Nepal's death toll soars to 3,815

April 27, 2015

Kathmandu, Apr 27: The death toll from the 7.9 magnitude temblor that struck Nepal was on Monday placed at 3,815, with Kathmandu accounting for nearly 1,000 deaths.

The home ministry said in a statement another 6,515 people had been injured. The Saturday earthquake, the worst to hit Nepal after 1934, had its epicentre in Gorkha district.

The highest death toll of 1,021 among all districts was reported from Sindhupalchowk, about 65 km from here. Kathmandu, where damage to property was maximum, saw 920 fatalities.

Nuwakot district accounted for 422 deaths, Dhading 299, Bhaktapur 240, Gorkha 223, Kavre 193, Lalitpur 157 and Rasuwa district 150.

The other fatalities were reported from Dolakha (46), Makawanpur (33), Ramechap (26), Solu (21), Okhaldunga (16), Sindhuli (9), Sunsari (7), Chitwan and Bara (5 each), Lamjung (4), Parsa (3), Kaski, Bhojpur and Mornag (2 each) and Saptari, Dhanusha, Taplegunj, Sarhahi, Rauthat,

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Earlier

Nepal earthquake toll rises above 3,600

Kathmandu, Apr 27: Rescue workers today intensified efforts to locate survivors trapped under tonnes of rubble of flattened homes and buildings in earthquake-hit Nepal amid concerns that death toll could rise from more than 3,600 with rescue teams reaching remote mountainous areas.

Racing against time, multi-national rescue teams with sniffer dogs and advanced equipment are desperately trying to locate survivors as hundreds of people are still missing.

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More than 700 disaster relief experts drawn from the National Disaster Relief Force have been deployed by India.

In a statement, Nepalese police today said the death toll had risen to 3,617 people. That does not include the 22 people killed in the avalanche on Mount Everest.

Nepalese Home ministry's national disaster management division said more than 6,830 people were injured.

1,053 people are reported killed in the Kathmandu Valley alone and 875 in Sindhupalchowk, it said.

Officials and aid agencies have warned that the casualties could rise as rescue teams reach remote mountainous areas of western Nepal.

"Villages are routinely affected by landslides, and it's not uncommon for entire villages of 200, 300, up to 1,000 people to be completely buried by rock falls," aid agency World Vision spokesman Matt Darvas said.

The blocked roads, downed power lines and overcrowded hospitals along with fresh tremors are hampering rescue efforts to locate survivors of the Saturday's 7.8 magnitude quake that had its impact in several cities in Bihar, West Bengal and UP northeast India.

It was also felt in Southern and Western parts of India, China, Bhutan and as far as Pakistan and Bangladesh.

Officials said five Indians, including the daughter of an Indian embassy employee, were among those killed in the quake.

Tens of thousands of people were forced to spend the two consecutive nights sleeping in open in makeshift plastic tents barely shielding them from the pouring rain.

Earlier:

Nepal quake: Death toll crosses 3,200; sick and wounded lay out in the open

Kathmandu, Apr 27: Thousands of desperate Nepalese huddled under tents and sought scarce food and medical supplies on Monday, two days after a massive quake killed more than 3,200 people and overwhelmed authorities struggled to cope with the disaster.

The sick and wounded lay out in the open in the capital, Kathmandu, unable to find beds in the devastated city's hospitals. Surgeons set up an operating theater inside a tent in the grounds of Kathmandu Medical College.

"We are overwhelmed with rescue and assistance requests from all across the country," said Deepak Panda, a member of the country's disaster management.

Across Kathmandu and beyond, exhausted families whose homes were either flattened or at risk of collapse laid mattresses out on streets and erected tents to shelter from rain.

People queued for water dispensed from the back of trucks, while the few stores still open had next to nothing on their shelves. Crowds jostled for medicine at one pharmacy.

High in the Himalayas, hundreds of foreign and Nepalese climbers remained trapped after a huge avalanche ripped through the Mount Everest base camp, killing 17 people in the single worst disaster to hit the world's highest mountain.

A total of 3,218 people were confirmed killed in the 7.9 magnitude quake, a police official said on Monday, the worst in Nepal since 1934 when 8,500 died. More than 6,500 were injured.

Another 66 were killed across the border in India and at least another 20 in Tibet, China's state news agency said.

The toll is likely to climb as rescuers struggle to reach remote regions in the impoverished, mountainous country of 28 million people and as bodies buried under rubble are recovered.

"The rescue workers are in a really bad shape. We are all about to collapse. We have worked two straight nights," said home ministry official Laxmi Prasad Dhakal.

With so many people sleeping in the open with no power or water and downpours forecast, fears mounted of major food and water shortages. Across Nepal, hundreds of villages have been left to fend for themselves.

"There is no electricity, no water. Our main challenge and priority is to restore electricity and water," Dhakal said.

"The next big challenge is the supply of food. Shopkeepers are unable to go in and open their shops. So people are facing difficulty buying food."Several countries rushed to send aid and personnel.

India flew in medical supplies and members of its National Disaster Response Force. China sent a 60-strong emergency team. Pakistan's army said it was sending four C-130 aircraft with a 30-bed hospital, search and rescue teams and relief supplies.

A Pentagon spokesman said a U.S. military aircraft with 70 personnel left the United States on Sunday and was due in Kathmandu on Monday. Australia, Britain and New Zealand said they were sending specialist urban search-and-rescue teams to Kathmandu at Nepal's request.

Britain, which believes several hundred of its nationals are in Nepal, was also delivering supplies and medics.

However, there has been little sign of international assistance on the ground so far, with some aid flights prevented from landing by aftershocks that closed Kathmandu's main airport several times on Sunday.

AVALANCHE TERROR

In the Himalayas, hundreds of climbers felt tremors on Sunday powerful enough to send snow and boulders cascading towards them. Another was felt early on Monday.

The huge and deadly avalanche on Saturday triggered by the earthquake caused panic at the Everest base camp, a sprawling "city" of tents from where mountaineers set off for the world's highest peak.

"It was a monstrous sound, like the demons had descended on the mountain," Khile Sherpa, a Nepalese guide, told Reuters, recalling the moment the avalanche hit.

He was one of the lucky few airlifted to the relative safety of Kathmandu but the disaster has underlined the woeful state of Nepal's medical facilities.

Nepal has only 2.1 physicians and 50 hospital beds for every 10,000 people, according to a 2011 World Health Organization report.

"The earthquake has exposed that Nepal's best public hospital infrastructure has crumbled at a time when it should serve more people in a hurry," said Sarvendra Moongla, a senior surgeon at Bir Hospital's Trauma Center in Kathmandu, which opened in February.

At the Tribhuvan University Teaching Hospital, bodies, including that of a boy aged about seven, were heaped in a dark room. The stench of death was overpowering.

Rajiv Biswas, Asia Pacific chief economist at business research firm IHS, said long-term reconstruction costs in Nepal using proper building standards for an earthquake zone could be more than $5 billion, or around 20 percent of the country's GDP.

"With housing construction standards in Nepal being extremely low ... the impact of the earthquake has been devastating based on initial reports," he said in an early analysis of the likely damage.

In crowded Kathmandu, many buildings were flattened or badly damaged.

Among the capital's landmarks destroyed in the earthquake was the 60-metre (200-foot) Dharahara Tower, built in 1832 for the queen of Nepal.

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Earlier post:

Death toll crosses 2,000 in Nepal quake as fresh jolts felt

Kathmandu, Apr 26: Rescuers today dug with bare hands and heavy equipment through tonnes of rubble for survivors as toll from the devastating temblor crossed the 2,000-mark in Nepal's worst quake in over 80 years, with fresh aftershocks triggering panic and hampering relief efforts.

A strong 6.7-magnitude aftershock sent people running for open spaces as they struggled with the devastation caused by yesterday's massive 7.9-magnitude temblor that displaced and injured thousands besides causing a deadly avalanche on the Mount Everest claiming 17 lives.

"The latest figure says more than 2,000 people have died and several thousands have been wounded and more counts are coming," said Narayan Khatkar, Nepal's Urban Development Minister.

A police official told media here that 2,123 people were killed.Over 5,000 people were also injured in the earthquake and the dozen aftershocks that continued till today, with the strongest measuring 6.7 on the Richter Scale.Climbers on Mount Everest said they saw fresh series of avalanches and a big landslide in the base camp.

International teams, including from India, have touched down quake-hit Nepal that has declared a state of emergency in the wake of the disaster caused, the worst in over 80 years of Nepal's recorded history.

Rescuers have been hunting for survivors under heaps of debris with bare hands as well as heavy equipment though the efforts have been hampered due to fresh tremors and thunderstorms.

Locals and tourists sifted through mounds of debris for survivors. Cheers rose when people were found alive, thought mostly bodies were pulled out.

The earthquake and the aftershocks left behind a trail of death and destruction, flattening houses and buildings, including the iconic Dharhara tower and the landmark Darbar Square in the heart of the capital, trapping scores of people.

Thousands of people spent last night in the open in chilly weather, anticipating more aftershocks.

1,053 people are reported killed in the Kathmandu Valley alone. Officials fear the death toll could rise as desperate search for survivors continued.

According to initial reports related to today's aftershock, a tunnel caved in at the Trishuli Hydel Project and around 60 labourers are feared trapped.

MI-17 helicopters of the Indian Air Force (IAF) have carried out five casualty evacuation sorties and the injured have been moved to military hospitals.

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As many as 17 Mount Everest climbers, including foreigners, were reportedly killed in an avalanche triggered by the earthquake.

The latest aftershock hit at a shallow depth of 10 kilometres at 12:39 IST, according to the US Geological Survey.

The aftershock was registered 17 kilometres south of Kodari - 114 kilometres north of here - near the Tibet Autonomous Region of China.

The tremors - that were felt also in India including its national capital - sent people running for open spaces.

According to reports, the route to the base camp has been destroyed and the IAF choppers were trying to rescue the survivors, around 100 in number including foreigners who were said to be safe.

A climber Jim Davidson said he felt the aftershock at Camp One on Mount Everest.

"Just had our biggest aftershock yet here at C1 on Everest. Smaller than original quake but glacier shook & avalanches," he tweeted.

An Indian attempting to climb all the highest peaks in the seven continents, 54-year-old Ankur Bahl is also stuck at Camp II on Mount Everest along with 11 other fellow climbers.

Bahl had moved to Camp II from Camp I yesterday but is now stranded due to the earthquake, his friends in New Delhi said.

Two Indians, including the daughter of an Indian embassy employee, were among those killed in the powerful earthquake, an Indian embassy official said.

A house in the Indian Embassy complex collapsed, killing the daughter of a CPWD employee. Death of another Indian was reported at Bir Hospital here.

Over 550 Indians have been evacuated by the IAF from earthquake-hit Nepal even as India stepped up its relief and rescue mission with 10 flights and 12 helicopters scheduled to carry specialists and equipment to Kathmandu today.

The Tribhuvan International Airport, that was closed down yesterday following the quake, was opened briefly, only to be shut down again due to fresh tremors.

IndiGo, SpiceJet flights could not land here and were forced to return as Air Traffic Control personnel at the airport were evacuated following fresh aftershocks.

Many hospitals in Nepal are struggling to cope with the large number of injured.

Nepal Prime Minister Sushil Koirala, who was on a visit to Indonesia, had to cut short his trip in the wake of the disaster.

The Nepalese government has declared a national crisis and established a fund of Rs 500 million for the reconstruction of the damaged infrastructure.

Many areas in the country have no electricity for the past 24 hours and authorities say the situation is likely to continue for the next few days.

Offers of help poured in from around the world, with the US, the European Union as well the United States saying they were sending in disaster response teams.

"The United Nations is supporting the Government of Nepal in coordinating international search and rescue operations and is preparing to mount a major relief effort," UN Secretary- General Ban said in a statement today.

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Agencies
April 17,2020

Washington, Apr 17: A record number of 4,591 Americans have died in the last 24 hours due to the deadly novel coronavirus in the US, which has the highest number of COVID-19 casualties in the world.

According to the Johns Hopkins University data, by 8 pm on Thursday, as many as 4,591 Americans have died in the last 24 hours, The Wall Street Journal said.

The previous highest was 2,569 on Wednesday.

By Thursday, more than 662,000 Americans tested positive with the coronavirus.

The dreaded disease, which originated in Wuhan city in China in December last year, has so far claimed more than 144,000 lives and infected over 2.1 million people.

The virus has infected over 671,000 people and claimed more than 33,000 lives, the highest for any country in the world.

New York City and its adjoining areas, including New Jersey and Connecticut have emerged as the epicenter of the virus in the US.

New York alone accounts for 226,000 cases of infections and 16,106 deaths.

In New Jersey, as many as 3,518 people have died of the disease and 75,317 have tested positive.

According to the US Centers for Disease Control and Prevention, till April 14, four per cent of the Americans infected with COVID-19 were of Asian origin and nearly one-third (30 per cent) were African Americans.

US President Donald Trump told reporters at the White House that experts and scientists report that his strategy to slow the spread of the virus has saved hundreds of thousands of lives.

Models predicted between 1.5 million and 2.2 million US deaths. If there was no mitigation, it could have even been higher than that and between 100,000 and 240,000 deaths with mitigation. It is looking like we will come far under even these lowest numbers, he said.

Noting that experts say the curve of the virus has flattened, and the peak in the new cases has passed, Trump said that nationwide, more than 850 counties or nearly 30 per cent of the country have reported no new cases in the last seven days.

Because of our early and aggressive action, we have avoided the tragedy of health care rationing and deadly shortfalls that have befallen in many other nations, nations which wherever possible we are helping, he said.

According to Trump, at least 35 clinical trials are already underway, including antiviral therapies, immune therapies, and blood therapies in the form of convalescent plasma. So far, more than 3.5 million tests have been carried out.

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News Network
April 28,2020

Washington, Apr 28: After nearly three weeks in an intensive care unit in Los Angeles, doctors treating 41-year-old Broadway actor Nick Cordero for COVID-19 were forced to amputate his right leg.

The flow of blood had been impeded by a blood clot: yet another dangerous complication of the disease that has been bubbling up in frontline reports from China, Europe and the United States.

To be sure, so-called "thrombotic events" occur for a variety of reasons among intensive care patients, but the rates among COVID-19 patients are far higher than would be otherwise expected.

"I have had 40-year-olds in my ICU who have clots in their fingers that look like they'll lose the finger, but there's no other reason to lose the finger than the virus," Shari Brosnahan, a critical care doctor at NYU Langone said.

One of these patients is suffering from a lack of blood flow to both feet and both hands, and she predicts an amputation may be necessary, or the blood vessels may get so damaged that an extremity could drop off by itself.

Blood clots aren't just dangerous for our limbs, but can make their way to the lungs, heart or brain, where they may cause lethal pulmonary embolisms, heart attacks, and strokes.

A recent paper from the Netherlands in the journal Thrombosis Research found that 31 percent of 184 patients suffered thrombotic complications, a figure that the researchers called "remarkably high" -- even if extreme consequences like amputation are rare.

Behnood Bikdeli, a doctor at New York-Presbyterian Hospital, assembled an international consortium of experts to study the issue. Their findings were published in the Journal of The American College of Cardiology.

The experts found the risks were so great that COVID-19 patients "may need to receive blood thinners, preventively, prophylactically," even before imaging tests are ordered, said Bikdeli.

What exactly is causing it? The reasons aren't fully understood, but he offered several possible explanations.

People with severe forms of COVID-19 often have underlying medical conditions like heart or lung disease -- which are themselves linked to higher rates of clotting.

Next, being in intensive care makes a person likelier to develop a clot because they are staying still for so long. That's why for example people are encouraged to stretch and move around on long haul flights.

It's also now clear the COVID-19 illness is associated with an abnormal immune reaction called "cytokine storm" -- and some research has indicated this too is linked to higher rates of clotting.

There could also be something about the virus itself that is causing coagulation, which has some precedent in other viral illnesses.

A paper in the journal The Lancet last week showed that the virus can infect the inner cell layer of organs and of blood vessels, called the endothelium. This, in theory, could interfere with the clotting process.

According to Brosnahan, while thinners like Heparin are effective in some patients, they don't work for all patients because the clots are at times too small.

"There are too many microclots," she said. "We're not sure exactly where they are."

Autopsies have in fact shown some people's lungs filled with hundreds of microclots.

The arrival of a new mystery however helps solve a slightly older one.

Cecilia Mirant-Borde, an intensive care doctor at a military veterans hospital in Manhattan, told AFP that lungs filled with microclots helped explain why ventilators work poorly for patients with low blood oxygen.

Earlier in the pandemic doctors were treating these patients according to protocols developed for acute respiratory distress syndrome, sometimes known as "wet lung."

But in some cases, "it's not because the lungs are occupied with water" -- rather, it's that the microclotting is blocking circulation and blood is leaving the lungs with less oxygen than it should.

It has just been a little under five months since the virus emerged in Wuhan, China, and researchers are learning more about its impact every day.

"While we react surprised, we shouldn't be as surprised as we were. Viruses tend to do weird things," said Brosnahan.

While the dizzying array of complications may seem daunting, "it's possible there'll be one or a couple of unifying mechanisms that describe how this damage happens," she said.

"It's possible it's all the same thing, and that there'll be the same solution."

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News Network
May 23,2020

Karachi, May 23: Ninety-seven people were killed and two survived when a passenger plane crashed into homes in Pakistan's southern city of Karachi, health officials said Saturday.

The Pakistan International Airlines (PIA) plane had made multiple approaches to land at the city's airport when it came down in a residential area, damaging buildings and sparking a rescue operation that lasted into the night.

All passengers and crew had been accounted for and the bodies of those killed had been recovered from the crash site, the Sindh Health Ministry said, adding that 19 had been identified.

A local hospital earlier reported it had received the bodies of people killed on the ground.

The site remained cordoned off on Saturday morning.

The crash sent plumes of smoke were into the air as rescue workers and residents searched the debris for people and as firefighters tried to extinguish the flames.

An AFP reporter witnessed charred bodies being loaded into ambulances.

PIA said the plane lost contact with air traffic control just after 2:30 pm (0930 GMT) travelling from Lahore to Karachi.

The disaster comes as Pakistanis prepare to celebrate the end of Ramadan and the beginning of Eid al-Fitr, with many travelling back to their homes in cities and villages.

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