Study area
Gandaki province is one of the seven provinces of Nepal and is located in the western part of Nepal. More than 2.4 million people live in this province and is one of the most important tourist destinations in Nepal. The provincial government of the Gandaki has declared that this province is self-sufficient in milk, meat, and egg products. There are 11 districts in the Gandaki province including Kaski and Tanahun districts from where the outbreaks of LSD have been confirmed.
In Gandaki province, LSD outbreak has been confirmed from the Pokhara metropolitan region and Annapurna rural municipality of Kaski district and Vyas municipality of Tanahun district (Figure 1).