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[Correspondence] Management of disease outbreak in Nepal

After reading Buddha Basnyat and colleagues’ letter (June 27, p 2572)1 on Nepali earthquakes and the risk of an epidemic of hepatitis E, I would like to offer constructive criticism on the management of disease outbreaks in Nepal. During the rainy season in Nepal, the quality of drinking water falls below the bacteriological standard because of contamination with faecal matter2,3 leading to outbreaks in infectious diseases. Cholera is endemic in Nepal, with annual outbreaks during the rainy season.