Just as the global tourism industry begins to revive after the pandemic, climate anxiety is affecting the travel business.&nbsp; In industrialised countries, awareness is spreading about consumption and the carbon footprint of long-distance air travel. The more ecologically conscious travellers are taking trains where available, and buying carbon offsets. Seasonal weather patterns in Nepal are complex to begin with, and <a href="https://nepalitimes.com/banner/disasters-in-nepal-come-in-waves">climate change</a> has made them even more unpredictable and variable. This is something that trekkers to Nepal should now consider, and be flexible enough for change of itinerary or duration. Read Also: <a href="https://nepalitimes.com/here-now/for-destruction-ice-is-also-great-and-will-suffice">For destruction, ice is also great and will suffice</a>, Sonia Awale &nbsp;Weather forecasts are getting more accurate, and it is now possible to plot the trajectory of late monsoon troughs, or cyclones in the Bay of Bengal so there is enough warning. Nepal is influenced primarily by the South Asian monsoon but the country has a rainfall gradient with a much wetter east and drier conditions as one heads westwards. Climate data analysis reveals that the Himalayan range is undergoing rapid change, with temperature increasing at a rate that is double that of the global average. In recent years, there has been an unpredictable rise in the frequency of extreme weather events.&nbsp; Higher temperature means the air carries more moisture, and as it rises along the mountains there can be violent convection storms. Higher temperatures also means an elevated risk of snow avalanches, and increased instances of rock falls as the ice in crevices on slopes melt. Read Also:<a href="https://nepalitimes.com/banner/the-abcs-of-a-winter-trek-in-nepal"> The ABCs of a winter trek in Nepal</a>, Monika Deupala With more precise storm forecasts, tragedies like the blizzard that hit Central Nepal in 2014 that killed at least 43 below Annapurna and Dhaulagiri can be prevented. Similar freak storms have occurred in the Khumbu and even in the usually arid trans-Himalayan regions like Mustang and Manang.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023092305090_9eaf7973ebb9e6e8a08b76c2f943fa565606d28182ff6c6a7e192ee8c174724d.jpg" data-media-id="editor_3" data-image-id="2023092305090_9eaf7973ebb9e6e8a08b76c2f943fa565606d28182ff6c6a7e192ee8c174724d" data-rendition-name="original" width="4624" height="2136" loading="lazy" alt="ABC trek 2"> </figure>  The risk of Glacial Lake Outburst Floods (GLOFs) is higher in eastern Nepal, but the Annapurna region also has some dangerous <a href="https://nepalitimes.com/here-now/danger-nepal-s-glacial-lakes-are-filling-up">glacial lakes </a>like Thulagi below Himalchuli, and others. But even without lakes, supraglacial ponds can cause sudden floods downstream like the one that hit Kagbeni this year. &nbsp;There are sections of the ABC trek, for example where avalanches off Annapurna South can funnel right down to the river. Evidence of these are ice fan deposits even at lower elevations.&nbsp; During a trek in May this year, we witnessed numerous such powder snow avalanches above Deurali. And unusually heavy downpours and hailstorms lashed us in the Chomrong and Sinuwa sections.&nbsp; Such extreme weather events not only pose risks to trekkers but also endanger local communities, including mountain porters. It is important for trekking groups to now be alert about weather warnings, and also take precautions like crossing avalanche fans before or after the most risky times between 9AM and 12 noon because rising temperature triggers melting of overnight snow. Read Also: <a href="https://nepalitimes.com/here-now/nepals-glacial-lakes-in-danger-of-bursting">Nepal's glacial lakes in danger of bursting</a>, Mukesh Pokhrel Undoubtedly, embarking on the ABC trek is a once-in-a-lifetime experience, and with careful planning and adequate preparation against the growing incidence of extreme weather events in the region, it can be a relatively easy trek.&nbsp; A Himalayan trek is an opportunity to contribute to Nepal’s rural economy, and slow down the pace of life.&nbsp; The ABC of Treks Nepal’s tourism is seeing a vigorous rebound of trekking this autumn season, and total arrival figures for 2023 look like they will only be slightly lower than the pre-covid 1.2 million high in 2019. Trekkers and climbers have already arrived for the autumn season and have headed out to the high Himalaya.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230923040956_7adf7b2efb8e98245bd69a44d5a9c126751456d9c2a151f9fa6db82b542fc2b1.jpg" data-media-id="editor_6" data-image-id="20230923040956_7adf7b2efb8e98245bd69a44d5a9c126751456d9c2a151f9fa6db82b542fc2b1" data-rendition-name="original" width="386" height="562" loading="lazy" alt="ABC trail"> <figcaption>Map: NT Graphics</figcaption> </figure>  Nearly 30% of all visitors go on treks, and most of them land up in the Everest and Annapurna trails, although the Manaslu circuit and Langtang are also gaining popularity. Trekkers on longer duration trips go to Mustang or Dolpo. Of these, the Annapurna Base Camp Trek and the Annapurna Circuit are the most popular because of the awe-inspiring views. The Base Camp trail follows the Mardi Khola and into the sanctuary which is ringed by rock and ice ramparts of Annapurna South, Annapurna 1, Annapurna 3 and Machapuchre.&nbsp; &nbsp;The Round Annapurna trail is now mostly motorised, but this cuts short the approach time which can be devoted to exploring side valleys in Manang and Mustang. The entire massif and its foothills lie within the Annapurna Conservation Area, spanning 7,629 sq km, which is a conservation model designed in Nepal for ecological preservation to be funded by eco-tourism.&nbsp; &nbsp;Annapurna 1 at 8,091m is the tenth highest mountain in the world and was the first eight-thousander to be climbed, and the story of 1950 French expedition by Maurice Herzog propelled Nepal into the world stage even before the Everest ascent three years later.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023092305098_48de92cc0c1dac270e73c3b4dac793a5a494230778f7737da5a50b26b5627200.jpg" data-media-id="editor_7" data-image-id="2023092305098_48de92cc0c1dac270e73c3b4dac793a5a494230778f7737da5a50b26b5627200" data-rendition-name="original" width="3264" height="1504" loading="lazy" alt="ABC trek 4"> </figure>  Annapurna 1 has long held the highest fatality-to-summit rate among the eight-thousander because of its technical difficulty and avalanche risk. As of 2022, 365 people had reached the summit of Annapurna I, while 72 have lost their lives attempting it. &nbsp;However, in recent years, climbing success rates have improved with reduced fatalities. Nevertheless, the mountain still presents serious objective dangers due to avalanches and rockfalls which have reportedly become more frequent due to climate-induced weather extremes. &nbsp;The south face of Annapurna 1 soars 3,000m above the base of the mountains and is considered one of the most difficult climbs in the world.&nbsp; &nbsp;Not everyone is there to climb Annapurna, and a trek to its base is an adventure in itself. The ABC (Annapurna Base Camp) Trail alone gets 55,000 visitors a year, and offers an enchanting excursion into a wilderness area with cloud forests teeming with wildlife. The ABC Trek is of moderate difficulty and does not require advanced physical fitness, making it accessible to everyone, including families with children. &nbsp;The trek offers a glimpse into Nepal’s immense biodiversity as well as ethnic groupings. A bonus is a natural hot spring near Jhinu Danda nestled amidst forested flanks. Locals believe the waters possess healing properties, and offer a refreshing respite to trekkers.&nbsp; Trekking to Annapurna Base Camp via Ghorepani aids in acclimatisation to high altitudes, allowing the body to adapt gradually. This preparation enables hikers to better cope with the physical demands of walking at up to 4,000m and above. &nbsp;Achyut Tiwari, PhD, is a Plant Ecologist and Assistant Professor at the Central Department of Botany at Tribhuvan University. &nbsp;

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Trekking in the time of climate change

<figure><img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70be9c7e80680e060094jpeg.jpg" alt=""/><figcaption>All Photos : MANISH PAUDEL</figcaption></figure>It is a truism in tourism of the Himalaya that the closer we get to the mountains, the less we see of them. This holds for the <a href="Annapurna%20Base%20Camp%20Trek" target="_blank" rel="noopener">Annapurna Base Camp Trek</a>, which follows the narrow <a href="https://www.nepalitimes.com/banner/go-take-a-hike/" target="_blank" rel="noopener">Mardi Valley</a> where Machapuchre is hidden by towering cliffs. And it is true of the <a href="https://www.nepalitimes.com/banner/everest-fights-back/" target="_blank" rel="noopener">Everest Trek</a>, where the highest mountain in the world is not visible after Tengboche, unless trekkers climb Kala Patthar.For the best panoramas of the mountains, therefore, one has to step back to mid-mountain peaks, like Pathibhara in Taplejung for a view of <a href="https://nepalitimes.atavist.com/the-kingdom-of-cardamom" target="_blank" rel="noopener">Mt Kangchenjunga</a> and Jannu, or Kalinchok for a grandstand view of Mt Gauri Shankar. Then there are peaks like Pulchoki on the southern rim of Kathmandu Valley, Bandipur for a tour d’horizon of the entire Central Nepal Himalaya, and the famous Poon Hill for the vista of Dhaulagiri and Annapurna. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c19c7e80680e060095jpeg.jpg" alt="">But one of the best kept secrets of trekking in Nepal is Pikey Peak in Solu, which offers a view of eight of Nepal’s eighthousanders from one place, including Mt Everest. The 4,065m peak used to be a favourite of Sir <a href="https://www.nepalitimes.com/banner/hillary-centenary/" target="_blank" rel="noopener">Edmund Hillary</a> after he climbed it to take a look around during the walk-in on his 1953 expedition.For several decades after that Pikey was isolated because it was so difficult to get to, and most people doing the Everest Base Camp trek overflew Pikey en route to <a href="https://www.nepalitimes.com/here-now/everest-garbage-caravan/" target="_blank" rel="noopener">Lukla.</a> Indeed, there is a parade of planes overhead every morning doing the Kathmandu-Lukla ferry.https://www.youtube.com/watch?v=1vDEMl1dCdg&amp;feature=youtu.beBut with new roads from Kathmandu to Jiri and the Solu Highway reaching Phaplu via Okhaldhunga, Pikey is suddenly accessible. After major snowfall last month, Pikey saw dozens of Nepali youngsters roughing it out on a camping trip. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c59c7e80680e060096jpeg.jpg" alt="">Winter is the not the best time for a Pikey hike, but the views can be stunning especially after snowfall blankets the mountains in white. The best time is actually early spring when rhododendron forests are abloom in pink, red and white and the mountains are dazzling against deep blue skies. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70c99c7e80680e060097jpeg.jpg" alt="">Since few people know about Pikey, visitors will find the trails deserted and the tea shops basic, although new lodges are now coming up, and the local Sherpa community is trying to promote homestay tourism. Pikey is revered by the Sherpas as a deity and climbing it does seem more like a pilgrimage than a trek.The fortunate thing about Pikey is that you can make it a circuit so you do not have to come down the same way you went up. A recommended itinerary is to drive up the Jiri Road from Kathmandu, continue on to Shivalaya, following the old trek route <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener">to Khumbu</a> before Lukla airstrip was built in 1968. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70cb9c7e80680e060098jpeg.jpg" alt="">From Shivalaya it is a leisurely three-day trek to Bhandara, Namkheli and Pikey Danda with only some steep sections. The trail winds through thick oak and rhododendron forests, with pine giving way to grasslands in the higher reaches.What is astounding is that from Pikey on a clear day one can see more than 800km of horizon from Dhaulagiri to Kangchenjunga. All along during the walk-in, Annapurna, Manaslu, Mt Everest, Cho Oyu, Makalu, Lhotse, Kangchenjunga and other eight-thousanders play hide and seek behind lesser but nearer peaks. But smack in front is the elegant summit of Mt Numbur, standing tall above Mt Karyolung. <img width="1500" height="1001" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70cf9c7e80680e060099jpeg.jpg" alt="">Sunrise from Pikey Peak is a ‘lifetime experience’ as the slogan for <a href="https://www.nepalitimes.com/opinion/make-sure-you-visit-nepal-in-2020/" target="_blank" rel="noopener">Visit Nepal 2020</a> puts it. The sun rises from behind Kangchenjunga, illuminating the peaks to the north one by one, even as the valleys below are shrouded in fog.For the return, the descent can be down to Junbesi, and on to Phaplu, from where you can either take a flight back to Kathmandu or make the trip by road. For those pressed for time, you can make a flight in and out from Phaplu with a circuit to Pikey via Lamjura and down through Dhap. (See map).  <img width="1000" height="1118" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101120/636b70d29c7e80680e06009ajpeg.jpg" alt="">...

Lifetime experience on Pikey Peak

https://www.youtube.com/watch?v=qcaWYJSU5y4&amp;feature=youtu.be&amp;fbclid=IwAR2Qnf8iXarhb9omsTAfo3FB-fITc8Z9i8Snve_1T9mfrPCF2_9p5KMvgUgEver since trekking became the mainstay of tourism in Nepal, guidebooks have decreed that hiking in the Himalaya is only advisable in spring and autumn. What nonsense.As we saw this past week, <a href="http://archive.nepalitimes.com/news.php?id=15649#.XFLWtlUzaUk" target="_blank" rel="noopener">Nepal becomes a winter wonderland</a> during January. The mountains emerge with a fresh coating of snow, the air is crisp and the sun blindingly bright. And the best thing about it is that there are very few other tourists.Winter trekking is now possible not just because of <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener">global warming</a>, but also because there are new roads, guest houses, homestays and facilities along the trails. And while the high passes like Thorung La and Kang La in Manang, the Mardi and Khopra Treks, or Cho La in the Everest region may be completely snowed under, the <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/annapurna-base-camp,3697" target="_blank" rel="noopener">Annapurna Base Camp</a> trek is do-able.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a25379c7e80680e0439b8jpeg.jpg" alt="" width="1400" height="1050"/><figcaption>Hikers on their way from Machapuchre Base Camp (3,700m) to Annapurna Base Camp (4,130m). This part of the trail is closed due to heavy snowfall this week, and may reopen in about 10 days. All photos: MONIKA DEUPALA</figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a253a9c7e80680e0439b9jpeg.jpg" alt="" width="1200" height="900"><figcaption> </figcaption></figure>A recent trek to ABC showed that the trail is mostly occupied by Nepalis and Koreans who are more adventurous and no longer satisfied with throwing around snowballs on Pulchoki or Chandragiri.“It is hard to describe the pleasure of walk on a snowy trail with just the sound of your heavy breath, friction of your jacket, or boots crunching through the snow,” says Lee Chul from Korea, at Machapuchre Base Camp.After Kathmandu Valley did not meet his expectations about Nepal, Chul headed off to Pokhara and the ABC trek despite the snowfall. He went without a guide, and says that although he had to rough it, the adventure was worth every minute. He adds bravely: “The cold cannot keep us away from the Himalaya.”At the <a href="https://www.nepalitimes.com/banner/municipalities-want-to-manage-annapurna/" target="_blank" rel="noopener">Annapurna Conservation Project</a> checkpoint in Chomrong (2,177m) Sarita Pun shows us the entries for January which have numbers that are almost the same as for December.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a253d9c7e80680e0439bajpeg.jpg" alt="" width="800" height="1067"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a253f9c7e80680e0439bbjpeg.jpg" alt="" width="1400" height="1050"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a25439c7e80680e0439bcjpeg.jpg" alt="" width="1400" height="933"><figcaption> </figcaption></figure>“After this week’s snowfall, some trekkers have turned back because of ice on the trails,” she tells us, while many trekkers are waiting it out in Ghandruk for the snow to start melting on the trails above Bamboo, which is at 2,340m.Unique Gurung, 21, is a cook at the Annapurna Sanctuary Lodge at ABC (4,130 m) and says the temperature hit -20 this week. He has headed down to Deurali (3,200 m) along with his team to shovel the snow to keep the trail open for trekkers.Gurung says October is the peak season at ABC with 70 guests a day, and although the number is lower in winter, there has been an unusual surge of Nepali trekkers venturing up through the snow.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101144/636a25479c7e80680e0439bdjpeg.jpg" alt="" width="495" height="706">Almost as adventurous as the Nepalis are Koreans, and tourists from China have started arriving for the Chinese New Year Holiday. Some 50 of them had to be evacuated by helicopter from Deurali after heavy snow blocked the path down this weekend.Nabin Balla from Bhaktapur is a new breed of Nepali trekker who has been exploring different parts of Nepal. Although he finds October the best time for treks in Nepal, he is always open to adventure and was in <a href="http://archive.nepalitimes.com/news.php?id=2701#.XFLV81UzaUk" target="_blank" rel="noopener">ABC</a> in mid-January.“It is actually more expensive to trek in winter because you need extra heavy-duty gear to keep warm, but it has its rewards in mountains that are crystal clear and empty trails,” he says.Rana Roka of the Eastern Light Trek in Pokhara recommends Poon Hill and Jomsom as the best bet for winter, although he does not rule out ABC once the snow on the trails has thinned.Says Roka: “You have to be careful about avalanches and sickness, but trekking in winter is challenging and exciting at the same time."

Monika Deupala

The ABCs of a winter trek in Nepal

https://www.youtube.com/watch?v=Who9k1JGrgsEver since it was launched in 1984 the Annapurna Conservation Area Project (<a href="http://www.ntnc.org.np/project/annapurna-conservation-area-project">ACA</a>P) has been a successful model for using <a href="https://archive.nepalitimes.com/article/nation/Conserving-conservation,151">eco-tourism income to lift living standards</a>, not just in Nepal but in other parts of the world. Now, as Nepal decentralises under a federal system, local governments in the very place where ACAP was born are calling for it to be scrapped.On 22 December, locals of Ghandruk removed the ACA signboard and padlocked its checkpost to protest the decision by Nepal Trust for Nature Conservation (NTNC) which manages the project to charge fees also for Nepali tourists. But the dispute has now escalated to a demand for ACA to be handed over for local municipalities to manage.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937ef9c7e80680e03fe6ajpeg.jpg" alt="" width="700" height="513"/>A banner in Ghandruk demanding Annapurna Conservation Area Project be scrapped.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937f29c7e80680e03fe6bjpeg.jpg" alt="" width="700" height="513">Locals padlocking an ACA checkopint in Birethanti on Saturday.Despite its success in balancing a local economy based on agro-forestry with the need to <a href="http://archive.nepalitimes.com/news.php?id=5974#.XCYBItIza70">protect nature</a>, there has been growing resentment against ACA’s restrictions on harvesting fodder and grass, grazing and exploiting natural resources. There are also complaints that ACA does not share revenue from tourism fees with local governments.“They charge trekkers fees, but we never know where they spend it, and they give us the runaround to get permission for even small things,” said Bishnu Gurung, after padlocking the project checkpost at Birethanti on Saturday.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937f49c7e80680e03fe6cjpeg.jpg" alt="" width="1500" height="1125">The agitation has now spread beyond Ghandruk to other parts of ACA like Manang, Mustang, and Lamjung. The original agreement in 1985 stipulated that the project would hand over management of the conservation area to local councils, but 30 years later it is still being managed by the NTNC. Project officials say the handover was delayed by the war, during which ACAP’s offices were <a href="http://archive.nepalitimes.com/news.php?id=1711#.XCYBi9Iza70">attacked and set on fire</a>.Head of ACA in Ghandruk Bidur Kuikel underplayed the seriousness of the agitation, blaming it on local hotheads. “All this can be resolved with just one meeting of local elected representatives and ACAP’s local committees,” he said.However, locals from Lwang Ghalel have gone to Pokhara with their grievances which includes lifting ACAP’s restrictions on local development and infrastructure projects, to allocating tourism revenue in proportion to where income is highest, and to remove the bureaucratic hurdles in harnessing forest and water resources.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937f89c7e80680e03fe6djpeg.jpg" alt="" width="213" height="300">ACA map“We are giving them one last chance to address our demands, otherwise we will also take action,” said Ram Gurung of Lwang Ghalel. Representatives of this scenic village below Machapuchre sent a petition to the federal government in Kathmandu last week demanding that the management of ACA be handed over to local governments.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937f99c7e80680e03fe6ejpeg.jpg" alt="" width="1500" height="1000"><figcaption> </figcaption></figure>The Annapurna massif stretches nearly 7,700sq km from Marsyangdi in the east to the Kali Gandaki, and is Nepal’s biggest nature reserve spanning 16 rural municipalities. It has some of the greatest altitudinal variation on the land surface of the earth. From below1,000m above sea level, the terrain rises to more than 8,500m, giving the region its rich biodiversity.Nepal’s conservation pioneers like <a href="https://www.nepalitimes.com/banner/conflict-and-conservation/">Hemanta Mishra</a>, <a href="http://archive.nepalitimes.com/news.php?id=16569#.XCYAg9Iza70">Chandra Gurung</a> and <a href="http://archive.nepalitimes.com/news.php?id=18587#.XCYAVtIza70">Mingma Sherpa</a> together with experts like Kathryn Fuller of WWF-US put together the concept of a ‘conservation area’ – as distinct from a national park so that locals could use tourism revenue for nature conservation. ACA was proof that Nepal did not have to deploy the Army, like it did in national parks, to successfully conserve nature – the job could be done by local communities.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937fc9c7e80680e03fe6fjpeg.jpg" alt="" width="1500" height="1125">Now, it looks like the Annapurna Conservation Area is the victim of its own success. Nepal’s central, provincial and federal governments are competing to take control over it. There are already signs that this will be a three-way tug-o-war.Yubaraj Kunwar, head of Annapurna Rural Municipality said the constitution grants jurisdiction over natural resource and environment management to local governments. “This means it is now our responsibility to collect fees from tourists and invest it in local conservation and development,” he said.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937ff9c7e80680e03fe70jpeg.jpg" alt="" width="999" height="1500"><figcaption> </figcaption></figure>However, in Pokhara, Gandaki Province Chief Minister Prithvi Subba Gurung said that since the conservation area spans the boundaries of many rural municipalities, ACA management should go to the provincial government. “The responsibility for management and conservation of the Annapurna Conservation Area should be the purview of the provincial government,” Gurung told us.Head of ACA Rajkumar Gurung says it is not important who controls the project as long as its model of community-managed conservation is preserved.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636938029c7e80680e03fe71jpeg.jpg" alt="" width="1502" height="1000"><figcaption> </figcaption></figure>

Municipalities want to manage Annapurna

<img width="640" height="374" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110714114/636903259c7e80680e037ca5jpeg.jpg" alt=""/>Himalkhabar.comHelicopter companies now flying to Annapurna and Machhapuchre Base Camps will be limited to rescue operations, after locals complained of environmental degradation and noise pollution caused by frequent tourist sightseeing flights."Constant noise and vibrations from flights is disturbing bird and wildlife species in protected areas and affecting our biodiversity, which is why we have decided to restrict helicopters," said the Chairperson of Annapurna Village Yuvaraj Kunwar.The regulation will come into effect from mid-August and violators will reportedly be punished. The Annapurna Conservation Area Project (ACAP), which manages ecotourism in the region, had earlier  tried to restrict helicopers without permits but helicopter companies openly flouted the rules. The National Parks and Wildlife Conservation Act also prohibits unregulated helicopter operations.Lately, Prabhu Helicopters had started taking sightseers on day trips to Annapurna Base Camp (ABC), and there were dozens of flights a day.The Village Assembly has also decided to operate new trekking routes in the area for the autumn season.

Choppers to ABC banned

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

82 in २०८२

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

annapurna-base-camp