One in every three Nepalis carries the <a href="https://nepalitimes.com/editorial/tb-or-not-tb">tuberculosis</a> bacillus. There may be no active symptoms, but they can at any point progree into a full blown infection. TB kills up to 47 Nepalis daily. If so many people died every day in road traffic accidents, it would make headlines every day. But they do not because tuberculosis afflicts the poorest people in the poorest parts of Nepal.&nbsp; The annual 17,000 fatalities from <a href="https://nepalitimes.com/banner/for-nepal-a-game-changer-in-tb-control">tuberculosis in Nepal</a> are preventable with cost-effective treatment. A new pilot study in Chitwan and Piuthan in the past two years showed that 1,160 (out of 1,173 household contacts) completed the Tuberculin Skin Test (Mantoux Test) of whom 542 (45%) were positive. After doing a chest x-ray, 509 met the eligibility criteria for TB preventive therapy. 500 (97%) gave consent to the treatment.&nbsp; Researchers were pleasantly surprised. As in other countries in the region, they were expecting very few to agree to take preventive therapy medicines because they did not have TB symptoms, so a 95% agreeing to the treatment was exceptionally high. “People in Chitwan and Piuthan who participated in the study were not sick, they were just carrying the TB bacteria, but they agreed to take the preventive drugs because they have all known of relatives who had died of TB,” explains Buddha Basnyat, a physician who advised the Birat Nepal Medical Trust (BNMT) that conducted the research.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240325030340_43b4bc93b22c3964ee021a9dc9df40f9da783917b2ebfbe798a03a82276421a7.jpg" data-media-id="editor_2" data-image-id="20240325030340_43b4bc93b22c3964ee021a9dc9df40f9da783917b2ebfbe798a03a82276421a7" data-rendition-name="original" width="1500" height="1125" loading="lazy" alt="Tuberculosis preventive therapy in Nepal"> <figcaption>Health care volunteers during an outreach screening program in Dhanusha as part of active case-finding for tuberculosis in local communities.</figcaption> </figure>  BNMT is now extending the study to Nawalparasi and Rupandehi with the National Tuberculosis Control Centre. Latent TB is more prevalent in the Tarai districts because of their higher population density. With Nepal suffering such an <a href="https://nepalitimes.com/here-now/nepal-tb-cases-grossly-underestimated">enormous disease burden from tuberculosis</a>, one would have thought World TB Day on Sunday 25 March would have got more attention. But it was overshadowed by Holi celebrations. It would have been interesting to see how many in the crowds attending the concert at Darbar Marg would test positive. Scientists worry that the World Health Organisation’s END TB strategy of reducing global tuberculosis incidence by 90% and deaths by 95% in the next ten years is too ambitious unless latent tuberculosis cases are also treated.&nbsp; What makes this failure all the more tragic is that tuberculosis is a completely preventable and treatable infection. Every $1 invested in TB gives a $39 return, yet there is little investment and advocacy to combat this biblical illness. South Asia accounts for some 40% of all TB cases and 38% of all TB deaths — most of them occurring in the thickly-populated states across the Nepal border in India. The region also has a high burden of multi-drug resistant TB, one-third of global cases. In the past, Directly Observed Therapy Short Course (DOTS) drug therapy in which patients were administered medicines at health posts was considered a cure-all for tuberculosis. <a href="https://archive.nepalitimes.com/news.php?id=294">Nepal had a high success rate for DOTS</a>, but there were loopholes in the program: latent cases remained hidden and only the cases that came to the health system were treated. DOTS also added to the pre-existing stigma so that patients travelling to the health posts would be identified as having tuberculosis. In one instance, a patient in Bardia chose to take a dangerous tiger-infested jungle route to reach the health post. &nbsp; Meanwhile, BNMT had been setting up a strong community network of health volunteers, and was <a href="https://nepalitimes.com/banner/nepal-tests-and-treats-tb-with-a-flying-pharmacy">tracking active TB cases</a>. Unlike DOTS, it involved meeting family and friends of patients, allowing more case detection and treatment. Even so, they were not looking for latent infections.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240325030340_39b79cbd0799bee83a8ae67fd8016d9c75b539d89679e5a4328a7b8540bbca01.jpg" data-media-id="editor_6" data-image-id="20240325030340_39b79cbd0799bee83a8ae67fd8016d9c75b539d89679e5a4328a7b8540bbca01" data-rendition-name="original" width="1687" height="1125" loading="lazy" alt="Tuberculosis preventive therapy in Nepal"> <figcaption>Female Community Health Volunteers (FCHVs) have played a significant role in active case finding.</figcaption> </figure>  Latent cases can progress to active tuberculosis especially when a patient's immune system is weak because of malnutrition, illnesses like HIV, or age. In fact, half of TB worldwide can be attributed to undernourishment. Latent TB can be confirmed in two simple steps: a Mantoux test with an above 10 score and a clear chest x-ray. If positive, the patient is given the 3HP preventive therapy — a once-weekly treatment with isoniazid-rifapentine for 12 weeks. This treatment can prevent reinfection for as long as six years, and is not to be confused with the one for active cases which requires daily treatment for six months. “On an individual level, you can still get reinfected if you are living in a house with active cases. But if you treat the community at large with preventive therapy, you drive down the prevalence of TB and in turn, people won't get reinfected,” explains Maxine Caws of BNMT. She adds: “If we can use preventive therapy to push down the reservoirs of infection then we extend the amount of time people are protected as is the case in Europe for example where people don't get TB anymore because they are not exposed to the bacteria at all. We have to eradicate that reservoir.” The traditional BCG vaccine given within 28 days of birth is effective against childhood tuberculous meningitis and miliary disease, but does not prevent TB in adults. Efforts are underway to develop a new effective vaccine but there are many challenges.&nbsp; TB vaccine development is difficult because exposure to the tuberculosis bacillus does not seem to induce sufficient protective immunity. A new viable vaccine could take a decade, but in that time 13 million more people would die.&nbsp; “We cannot wait and do nothing until a new effective vaccine is developed. Preventive therapy is a vaccine until we have one,” adds Basnyat. Indeed, the 3HP preventive therapy after diagnosis costs only $5 per regimen. So, Nepal’s strategy should be a simultaneous focus on 3HP preventive therapy and case finding.&nbsp; The problem has been a lack of priority for preventive therapy at national and international levels because it does not involve costly research and interventions, and the patients are poor. Explains Caws: “On paper, we have very strong policies but the commitment in terms of funding from the governments has not materialised, essentially because it is not affecting the rich unlike with Covid when we threw everything at it to have a vaccine developed in a year.” TB’s main problem, <a href="https://nepalitimes.com/opinion/comment/pandemic-eclipses-nepals-tb-epidemic">unlike Covid</a> and HIV/AIDS is that it is a disease of the poor.&nbsp;

Sonia Awale

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Ending TB is possible, and cost-effective

<img width="828" height="501" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1179c7e80680e08f894jpeg.jpg" alt="Air pollution in Kathmandu"/>Winter inversion, vehicular emission, wildfires, and cross-border industrial pollution have combined to give Kathmandu Valley the worst air quality among cities in the world this week, adding to the risk of respiratory complications for Covid-19 patients.On Monday night, the Air Quality Index (AQI) in parts of Kathmandu crossed 500, according to measurements at the <a href="https://www.nepalitimes.com/" target="_blank" rel="noopener noreferrer">US Embassy measuring station</a> at Phora Darbar. It remained at above 500 from 10PM till 5AM, falling to 480 at 7AM on Tuesday. <figure><img width="2156" height="1000" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1199c7e80680e08f895jpeg.jpg" alt="NASA Worldview image of Nepal wildfires"><figcaption>A NASA Worldview satellite image of Nepal on 3 January showing the spread of smoke from wildfires in Kaski, Lamjung, and Dhading. Combined with vehicle and crossborder pollution,Kathmandu's AQI count hovered at 500 for the second straight day.</figcaption></figure> The Department of Environment’s own measuring station in parts of Kathmandu showed the AQI staying above 400 all day on Monday. Other global AQI measurement sites like <a href="https://support.iqair.com/en/" target="_blank" rel="noopener noreferrer">IQAir</a> put Kathmandu’s pollution level at 487 – the highest among cities in the region. <img width="746" height="512" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd11c9c7e80680e08f896jpeg.jpg" alt="AQI Kathmandu">New Delhi’s AQI levels, which have been consistently high all winter because of crop residue burning as well as vehicular and industrial pollution, got a respite on Monday because of rainfall. At a time when Kathmandu’s <a href="https://waqi.info/#/c/26.725/78.758/6.2z" target="_blank" rel="noopener noreferrer">AQI was hitting record highs on Tuesday morning</a> with 438, the New Delhi suburb of Noida recorded less than 151 (<a href="https://aqicn.org/map/#@g/24.4264/86.8579/5z">AQI World map, below).</a> <figure><img width="2234" height="1346" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd11e9c7e80680e08f897jpeg.jpg" alt="New Delhi and Kathmandu AQI levels"><figcaption>AQI levels in north India and Nepal on 5 January at 8AM showing Kathmandu's much higher pollution levels compared to New Delhi.</figcaption></figure>AQI is a composite measurement of the concentration of particulate matter below 10 and 2.5 microns, carbon monoxide, sulphur and nitrogen dioxide and ground ozone. AQI level between 0-50 is ‘Good’, 51-100 is ‘Moderate’, 101-150 is ‘Unhealthy for Sensitive Groups’, 151-200 is ‘Unhealthy’, 201-300 is 'Very Unhealthy', and anything above 301 is regarded as 'Hazardous'. Kathmandu's AQI has remained at the Maroon 'Hazardous' level for two days in a row. The US Environment Protection Agency (EPA) has also colour coded various AQI levels at Green, Yellow, Orange, Red, Purple, and Maroon. The World Health Organisation (WHO)’s guidelines state that AQI should be below 35, and the concentration of particles below 2.5 microns should be below 25 μg/m³over a 24 hour period. This means Kathmandu's pollution has been 15 times higher than the WHO standard. <img width="2172" height="760" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1219c7e80680e08f898jpeg.jpg" alt="AQI measurement guide">In Nepal, a Cabinet decision last year adopted the Department of Environment’s guidelines for air pollution to declare a health emergency if AQI exceeded 300 – meaning the government can ban open burning, close factories, and take measures to reduce vehicles on the roads. The government, which has been engulfed in a crisis within the ruling party after Prime Minister K P Oli dissolved the Lower House and called for snap polls in April-May, seems to be too distracted to pay attention to the converging crises of Covid-19 and air pollution. <img width="1202" height="1064" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1249c7e80680e08f899jpeg.jpg" alt="Bhushan Tuladhar tweet">“This is a grave threat to public health, the government should have declared an emergency and taken urgent measures to curb pollution,” says environmental expert Bhushan Tuladhar. (left)The air pollution emergency in Kathmandu puts the elderly, those with asthma and other respiratory ailments at high risk, and would be especially dangerous to those with Covid-19.  <img width="756" height="1286" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1279c7e80680e08f89ajpeg.jpg" alt="AQI Ratnapark"><img width="660" height="1346" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd1299c7e80680e08f89bjpeg.jpg" alt="AQI rank by city">Poor air quality in Kathmandu and inside rural homes due to smoky kitchen fires kill far more people across South Asia than SARS-CoV-2. However, the record-breaking pollution this winter will add to the risk of the coronavirus.  Even before Covid-19, the World Health Organisation (WHO) had warned that poor <a href="https://www.nepalitimes.com/banner/nepal-lockdown-proves-air-quality-can-be-improved/" target="_blank" rel="noopener noreferrer">air quality</a> in northern India and the Tarai was already the <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/air-pollution-decreases-life-span,3999" target="_blank" rel="noopener noreferrer">reducing average lifespan</a> of tens of millions of people by 3.7 years.“Long-term exposure to air pollution can cause many of the health conditions associated with increased vulnerability to Covid-19, such as diabetes and chronic heart and lung diseases,” said the <a href="https://www.stateofglobalair.org/sites/default/files/documents/2020-10/soga-2020-report.pdf" target="_blank" rel="noopener noreferrer">State of Global Air 2020</a> released last October.  <figure><img width="1920" height="1080" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221110111120/636cd12b9c7e80680e08f89cjpeg.jpg" alt="Patan School Lalitpur clock tower"><figcaption>The clock is ticking for Kathmandu to act on reducing the health hazards of air pollution.</figcaption></figure>The <a href="https://www.nepalitimes.com/latest/double-whammy-air-pollution-and-covid-19/" target="_blank" rel="noopener noreferrer">report</a> says that 100% of the population in India lives in areas where PM2.5 levels are higher than the WHO Air Quality Guideline. Nepal is not far behind with 98% of its people living in such areas. More than 65% of all deaths due to chronic obstructive pulmonary disorder (COPD) in 2019 were linked to air pollution in Nepal.Says Pallavi Pant, air quality scientist at the Health Effects Institute: “Exposures to air pollution have been shown to affect the human body’s immune defence, making an individual more susceptible to respiratory infections such as pneumonia.”

Kathmandu air pollution hits record high

<figure><img width="1400" height="933" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb6b9c7e80680e0802c3jpeg.jpg" alt=""/><figcaption>Photo: MONIKA DEUPALA</figcaption></figure>In the past eight months of this year, 791 people have died in Nepal from Covid-19. In the whole of 2019, <a href="https://www.nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking/" target="_blank" rel="noopener noreferrer">air pollution</a> directly killed 42,100 people in the country.Poor air quality in cities and inside homes due to smoky kitchen fires kill far more people across South Asia than SARS-CoV-2. But now, researchers say, there is a looming danger that as winter approaches, deterioration of air quality and Covid-19 will emerge as a double whammy.Even before the pandemic, the World Health Organisation (WHO) was already warning that poor <a href="https://www.nepalitimes.com/banner/nepal-lockdown-proves-air-quality-can-be-improved/" target="_blank" rel="noopener noreferrer">air quality</a> in the Indo-Gangetic plains that includes a part of the Tarai in Nepal was already the <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/air-pollution-decreases-life-span,3999" target="_blank" rel="noopener noreferrer">reducing average lifespan</a> of tens of millions of people by 3.7 years. <figure><img width="1876" height="1018" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb6e9c7e80680e0802c4jpeg.jpg" alt=""><figcaption> </figcaption></figure>“Long-term exposure to air pollution can cause many of the health conditions associated with increased vulnerability to Covid-19, such as diabetes and chronic heart and lung diseases,” says the <a href="https://www.stateofglobalair.org/sites/default/files/documents/2020-10/soga-2020-report.pdf" target="_blank" rel="noopener noreferrer">State of Global Air 2020</a> released on Wednesday. The report shows that air pollution is among the biggest risk factors for all major mortality in the region, surpassed only by high blood pressure, tobacco use, and poor diet. <figure><img width="1500" height="861" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb719c7e80680e0802c5jpeg.jpg" alt=""><figcaption> </figcaption></figure><figure><img width="640" height="820" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb759c7e80680e0802c6jpeg.jpg" alt=""><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb789c7e80680e0802c7jpeg.jpg" alt="" width="1500" height="1442"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb7b9c7e80680e0802c8jpeg.jpg" alt="" width="1500" height="993">Air pollution accounted for 6.7 million deaths globally, 2.1 million in South Asia, and nearly 42,100 deaths in Nepal in 2019 alone. Nepal ranks among the top 10 countries with the highest PM2.5 concentrations (harmful particles less than 2.5 microns suspended in the air).  Bangladesh, India and Pakistan also made the cut.The report says that 100% of the population in India lives in areas where PM2.5 levels are higher than the WHO Air Quality Guideline. Nepal is not far behind with 98% of its people living in such areas. The report, a collaboration between the Boston-based Health Effects Institute and the Institute for Health Metrics and Evaluation comes as the Covid-19 pandemic has claimed more than 116,000 lives in India and 765 in Nepal. Pollution and SARS-Cov-2 both affect the respiratory tract and lead to pneumonia. In fact, patients with pre-existing heart and lung disease are at high risk of coronavirus infection.On Wednesday, there were a total of 44,476 active cases after an additional 5,743 positives with Kathmandu Valley alone reporting 3,107 of them. With 2,996 discharged in the last 24 hours, the recovery rate now stands at 68.7%. There are a total of 269 patients in ICU and 87 on ventilator support. Bagmati province accounts for the most of them, 152 in ICU and 59 on ventilator.  <figure><img width="1492" height="639" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb7e9c7e80680e0802c9jpeg.jpg" alt=""><figcaption> </figcaption></figure>More than 65% of all deaths due to chronic obstructive pulmonary disorder (COPD) in 2019 were linked to air pollution in Nepal. In India, it was 60%, and over 30% of the deaths due to ischemic heart disease in 2019 were linked to air pollution in both countries.These figures will only increase with the upcoming winter months which is also the flu season. India is already struggling with over 7.6 million Covid-19 cases. Nepal’s capital Kathmandu has run out of hospital beds including ICUs, oxygen, ventilators, and there is a shortage of other medical supplies. Although the full links between air pollution and Covid-19 are not yet known, there is clear evidence connecting air pollution and increased heart and lung disease. There is growing concern that air pollution exposures, especially in the most polluted regions of South Asia, could exacerbate the effects of Covid-19 significantly.“Exposures to air pollution have been shown to affect the human body’s immune defence making an individual more susceptible to respiratory infections such as pneumonia,” says Pallavi Pant, air quality scientist at the Health Effects Institute. “Air pollution exposures are linked with a range of diseases including chronic heart and lung diseases – all of which contribute to poorer outcomes in patients infected with the virus.”  <figure><img width="1500" height="441" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb819c7e80680e0802cajpeg.jpg" alt=""><figcaption> </figcaption></figure><figure><img width="1491" height="616" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb839c7e80680e0802cbjpeg.jpg" alt=""><figcaption> </figcaption></figure>Researchers say it is likely that people living in areas with high air pollution will experience more adverse outcomes from Covid-19. The report also found that air pollution is a leading risk factor to health both in Nepal and India followed by smoking and high blood pressure. Even though there is now greater awareness in Nepal and in South Asia about the impact of poor air quality, <a href="https://www.nepalitimes.com/editorial/beat-air-pollution/" target="_blank" rel="noopener noreferrer">not even steps have been taken</a> at the nation state level. There is also no <a href="https://www.nepalitimes.com/opinion/one-atmosphere/" target="_blank" rel="noopener noreferrer">cross-border collaboration in controlling air quality</a> especially as the annual season for crops residue burning is sending plumes of pollution across South Asia.“Although there have been actions and air quality improvements in some countries, including Nepal, there has been little or no sustained progress over the last decade in the most polluted countries of South Asia and Africa,” says the report.In the first-ever comprehensive analysis of air pollution’s global impact on newborns, the report finds that outdoor and household particulate matter pollution contributed to the deaths of nearly 500,000 infants in their first month of life. Nearly two-thirds (64%) of the infant deaths are linked to use of household burning of solid fuels, hitting hardest in South Asia and Sub-Saharan Africa.In Nepal, 22% of all neonatal mortality is linked to air pollution, most of which is attributed to indoor pollution from kitchen fires. This is much higher than the figure in India where 46% of all neonatal deaths due to air pollution is attributed to household air pollution.

Double whammy: air pollution and Covid-19

It was amazing to see the <a href="https://www.livescience.com/coronavirus-changes-pollution-over-china.html" data-saferedirecturl="https://www.google.com/url?q=https://www.livescience.com/coronavirus-changes-pollution-over-china.html&amp;source=gmail&amp;ust=1585383076968000&amp;usg=AFQjCNGy6JG88eR8u4HltgNkCfaY_NGX_w">dramatic before-and-after satellite images</a> of pollution reduction after coronavirus lockdowns in China, and how quickly the air could be cleaned up and improve health.But to sustain that, individuals, countries and economies must consciously reduce consumerism, realign our means of production, and rethink economic ‘growth’.For Nepal it is a chance to recalibrate the economy and steer it towards more self-reliance, and preparedness for future disasters of this nature.From my frequent stays throughout Nepal since the 1970s I have encountered many projects that attempted, altruistically, to abet local and women’s development by the introduction of multifarious craft and agricultural production designed for non-local markets.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110911110/636b7a259c7e80680e064742jpeg.jpg" alt="" width="1284" height="916"/><figcaption>Photo: LIVESCIENCE.COM</figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110911110/636b7a289c7e80680e064743jpeg.jpg" alt="" width="1554" height="1196"><figcaption>Photo: LIVESCIENCE.COM</figcaption></figure>Products included fruits and vegetables for the palates of the expatriate families in major centres, and simple or imaginative crafts for the ever-growing tourist industry back then.Gradually, in the process of increased sophistication and quality improvement, particular products required the input of not only whatever was locally available, but some enhancing component like a special fertiliser for certain vegetables, or unique components for handicrafts.Then there was the essential aspect of getting whatever was produced to suitable markets, usually in the capital or some tourist region. I recall enquiring with the implementers of such projects in remoter areas about how they obtained their ‘enhancements’ for production. And how did they get their products to market? The answer involved some type of transportation.But when roads became predictably impassable during the monsoon, travel in either direction became impossible or transport costs considerably increased. When labour strikes, political strife, demographic shifts affected the ability to sell products, locally developed production stalled and, in many cases, collapsed.E F Schumacher of the ‘Small is Beautiful’ fame understood this. A Gandhian economist, he promoted local production but from local resources, in order to remain independent from intermediate variables, such as the need for outside components and long distance transport, that was outside anyone’s control.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110911110/636b7a2a9c7e80680e064744jpeg.jpg" alt="" width="2052" height="1368"><figcaption>Unusually quiet New Road during the lockdown. Photo: BIKRAM RAI</figcaption></figure>Self-reliance, perhaps not everywhere or always, makes sense. I am not suggesting that we eliminate import/export globally. But when critical societal crises arise, as now with COVID-19, it has not taken long to realise that countries and economies reliant on importing food, materials and components from overseas can quickly become incapacitated.The answer is not to eliminate extraterritorial interaction, but try to support, improve and promote local production and marketing within reasonable limits, along with a reduction in excessive consumerism.Tourism is a unique case. It survives on the ease of travel for visitors from outside who come to the country and spend their money. For this reason, while self-reliance is still relevant, there are other critical considerations that have to be taken into account to mitigate and decrease health and safety problems.Notably, these include the travel routes and their maintenance, leadership and guidance with continuously refreshed skills and knowledge, as well as accommodation and food services that can practice and maintain industry-standard hygiene and sanitation. These components require improved training and monitoring.If promoting large increases of tourist volume through campaigns like Visit Nepal 2020, hosting facilities, and transport services must be prepared to act immediately on critical directives – distancing of guests -- in the event of some infectious outbreak like the one we are experiencing now.It may be a good idea for the government to plan for strategically located facilities in case of predictable health issues like infections, and not just for rare outbreaks like coronavirus. Just as there are certain services that are in place only seasonally in particular regions, so extra health and safety assistance can be deployed to supplement unavailable or inadequate services. This could be a ‘pay for service’ self-sustaining operation.Despite the sound recommendations after last year’s Everest traffic jam, there has yet to be a concerted effort to bring all essential agencies of government and private companies to collaboratively work out enhanced management of critical climbing areas and over-tourism generally. Non-action on this may also contribute to the less frequent, but disastrous, health emergencies like COVID-19.Iván G Somlai is Director of <a href="http://ethnobureaucratica.weebly.com/" data-saferedirecturl="https://www.google.com/url?q=http://ethnobureaucratica.weebly.com/&amp;source=gmail&amp;ust=1585383076968000&amp;usg=AFQjCNHTHo0O5N_Al30Kf3KYNlnyIy3B9Q">EthnoBureaucratica</a> based in Canada, and was a former consultant with Nepal’s Ministries of Health, Industry, and Tourism.<a href="http://ethnobureaucratica.weebly.com/" data-saferedirecturl="https://www.google.com/url?q=http://ethnobureaucratica.weebly.com/&amp;source=gmail&amp;ust=1585383076968000&amp;usg=AFQjCNHTHo0O5N_Al30Kf3KYNlnyIy3B9Q">http://ethnobureaucratica.weebly.com</a>Ivan.Somlai@INSEAD.edu<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110911110/636b7a2e9c7e80680e064745jpeg.jpg" alt="" width="152" height="165">

Pandemic is a chance to rethink development

Nepal’s only international aviation gateway, at Kathmandu airport, will cut night-time operation hours to allow construction of taxiways, and airlines have been told to curtail flights. This is expected to lead to more than normal chaos during the height of peak autumn and spring tourist seasons at an airport that is congested even at the best of times. The airport will close from 10PM to 8AM from 8 November-31 March 2025. The taxiways will now connect to the thresholds at both ends of the runway, making the airport more efficient in handling higher frequencies of landings and takeoffs. The parallel taxiway extension will allow international flights to land every 4 minutes instead of the current every 7 minutes. At present planes have to wait to land until a plane taking off backtracks along the runway.&nbsp; Kathmandu is Nepal’s only airport with international operations, and it has only one runway that is only one way in from the south over the mountains. With the taxiway improvement, the airport will be able to handle 42 aircraft landings and takeoffs per hour — double the current capacity.&nbsp; The Civil Aviation Authority of Nepal (CAAN) has been trying to entice international airlines to also start flying to and from the other two international airports at Pokhara and Bhairawa (Lumbini) by slashing landing and handling charges. But so far only Nepal Airlines operates a weekly flight to Bhairawa from Kuala Lumpur.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32.jpg" data-media-id="editor_0" data-image-id="20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32" data-rendition-name="original" width="2356" height="1134" loading="lazy" alt="Kathmandu airport expansion"> <figcaption>Kathmandu Airport Expansion plan with extension of taxiways to the thresholds of runways 02 and 20 that will limit airport operations from 8 November 2024 - 31 March 2025. Areas in blue are existing structures, including the international terminal which in future will be the domestic airport, and the new international terminal near the north end of the runway,</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a.jpg" data-media-id="editor_1" data-image-id="20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a" data-rendition-name="original" width="1353" height="1328" loading="lazy" alt="Kathmandu airport NT"> </figure>  CAAN has reportedly told international airlines to cut their flight frequency to Kathmandu citing the shorter operation hours and has told budget airlines to shift some of their flights to Pokhara or Bhairawa, or face cuts. Many airlines currently operate regular flights to and from Kathmandu between 10PM and 8AM: Air Arabia to Sharjah, Fly Dubai to Dubai, Jazeera Airways to Kuwait, Cathay Pacific to Hong Kong, Singapore Airlines, several Nepal Airlines flights, and one of four daily flights by Qatar Airways to Doha. Jazeera Airways, FlyDubai, and Thai AirAsia have applied and got permission from CAAN to begin regular flights to Bhairawa’s Gautam Buddha International Airport. Starting 9 November, FlyDubai will start making a stopover in Bhairawa before flying on to Kathmandu. Immigration, customs and security are all fully functional in Bhairawa. In Kathmandu, the next phase of the airport upgrade includes converting the current international terminal for domestic operations, the construction of a new international terminal where the domestic departure area is now, as well as moving the hangars and the Nepal Army Air Wing to the eastern side of the runway. The apron area will also double its parking space for widebody jets. This is part of a Airport Capacity Enhancement Project that was initially funded through a $80 million loan from the Asian Development Bank (ADB), and the entire masterplan is expected to cost $800 million. This project is the latest upgrade to Nepal’s only international airport since it saw its first flight in 1949. The current international and domestic terminals are too small to handle the current annual traffic volume of 8.5 million passengers a year that is growing at 20% a year.

Kathmandu airport to cut flight hours

As Kathmandu becomes more congested and polluted, and with remote online work becoming the norm, many professional Nepalis are planning to retire in Pokhara, or move there.&nbsp; With its stunning mountain panorama, balmy winters and proximity to a profusion of wilderness areas, builders are responding to this demand with new townhouses, housing development and apartments. One such block of flats is the 10-storey <a href="https://sungavaapartment.com/">Sungava Apartment</a> located at Phulbari above the Seti River, near the point where it flows into and under Pokhara. The imposing structure near Manipal Hospital is almost complete, and on a recent visit the site was strewn with huge boulders unearthed while digging the foundation.&nbsp; The Seti brought down these boulders during a gigantic flood that geologists estimate happened 800 years ago when a chunk of Annapurna IV broke off and ploughed into the glacier below. Today, Sungava (means ‘orchid’) sits safely on a high terrace, 100m above the blue-green Seti and commands a view of Dhaulagiri, Annapurna South, Machapuchre, Annapurna III and IV.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9.jpg" data-media-id="editor_1" data-image-id="2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9" data-rendition-name="original" width="2016" height="1512" loading="lazy" alt="High living below the Himalaya NT"> </figure>  The soil here is conglomerate that has solidified like concrete, and the boulders were extracted by heavy earthmovers. It is intriguing to think that these metamorphic rocks as big as cars, rounded by glacial grinding, were once a part of a much higher Annapurna IV. Even for those with little interest in geology, Sungava is an ideal place to contemplate the tectonic forces that pushed these peaks into the sky to be sculpted into delicate shapes by wind, snow, earthquake and avalanche over millions of years. The view of the Himalayan panorama from Sungava’s many balconies are breathtaking when not obscured by clouds, or the haze that drifts in from across the southern border. On most days, just watching the towering pyramid of Machapuchre (Tamu name: कतासुँ क्लिको) play hide and seek with the clouds is mesmerising. There are rocks aplenty at Phulbari, and it is probably the flowers that grew along the flat terraces e that gave the place its flowery name. The boulders will hopefully be turned into a rock garden while landscaping. An nearby restaurant complex is making the best use of the stones in its design, using flat rocks as outdoor benches and tables. Sungava was designed by the husband-wife architect team of Deepak Sherchan and Jyoti Joshi of <a href="https://thedarkmermaidamarbshrestha.blogspot.com/2013/12/creative-builders-collaborative-cbc.html">Creative Builders Collaborative (CBC)</a>, which also built Heritage Plaza, Indreni Apartment and numerous other projects in Nepal. Sadbhavana retains CBC’s trademark Newari-style masonry and here it borrows from the orange brickwork of the old town of Pokhara, integrating it with modern design elements. A few of those heritage houses are still standing in Ganesh Tole and Ram Krishna Tole in Pokhara’s old quarter.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab.jpg" data-media-id="editor_3" data-image-id="2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab" data-rendition-name="original" width="1362" height="595" loading="lazy" alt="High living below the Himalaya NT"> </figure>  About 400m from the apartment past a bend on the river, and down below three tiers of terraces in the canyon is a suspension bridge. Below it, the Seti is still swollen with post-monsoon flow as it tumbles away in a hurry to head down south.&nbsp; Back at the apartment, it is quiet, far away from the hubbub of Lakeside a 15 minute drive away, and in the lap of greenery. There are 52 units at Sungava and it already has a close-knit prospective community of professionals, including doctors, publishers, engineers, and businesspeople from the renewable energy and IT sectors.&nbsp; Some residents say they opted for a second home in Pokhara to make it a ‘base camp’ to explore the Annapurnas with its many hiking trails made newly accessible with new roads. With the NRN citizenship law, overseas Nepalis can now also buy the flats. &nbsp; The floor plans include options for north and south-facing 3-bedroom apartments with verandas, and the facility has underground parking has EV charging, heated pool, sauna and gym. There are still some unsold apartments with panoramic views of the mountains and one can imagine oneself at the kitchen with its huge window, humming a ditty while preparing breakfast: “खाना पकाउँ हिमाल हेरेर...”

High living below the Himalaya

When the United Nations held its Summit of the Future at its headquarters in New York in September, many world leaders, including Nepal’s Prime Minister K P Oli, highlighted the effect of climate breakdown in increasing the frequency and intensity of natural disasters. What did not get as much attention was the long term impact of the climate crisis on food production. In fact, heat stress, weather extremes and the consequences on rain-fed agriculture is already being felt worldwide, undermining the chances of the <a href="https://unstats.un.org/sdgs/">UN’s Sustainable Development Goals (SDGs)</a> being met by 2030.&nbsp; The SDG’s 17 targets commit countries like Nepal to reduce poverty and inequality, end malnutrition, protect the natural environment, and ensure that citizens all enjoy health, justice and prosperity without leaving anyone behind.&nbsp; However, besides the impact of climate breakdown on agricultural production, in Nepal the area under cultivation is impacted by urban expansion, falling productivity and the need for expensive inputs like fertiliser and pesticides.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62.jpg" data-media-id="editor_1" data-image-id="20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62" data-rendition-name="original" width="999" height="1500" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Kathmandu's urban sprawl is eating into its fertile cultivable lands. Photo: TAYLOR MASON</figcaption> </figure>  Now, a new study led by Nepali researcher Prajal Pradhan at the University of Groningen in The Netherlands looks at how urban agriculture may offer a solution to falling food production and meeting SDG targets. The researchers evaluated 1,450 publications exploring the contributions of urban agriculture with both positive and negative effects, and published their findings in the journal Cells Report Sustainability. Urban agriculture can help achieve 17 SDGs, positively influencing 81 targets. However, it could also undermine 51 goals.&nbsp; Read also: <a href="https://nepalitimes.com/here-now/the-vanishing-land">The vanishing land</a>, Taylor Mason “Urban agriculture offers immense potential for sustainable development, but realising this potential depends crucially on adopting practices that minimise its adverse effects while maximising its benefits,” Pradhan explains. Urban agriculture can substantially enhance urban food security, provide employment to the urban poor, serve as ground water recharge in built-up areas, and preserve open spaces that can serve as safe havens during disasters like earthquakes. However, it also presents problems like the potential health risks from contamination and the need for expensive inputs. &nbsp; “Urban agriculture plays a definitive role in advancing the SDGs, but achieving this requires tailored, context-specific solutions that address the unique challenges of different regions,” says Yuanchao Hu of Wuhan University in China and who is a researcher at the Potsdam Institute for Climate Impact Research. “But it needs equitable access and rigorous management of environmental risks.”&nbsp; Rapid urbanisation is eating into Nepal’s most fertile agricultural land, which means farming in remaining open spaces inside cities can be a viable alternative, especially as food prices rise.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8.jpg" data-media-id="editor_3" data-image-id="20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>A vegetable patch in between new houses in Thimi. Photo: TAYLOR MASON</figcaption> </figure>  “The conversion of Nepal’s most fertile land into cities is a severe problem,” Pradhan told Nepali Times. “Crop cultivation, horticulture, agroforestry, beekeeping, livestock rearing, or aquaculture can all be farming activities within and around cities.”&nbsp; The study makes recommendations for sustainable practices that build on the positive aspects of urban agriculture while mitigating the downsides, thereby promoting more resilient cities in future. Research shows that urban agriculture has been helping many countries attain SDG targets by enhancing food security and biodiversity while helping education and preservation of open spaces.&nbsp; Indeed, many farmers from the hinterland who have settled in Kathmandu Valley or other urban areas of the country have been practicing urban agriculture, leasing neighbourhood patches or cultivating roof gardens both out of necessity because of inflation and falling income to grow their own food, and also as a fulfilling hobby. Saurav Dhakal, a sustainability advocate with Story Cycle and now research fellow at the Asian Institute of Technology in Thailand, says there are socio-economic and environmental benefits of urban agriculture. “It provides benefits to all urban dwellers, regardless of their income status,” says Dhakal, “families get fresh food, and there are many other benefits like water retention, heat regulation and biodiversity. These are all public goods, so special government incentives may be needed.” It is not unusual to see vegetable patches and even paddy fields within inner city Kathmandu where an older generation of farmers are using available fertile land and <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/rooftop-gardens-kathmandu,1415">roof gardens to produce fresh, nutritious food </a>to reduce their dependence on food items that have to be bought after being trucked in from large distances.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77.jpg" data-media-id="editor_5" data-image-id="2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>An older generation of farmers are using any available fertile land to continue farming but it is getting more and more difficult. Photo: TAYLOR MASON </figcaption> </figure>  Nepal’s urban population grew rapidly from only 3.6% in 1991 to 25% today. There is large outmigration from the mountains to peri-urban areas of the Tarai, to Kathmandu Valley and Pokhara, with many young men then moving abroad for work. Kathmandu Valley’s population has swelled to nearly 3 million, and is growing at 6.5% a year. Dilip Shrestha, 71, used to work for Nepal Food Corporation, so he knew firsthand about inflation, shortages and vegetables with pesticide residue. So, when he designed his new house in Kathmandu, he built a spacious roof where he grows cucumber, ginger, garlic, coriander, onions, tomatoes, chili, beans, okra, pumpkin and lettuce. His family eats healthier, and he has reduced dependence on the market.&nbsp; The co-author of the Cell Reports Sustainability journal article, Daya Raj Subedi who is a PhD candidate at Beijing Forestry University, says urban agriculture also promotes inclusion and psycho-social wellbeing.&nbsp; He says, “A crucial finding of the study is the identification of opportunities and challenges associated with urban agriculture, it can promote sustainable transformation of society.” In Banepa, 55-year-old Bijaya Manandhar in her lifetime has watched the fertile farms of her neighbourhood that used to supply vegetables to Kathmandu, now completely built up with no open space left. The pandemic lockdown prompted her to turn to the family’s <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world">ancestral livelihood by growing food</a> not on terrace farms, but on the roof terrace. Manandhar is now a part of <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world%5C%5C">कौसी खेती र करेसाबारी क्रान्ती</a> (Rooftop Farming and Garden Revolution) which has an online membership of 52,000, and awards annual prizes to women who excel in urban agriculture.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d.jpg" data-media-id="editor_8" data-image-id="20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d" data-rendition-name="original" width="1600" height="736" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Rooftop farming is gaining popularity as a form of urban agriculture. </figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed.jpg" data-media-id="editor_9" data-image-id="20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed" data-rendition-name="original" width="4000" height="3000" loading="lazy" alt="urban agriculture in Kathmandu"> </figure>  Pradhan says the challenge now is to upscale such examples of successful urban agricultural practices so they support Neal’s efforts to meet SDG targets. He adds, “Crop cultivation around cities can be protected by land use plans and regulations. Promoting community-based agriculture, including rooftop gardens, requires community engagement and public-private partnerships across the food value chain.”&nbsp; Such support would accelerate the popularity of existing rooftop farming and community gardens in Kathmandu Valley, or kitchen garden initiatives in Pokhara, and building on traditional farming practices that are preserved and integrated into urban settings like in Bhaktapur and Banepa. In Lalitpur, the Women Entrepreneurship Facilitation Center promotes urban farming enhancing both sustainability and empowerment.&nbsp; Another co-author of the report, Yuanchao Hu from China says followup research of the team will aim to identify good practices in local urban agriculture practices. He adds, “There are examples of urban agriculture that optimise sustainability, ensuring that it remains a viable solution for cities globally while countries try to meet SDG targets.” Prajal Pradhan, Daya Raj Subedi, Kshitij Dahal, Yuanchao Hu, Prakriti Gurung, Sijal Pokharel, Sagar Kafle, Biplav Khatri, Sudeeksha Basyal, Monika Gurung, and Aruna Joshi. Urban Agriculture matters for sustainable development. Cell Reports Sustainability, 1:100217, 2024. [DOI: 10.1016/j.crsus.2024.100217] Prajal Pradhan (<a href="mailto:p.pradhan@rug.nl">p.pradhan@rug.nl</a>) This article is brought to you by <a href="https://nepalitimes.com/" target="_blank">Nepali Times</a>, in collaboration with <a href="https://inpsjapan.com/en/" target="_blank">INPS Japan</a> and <a href="https://sgi-peace.org/" target="_blank">Soka Gakkai International</a>, in consultative status with UN ECOSOC.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758.jpg" data-media-id="editor_14" data-image-id="20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758" data-rendition-name="original" width="680" height="103" loading="lazy" alt="SDG logo"> </figure>

Back to the land in the cities

The 700-year-old Lakshmi Narasingha temple in Bhaktapur houses a rare half-lion and half-human incarnation of Lord Vishnu carrying the Goddess Lakshmi. The temple was destroyed in the 1934 mega earthquake that killed 10,000 people and destroyed many monuments in Kathmandu Valley. It was rebuilt by a German project in the 1980s, but as a single-storey structure instead of its original two-tier pagoda design.&nbsp; With new findings from in-depth research, Bhaktapur municipality began re-restoring the temple in 2021, preserving its original architecture.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18.jpg" data-media-id="editor_0" data-image-id="20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “Our temples and heritage sites hold deep meaning. It is disheartening to witness how often they lose their original elements, whether by design or accident,” explains Kumar Chawal of the Consumer Committee of Bhaktapur. “There is a need to preserve our architecture and protect its historical value for future generations. Otherwise, we risk losing a vital part of our identity.” The Laksmi Narsingha restoration is similar to the Bhai Dega temple in Patan Darbar Square which also collapsed in 1934, but was rebuilt with a Moghul-style dome by the Rana government at the time. Only two months before the 2015 earthquake, heritage conservationists had started to rebuild Bhai Dega as the original three-tier based on early photographs. But priorities shifted when four other temples in the square were brought down by the 7.8M earthquake on 25 April 2015.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130.jpg" data-media-id="editor_1" data-image-id="20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  This showed how damage to monuments in Kathmandu Valley spanned from one earthquake to the next. Bhai Dega restoration remains half-complete to this day because money for its restoration ran out.&nbsp; Whereas Bhai Dega restoration was done by the Kathmandu Valley Preservation Trust with grants from western embassies and international foundations, in Bhaktapur it is the municipality itself that allocated the Rs30.7 million needed to restore the Lakshmi Narasingha temple. The expected date of completion is early 2025. The municipality and local communities are focusing on two main aspects: preserving the past and promoting localisation. The restoration team has designed a blueprint for the temple by using historical photographs and insights from older generations.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30.jpg" data-media-id="editor_2" data-image-id="20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30" data-rendition-name="original" width="1200" height="560" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “At first, the Lakshmi Narasingha temple had only one entrance, but during the demolition process, we uncovered the foundations of four doors. Now, we are restoring all of them. This is an example of how our ancient structures have changed over time, often without our knowledge,” says Chawal. “Constructing temples is not like building houses. They carry historical and spiritual values, which is why they hold a special place in our hearts,” he adds. By replicating ancient design elements and rebuilding the temple as accurately as possible to its original form, the team has stayed true to Bhaktapur’s soul. But the restoration also revived ancient techniques that were in danger of being forgotten, generating employment for woodcarvers, masons, and contractors. The community of Bhaktapur’s Gahiti neighbourhood near the famous Nyatapola Temple has also set aside specific days for locals to volunteer in the reconstruction work. This has encouraged young people to take pride in ownership of their heritage. Families have also supported the effort by donating funds for bells, the temple pinnacle, and other structural features to the temple.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6.jpg" data-media-id="editor_3" data-image-id="20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “I feel at peace knowing I have contributed my sweat to restoring this temple,” said one volunteer. “It is our duty to preserve our temples and heritage. The Nyatapola area will look magical once this temple is completed.” Community mobilisation is a long-standing tradition in Bhaktapur. In the past, locals have actively participated in the restoration of other temples in the city, such as Bhairav and Nyatapola fostering a strong sense of ownership. This collective engagement has not only been crucial in preserving the city's historical monuments but also in strengthening the bond between local communities and their heritage, says officials at the municipality. While securing funding is essential, and the municipality showed it values heritage conservation, the Lakshmi Narasingha restoration is proof that active involvement and sense of responsibility of the local community is as important, if not more. Local involvement also means that the monuments will be cared for into the future, When locals take ownership of these efforts, the restored monuments are not only protected in the present but are also cared for in the future.