why are scrub typhus cases spiking?

Scrub typhus cases in Nepal have spiked significantly in 2026, with over 10,000 cases reported across 74 districts and 7 confirmed deaths. The surge includes a record 2,746 cases in September alone, the highest monthly total recorded. Areas like Lumbini and Syangja have been particularly affected, with thousands and hundreds of cases respectively. While the exact reasons for the spike aren't detailed in the reports, such increases often relate to environmental factors, increased exposure to mite habitats, or better detection and reporting. Continued monitoring and public health measures are crucial to control the outbreak.