The COVID-19 epidemic, caused by the SARS-CoV2 virus, has affected more than 15 million people worldwide, killing over half a million. In Nepal, more than 17 000 people have been diagnosed with the infection thus far, among which over 40 have died. However, the true extent of the spread of the infection in the country is not known. There are reasons to believe that the true extent of the spread of the virus may not be adequately reflected by our current case burden.