<P> Though a feared mass cholera outbreak failed to materialize (there were sporadic reports), other outbreaks have been reported . At least 13 people have died of scrub typhus while 240 people have been taken ill since the disease was first diagnosed in the country in August 2015 until Sept 2016 . </P> <P> About 90% of soldiers from the Nepalese Army were sent to the stricken areas in the aftermath of the earthquake under Operation Sankat Mochan, with volunteers mobilized from other parts of the country . Rainfall and aftershocks were factors complicating the rescue efforts, with potential secondary effects like additional landslides and further building collapses being concerns . Impassable roads and damaged communications infrastructure posed substantial challenges to rescue efforts . Survivors were found up to a week after the earthquake . </P> <P> As of 1 May international aid agencies like Médecins Sans Frontières and the Red Cross were able to start medically evacuating the critically wounded by helicopter from outlying areas, initially cut - off from the capital city, Kathmandu, and treating others in mobile and makeshift facilities . There was concern about epidemics due to the shortage of clean water, the makeshift nature of living conditions and the lack of toilets . </P> <P> Emergency workers were able to identify four men who had been trapped in rubble, and rescue them, using advanced heartbeat detection . The four men were trapped in up to ten feet of rubble in the village of Chautara, north of Kathmandu . An international team of rescuers from several countries using FINDER devices found two sets of men under two different collapsed buildings . </P>

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