Floods and landslides along the Nepal-China border have killed 1,372 people, while 5,531 people have been reported missing. The number of missing people was announced 11 days after the disaster began.
The death toll in Nepal has reached 1,341. The Nepal Disaster Risk Reduction and Management Authority said around 5,000 people were missing, including 589 foreign nationals.
At least 31 people have died and 531 are missing in China's southwestern Xizang Autonomous Region, also known as Tibet. Official figures from Nepal and China showed that the total number of missing foreign nationals was 850.
Women and babies struggle in shelters
The floods and landslides have made roads and bridges unusable, while pregnant women and new mothers who moved into shelters are unable to find private and suitable spaces for breastfeeding. The women said that, in addition to irregular meals, it had become difficult to access emergency healthcare during childbirth.
Cigarette smoke, the smell of alcohol, and unsafe food and water in the shelters are worsening health problems among women and babies. The lack of centers where children can be vaccinated is also among the problems.
Pariyar, who left her home in Trishuli on the morning of August 26, when the floods began, said food was not distributed on time or in sufficient quantities at the shelter where she was staying. Sharmila Shrestha said she was staying with her two children in a crowded shelter being used as a school, that no special food was provided for babies, and that they needed a more suitable place.
About 4,430 pregnant women await healthcare
An estimated 4,430 pregnant women are living in 15 municipalities in the Rasuwa, Nuwakot and Dhading districts, which were among the areas hardest hit by the floods. About 500 births are expected next month, while around 74 women are expected to need emergency childbirth services.
The maternity unit at Trishuli Hospital continues to operate despite the crisis. Nine births have taken place at the hospital since the floods. The number of women seeking care for fever, reduced fetal movement and urinary tract infections during pregnancy has also increased.
Because of power outages, surgeries are being performed with the support of generators. Hospital administrator Basanti Pancha said that before the floods, Kathmandu could be reached by road in two hours, but after the landslides it was unclear how long the journey would take.