<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.”

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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.

Sonia Awale

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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

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