A report by Geohazards International said "the 1.5 million people living in the Kathmandu Valley were clearly facing a serious and growing earthquake risk" because of the number of people among flimsily-built buildings.
Scientists believe Kiwis could easily see a quake of the same force here.
"The Alpine Fault, as far as we can tell, could generate quakes of similar size - but mostly, it would be a different style," Victoria University seismologist Dr John Townend said.
"That's because most of the motion in the Alpine Fault is lateral, so one block is sliding past the other horizontally, yet there is still a component of upward motion - that's why we get the Southern Alps."
On the Alpine Fault, 7.8 quakes could occur every 300 or 400 years.