%). As Lalitpur lies in the
Kathmandu valley and it has the maximum mobility it is reporting higher cases so is
Bhaktapur. Despite the other district share the open border with India they are
reporting less cases as the border has been sealed and these district has less mobility
than valley districts.

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4.2 Infected versus Recovered Rate
This clustered bar represents the recovered rate in the five districts. Dadeldhura and
Kanchanpur have the highest recovery rate while Jhapa has the least recovery rate.
The health facilities
provided in the
quarantines and following
of lockdown might have
played vital role in
varying the recovery rate

Figure 34: bar-diagram showing the recovering rate in


accordance with infected population

4.3 Infected Versus Death Rate


This line chart represents the death rate in five district. The death rate has not excessed

Figure 35: Line chart showing the death count in accordance with infected population

2% in any of the district which clears that the virus is not much dangerous than is told
by different medias. Since the recovery rate is very low in Jhapa, it is quite general
that it has maximum death rate. Similarly, Kanchanpur and Dadeldhura have
maximum recovery rate resulting lowest death rate.

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5. Limitation

The Limitation of our project are listed below:


 The concerned officials hesitated to provide the COVID-19 data/status making
excuse of government protocols.
 We were unable to perform depth analysis due to lack of physical
appearance/participation.
 The study is limited to secondary source of data.

6. CONCLUSION AND RECOMMENDATION

6.1 Conclusion
Hence in this project we collected both the qualitative and the quantitative COVID-19
infection data of five major districts. The quantitative data studied the COVID cases in
different aspects such as gender, age etc. and qualitative data evaluate the
socioeconomic situation, health facilities, infected cases and individual perception
towards this pandemic.
Similarly, comparative study of five districts concludes that male members of age
group 21-30 are highly infective than other due to their active involvement in
socioeconomic activities, high mobility, high population. As people are not following
all the safety protocols and also the availability of excessive testing technologies
results in more infected cases in different district. Also the study show that there is
high recovery rate than infected and death rate. Taking the present situation as new
normal way of living they are showing negligence toward the COVID-19 Virus.
Likewise, this project helped every one of us to be familiar with our home districts, the
situation of COVID pandemic, different software. Moreover, it taught a lot about the
essence of planning, cooperation during the team works. This type of project can be
best way of collecting, analyzing and visualizing the COVID 19 cases and its impact
in different aspects of community.

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Hence, this is the high time, so we all need is patience, unity and cooperation to fight
against the situation.

6.2 Recommendation
This project is one of the best way to study the corona-virus attack and its impact in
the community. Though this project collected fine data in District level and to some
extent their local level too. We recommend following points to achieve more fine data
and visualization of such aspects of community which are still not exposed among
public and still getting severe effect.
 Since most of the official websites of the government offices were not updated
daily, not only daily, even in a month. It would be easier for us to collect the
data if the websites were updated time to time,
 It would be easier for web surfing to collect the data if we were provided with
the strong internet facility.
 If data providing procedure in government offices would be easier and
undoubted, we could have got data easily and comfortably.
 We think that if some more weeks were provided us for completing this project
it would be sufficient to collect the data and analyze the data so that it could be
visualized in more efficient way

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7. REFERENCES

Ministry of Health and Population. (2020). Retrieved November 03, 2020, from
https://covid19.mohp.gov.np/
District Coordination Committee Jhapa. (2020). Retrieved October 30, 2020, from
https://dccjhapa.com.np
District Administration Office Lalitpur. (2020). Retrieved November 1, 2020, from
https://daolalitpur.moha.gov.np/
District Administration Office Bhaktapur. (2020) Retrieved October 30, 2020, from
https://daobhaktapur.moha.gov.np/en
District Administration Office Kanchanpur. (2020). Retrieved November 01, 2020,
from https://daokanchanpur.moha.gov.np/
District Administration Office Dadeldhura. (2020). Retrieved October 30, 2020, from
https://daodadeldhura.moha.gov.np/

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8. ANNEXES

We have collected the responses through this Google form link:


https://docs.google.com/forms/d/e/1FAIpQLSfq6ZYSLKYfSaVVzhGPnoRMVplifM
Y3n1h4gujMZ4wNzKwI4Q/viewform?usp=sf_link

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