Food safety presents a global challenge, contributing to 600 million cases of foodborne diseases and 420,000 fatalities annually worldwide. In developing countries, such as Nepal, addressing food safety is particularly intricate and arduous because of the prevalent issues of food insecurity, poverty, illiteracy, and regulatory hurdles. The objectives of this comprehensive review are to evaluate the prevalent foodborne and waterborne illnesses, examine the existing regulations and institutional frameworks, and identify the challenges associated with food safety in Nepal. Additionally, this review aims to propose strategies to enhance food safety measures in the country. An electronic search was conducted using relevant keywords to include articles and literature pertinent to the topic. Common foodborne illnesses in Nepal include cholera, typhoid fever, hepatitis, worm infections, and poisoning from mushrooms, heavy metals, and pesticides. While existing rules, regulations, and government infrastructure exist, they often face limitations in effectively addressing these multifaceted challenges. Food safety in developing countries, such as Nepal, faces several challenges, including inadequate regulatory frameworks, limited surveillance and monitoring, rural–urban disparities, and high incidences of foodborne illness. Additional issues stem from weak law enforcement, poor food safety practices, limited infrastructure, informal sector challenges, cross‐border trade, limited access to clean water, and the impacts of climate change. A multisectoral One Health approach involving collaboration among government agencies, food industry stakeholders, consumers, and civil society organizations is imperative to enhance food safety in developing countries such as Nepal.

Canine Pyometra, also known as cystic endometrial hyperplasia complex, is a common reproductive issue in bitches. This study aimed to identify associated risk factors, hematological variation, bacteria involved, and the most potent anti-bacterial against bacterial isolates of canine pyometra. Forty-five bitches of different habitats, breeds, and ages infected with pyometra were included in the study. The samples were cultured to isolate bacteria associated with the pyometra and antibiotic sensitivity was done for each bacterial isolates to get antibiogram. The study findings showed that potential risk factors such as age group, medroxyprogesterone acetate administration, and changes in the white blood cells parameters were significantly associated (P < 0.05) with the type of pyometra. Closed cervix pyometra in dogs showed significantly higher prevalence of clinical signs including depression, vomiting, abdominal enlargement, and fever compared to the open cervix pyometra. Low levels of red blood cells, pack cell volume, and hemoglobin indicated that the pyometra-infected dogs were more likely to have normocytic, normochromic, and non-regenerative anemia. Pyometra was attributed to an increase in AST (Aspertate aminotransferase), ALT (Alanine transaminase), ALP (Alkaline phosphatase), BUN (Blood Urea Nitrogen), and Creatinine while a decrease in serum albumin. Of the all bacterial isolates, E. coli (35.55%) was the most common pathogen isolated from canine pyometra, followed by Pseudomonas spp. (26.66%). E coli and Pseudomonas spp. were susceptible to Imipenem, Amikacin, and Gentamicin while highly resistant to Ampicillin and Erythromycin. Imipenem, Amikacin, and Gentamicin were the most sensitive antibiotics, while Ampicillin and Erythromycin were the most resistant antibiotics for the bacterial strain isolated from canine pyometra. Multidrug resistant was observed in 26 of the isolated bacteria, indicating acquired resistance due to improper and uncontrolled use. Hence early diagnosis and close monitoring of antimicrobial susceptibility before therapeutic intervention is indispensable in preventing the global threat of antimicrobial resistance.

Aflatoxins (AFs), secondary metabolites produced by fungi, pose significant health risks, especially to children and elderly individuals. In developing countries such as Nepal, the tropical climate promotes fungal growth, leading to elevated levels of AF in animal feed and milk. In this study, we aimed to investigate the occurrence of aflatoxin M1 (AFM1) in dairy milk from the Kathmandu District and to assess husbandry practices contributing to contamination. We collected 84 milk samples, including raw milk from farms, retailers’ milk, and packet milk, and analyzed them using the competitive enzyme-linked immunosorbent assay (c-ELISA) technique. We also interviewed farmers to gather information on feeding and storage practices. All the collected milk samples were contaminated with AFM1, with 97.6% of the samples exceeding the European Union (EU) maximum permissible limit of 50 ppt (0.05 μg/kg). The majority (98.5%) of the farms included paddy straw, and all farms (100%) included concentrate in their feed regimens. Only half (52%) of the farms had proper storage facilities. Straw was mostly stored in sacks outdoors or left open in a shed, while concentrates were stored in a closed room or shed. This study reveals very high levels of AFM1 contamination in the milk samples, presenting a serious public health issue, and recommends comprehensive surveillance and further investigations across the country, especially given the limited research and literature available.

The transmission of zoonotic diseases through animal-derived food products poses a significant global public health challenge, with contaminated milk and meat serving as major transmission pathways. In Nepal, the growing consumption of these products has amplified the risk of foodborne illnesses, largely due to widespread bacterial contamination. This review systematically explores the prevalence, distribution, and public health significance of key bacterial pathogens- including Salmonella, Escherichia coli, Shigella, Staphylococcus aureus, Brucella, Bacillus cereus, Mycobacterium tuberculosis, and Campylobacter in Nepalese milk and meat products. The analysis identifies major contributing factors: inadequate hygiene and sanitation practices, weak regulatory frameworks, insufficient infrastructure, excessive antibiotic usage, and limited public awareness. The high levels of bacterial contamination, coupled with the emergence of antibiotic-resistant strains, underscore the urgency for strategic interventions. Recommended measures include strict enforcement of hygiene and sanitation standards, strengthening regulatory policies, enhancing infrastructure, comprehensive public education campaigns, and prudent antibiotic stewardship. Implementation of these strategies is imperative to improve food safety, protect public health, and mitigate the risks posed by bacterial zoonotic diseases in Nepal.

Highly pathogenic avian influenza (HPAI) is a transboundary and zoonotic viral disease affecting poultry and wild birds in many countries worldwide. Globally, HPAI outbreaks have led to the death or culling of hundreds of millions of birds over the past two decades and have caused nearly 1000 confirmed human H5N1 infections, with a case fatality rate of approximately 50%. Asia and Europe remain among the most affected regions, with recurrent outbreaks linked to intensive poultry production, live bird markets, and migratory bird pathways. In Nepal, HPAI has been reported since 2009, with more than 320 outbreaks recorded and over 2.7 million birds lost, alongside one confirmed human fatality. Control measures rely largely on stamping out, movement restrictions, and surveillance; however, gaps in farm-level biosecurity, informal cross-border poultry trade, and limited vaccination use continue to sustain vulnerability. Strengthened multisectoral coordination under a One Health framework, integrating veterinary and public health surveillance, molecular monitoring, community awareness, and risk-based biosecurity enforcement, is essential to reduce the impact of HPAI and mitigate future zoonotic and pandemic risks.

The dairy sector in Nepal has a high potential for growth, but unfortunately, its progress is impeded by diseases such as mastitis. The purpose of the current investigation was to identify the predominant bacterial species in mastitis-affected cattle milk and to ascertain the most efficacious antibacterial treatment against the bacterial isolates. The study was conducted from 17th August 2022 to 12th February 2023 in lactating cattle of the Kirtipur municipality and Chandragiri municipality of Kathmandu district, Nepal. A total of 640 milk samples from 160 cattle were collected randomly from cattle farms of Kirtipur and Chandragiri municipality of Kathmandu district. Initial screening for mastitis was conducted on collection sites by the California Mastitis Test (CMT) and further bacterial isolation and identification were carried out at the Central Veterinary Laboratory using standard bacterial techniques and the antibiogram were evaluated based on CLSI guidelines. Among 640 samples collected from 160 cattle, 3.91% (25/640) tested CMT-positive at the individual quarter level, whereas the prevalence at the cow level was 15.62% (25/160). The major bacterial species isolated, in subsequent culture of CMT positive samples, were Staphylococcus spp. (10, 40%), E. coli (6, 24%), Streptococcus spp. (5, 20%), Enterococcus spp. (2, 8%), Bacillus spp. (1, 4%), and Klebsiella spp. (1, 4%).. Antibiogram study reveals that major gram-positive bacteria, Staphylococcus spp., Streptococcus spp., Enterococcus spp., and Bacillus spp. were highly sensitive to Ampicillin, Florfenicol, and Gentamicin while the major gram-negative bacteria, E. coli, and Klebsiella spp. were highly sensitive to Florfenicol, Gentamicin, Trimethoprim/Sulfamethoxazole and Ceftriaxone. Hence, early diagnosis and careful monitoring of antimicrobial susceptibility before therapeutic intervention are essential to prevent high economic losses due to mastitis and to mitigate the potential risk of antimicrobial resistance in the livestock population.