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In order to strengthen the Health Sector Response Capacity of Ministry of Health and Population to respond to the humanitarian health needs in the event of mass casualty incidents in Kathmandu Valley, a simulation exercise was organized at Bir Hospital. Ninety medical students took part in the simulation who acted as injured or relatives of the injured. The entire activity was observed and evaluated by doctors working in other hospitals who later on gave their feedback. After the earthquake of April 25, around 900 earthquake victims went for treatment at Bir Hospital.