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Below Bhalubang, [[Inner Terai]] ''Deukhuri Valley'' opens between the ''Dang'' and ''[[Dudhwa Range]]s'', both sub ranges of the Siwaliks. Valley, following the WNW trend of the Siwalik hills for 100 km. Although the land is fertile, before [[DDT#Use against malaria|DDT]] came into use in the 1950s Deukhuri was so [[malaria]]l that only the [[Tharu people]] who had genetic resistance could be confident of surviving the warmer months.
The river crosses from Dang into [[Banke District]]. Approaching [[Nepalganj]]—largest town in Nepal's western [[Terai]]—the Dudhwa Hills fall away and the river turns SE, crossing into Uttar Pradesh, India and flowing through districts [[Shravasti district|Shravasti]], [[Siddharthnagar district|Siddharth Nagar]], [[Basti district|Basti]], [[Sant Kabir Nagar district|Sant Kabir Nagar]], [[Maharajganj District]] and [[Gorakhpur district|Gorakhpur]], passing [[Gorakhpur]] city at about 135 air miles (215 km) from Nepal.{{fact|date=February 2020}}
Just west of the city it is joined by the smaller [[Rohni River|Rohini]] rising further east in Nepal's [[Nawalparasi District|Nawalparasi]] and [[Rupandehi District]]s, draining 794 km<sup>2</sup> in Nepal then 1892 km<sup>2</sup> following through [[Maharajganj District]] in India. 60 km beyond Gorakhpur the Rapti joins the Ghaghara (Karnali) at Rajpur. About 120 km further on at [[Chhapra]], the Ghaghara reaches the Ganges.<ref>{{cite web|url = http://www.india9.com/i9show/Rapti-River-40183.htm | title = Rapti River | publisher =india9 |access-date = 2010-05-28}}</ref><ref>{{cite web|url = http://basti.nic.in/basti_nic2/knowchd_general.htm | title =Basti | publisher = Basti district administration |access-date = 2010-05-30}}</ref><ref>{{cite web|url = http://sknagar.nic.in/profile.htm| title =Sant Kabir Nagar district | publisher = Sant Kabir Nagar district administration |access-date = 2010-05-30}}</ref><ref name=negi>{{cite book|url = https://books.google.com/books?id=5YtUShKY8zcC&q=rapti+river+Himalayan+Rivers&pg=PA115 | title =Himalayan rivers, glaciers and lakes | work = p. 115 | first= Sharad Sing | last= Negi | year =1991 | isbn =9788185182612 |access-date = 2010-05-28}}</ref>
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