Exactly 90 years ago this week, Nepal was struck by the Great Earthquake of 1934 killing over 8,500 people across the country. In Kathmandu, 70% of the houses collapsed in the 8.3 magnitude disaster.&nbsp; To commemorate the event, 16 January is observed every year as National Earthquake Safety Day.&nbsp; Nepal has gone through many transitions in the past 90 years. From the Rana era to the 1950s interim years, to the Panchayat, the conflict and federal republic. Nepal has also experienced many other smaller seismic events, including the 2015 Gorkha Earthquake which ended up killing nearly 9,000 people and damaging some 800,000 buildings. And as the 3 November 2023 earthquake in Jajarkot showed, Nepal is still not prepared for these disasters. Read also: <a href="https://nepalitimes.com/here-now/jajarkot-survivors-show-collective-resilience">Jajarkot survivors show collective resilience</a>, Durga Rana magar ‘There was a movement in the land similar to that of the waves in the water … the land seemed to twist and most of the buildings toppled. The movement was so strong … the trees bent down as during a hurricane,’ narrates Brahma Shumsher Rana in his book Nepal ko Mahabhukampa which came out later that year. Bramha Shumsher was the son of Major General Baber Shumsher and describes how the ground split sending fountains of hot water and sand shoot up. The Bagmati and the Vishnumati rivers turned black with dirty water.&nbsp; ‘Some sought support to keep themselves on their feet, while others ran like animals with their hands on the ground. Some mothers having come out into the open ground went back for the love of their children and were crushed to death… But even those men who ran away were not saved. The narrow streets and lanes in the towns became traps,’ the book says. Read also:<a href="https://nepalitimes.com/banner/in-a-disastrous-state"> In a disastrous state</a>, Sonia Awale  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240111100112_8f1bf4ab9e23ba750d2fab64f2c9140940f0c3d2b4796bb8f9e649c722cfd69d.jpg" data-media-id="editor_2" data-image-id="20240111100112_8f1bf4ab9e23ba750d2fab64f2c9140940f0c3d2b4796bb8f9e649c722cfd69d" data-rendition-name="original" width="812" height="380" loading="lazy" alt="Page 1 inset NT"> <figcaption>SHAKEN: Patan Darbar Square after the 1994 quake (inset), and the overlapping restoration following 2015. 1934 was 1990 in the Bikram Sambat calendar.</figcaption> </figure>  Nepal is a seismically active zone and is struck by such earthquakes every 70-80 years. The 7.8M Gorkha quake in central Nepal in 2015 is often mistaken for one of those megaquakes. Himalayan seismologist Roger Bilham told Nepali Times then that it was not the big one which scientists had feared. In fact the faults in Central Nepal are still collecting energy and could be let off at any time. But even more imminent is the long seismic gap in western Nepal which did not dissipate all its energy in the November quake, says engineer Surya Narayan Shrestha of the National Society for Earthquake Technology (NSET) - Nepal. The last big quake in western Nepal in 1505 is estimated to be 8.9M and killed one-third of Kathmandu Valley’s population including the king, devastated north India, and created the debris flow where Pokhara city is situated today. Read also: <a href="https://nepalitimes.com/here-now/back-to-classroom-for-earthquake-preparedness">Back to classroom for earthquake preparedness</a>, Rachael Lau “Energy accumulated in western Nepal is big enough to cause an earthquake bigger than 8M, the Jajarkot earthquake released very minimal stress,” Shrestha explains. “This means there is still the possibility of a 1934 type event in Kathmandu, which could be deadlier because of the larger population.”&nbsp; The Himalayan Thrust fault system means a mega quake can happen anywhere in western Nepal from the Mahakali or Palpa. Either way, an 8M earthquake in western Nepal would immediately destroy 1.5 million buildings across the country and kill 100,000 people, if it struck at night. Hospitals would have collapsed too. Few still standing would be overwhelmed with some 200,000 individuals estimated to be seriously injured. Substandard schools and public buildings would go down like a house of cards. Electricity, highways, telecommunication and drinking water systems would be disrupted. The 2015 earthquake should have been a lesson to Nepalis to be prepared for a mega-quake, especially in terms of building safer structures. To be sure, 90% of the rebuilt structures do follow the government building code, but many in Kathmandu have blatantly flouted rules.&nbsp; Read also: <a href="https://nepalitimes.com/editorial/be-prepared">Be prepared</a>, Editorial  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240111100120_3ba19345a7f38b98c58a30c0bdbcde099f254179a10c60c43a1ac954636853ee.jpg" data-media-id="editor_5" data-image-id="20240111100120_3ba19345a7f38b98c58a30c0bdbcde099f254179a10c60c43a1ac954636853ee" data-rendition-name="original" width="524" height="451" loading="lazy" alt="1934 earthquake NT"> </figure>  “We have policies and legal frameworks in place but our preparedness is still negligible,” warns Shrestha. “The existing structures are already vulnerable but newer buildings even more so.”&nbsp; Following the 1934 earthquake, a geologist and engineer identified only as Mr Eden made some observations and gave a series of instructions regarding safe building in Nepal, which was published in Gorkhapatra at the time. He notes: ‘Bhaktapur, Harisiddhi, Khokana and Bungamati areas are liable to greatest destruction in an earthquake while Pashupatinath, Baudha and Gokarna are to be least feared. Syambhu and Kirtipur are similarly free from danger. In the Nepalese Terai, it is not advisable to build houses close to streams, rivers and tanks.’ Read also: <a href="https://nepalitimes.com/editorial/lessons-still-not-learnt">Lessons still not learnt</a>, Sonia Awale Eden also pushed for earthquake-proof buildings with details about what kind of buildings to construct and where. ‘The type of the soil is not the only factor that causes destruction in an earthquake. It also depends upon the structural design, the materials used and the skills of the builders,’ he is quoted as writing. Nearly a century ago, we already knew what to do. Concrete buildings are not necessarily stronger. In fact, substandard concrete buildings are even more of a death trap, especially given that Nepal does not have the search and rescue teams and equipment for such collapsed structures. Warns Shrestha: “A 8M earthquake will happen one day, and all these substandard buildings will come crashing down. It will be a calamity of epic proportions.” Read also: <a href="https://www.nepalitimes.com/here-now/past-disasters-foretold/" target="_blank">Past disasters foretold</a>, Om Astha Rai

Sonia Awale

original

674x448

610x380

500x500

400x266

400x240

400x203

301x200

1250x600

1084x550

90 years after ’90

Shanta Bahadur Budha takes a step out of his tarp. The sun is still not out yet, and his hands are quivering from the cold. Ever since his house in Barekot was destroyed by the 6.4 magnitude earthquake that struck at 11.23pm on the night of 3 November, he like many others has been living in a tent. Barekot is near the epicentre of the quake, and although there were no casualties the earthquake damaged nearly every house in the village. Read also: <a href="https://nepalitimes.com/here-now/jajarkot-one-month-after-the-earthquake">Jajarkot: One month after the earthquake</a>, Ramu Kharel and Maggie Doyne  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231225131212_309c5b2236916946dc6a360e47c733f81fbbfcfdb45a0291cd780395aedf352c.jpg" data-media-id="editor_1" data-image-id="20231225131212_309c5b2236916946dc6a360e47c733f81fbbfcfdb45a0291cd780395aedf352c" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="Below zero at Ground Zero NT"> </figure>  "That night it felt like the entire village would collapse,” Budha recalls. “After that, every night in the tent it has been getting colder and colder. It will soon start snowing, how will we survive?" Asked what is their main concern, everyone here says surviving the winter is the biggest challenge as the temperature drops below zero at night 2,400m in the mountains of western Nepal. From a distance, the houses clinging to the flanks of the picturesque rolling hills look fine. But on closer inspection, the impact of the earthquake is starkly visible — houses that have not collapsed all have cracks on walls or missing roofs.&nbsp; Read also: <a href="https://nepalitimes.com/opinion/comment/learning-from-jajarkot-what-we-didnt-after-2015-695vpzle">Learning from Jajarkot what we didn't after 2015</a>, Sushil Gyewali  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231225131212_5c59d59444b7e7ac3ec631fdbc471a79d9c779bebe3c431f039e60bcf27411a4.jpg" data-media-id="editor_3" data-image-id="20231225131212_5c59d59444b7e7ac3ec631fdbc471a79d9c779bebe3c431f039e60bcf27411a4" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="Below zero at Ground Zero NT"> </figure>  Municipality data shows that most houses in the nine wards have been affected, and there are 5,586 applications for temporary housing. "All the houses are affected, no house is habitable," says Dinayat Gharti of the Municipality "Every family has been living in tents for two months now.”&nbsp; Barekot lies about 30km from the Jajarkot district capital of Khalanga, but construction of temporary housing has not even started. Because of the area’s remoteness, assistance has not reached the locals on time and the lack of workers has delayed construction.&nbsp; Read also: <a href="https://nepalitimes.com/editorial/shaking-things-up">Shaking things up</a>, Editorial  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231225131212_3803f5921c6f432baf876a36b50e69f32eacd645b5f88490389fe80538de7f82.jpg" data-media-id="editor_5" data-image-id="20231225131212_3803f5921c6f432baf876a36b50e69f32eacd645b5f88490389fe80538de7f82" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="Below zero at Ground Zero NT"> </figure>  Slow disbursement of the first instalment of compensation from the government has also affected progress. According to Gharti, only 583 families have received the first instalment of Rs25,000, and 5,300 families are yet to receive even that.&nbsp; All this means that Barekot’s 22,000 people are forced to live in courtyards, fields and open spaces in freezing temperatures. The most common sound here is of children and the elderly coughing. Health care workers report that most children suffer from exposure-related diseases, while the elderly are experiencing respiratory problems and fever. Read also: <a href="https://nepalitimes.com/news/demographics-of-disaster-in-nepal-quake">Demographics of disaster in Nepal quake</a>, Nepali Times  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231225131212_c05df258d1a366788cee06255d135f6d9e79a39a0be7151637da92f67c5c1cce.jpg" data-media-id="editor_7" data-image-id="20231225131212_c05df258d1a366788cee06255d135f6d9e79a39a0be7151637da92f67c5c1cce" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="Below zero at Ground Zero NT"> </figure>  Charities organisations have distributed tarps and blankets which has made things a bit easier for the residents. Dhan Bahadur Budha, principal of the Himalaya Devi Basic School says problems are bound to get worse once the temperature starts dropping further. All 53 schools in Barekot Rural Municipality collapsed on 3 November, which is also a stark reminder of what would have happened if the earthquake had struck during school hours when classrooms would have been full.&nbsp; Schools would have been ideal shelters for survivors, but even those are in no condition to be used. Himalaya Devi Basic School has been conducting classes from under a tent since the earthquake.&nbsp; Read also: <a href="https://nepalitimes.com/opinion/rebuilding-resilience-7-years-later">Rebuilding resilience 7 years later</a>, Anil Pokharel  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231225131212_22f51ad08da69a8376154578e42c6d046ade9e84b10cd2b9b5e7688ac65f62f0.jpg" data-media-id="editor_9" data-image-id="20231225131212_22f51ad08da69a8376154578e42c6d046ade9e84b10cd2b9b5e7688ac65f62f0" data-rendition-name="original" width="1707" height="1058" loading="lazy" alt="Below zero at Ground Zero NT"> </figure>  "All school buildings have been damaged, it is impossible to run classes inside the building," laments Budha. Although classes have resumed, things are yet to go back to normal. &nbsp;Most students have not been able to attend school. "Initially students did not show up at all," says Budha, "then the teachers went house-to-house and parents started sending their kids back." But conducting classes regularly is a challenge. Classes are held in the open when the sun is out, otherwise, it is too cold.&nbsp; Now that most families have warm clothes, blankets and tents, the most urgent need is for the temporary shelter construction to be expedited. Read also: <a href="https://nepalitimes.com/banner/in-a-disastrous-state">In a disastrous state</a>, Sonia Awale

Below zero at Ground Zero

A rapid assessment of the epicentre of the earthquake that hit just before midnight on 3 November shows that lack of accurate information about the status of survivors and their needs continues to be a challenge. Our trip to the hardest hit areas from Khalanga to Nalgad in this remote district in the mountains of western Nepal involved the rescue of a month-old infant whose mother was reported to have died from the cold.&nbsp; There has been inaccurate and sensationalised reporting in the media after people died from the cold. While it is true that winter has set in the mountains and the long term illnesses can be exacerbated by the cold, stress or unhygienic conditions, many of the deaths have been due to acute illnesses and existing preconditions. There have also been reports of relief items being stuck in bureaucratic bottlenecks and piling up in municipal offices instead of being distributed to those in need. While that may have happened in the early days of the earthquake, on this week’s trip that was not what we saw.&nbsp; In any natural disaster, it is important to recognise that the scenario for relief can rapidly change from day to day, thus making a rapid response and clear communication channels vitally important.&nbsp; We are concerned that inaccurate journalism based on hearsay without fact checking can foster an environment of cynicism and criticism, discouraging collaborative efforts. It can also affect the morale amongst first responders, spreading distrust.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231201131252_0b36cd97d9d54136ebbc601ca2170c1402ec22944d1f8c5d837ba1e3dfc8ef13.png" data-media-id="editor_0" data-image-id="20231201131252_0b36cd97d9d54136ebbc601ca2170c1402ec22944d1f8c5d837ba1e3dfc8ef13" data-rendition-name="original" width="1368" height="1058" loading="lazy" alt="Jajarkot earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20231201131252_9f96af647fb9e343ef22159c2191e7aaac8574f6cce70891237a91d24747fcc2.png" data-media-id="editor_1" data-image-id="20231201131252_9f96af647fb9e343ef22159c2191e7aaac8574f6cce70891237a91d24747fcc2" data-rendition-name="original" width="748" height="1142" loading="lazy" alt="Jajarkot earthquake NT"> </figure>  Read also: <a href="https://nepalitimes.com/opinion/comment/learning-from-jajarkot-what-we-didnt-after-2015-695vpzle">Learning from Jajarkot what we didn't after 2015</a>, Sushil Gyewali Relief must be survivor-centred and not be sensationalised or politicised with fake news. A centralised database that can foster collaboration is being put up with accurate and up to date information on the <a href="https://jajarkot.himalayandisaster.org/">Jajarkot Earthquake Response website</a>. Partners on the ground can also fact-check and debunk false reports, and we urge reporters to seek out these primary sources instead of relying on sensationalised clickbait. Rubble and destruction&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023120112124_66e5ce77ae433644dabf10e3391e39021e92857248896af39bf19ad128e05e8b.jpg" data-media-id="editor_4" data-image-id="2023120112124_66e5ce77ae433644dabf10e3391e39021e92857248896af39bf19ad128e05e8b" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="2023 Jajarkot after earthquake NT"> </figure>  As we approached the epicentre with three vehicles filled with jackets, sanitation kits, blankets, the destruction was shocking. Even in the relatively accessible areas like the district headquarter of Khalanga the houses are still in ruins. A month after the earthquake the rubble still has not been cleared. Things get worse the deeper we go into the mountains. On the way to Nalgad, there are rows upon rows of destroyed houses. Most people are living under tarp and bamboo tents, in one of them there were seven members of a family huddled inside. One man in Kalanga had broken his arm, and was sifting through the rubble of his home with his other hand. He was sheltering in a nearby school with many other neighbours.&nbsp; A school in Nalgad was still functioning, and students were attending classes in tents. Their school was damaged and there was fear of aftershocks.&nbsp; Multiple political groups and nonprofits are helping clear the rubble in places, but no active rebuilding has started yet.&nbsp; Read also: <a href="https://nepalitimes.com/here-now/grief-stricken-survivors-are-cold-and-hungry">Grief-stricken survivors are cold and hungry</a>, Sagar Budathoki CGI-based temporary homes might be better than tents for this winter. But rapid, affordable, earthquake resistant and sustainable rebuilding must start as soon as possible using the experience and plans developed after the 2015 earthquake. Rural municipalities must be key partners in all rebuilding efforts. Relief organisations can divide up their efforts to avoid duplication. There are prototypes for <a href="https://www.dezeen.com/2015/07/11/prototype-bamboo-shelter-nepal-earthquake-victims-built-by-unskilledworkers-three-days/amp/">winterised temporary shelters</a> and <a href="https://habitatnepal.org/wp-content/uploads/2019/10/Bamboo-Temp-Shelter-Nepali-web.pdf">long term solutions</a> for reconstruction: Immediate Relief and Humanitarian Aid&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023120112124_fa55e5f5c7e0c08e34679ea94f7eee9d393899fe41c45d32ca0d8b3b52d00ee6.jpg" data-media-id="editor_8" data-image-id="2023120112124_fa55e5f5c7e0c08e34679ea94f7eee9d393899fe41c45d32ca0d8b3b52d00ee6" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="2023 Jajarkot after earthquake NT"> </figure>  Nepal has a one-door policy currently to manage aid coming into disaster zones. Each district’s disaster relief committee is led by the Chief District Officer (CDO), who is in charge of relief items coming to the region. Jajarkot district has received tons of relief material, and local distribution was initially the bottleneck. There are still reports of items not getting to those that live in remote and roadless areas.&nbsp; We saw this week that the distribution management appeared to have improved. Items lying in municipality offices and district offices were in the process of being delivered. The municipal system makes it easy to coordinate with local ward chairs to find the areas of acute need.&nbsp; Our trucks had to be registered with the CDO with an itemised list and approved for further transport deeper into the district. The process seemed seamless. In Nalgad municipality, where few relief organisations are present, the mayor’s office and the Nepal Army have coordinated with NGOs to distribute blankets, clothes to more remote regions.&nbsp; Read also:<a href="https://nepalitimes.com/news/earthquake-vacates-villages-in-nepal"> Earthquake vacates villages in Nepal</a>, Anita Bhetwal The municipalities are coordinating better, and working closely with relief aid partners. But there is still a need for logistics management and strategic distribution of relief material to difficult to reach villages. Special care must be given to villages at higher altitudes where it will soon start snowing. Relief organisations must respect the one-door policy, and not bypass this effort to coordinate relief and avoid waste and overlap. The Ward chairs have their feet on the ground and are the best source for exact need. They should be made partners in all aid distribution locally.&nbsp; Healthcare&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023120112124_b094ac6d0dfcdc924f571e1308307ebaa4b6b1d2b7d5c0ebcfe290466cd3abf0.jpg" data-media-id="editor_10" data-image-id="2023120112124_b094ac6d0dfcdc924f571e1308307ebaa4b6b1d2b7d5c0ebcfe290466cd3abf0" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="2023 Jajarkot after earthquake NT"> </figure>  Jajarkot has a well-equipped district hospital, and each municipality has a &nbsp;health centre. There are smaller health posts in wards within the municipality. The nearest high level facility with ICU capacity is in Surkhet.&nbsp; Jajarkot district hospital had a large number of traumas during the first weeks after the earthquake. The hospital has five medical officers, and one MDGP (consultant) physician, and can provide basic emergency care, maternal and child care including caesarean section and vaginal delivery, and has a robust pharmacy. The hospital’s patient census was not impressive during our visit.&nbsp; The Nalgad municipality health centre was busy with only one medical officer available. Large tents from UNICEF had been erected outside for additional inpatient ward and emergency space. There seems to be a gap from the district to support the local municipality's needs.&nbsp; We came across many groups coming to Jajarkot to conduct health camps. Though increased engagement has benefits, it is not so useful to have camps near the health centres or the district hospital as there are already facilities there. &nbsp;Doctors told us that they had extreme excess of certain supplies and not enough of others.&nbsp; Read also: <a href="https://nepalitimes.com/banner/in-a-disastrous-state">In a disastrous state</a>, Sonia Awale Groups organising health camps should focus on two areas: 1) bring specialist care that otherwise does not exist in this region, 2) reaching areas away from local health infrastructure. They must also coordinate with the district hospital and municipality health centre to assess their utility. Funds used for health camps could instead help strengthen local health facilities. The districts should divert some of their resources (doctors, nurses, etc) to some of these busy health centres in local municipalities like Nalgad. It does not make sense for one doctor to see a large number of patients in Nalgad, while the district hospital is not busy.&nbsp; Safeguarding Women and Children  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023120112124_2e48aaab35412bd26e577239a96e036781290ce1391da4a9b5d90d44410d9a63.jpg" data-media-id="editor_12" data-image-id="2023120112124_2e48aaab35412bd26e577239a96e036781290ce1391da4a9b5d90d44410d9a63" data-rendition-name="original" width="1800" height="1000" loading="lazy" alt="2023 Jajarkot after earthquake NT"> <figcaption>Ramu Kharel (left) and Maggie Doyne with locals in Jajarkot. The infant whose mother died was brought down and is recovering in ICU in Surkhet.</figcaption> </figure>  There are a large number of pregnant and postpartum women in the most affected areas in Nalgad, Rukum and Kuse. Recent news items have used false narratives to gain viewership, but there is a real need for access to appropriate ante-natal and postnatal care, which was an issue that existed before the earthquake in underserved areas of western Nepal. Jajarkot hospital, the municipal health centres are both equipped to care for most of these women. Various groups are providing warm clothes for the most vulnerable and prioritising these women for safe winterised shelters is a must.&nbsp; There are child protection units and National Child Rights Council (NCRC) offices at each municipal office. When a child, adolescent, pregnant or postpartum woman is in potential or imminent danger, it is critically important that officers be notified immediately.&nbsp; The NCRC works directly with government bodies, police, licensed shelters, and relief agencies to ensure that the woman or child is taken out of danger. NCRC and Kopila Valley are able to work together directly to safeguard the children in distress. The involvement of NCRC also prevents child smuggling and safeguards against family separation, exploitation, and human trafficking. The use of trained trauma informed social workers and child protection officers is critically important when discerning information and keeps the child’s rights and protection at the centre.&nbsp; Available health centres must be equipped with in-facility and outreach programs to identify and care for the most vulnerable in the region. This disaster could be used as an opportunity to equip and build a system around the municipal health centre and district hospitals to create innovative models like <a href="https://www.nyayahealthnepal.org/">Nyaya Health Nepal’s</a> community health care model in Achham, where community health workers are trained and equipped to provide care at home. Read also: <a href="https://nepalitimes.com/opinion/rebuilding-resilience-7-years-later">Rebuilding resilience 7 years later</a>, Anil Pokharel When someone is really ill, taking the patient to Surkhet might be the only way but the road is long and hard. A streamlined approach to access government services like helicopter rescue must be available in this post-disaster setting.&nbsp; A robust ambulance and EMS service from either the municipal health centre and/or Jajarkot district hospital must be made.&nbsp; Water and Sanitation&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023120112124_186d4e99aa2c91f173de7e0e430b03a24c1099075fdbfeae8ead9b770cee9ca6.jpg" data-media-id="editor_15" data-image-id="2023120112124_186d4e99aa2c91f173de7e0e430b03a24c1099075fdbfeae8ead9b770cee9ca6" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="2023 Jajarkot after earthquake NT"> </figure>  Even before the earthquake, Jajarkot and surrounding districts were hit by a cholera epidemic in 2009 that killed over 300 people, many of them children. Running water and sanitation has always been a major concern and this danger has been exacerbated with the earthquake aftermath in the dry season.&nbsp; None of the temporary tents and shelters we saw had appropriate water access and hand washing stations. Donor agency temporary toilets were dirty with no hand washing. Water and hygiene must be a priority for development groups going forward. Relief groups must put WASH in their priority.&nbsp; After meeting survivors, relief workers and local elected officials we saw a resilience and a determination to bounce back. The items we took to Nalgad are being strategically distributed in coordination with municipality offices to reach those in most need.&nbsp; We were able to locate the one-month-old infant in Nalgad municipality’s Ward 8. The infant is now getting safe ICU level care now in Surkhet, and is doing better.&nbsp; Read also: <a href="https://nepalitimes.com/editorial/shaking-things-up">Shaking things up</a>, Editorial Resources for aid information and reporting can be found <a href="https://aidpulse.org/aidboard">here</a>. Important phone numbers:&nbsp; National Child Rights Council: 01-5550121&nbsp; Chief Minister Karnali: 985804444&nbsp; Chief District Officer Jajarkot: 9858047777&nbsp; Mayor Nalgad: 9842236335&nbsp; Mayor Kuse: 9858937755&nbsp; District Hospital Khalanga: 089-430188&nbsp; Ambulance: 102&nbsp; AIN (Federation for NGOs): 01-4468128&nbsp; Poison information center: 01-450-2011&nbsp; Suicide Hotline: 1166&nbsp; Police: 100 Ramu Kharel (ramu_kharel@brown.edu) is an emergency medicine physician with global health and public health expertise, and decade long experience in disaster response within Nepal. He is an assistant professor at Brown University, and is founder of <a href="http://www.hapsaglobe.org/">HAPSA Nepal</a>. Maggie Doyne is the co-founder of the <a href="https://blinknow.org/">BlinkNow Foundation</a> and, and has worked for 18 years in the Karnali region caring for at-risk children through community development efforts. She is a CNN Hero and author based in Surkhet.

Jajarkot: One month after the earthquake

The deadly midnight earthquake last Friday in Karnali Province occurred in an area where seismologists had long predicted the next Big One. 
This was the ‘seismic gap’ that this newspaper first wrote about in its <a href="https://archive.nepalitimes.com/news.php?id=5065">9-15 January 2004 edition</a> commemorating National Earthquake Safety Day and the 70th anniversary of the 8.5 magnitude 1934 disaster.
The subduction of the Indian plate into and below the Eurasian landmass leads to accumulated stress in the rock strata deep beneath the Himalaya. This tectonic tension builds up over time, and if it is not released periodically the result could be a megaquake that could result in a rupture leading to 6m or more of horizontal surface displacement.
Read Also: <a href="https://nepalitimes.com/news/deadly-earthquake-hits-w-nepal">Deadly earthquake hits W Nepal</a>, Nepali Times 
Seismic experts now say that the 3 November event was not the massive one that was expected. At 6.4 it was a moderate quake with a shallow epicenter, which is why the destruction was limited to a relatively small radius although the shaking was felt as far away as Delhi and Kathmandu.
The disaster also exposed Nepal’s demographic shift. Of the 157 confirmed dead so far, many were women because most men have migrated abroad for work. There was also a class and caste element, as the flimsiest homes belonged to the poorest families. 
Disaster management experts like to say that it is not earthquakes that kill people but buildings. Indeed, quakes are not ‘natural disasters’ but mostly man made. Proof of this was the 25 April 2105 earthquake which killed nearly 9,000 people in central Nepal as substandard buildings collapsed. 
Read also: <a href="https://nepalitimes.com/here-now/grief-stricken-survivors-are-cold-and-hungry">Grief-stricken survivors are cold and hungry</a>, Sagar Budhathoki
Tragically, this also was proven in last week’s disaster when fragile stone and mud plaster homes collapsed with the very first jolt. Newer buildings with reinforced concrete columns withstood the shaking, but had the intensity and duration of the quake been longer they would have also crumbled.
Seismologists say the Jajarkot quake was not strong enough to release all the tectonic stress -- which could mean it was either a precursor to a bigger one to come, or it has made the region safe for another decade or so.
There is no way to predict it either way. What we know for sure is that the next one is not a question of ‘if’ but ‘when’. It is better to invest now in preparedness than in counting bodies and the number of collapsed buildings after a disaster.
Read also: <a href="https://nepalitimes.com/news/mass-cremations-for-nepal-quake-victims">Mass cremations for Nepal quake victims</a>, Sagar Budhathoki and Gopen Rai
For this, we already have lessons from the 2015 earthquake. Nearly 7,500 school buildings with 35,000 classrooms collapsed eight years ago and even if we make a conservative estimate of only 10 students per class, the loss of young lives would have been catastrophic. What saved them was that the quake happened on a Saturday.
In Jajarkot and Rukum West last week, many families were crushed by their falling homes while they slept. But given the number of schools that have collapsed, the casualty rate may have been higher if the quake had happened in the daytime on a weekday.
The first order of business for prevention would therefore be to retrofit school buildings all over Nepal, but especially in Gandaki, Karnali and Far Western Provinces. Earthquake safety instruction and drills should also be mandatory in schools. Digging tools, tents, first aid kits and go bags must be pre-positioned in school premises which can serve as shelters. Hospitals and public buildings also need to be retrofitted, and private home owners encouraged to make safety inspections.
Read also: <a href="https://nepalitimes.com/news/nepal-quake-survivors-wait-for-kin-to-return">Nepal quake survivors wait for kin to return</a>, Sagar Budhathoki
There are now earthquake early alert systems available that give up to 30 second warnings by analysing earthquake P waves waves and estimating its location and intensity to send alerts either through alarm devices installed in schools, or now on Android phones.
In fact, in the last 5.7 magnitude earthquake on 3 October in Bajhang, many people with Android phones got alerts in Kathmandu even while the earthquake was happening 500km away. Personal phones therefore became seismometers and could even give prior warning of quakes if Nepal becomes part of the <a href="https://www.usgs.gov/programs/earthquake-hazards/science/earthquake-early-warning-overview">US Geological Survey’s ShakeAlert</a> system. The awkwardly acronymed NDRRMA (National Disaster Risk Reduction and Management Authority) was given a back seat in the aftermath of the Jajarkot quake. Its chief was travelling, and the government put in place a ‘one window’ coordination unit in Karnali that, instead of facilitating a more efficient mechanism for relief delivery, has become a bottleneck.
The 3 November disaster was a dress rehearsal for a bigger catastrophe to come, and sadly, we did not come off with flying colours this time.
Read also: <a href="https://nepalitimes.com/news/demographics-of-disaster-in-nepal-quake">Demographics of disaster in Nepal quake</a>, Nepali Times

Shaking things up

It is a brilliantly bright autumn day by the banks of the Bheri River. Along the cold green waters, the whole village of Chiuri is gathered for a mass cremation of those who died in the earthquake just before midnight on 3 November. Two tractors follow the mourners filled with logs, and the bodies of 13 who were killed are laid out. One of them is Deputy Mayor of Malaga Municipality Sarita Singh, and there are five smaller shrouds covering the bodies of children below 14. Sabitri B K, 21, is inconsolable. “Oh god,” she says looking up at the sky, “you should have taken me instead, why did you take my son?” Read Also: <a href="https://nepalitimes.com/news/deadly-earthquake-hits-w-nepal">Deadly earthquake hits W Nepal</a>, Nepali Times&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_ebf5a6f555083baa2d5c3da45fe93203b3edf703524232982a68a6ffdfeaabf2.jpg" data-media-id="editor_1" data-image-id="2023110514110_ebf5a6f555083baa2d5c3da45fe93203b3edf703524232982a68a6ffdfeaabf2" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_95cdda0701d84b756f2165a28e0cf7787bc15aa84dfd147938b4d7bdb41913fb.jpg" data-media-id="editor_2" data-image-id="2023110514110_95cdda0701d84b756f2165a28e0cf7787bc15aa84dfd147938b4d7bdb41913fb" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_8ed1f9d517639c8aa515f6f3289ef5b5adf82cc57841d262d150044db3e4b84e.jpg" data-media-id="editor_3" data-image-id="2023110514110_8ed1f9d517639c8aa515f6f3289ef5b5adf82cc57841d262d150044db3e4b84e" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>  Sabitri’s husband is haunched near the body of their five year old son who was crushed in his sleep by falling beams when their house collapsed. Sabitri and her husband were also buried under the rubble, but were rescued alive. Hire Kami, 55, along with his wife and two sons aged 12 and 14 were also killed in the earthquake. His eight-year-old daughter Premkali is the only surviving member of the family, so the collective funeral rituals are being performed by their neighbour Lal Bahadur Kami. “There is no one else, so I am doing it,” Lal Bahadur says simply. Lal Bahadur Kami recalls the moment at 11:49 when the ground started to shake, the screams of people were drowned by a deep underground growl and the road of houses coming down. Family members clawed through the bricks and dirt with their bare hands trying to save their relatives. As the dust settled, and in the light of mobile phone torchlights, he noticed that not a single house on his street was standing. Read also: <a href="https://nepalitimes.com/news/demographics-of-disaster-in-nepal-quake">Demographics of disaster in Nepal quake</a>, Nepali Times  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_1dab9f89bcfdb2812a75d1d084decade9cd73bdb75f23c3dbc5cbed92abb2374.jpg" data-media-id="editor_5" data-image-id="2023110514110_1dab9f89bcfdb2812a75d1d084decade9cd73bdb75f23c3dbc5cbed92abb2374" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_9aac984e53a3f3b7bb49ecb91aa2f6e5dcbf4d1839aa224adf57b1172a2311c0.jpg" data-media-id="editor_6" data-image-id="2023110514110_9aac984e53a3f3b7bb49ecb91aa2f6e5dcbf4d1839aa224adf57b1172a2311c0" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_90502f8251679cbae4dfa35c7c9d84b8392404086ce702cef81c12b09a868502.jpg" data-media-id="editor_7" data-image-id="2023110514110_90502f8251679cbae4dfa35c7c9d84b8392404086ce702cef81c12b09a868502" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>  Rescuers reached people whose muffled cries could be heard from below the debris, but others could not be saved because there was not enough digging equipment. Most of the mud and stone houses collapsed. One old house collapsed, but its new reinforced concrete annex was intact. On the other side of the Bheri River, villagers from Chapaghat had gathered to perform the final rites of three siblings who were killed, buried under their house on Friday, two daughters 16 and 26, and an 18 month old son. Their father was not at home and their mother was injured. Their relative Bindu Rokaya and her nine-year-old daughter were also killed. “Oh god, why did you save me and kill them?" their grandmother Dipa Pariyar said, weeping as villagers prepared the collective pyre. Read also: <a href="https://nepalitimes.com/editorial/lessons-still-not-learnt">Lessons still not learnt</a>, Sonia Awale  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_f2e996cc50e668616ae7c5f68dd22ad9c3393f24df388b43098833a23c7a8213.jpg" data-media-id="editor_9" data-image-id="2023110514110_f2e996cc50e668616ae7c5f68dd22ad9c3393f24df388b43098833a23c7a8213" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023110514110_aabd59d3f2fef52914c47f249312c4193fa137081b238ea6224b1488101ca9fd.jpg" data-media-id="editor_10" data-image-id="2023110514110_aabd59d3f2fef52914c47f249312c4193fa137081b238ea6224b1488101ca9fd" data-rendition-name="original" width="2048" height="1366" loading="lazy" alt="2023 western Nepal earthquake NT"> </figure>  &nbsp;All of the 80 houses in Chiuri village, some 30 km from the district headquarters Khalanga, were severely damaged. On Saturday, the villagers busied themselves trying to salvage clothes, beddings and kitchenware from the rubble. Even two days after the disaster, the many here have not received any relief. Says Dilbahadur BK, a local, "We cannot build our houses immediately. In the meantime if we could get tents and beddings, it would help us in the cold." At least 157 people were killed in Rukum West and Jajarkot districts of Nepal's remote mountains, 102 of them were women, and 32 were children.Many in the affected villages are still in shock and have not yet come to terms with the nightmare. Read also: <a href="https://nepalitimes.com/here-now/epicentre-of-two-disasters-in-west-nepal">Epicentre of two disasters in West Nepal</a>, Sonia Awale

Mass cremations for Nepal quake victims

Climber, expedition leader and later a supplier of bottled oxygen to Himalayan mountaineers, Henry Barclay Todd died on 3 November 2025 in his favourite place on earth, Kathmandu.&nbsp;
Todd was larger than life, a metaphor often used, yet it could not be more fitting. Standing nearly 2m tall, and possessing an unshakeable will, he lived life on a grand scale, both in body and spirit.&nbsp;
Todd was a pillar in the Himalayan climbing community, supporting many mountaineers across Nepal and Pakistan, making it possible for them to fulfil the dream of standing on the world’s highest peaks. He believed deeply in the strength, skill, and potential of the Sherpa people, and offered them opportunities that might otherwise have remained out of reach.&nbsp;
“Thank you, Henry. Your trust changed my life. Rest in peace, my leader, my teacher, my friend,” said Dorjee Gyelzen Sherpa in his tribute.
Born in 1945 to Royal Air Force officer Henry Todd and May Todd of the Women’s Royal Air Force, Henry spent his early years in Singapore. He led a lively childhood with his two brothers, far removed from the mountains that would later define his path.&nbsp;
A gifted swimmer like his father, Henry never pursued the sport professionally. Instead, after returning to Dundee as a teenager and attending seven different schools, he set off for London, where he began working for an insurance company before finding his true calling in adventure.
Henry Todd first came to Nepal in the mid-1980s and made his first attempt on Ama Dablam in 1987, an expedition that marked the beginning of an extraordinary and colourful climbing career. <a href="https://www.himalayandatabase.com/" target="_blank">The Himalayan Database</a> lists 61 expeditions that he led in Nepal alone — there were more in the Karakoram, Argentina and the Alps.&nbsp;
But Todd would joyfully say that a few hard Scottish ascents held a more personal meaning to him than even the greatest Himalayan summits.
Over the decades, he crossed paths with many legendary climbers like Anatoli Boukreev, Jerzy Kukuczka, Doug Scott and Chris Bonington as well as celebrities including members of Pink Floyd and Nobel Prize laureates whom he befriended.&nbsp;
He had a gift to never name-drop, but would simply mention that he had had lunch with Minnie Driver (niece of his long-time friend Andra) or that he had bought his first car from Donald Sutherland. For Todd, these were not bragging rights, they were simply part of the colourful tapestry of his life.
Todd’s life was filled with extraordinary experiences from surviving plane crashes, avalanches and earthquakes to quietly solving countless problems, which was one of his favourite past-times. His hands, famously large and steady, were always ready to help whether in the chaos of the mountains or the calm of a base camp.&nbsp;
With his sharp sense of humour and the beloved exclamation “Whoopie!”,he could bring lightness even to the toughest moments. He never tired of taking on challenges or helping when someone was in need, and he enriched so many people’s lives with his endless stories.
His legacy is immense. He helped build the human backbone of Himalayan climbing, enabling generations of climbers to test themselves in the world’s highest places. With his passing, an era of bold, spirited Himalayan guiding has come to a close.
Todd survived by a loving family, many close friends and a global community of climbers and Sherpas who will never forget him and his endless tales.&nbsp;
His family said in a statement: ‘Henry’s strength, warmth and unyielding belief in others will live on far above the clouds. He was indestructible in our eyes and in our hearts, he always will be.’
There will be a memorial service at Pashupati Temple in Kathmandu on 8 November 2025 around lunchtime.

Henry Barclay Todd, 80

The autumn mountaineering season is not over yet, and already there have been 12 fatalities on Himalayan peaks in Nepal.
Of the 1,450 climbing permits issued, 436 were for Mt Ama Dablam (6,812m), 374 for Mt Manaslu (8,163m) and 186 for Himlung Himal (7,126m). There were deaths on all three mountains.
The death of two French climbers on Ama Dablam happened before unseasonal blizzards hit the mountains. But Cyclone Montha from the Bay of Bengal brought on high winds and up to 1m of snow in the peak trekking and mountaineering season.
This increased avalanche conditions, and made helicopter evacuation of stranded and injured climbers difficult. Lower down the mountains, more than 1,000 trekkers from Nepal and around the world were stuck in the Annapurnas, Manaslu circuit and the Khumbu.
However, there have also been allegations that it was not just the weather that delayed rescues. Multiple levels of bureaucracy and the need for flight permits to restricted areas like Manang and Manaslu critically delayed evacuation flights.
Italian climbers Farronato Stefano and Caputo Alessandro were found dead in their tent at Panbari Himal Camp I (6,887m) in the Manaslu area. They had been trapped by heavy snowfall since 28 October, and their bodies were found on 4 November by a team from the expedition organisers, Sherpa Alpine Trekking Service. The team was made up of high level mountain guides and expedition leader Valter Perlino.
The team had been climbing to Camp 3 but decided to descend to base camp because of thrombosis in Perlino’s left foot. The two climbers who would eventually get trapped decided to break at Camp I, a decision that would prove fatal after the projected six-day snowfall arrived two days early.
“They were sleeping in a tent and were buried under 2.5 metres of compacted snow. It happened during the night between Thursday and Friday. While they were sleeping, absurd,” said Perlino.
A deadly incident took place the morning of 3 November, when five foreigners and two Nepalis died in an avalanche on Yalung Ri at 5,630m in the Rolwaling. They were part of a larger group of 15 that were acclimatising for an attempt on the nearby Dolma Khang (6,332m).
Local authorities in Gauri Shankar Conservation Area say calls were immediately made to helicopter companies as well as various ministries in Kathmandu that have to issue permits to fly to the region bordering China.
But the permits for rescue flights to Rolwaling Valley were delayed by eight hours. Rescue flights in these areas require permission from the Ministry of Tourism, the Ministry of Defence, the Home Ministry, and the Civil Aviation Authority of Nepal (CAAN).
Experts say this should be exempted in times of emergency when time is of the essence. CAAN spokesperson Pratap Babu Tiwari claimed to not know of the avalanche on Yalung Ri and deflected questions to the permission department.&nbsp;
There was a similar tragedy on Himlung Himal in Manang as well. Australian Chin-Tark Chan, 49, was climbing with 8K Expeditions and fell ill on 27 October at about 6,800m, developing snow blindness and loss of mobility. The guides immediately called the US insurance company Global Rescue for authorisation of a longline rescue.
Global Rescue refused, saying a rescue at that height would violate Nepal’s aviation rules and put the pilot at unacceptable risk. They asked the guides to transport Chan to Camp 3 at 6,400m to a permitted altitude. Seeing it was a life-or-death situation for its client, 8K called in an aerial rescue anyway, but the helicopter could not land due to bad weather. Chan died slightly below Camp 3 on 29 October.
Global Rescue said in a statement that it was ready to send in a helicopter after Chan had been transported to Camp 3, but several hours were lost for that attempt, and the weather did not get better in the next few days.
To underscore just how dangerous helicopter rescues in the Himalaya can be in bad weather, a chopper from Altitude Air skidded off the helipad at Lobuche below Mt Everest while trying to rescue trekkers in whiteout conditions.&nbsp;
CAAN announced a ban on flights during blizzards or dense fog. While rescue missions are often heroic and courageous, they should not be foolhardy if conditions are unsafe and the risk to pilots and rescuers too high. This autumn was a lesson for future expeditions and for the Nepal government.&nbsp;
The Italian duo on Panbari were caught out by snow that arrived two days ahead of schedule, but the group on Yalung Ri should have postponed their ascent after multiple warnings from the Department of Hydrology and Meteorology to avoid high altitudes.

Deadly autumn in Himalayan climbing

This is the 73rd episode of Diaspora Diaries, a Nepali Times series in collaboration with Migration Lab providing a platform to share experiences of living, working and studying abroad. I don’t remember playing with dolls as a little girl. There is not much to remember from my childhood.&nbsp; My responsibilities began at a very young age, as I had two younger brothers to take care of. I was born in Sarlahi, but we moved around quite a bit as my father was in the government and got transferred frequently.&nbsp; From Rasuwa to Dang, from Nepalgunj to Kathmandu. I struggled to adjust in Kathmandu because I joined Grade 9 in the middle of the term. The education was different and fellow students also did not support me initially. But over time, I adjusted and made friends. I did not dream of becoming a nurse. It was by accident. I wanted to pursue medicine, but failed the entrance exam by a few marks. I did not want to lose a year, so decided to take up microbiology instead.&nbsp; I got married after my undergraduate, and my husband encouraged me to take up something more technical like nursing or engineering instead of Masters in Microbiology. As my quantitative background was weak, I chose nursing. I felt like I was born to be a nurse. Juggling my married life and studies was difficult. My teachers would often ask me why I am falling behind. It was not easy, but I managed and took up a full-time job as a nurse. There are challenges being a nurse in Nepal. You are overworked, underpaid, there is lack of appreciation. Superiors can be overbearing. These problems persist. But the bright spot is that you get to serve fellow Nepalis, and be close to your family.&nbsp; Just like I had no intention initially of becoming a nurse, I had no intention of migrating overseas. But life had different plans for me. After my baby boy was born, I noticed that something was off. Even at nine months he had not started crawling or sitting. As a nurse I knew something was wrong, and I took him for check-ups. He tested negative for down syndrome, but he had a heart defect.&nbsp; The cardiologist recommended that I take him to India where he was diagnosed with Williams Syndrome, a rare genetic condition that affects 1 in 10,000 people. It delayed his development. I looked for therapy. It was either not effective, or too expensive. Some schools also refused to admit him, and it drove me to tears.&nbsp; My family members overseas in the UK, US told me to emigrate as there were better facilities for differently abled children. So I decided to apply to the UK. Luckily just then there were calls for candidates under the Nepal-UK government-to-government pilot scheme for 100 nurses. Only 40 met the criteria, and I was one of them.&nbsp; I still remember the day I received the news on the day of my puja. There were people around me, and they told me that it was the result of my fasting and devotion on that auspicious day. Perhaps it was. Life was taking a new turn, and I was happy. I made it to the UK in February 2024 without paying a single paisa to any broker. The G2G scheme was unique as we were treated with dignity and valued for our skills: they covered costs for the ticket and visa, reimbursed us for exams we had taken and costs involved in the preparation and testing of the Objective Structured Clinical Examination were also covered.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c.jpg" data-media-id="editor_0" data-image-id="20251106071148_dc5a0d0ea3024b34a4f2735754f8eb67a650bc7f61b98c75d589676c65b02a0c" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Nurses NT"> </figure>  It was of course difficult to leave my son behind. But I was doing it for his future. I had the option of taking him from the start, but it was a new place and I wanted to be well-settled and knowledgeable about the options available for him before bringing him along. As I packed, he would ask me to take him with me in my suitcase. It did not seem like he was affected by my departure, and it was only later that his teachers said that he would express his feelings more openly at school. He just did not know how to tell me he missed me, and he would tell teachers he was worried I had forgotten him if we did not speak for a day.&nbsp; He missed me, and that realisation made me emotional. But I had to carry on. Life in the UK was difficult in the beginning. Even so, I wanted to prove to myself that I could do it. Fortunately I had cooperative staff who patiently answered my questions. I think I would have been irritated if I were in their place. But they did not seem to mind, and their support and guidance made it easy for me to adjust to the new work environment. APPRECIATION I still struggle to understand the accent of my English patients, and have ask the matron for help. They compliment me on my English, but I can speak better than I understand. The good thing about working in the UK is that you are appreciated for your work, which can be motivating. Sometimes, after a long day’s work you get a message from your supervisor acknowledging your work with a thank you. That’s enough to erase your tiredness.&nbsp; So far I have received 32 WOW nominations which are acknowledgements from patients for a job well done. It can be motivating, especially in the beginning. The main difference between the Alpana who first left Kathmandu for the UK and the Alpana now is that I am a much more confident person. What makes a good nurse? Skills, knowledge and qualifications are of course a given. But mostly, you need humanity. A smiling face. The way you communicate. Your empathy. These attributes can already solve many problems that patients are facing. This is my second time back home in the last 20 months. And this time, I have arranged for my son’s visa. I will go back after Tihar with my son and husband.&nbsp; I am happy, but also a little nervous about what awaits us. What kind of school will I put him in? Will it really be different from schools here? Will his needs be addressed? Will it be like here, or will he be able to adjust?&nbsp; But I am determined to make it work. Success for me would be if he adjusted well and there is a change in his condition. He still cannot recognise alphabets and read words like kids in his age group. Hopefully he will get learning support in the UK. He also has a knack for music, and this is common among individuals with Williams Syndrome. His ears perk up when he hears music, and he takes part in musical events at school. He still does not recognise letters &nbsp;but he uses voice commands to search for guitar videos on YouTube. I will enrol him in music classes, and help him develop this gift. For now, I worry how he will behave on his long flight. He has a short attention span and gets restless. He is also very social and will want to speak with everyone around him, and might irritate fellow passengers.&nbsp; I have already started trying to make him understand that he will need to behave on the flight. He nods in agreement. Let’s see how it goes. &nbsp;

“I felt like I was born to be a nurse”

A month after September’s GenZ movement in Nepal, nurses working in private hospitals took to the streets demanding better work conditions, and salaries equal to what government nurses are paid.&nbsp;
The strike started at Pokhara’s Manipal Teaching Hospital before spreading nationwide, and nurses working at government hospitals joined in.&nbsp;
Nurses at private hospitals are forced to work for far less than Nepal’s minimum monthly wage of Rs19,550 — without overtime, breaks, and other benefits and under physically and mentally taxing conditions. This is driving many qualified nurses to emigrate.
For newly-appointed Health Minister Sudha Sharma Gautam in the interim government, the strike became her first order of business. She met representatives of the Nursing Association of Nepal (NAN), the protesting nurses, and others from the health sector.&nbsp;
An agreement was reached under which private hospitals and medical colleges will pay nurses a minimum monthly salary of Rs34,730. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
“It is a shame that nurses have been working under such exploitative conditions all this time” says Radha Adhikari, at the School of Health and Life Sciences of the University of the West of Scotland. “The agreement is basic, and there is a long way to go to improve their working conditions. But it is a start.”
NAN chair Chandrakala Sharma has said the ministry’s task force to look into working conditions will also look into facilities for nurses in government hospitals.&nbsp;
“We are committed to solidifying the wage agreement by amending relevant laws within this month,” Sharma said in a video posted by NAN on Facebook. “Our movement is not over, we are still protesting and &nbsp;following up with the Ministry.”
NAN issued an ultimatum to the government to implement the agreements within 48 hours. That deadline has now lapsed and the nurses are back on strike. Many of those protesting now accuse NAN of betraying them.
Jyoti Ranabhat of the Nurses Struggle Committee was present in the meeting, but refused to sign the agreement. “It did not address what we were demanding, we will now go it alone into Plan B,” she tells Nepali Times.&nbsp;
Previous grievances of the nurses did result in similar agreements, but private hospitals failed to comply with government’s past directives — most recently the minimum salary and benefit determined by the state in December 2024.&nbsp;
The Nepal Nursing Council says there are 126,580 registered nurses, specialists, midwives, and Auxiliary Nurse Midwife (ANM) professionals in Nepal. Yet, nursing positions at hospitals remain vacant.&nbsp;
The reason for understaffing is a mass emigration of medical professionals, including nurses. Nursing student enrollment is also declining and there is disinterest in a profession that does not afford health workers quality of life, respect, or dignity.
“Our fight is not with the private sector, it is by definition profit-oriented, our grievance is with the state,” says Ranabhat. “The government is responsible to provide us dignity, respect, and fair pay.”&nbsp;
GREENER PASTURES
Poor pay and working conditions are driving doctors and nurses abroad in large numbers in recent years. Many have simply quit the profession, leading to a shortfall in medical professionals. 

The shortage of nurses is a global phenomenon, and countries like the US, UK and Australia have compensated for their own shortage by offering jobs from countries like the Philippines, India and Nepal.&nbsp;
Nepal Nursing Council data shows that outmigration of nurses rose sharply after 2002, and an estimated &nbsp;20,000-45,000 nurses have left since.
“The state’s denial, derision, and disregard of nurses has caused resentment and disillusionment in the community, driving nurses out,” says Ranabhat. “Ultimately, Nepalis will pay the price when there are no nurses left here.”
Many Nepali nurses who have gone abroad are happy with the respect and quality of life in their jobs abroad. But many others face exploitative recruiters in Nepal and employers abroad. Nursing consultancies have mushroomed as nursing colleges struggle to meet demand.&nbsp;
Adhikari herself worked at United Mission Hospital Tansen before moving to the UK 30 years ago, and remembers that working conditions then were much better for nurses.&nbsp;
“Nepal’s health sector has gone downhill since privatisation,” she states. “Medical colleges are only concerned with supplying doctors and nurses internationally, because that is what makes money.”
But once Nepal’s nurses are abroad, there is no guarantee that they will have jobs in the nursing sector. Many find themselves working outside their field of expertise, in hospitality or sales.&nbsp;
“Nepal has become a production hub for nurses, and Nepali nurses have become products for export,” adds Ranabhat. &nbsp;“People might think this will add to remittances, but no one is thinking about what will happen to Nepal’s health sector.”&nbsp;
For many, nursing has become a way out of Nepal rather than a vocation. In 2022, the government signed an agreement with the UK to send Nepali nurses to work there at zero cost, with benefits and protection equal to UK nurses.&nbsp;
The pilot phase was expected to recruit 100 nurses, and applications opened in July 2023, with 45 nurses said to be selected by Britain’s NHF representatives by the end of 2023. Forty-one of them obtained labour permits.&nbsp;
They may be treated well, but the reality of working in the international health sector is not as straightforward.
Radha Adhikari told us from Scotland: “Market saturation, exploitation, discrimination based on race, gender, and foreignness prevent nurses from finding the right, respectful jobs even here. Ultimately, migration cannot be sustainable for Nepal’s nurses.”

2023-western-nepal-earthquake