Last month, Finance Minister Bishnu Paudel and Pokhara Mayor Dhanraj Acharya were burned when hydrogen-filled balloons exploded at the launch of <a href="https://nepalitimes.com/news/pokhara-s-tourism-woes">Pokhara Visit Year 2025</a>. Both were flown to Kathmandu for treatment. In 2023, Nepali Congress Member of Parliament (MP) Chandra Bhandari was severely burned in a kitchen fire. He was taken to India for treatment. His Rs5.6 million medevac and treatment bill was paid by the government. It took the<a href="https://archive.nepalitimes.com/article/nation/burning-in-the-aftermath,3757"> burn injuries </a>of <a href="https://nepalitimes.com/here-now/what-nepal-s-vip-prisoners-do-in-jail">high-profile figures </a>in Nepal to finally spark action on an issue that affects mainly the country’s poorest. “We call this the burns paradox,” says Kiran Nakarmi at the Nepal Cleft and Burn Centre at Kirtipur Hospital, where the Pokhara patients received care. “Treatment is costly and <a href="https://archive.nepalitimes.com/news.php?id=19400">most victims are poor</a>."&nbsp; About 60,000 people suffer <a href="https://nepalitimes.com/here-now/removing-scars?fbclid=IwAR2MiX-ZhGNSsqUwgDYfvLWE3a7ZeLaHncz66MMKLQGtSSraTjr9cF5mIWo">burn injuries</a> in Nepal each year and 2,200 of them die. The demand for care in Kirtipur is growing.&nbsp; In 2014, it treated 90 <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">burn patients</a> and this more than doubled to 194 in 2015, reached 373 in 2016, and peaked at 790 in 2023. Last year the Centre treated 753 patients, and in January alone this year it was 111. Ninety-two percent of cases come from outside Kathmandu from 75 districts,” says Nakarmi. “When we started it was 42%.”&nbsp; Ideally, burns treatment should be decentralised so that local levels have primary <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal">burn care centres</a> no more than two hours away, where patients can get initial treatment like cooling and dressing of wounds, and fluid replacement. Read also: <a href="https://nepalitimes.com/here-now/removing-scars?fbclid=IwAR3YJaMAa7AekbmwWYy3UlNnJkDj8XZk8qRxcagXd7Sl0M4m4SzolGs_0ow">Removing Scars</a>, Yugeshwor Koirala If necessary, they could be transferred to regional centres to handle surgery for minor burns. The government has already designated six such facilities across the country, and Nakarmi says the Centre could train their staff. He clicks forward on a slide to show a female patient brought in two months ago with her buttocks and thighs burned. “The wound was deep, it was not going to heal on its own. She needed some kind of graft.” If surgeons at a regional facility were properly trained, they could have done the graft. Instead, the patient waited for one month before coming to Kirtipur.&nbsp; Nakarmi is looking for funding for a 70-bed national burn care centre at Kirtipur Hospital, where patients can be isolated from the risk of infection that comes with sharing space in general wards. Another MP, Bindabasini Kansakar, is herself a<a href="https://nepalitimes.com/here-now/nepal-s-acid-attack-survivors-find-a-saviour"> survivor of an acid attack </a>by a spurned suitor in 2013. She registered a Bill in Parliament last year that includes specialised burn units in all <a href="https://nepalitimes.com/editorial/devolution-for-development">government hospitals </a>with 100+ beds, and in some private hospitals and medical colleges in Kathmandu. She is also calling on the government to create a fund to give immediate <a href="https://nepalitimes.com/news/justice-delayed-justice-denied-byrx8a1c">financial support to victims </a>and their families, discounts for women and children, especially from poorer communities, as well as training for health staff, twice yearly awareness programmes at local levels, and strong penalties to deter acid attacks and intentional burn injuries. Parliament’s delay in passing the Bill is ‘deeply frustrating, especially given my personal experience,’ Kansakar wrote to us.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250314110312_8d1a63b9d63d2ee0c116ffa1bc46e9a3aa5e63e7cdeeceb5a67fd7e772fbe957.jpg" data-media-id="editor_11" data-image-id="20250314110312_8d1a63b9d63d2ee0c116ffa1bc46e9a3aa5e63e7cdeeceb5a67fd7e772fbe957" data-rendition-name="original" width="1446" height="717" loading="lazy" alt="burn incidents in Nepal"> <figcaption>Member of Parliament Bindabasini Kansakar before an acid attack by a spurred suitor in 2013 (left), after, and now. </figcaption> </figure>  ‘I know first-hand the physical, emotional, and financial struggles<a href="https://archive.nepalitimes.com/news.php?id=18771"> burn victims </a>endure. Delays mean more victims are left without proper care, financial support, or legal protection,’ she added. ‘If burns affected wealthier or more influential communities, the response might have been swifter. This inequality is precisely why the Bill is so crucial — to ensure<a href="https://nepalitimes.com/news/justice-delayed-justice-denied-byrx8a1c"> justice and support for all victims</a>, regardless of their social standing.’ Burn incidents are the second most common injury in rural Nepal, according to the World Health Organization, and researcher Kamal Phuyal says that making just a handful of simple adjustments to everyday life could prevent most major burns. Before <a href="https://nepalitimes.com/news/ways-nepal-can-rebound-from-covid-19-2966ixvu">Covid-19</a>, he ran a research project in three municipalities in the mountains, hills and Tarai. After six months gathering data, the team told locals to make changes in their communities to prevent burns. For the next two and a half years, Phuyal worked with health staff, female community <a href="https://nepalitimes.com/news/enlisting-female-health-volunteers-to-fight-covid-19-b4qlgy1e">health volunteers</a> and other locals. In that time, the number of major burns in the three districts dropped from 21 to zero for two years running. The most effective change was to stop people from cooking on the ground. “If you can put the <a href="https://nepalitimes.com/here-now/what-s-cooking-in-nepal-besides-politics">cooking stoves</a> just three feet (1m) off the ground, 50% of burns can be eliminated,” explains Phuyal.&nbsp; Nakarmi says that 70% of patients at Kirtipur Hospital, too, got burn injuries in the kitchen. “It should be the safest place to be, but it is the most unsafe,” she adds. Phuyal says<a href="https://nepalitimes.com/here-now/deputies-drive-development-in-rural-nepal"> local representatives</a> were convinced by his findings and, especially in Makwanpur, eager to make changes. He expected them to adopt a policy to approve construction of a house only if the plans included putting the cooking space 1m off the ground, to reduce burn incidents, Phuyal explained at a training session at Sushma Koirala Memorial Hospital (SKMH) last October. But <a href="https://nepalitimes.com/news/nepal-s-uneven-covid-19-deaths">Covid-19</a> hit, the project ended, the officials were replaced after elections, and the work lost momentum. Today, no <a href="https://nepalitimes.com/banner/local-government-by-the-people-for-the-people-of-the-people">local government</a> seems to have moved forward on <a href="https://archive.nepalitimes.com/news.php?id=18770">burn prevention</a>. During the training session at SKMH, the hospital’s deputy director, Rojina Shilpakar, described some of the burn cases at the facility in recent months. In Dailekh district, two boys were severely burned while collecting fodder. “The parents all thought that they would die so they didn’t take them for medical help. But after two weeks they survived and the story was posted on <a href="https://nepalitimes.com/news/the-social-media-contagion">social media</a>.” The hospital reached out and arranged for both boys to be brought to Kathmandu, one to Kirtipur Hospital and the other to SKMH, with burns on 40% of his body. “He was emaciated, just flesh and bones, covered in <a href="https://nepalitimes.com/banner/medicine-goes-back-to-its-roots?fbclid=IwAR31DMkL6vtx8KFvX3KG79Jf6omKN8H8VZ0Dr9G-1UWtIBlFHNphMJi8mrY">herbal medicine </a>that looked like mud,” recalls Shilpakar. If he had been brought for treatment quickly, he could have recovered sooner, she adds. But he was <a href="https://nepalitimes.com/banner/nearly-half-of-nepali-children-still-malnourished">malnourished,</a> and contractures had developed where one part of the body sticks to another, preventing movement. “We couldn’t take him to the operating room right away because of his malnourished condition. He had to gain some weight, increase his haemoglobin levels. Even skin grafts were not taken properly, so it affected the <a href="https://nepalitimes.com/banner/the-art-of-healing">healing,</a>” explains Shilpakar. <a href="https://nepalitimes.com/editorial/pandemic-of-poverty">Poverty</a> prevents many families from<a href="https://nepalitimes.com/here-now/it-s-an-emergency-nepal-needs-to-improve-trauma-care"> seeking care</a>, although both facilities will not turn away burn cases for <a href="https://nepalitimes.com/news/poor-cash-rich-nepal">lack of money</a>. SKMH paid the bills for the Dailekh boys' treatment, including an eight-month hospital stay. Now seven, the youngster has already had a follow-up surgery and is likely to need more operations as he grows. Smaller <a href="https://nepalitimes.com/news/healthcare-moving-from-hospitals-to-homes">hospitals</a> outside Kathmandu often do not not accept severe burn cases, and instead send them immediately to a larger facility. “If the patient dies within a few hours, they will be blamed, So they just try to push them away,” adds Shilpakar. SKMH has been <a href="https://archive.nepalitimes.com/news.php?id=16801">training health workers</a> from across the country to treat burns since 2012. This includes countering the prevalent belief at the time that burn victims should not be given fluids. Patients would reach the centre <a href="https://nepalitimes.com/multimedia/dirty-dangerous-difficult-and-dehydrating">dehydrated</a>, and then go into acute <a href="https://nepalitimes.com/opinion/comment/saving-kidneys-to-save-nepal">kidney failure</a>. Some with a high percentage of burns die. Those cases have decreased in the last few years because <a href="https://nepalitimes.com/opinion/comment/nepal-health-workers-at-risk-of-workplace-hazards">health workers </a>have been trained, including to give fluids to patients. The treatment at the Cleft and Burn Centre has become much more effective since it opened in 2014. Says Nakarmi: “Back then we could not save anyone who had 40% burns or greater. Now we can save half of victims with 40% burns, and if someone has 60% burns, they have a 15% chance of survival. We aim to save half of patients with 60% burns.” The centre developed a six-day training for health staff on burns care for workers from facilities country-wide, but funding was provided by <a href="https://nepalitimes.com/news/how-usaid-cut-affects-nepal">USAID</a> and has been cut. There is no replacement in sight. Recent increase in government support for burns treatment seems to have been sparked by the case of MP Bhandari. In October, the government announced free treatment for patients from the<a href="https://nepalitimes.com/here-now/why-nepal-s-poverty-rate-is-stuck"> poorest families</a>.&nbsp; “But there is a little catch,” says Nakarmi. “The treatment of destitute burn victims, are supposed to be covered right? But everyone else also wants to get support. A lot of Nepali people are not destitute, but they are poor. We just try to cover their costs as much as possible.”

Marty Logan

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A burning problem that needs solutions

Pritam Kunwar was born with a cleft lip and palate in Pokhara, but his family could not afford treatment for his condition. His face was disfigured, his speech was unintelligible, and the food he ate would often get into his nasal cavity.&nbsp; Finally, at 15 he received cleft surgery, but without post-operative therapy his speech was still impaired. Then one day, at age 26, his life changed. He used to make a living rowing boats at Phewa Lake, where a foreigner hopped on for a ride. He turned out to be a plastic surgeon volunteering in Nepal who referred him to Fishtail Hospital. That is where he met Shankar Man Rai. Kunwar underwent a second surgery, and received speech therapy. Today, he holds a Taekwondo black belt, and runs an academy by Pokhara’s Lakeside, training young women in self-defence. “Before my second surgery, the students at my martial arts academy did not understand a word I said, but after I could speak properly they learnt faster,” recalls Kunwar.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_7e557a7682a0bc504237ed5cf9b1b6082ecf346ee34a541c43ae00d25377a2d2.jpg" data-media-id="editor_0" data-image-id="20230804080844_7e557a7682a0bc504237ed5cf9b1b6082ecf346ee34a541c43ae00d25377a2d2" data-rendition-name="original" width="7238" height="2400" loading="lazy" alt="Removing scars 2"> <figcaption>Pritam Kunwar was born with a cleft lip and palate in Pokhara. After two surgeries and speech therapy, he now runs a Taekwondo academy training women in self defence.(Photo: Jana Ašenbrennerová)</figcaption> </figure>  On average, one out of every 500 live births in Nepal is a case of cleft lip or palate, birth deformities in which the lip or palate fail to fuse. Incidence in Nepal is higher than in most parts of the world for reasons which are unclear, but may have to do with a combination of genetic and environmental factors.&nbsp; However, the numbers afflicted are going down due to awareness and treatment at the <a href="https://nepalcleftandburncenter.org/">Nepal Cleft and Burn Center</a> at Kirtipur overlooking Kathmandu.&nbsp; “Before the 1980s, cleft and burn treatment through plastic surgery was unheard of in the country,” explains Shankar Man Rai, who is now a plastic surgeon and director of the Kirtipur centre. “International volunteer teams carried out the procedures, while Nepali doctors remained under-equipped.” Since then, Rai’s team has seen that scenario change. Improved awareness of the condition means parents bring their children for treatment to the 30-bed Centre almost as soon as they are born.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_56ba408f9cd1b497374609fc6002f6a5412b99432d4aff498f8f8fca81445e6d.jpg" data-media-id="editor_2" data-image-id="20230804080844_56ba408f9cd1b497374609fc6002f6a5412b99432d4aff498f8f8fca81445e6d" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> <figcaption>Shankar Man Rai(Photo: Jana Ašenbrennerová)</figcaption> </figure>  Nepali paediatric and general surgeons were trained by the international teams, and for over 25 years Rai’s team has been treating thousands of burn and cleft patients free of cost. The facility is funded by two non-profits, ReSurge International and Smile Train. The facility at Kirtipur was inaugurated in 2014, but the <a href="https://nepalcleftandburncenter.org/">Cleft and Burn Center </a>was initiated in 2002 by American textile retailer Jim Webber after meeting Rai in Nepal. Webber ran the Tibet Rug company, and organised financial support from other rug importers from Nepal to help fund the project.&nbsp; Since then, the Center has been Nepal’s first and leading teaching hospital specialising in deformity-correction surgery. Today, it is being run by Kirtipur Municipality and the non-profit <a href="https://www.phectnepal.org/">Public Health Concern Trust Nepal (phect-NEPAL)</a>, providing free treatment not just to patients at the centre but through camps in remote parts of the country.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_a5ba78663011d44d14e8c3f4d8dccbf4eb23c07d9d5dd7770187c4788023878b.jpg" data-media-id="editor_5" data-image-id="20230804080844_a5ba78663011d44d14e8c3f4d8dccbf4eb23c07d9d5dd7770187c4788023878b" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="Removing scars"> <figcaption>Photo: PHECT NEPAL</figcaption> </figure>  Kiran Nakarmi is the head of the Department of Burns, Plastic and Reconstructive Surgery at Kirtipur Hospital who worked with Rai to set up the centre. He says a cleft lip is easily recognised in infants, and can now even be diagnosed via ultrasound before birth. “Timely treatment is important because it yields better speech outcomes,” Nakarmi explains. “Our focus is on comprehensive care. Surgery alone is not enough, it needs follow-up with speech and occupational therapy and counseling.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080848_ee0057f9cd2d17d2834babd2164720028ef66b3d41fec3199246d7e21b2d4d91.jpg" data-media-id="editor_6" data-image-id="20230804080848_ee0057f9cd2d17d2834babd2164720028ef66b3d41fec3199246d7e21b2d4d91" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Remioving scars 6"> <figcaption>Kiran Nakarmi looks at a patient.(Photo: Jana Ašenbrennerová)</figcaption> </figure>  The Kirtipur center’s camps have reached many rural parts of Nepal, impacting more than 20,000 cleft patients. Initially, speech therapists used to go to the camps but now has trained nurses like Kabita Bhattarai Gurung to carry out the same task.&nbsp; The outreach camps provide free food, lodging, orthodontic treatment, parental counseling, and speech therapy to patients, a model which Rai says can be replicated globally.&nbsp; The caseload for cleft palates has fallen sharply and the Kiritpur center which used to carry out up to 1,200 cleft operations a year till a decade ago now performs half that.&nbsp; <h2>Burning need</h2>  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080844_9a3c5a83db7f5f9ef918acbe1093472f7c9c2c6e9266078038b34420e00208bf.jpg" data-media-id="editor_7" data-image-id="20230804080844_9a3c5a83db7f5f9ef918acbe1093472f7c9c2c6e9266078038b34420e00208bf" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> </figure>  But with the decline in cleft cases, there has been a growing need to treat burn patients at Kirtipur.&nbsp; Bhesh, 14, was playing in his home in western Nepal when he heard his mother shriek from the kitchen. She was cooking when the open fire spread and engulfed the house.&nbsp; Read Also: <a href="https://archive.nepalitimes.com/article/nation/burning-in-the-aftermath,3757">Burning in the aftermath,</a> Sahina Shrestha Four days later, both Bhesh and his mother arrived at Nepal Cleft and Burn Center. The long ride had been excruciating, and with burns over 30% of her body, his mother died shortly after. Bhesh went through several surgeries and skin grafts. Over a third of the patients admitted to the Centre are children, and half are women.&nbsp; “We think that the home is the safest place, but that is where most burn injuries occur,” says Rai. “The proportion of children with burns at the Center shot up to over 40% during the pandemic. At home they were more at risk.” Rural women are exposed to open fires, and children suffer because they are largely unsupervised in high-hazard settings. Disfigured burn patients have to deal with social stigma because they are seen as a sign of bad luck.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080848_0f27d63b1f3a521c61cdb69bc45799d40ba1bea94c60d094cab9e6b5d7279035.jpg" data-media-id="editor_9" data-image-id="20230804080848_0f27d63b1f3a521c61cdb69bc45799d40ba1bea94c60d094cab9e6b5d7279035" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scars"> </figure>  The Center also treats burn violence usually perpetrated against women in the homes of in-laws, and this adds to the count of the 110 people who die of burns each year in Nepal. “Burns survivors in Nepal need more support,” says<a href="https://archive.nepalitimes.com/news.php?id=18771"> Wendy Marston, co-founder and advisor of Burns Violence Survivors (BVS) Nepal</a>. “Small acts of kindness from all of us, such as the spreading of education, and charitable giving, can go far in helping these survivors and patients.” BVS Nepal works with underserved patients in over 12 hospitals, providing funds for their treatment, therapy, and setting up businesses for survivors. Its prevention approach is shared by the Burn and Cleft Center which also holds burn awareness camps for community health workers and local people. “For household burns, awareness is surely the first step towards prevention,” Rai says. “But we can’t simply tell people what to do if they don’t have the means to act.” A WHO study shows that burns are the second most common injury in rural Nepal, accounting for 5% of disabilities in the country,&nbsp; Read Also: <a href="https://www.nepalitimes.com/here-now/tsering-sumjok-is-all-right">Tsering Sumjok is all right</a>, Sahina Shrestha “When we first started treating burns, we began with disabilities caused by post-burn contractures,” explains Nakarmi. “If the wound is in a place such as a joint, this causes the patient to lose mobility.”&nbsp; The Kirtipur team prioritises comprehensive care for burn contractures. But unlike with cleft palates, they failed to see any decline in the caseload even after years of effort. Rai says this is because burn survivors are not getting the treatment needed. Surgeons hope that using flaps and grafts they can reduce the occurrence of contractures. Nepal’s difficult geography keeps patients like Bhesh from quickly receiving care. Burn survivors from all over the country are referred to the few specialised centres in Kathmandu, but there is usually a long waiting list and it takes weeks before a doctor can see them.&nbsp; The Kirtipur Center has largely succeeded in minimising waits by enabling surgeons to go to patients instead of the other way around. This means patients at the Center receive the surgery they need within days of being admitted.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20230804080852_34cfa9c4509717fa9b1fb8ff4184effa8d3e8d199b834ffae5ca43c117dd6611.jpg" data-media-id="editor_12" data-image-id="20230804080852_34cfa9c4509717fa9b1fb8ff4184effa8d3e8d199b834ffae5ca43c117dd6611" data-rendition-name="original" width="3600" height="2400" loading="lazy" alt="Removing scar"> </figure>  But there are challenges. “Your treatment is not possible here,” were the words that Nepali Congress leader Chandra Bhandari heard at the Nepal Burn and Cleft Center where he was rushed there after suffering severe burn wounds in a gas cylinder explosion in February. Bhandari was eventually medevaced to Mumbai where he was successfully treated.&nbsp; “It is unfair that any Nepali should have to go abroad for burn treatment,” Bhandari told Nepali Times. “Our surgeons are the best in the world, yet they have had to rely solely on individual and community effort. The government urgently needs to support the surgeons, and I pledge to do what I can.”&nbsp; There are only 30-40 reconstructive plastic surgeons in the country, eight of them at Kirtipur, which offers a residency program for reconstructive plastic surgery affiliated with the National Academy of Medical Sciences program at Bir Hospital, whose curriculum was developed by Rai.&nbsp; While cosmetic plastic surgery is a booming profession in Nepal, the niche dedicated to burns treatment has not got the attention it deserves. Kirtipur Hospital, for instance, only has seven ICU beds, The country’s only skin bank at the Center has got only 31 donations in the nine years since it was set up.&nbsp; Read Also: <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">A burning desire to help</a>, Kunda Dixit With little government support, the Center mostly runs on international help for free treatment to about 600 patients a year. But even as its focus shifts from clefts to burns, international assistance is skewed in favour of cleft palates.&nbsp; “We get more donations than we need for clefts,” Rai reveals. “Burns are where we need greater investment, but because they are more expensive and complex, and have higher odds of ending in mortality, there is less interest from donors.” Not only is the government not providing needed help, its bureaucracy puts up obstacles every step of the way. Kirtipur Municipality received a donation of Rs2,900,000 for urgent burn treatment supplies. But red tape has delayed delivery. The Center now has an ambitious plan to establish a sustainable fund for free burns treatment by encouraging donations from well-to-do local Nepalis and the diaspora. The goal is not to have to turn to international donors for money. The Nepal Cleft and Burn Center will soon open a branch in Itahari of Sunsari district with the same level of care as Kirtipur.&nbsp; Says Nakarmi: “We don’t need big, lavish burn hospitals all over the country. We need a lot more primary burn centers where rural patients can receive immediate care, and then be referred to the larger centers if need be.” Nepal has seen major improvements in burn and cleft palate surgeries in recent years thanks to doctors like Rai and Nakarmi. Says Rai: “I am sure we will see a day when no patient seeking treatment in Nepal has to live with scars, both figuratively, and literally.”&nbsp;

Removing Scars

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203b79c7e80680e0b2821jpeg.jpg" alt="" width="960" height="695"/><figcaption>Tsering Sumjok Gurung with German plastic surgeon André Borsche (left) and Peter Hinze (right). Borsche had treated her childhood injury at the Sushma Koirala Memorial Hospital in Kathmandu. All photos courtesy: PETER HINZE</figcaption></figure>Last November, in the waiting room of a hospital in Bad Kreuznach in Germany, Tsering Sumjok Gurung caught glimpse of a familiar face.The tall man with graying hair and moustache was wearing a white coat over a yellow jumper. He was none other than plastic surgeon André Borsche who had treated her horrific childhood burn injury at the <a href="https://www.skmt.org.np">Sushma Koirala Memorial</a> Hospital in Kathmandu ten years previously.“It was an emotional reunion for both of us,” Tsering, now 23, remembers. “He was very friendly and wanted to see how my injuries had healed.”Tsering was 18 months old that summer when her family made the annual migration up to high pasture to graze their yaks. One day, while her mother was tending the livestock, Tsering fell off her crib right into the fireplace. She was badly burnt on her back, and right arm.Read also: <a href="https://archive.nepalitimes.com/article/nation/A-burning-desire-to-help,881">A burning desire to help</a>, Kunda Dixit<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203ba9c7e80680e0b2822jpeg.jpg" alt="" width="308" height="462">There were no doctors in her village of Bhijer, so she was treated for the next four years by the local <a href="https://archive.nepalitimes.com/article/nation/I-am-an-amchi,3349" target="_blank" rel="noopener noreferrer">amchi healer</a>. This kept her alive, but the skin on her right arm was fused with the torso. All her childhood, Tsering was carried around in a doko bamboo basket.“Burns are common in <a href="https://www.nepalitimes.com/banner/dazzling-dolpo/" target="_blank" rel="noopener noreferrer">Dolpo</a> because home life revolves around the kitchen fire,” says Tsering. “I was lucky.”Despite being painful to move around, Tsering started going to school in Bhijer and excelled in studies. In Grade 2, a group of wealthy American and Swiss trekkers visited the school that they had supported. They noticed Tsering, examined her injuries, and helped bring her to Kathmandu for school and treatment. Over the years, the two families have also funded a hospital and a cheese factory in the village.Tsering used to watch her classmates in Kathmandu run and play, or dance in school programs, but could not participate because of her injury. She was eventually admitted to the Sushma Koirala Hospital, which is supported by INTERPLAST-Germany, where André Borsche and his team performed five major operations with reconstructive surgery. Every week, she had to make a painful bus ride from her dorm in Boudha to the hospital in Sankhu for physiotherapy and follow-ups.She missed many classes, but she made up for it by reading books which inspired her to become a doctor, so she could serve her community in Dolpo. Not able to afford higher education, in 2017 she started working as a hostel warden at a school in Chobar.That is when she met German journalist Peter Hinze who was researching his first book on <a href="https://www.amazon.com/The-Great-Himalaya-Trail/dp/3957281377" target="_blank" rel="noopener noreferrer" data-saferedirecturl="https://www.google.com/url?q=https://www.amazon.com/The-Great-Himalaya-Trail/dp/3957281377&amp;source=gmail&amp;ust=1641892465582000&amp;usg=AOvVaw3DjWYFudXKEdEQ0H4UlQmW">The Great Himalayan Trail, </a>and Tsering later travelled with him to Upper Dolpo to make a film with herself as the lead character.Tsering was back in Bhijer for the first time in ten years, and her family and neighbours were surprised how much she had grown and changed. Her injuries were not visible anymore, and no one could believe that a little girl who had such terrible injuries would be so transformed.Read also: <a href="http://archive.nepalitimes.com/news.php?id=18771#.Ydv72C8w3u0">Lending a hand</a>, Nepali Times“I met the right people who helped me get treatment otherwise my life would have been different,” Tsering says. “Even now, there are many children in my neighbouring villages who are not as fortunate.”The film project was cancelled because of the pandemic, but Hinze converted the research into the book 100000 Schritte zum Glück about Dolpo, and invited Tsering to Germany for the unveiling in November. The book made it to number 4 on Amazon's best seller list in Germany.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203bd9c7e80680e0b2823jpeg.jpg" alt="" width="169" height="242">And he had a surprise in store – a meeting with the surgeon who had treated her in Kathmandu all those years ago. It was an emotional and joyful reunion.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203bf9c7e80680e0b2824jpeg.jpg" alt="" width="960" height="641"><figcaption> </figcaption></figure>“This was one of the best days in my 26-year career, when I could see the wonderful result of our charity work,” said André Borsche.Tsering was equally happy: “I made it from my family stone hut in Bhijer to the hospital in Germany to meet the surgeon who changed my life.”Read also: <a href="https://www.nepalitimes.com/here-now/nepals-acid-attack-survivors-find-a-saviour/">Nepal’s acid attack survivors find a saviour</a>, Sabina Devkota<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111410110/637203c19c7e80680e0b2825jpeg.jpg" alt="" width="750" height="1000">In the hospital, Borsche examined her burn scars and was satisfied with how well her back had healed. He suggested one more operation, but Tsering refused any more treatment.“I am over medical procedures for now,” Tsering told Nepali Times on her return from Germany. “After all those surgeries, I am put off by the sight of blood. I don’t want to think about the pain afterwards. For now I think I am ok.”These days, when Tsering is not busy with her full-time work at the Chobar school, she helps Hinze with Project Dolpo, a private initiative to help those who need assistance in her home district. She gets frequent calls from families in Dolpo who are in distress.Says Hinze: “I think this is a motivating story about a girl who never gave up, and who trusted herself. It shows how when help gets to the right people, the underprivileged and the almost forgotten, it can make a big difference to their lives.”This past week in Kathmandu, Tsering has been busy taking a seven-year-old boy from Dolpo who was also badly burnt with boiling water, and was brought to Kathmandu for treatment. Tsering has been taking the patient to the burns hospital in Kirtipur for medical attention.“It happened to me, and now to this boy. These accidents occur so frequently and Upper Dolpo just does not have the facilities to treat burn injuries,” says Tsering.For now, she wants to complete her education and ultimately return to Dolpo: “I feel it is my responsibility to give back to my community. The only way my village is going to develop is when young people like me get educated, and head back to help others like us. There is so much to do.”Read also: <a href="https://www.nepalitimes.com/here-now/the-prolonged-trauma-of-acid-attack-survivors/">The prolonged trauma of acid attack survivors</a>, Laxmi Basnet

Sahina Shrestha

Tsering Sumjok is all right

The Himalayan mountains are also known as the Third Pole because it is the largest repository of water stored as ice outside the two polar regions. However, it is divided by political boundaries that nature does not recognise – be it the air pollutants that flow or migratory birds that fly over the peaks. The Himalaya is also a geopolitical and climate change hot spot. In these geopolitically and environmentally challenging times, it becomes even more important to create oases of conversations, where candid and future-oriented discussions can take place at a people-to-people level. Platforms dominated by inter-governmental agencies have been able to do little. The Himalayan Future Forum (HFF) aims to be a platform that stands at the crossroads of climate, community, and connectivity, fostering dialogue and promoting citizen-led action. Growing up in the Indian Himalayan town of Kalimpong and spending the nascent stages of my career helping in setting up offices of the award-winning Annapurna Conservation Area Project (ACAP) that fostered community involvement in conservation, I have witnessed transformations both good and bad.  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205070244_6e2087b11fff0cc6704eebaee6f169848a9cfd57c4a02d7d1fd45db2526d2f67.jpg" data-media-id="editor_0" data-image-id="20260205070244_6e2087b11fff0cc6704eebaee6f169848a9cfd57c4a02d7d1fd45db2526d2f67" data-rendition-name="original" width="5559" height="3711" loading="lazy" alt="HFF 2026"></figure>  There are initiatives like Nepal’s forest cover doubling in 30 years, or Bhutan’s drive for high-end sustainable tourism. At the same time, I have seen landscapes destroyed by bulldozers and tall buildings competing for air and sunlight in expanding cities. From crony capitalists patronised by political leaders engaged in plundering natural resources to citizen-led initiatives on cleanliness drives and waste management, the Himalayan region is full of stories from both ends of the spectrum of disappointment and hope. Life is about observing and, in one’s little sphere of influence, taking baby steps towards catalysing positive transformation. This is why, Nepal Economic Forum (NEF) had been hosting the Himalayan Consensus Summit in Nepal from 2014 to 2020 following which the Himalayan Future Forum (HFF) was incubated since 2023. HFF is an initiative to encourage multi-faceted dialogues on the topics of climate, community, and connectivity in the Himalayan region by bringing together leaders, experts, institutions, and practitioners from different countries and sectors.  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205070244_a7e673507dcdb6e265cb6f76f2890f17af36f17006a7f6d0f2f0e1a288c89a09.jpg" data-media-id="editor_1" data-image-id="20260205070244_a7e673507dcdb6e265cb6f76f2890f17af36f17006a7f6d0f2f0e1a288c89a09" data-rendition-name="original" width="5364" height="3581" loading="lazy" alt="HFF 2026"></figure>  In this year’s edition, there are a series of sessions on 6 February with 34 speakers including ten international panelists. On day two the Himalayan Haat aims to showcase a variety of local, indigenous, and sustainable products. As in 2024, it is believed that the conversations and interactions at the HFF will lead to more partnerships and collaborations from climate financing to managing disasters to taking Himalayan brands global. YOUNG FELLOWS Beyond this, there are sessions on topics such as geopolitics and the Himalaya, as well as on migration which are especially relevant considering the past few years that have seen many events which impacted the global world order. One of the key features of HFF, guided by our ethos of bringing together experts, experiences, and enthusiasm, is also to ensure stronger youth representation through the HFF Youth Fellowship. This year, following a rigorous screening process, youth fellows were selected out of an overwhelming response. Those chosen will be able to attend the events as well as collaborate in future research and publications. Selected fellows will also be provided with full scholarships to the public policy program at Takshashila Institution, an independent centre for research and education in public policy in Bangalore. In a region where half of the population is under 25 years, it is important to get the future generations also in the room.  <figure><img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205070244_3416bd14d5249afeb357b11f760f49b0cd1d77feeac71d820406b2d9e86696bc.jpg" data-media-id="editor_2" data-image-id="20260205070244_3416bd14d5249afeb357b11f760f49b0cd1d77feeac71d820406b2d9e86696bc" data-rendition-name="original" width="5273" height="3520" loading="lazy" alt="HFF 2026"></figure>  Nepal presents an ideal location to hold meetings such as this, where no-holds-barred conversations can take place face-to-face. The country has good air connectivity and one of the most liberal visa policies in Asia. And while Davos is a good example to follow for convening global voices, we need not have so many private planes burning fossil fuel, as we can have participants take scheduled commercial flights or have regional participants simply take a road trip. Ultimately, the Himalayan region is also about festivities. No exchange of ideas is complete without immersing in art, culture, culinary experiences, and music. This is why HFF envisages graduating to a Himalayan Jatra, rooted in a region where people smile from the heart, and teach the world to smile with them. Join us at HFF 2026 as we move closer to this vision. See the schedule <a href="file:///Z:/%231297%20February%206/pix/page%209/HFF%202026%20Program%20Schedule%20(1)_compressed.pdf">here</a>. Sujeev Shakya is Chair of Nepal Economic Forum and Convenor of the Himalayan Future Forum.

Himalayan Futures Forum 2026

Kathmandu Valley alone now has over 700 cafes serving mugs made from freshly ground beans. ‘Americano double shot’, ‘Cappuccino’ and ‘Mocha’ have entered the Nepali language. It has also become a cash crop for thousands of farmers with near-perfect growing conditions along the Himalayan foothills.&nbsp; Yet, annual coffee production has declined by 15% to only 550 tons in the past years, and this meets only a fraction of the domestic demand of 6,000 tons.&nbsp; Nepali coffee fetches $22 per kg in the international market, but Nepal only exports 3% of its crop. If cleverly promoted, the international demand for Nepali coffee can be 8,000 tons. “Coffee is all about story-telling,” explains <a href="https://archive.nepalitimes.com/article/business/Gagan-Pradhan-and-Himalayan-Java,1076">Gagan Pradhan, founder of Himalayan Java Coffee</a>. “Nepali coffee has brand value because it is grown in the highest elevations on earth and is a cash crop for cooperatives and small farmers. There is tremendous potential for growth.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100216_1f366d8a85cc133fedee0ee72d7768d3a23bf51f8d43edbdadf98443bc0c01ba.jpg" data-media-id="editor_1" data-image-id="20260205100216_1f366d8a85cc133fedee0ee72d7768d3a23bf51f8d43edbdadf98443bc0c01ba" data-rendition-name="original" width="2000" height="1518" loading="lazy" alt="coffee culture in Nepal"> </figure>  The reason for the decline in coffee production lately is attributed to erratic weather caused by climate change, but mostly it is because it is manual-intensive, needing initial capital and patience for a return on investment. The strategy that makes most sense for <a href="https://nepalitimes.com/here-now/make-way-for-makalu-coffee">Nepal’s coffee industry</a> is to sell it as a rare, specialty product.&nbsp; Says Raj Kumar Banjara, master trainer at Nepal Coffee Academy and originator of the Himalayan Arabica brand: “There is no better crop for Nepal because we have the ideal soil and weather to grow specialty coffee, which can be exported to third countries directly instead of sending it through India like with ginger, cardamom, or tea.” These favorable conditions are at altitudes between 800m to 1,600m along the mid-mountains and temperature not exceeding 22°C, which allows cherries to &nbsp;develop slower, giving it a denser taste with complex flavours of fruits and nuts.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100216_35e470381d258d9598d30165d0dbb6b4294c389c61695bf8c47d72d2273b4629.jpg" data-media-id="editor_3" data-image-id="20260205100216_35e470381d258d9598d30165d0dbb6b4294c389c61695bf8c47d72d2273b4629" data-rendition-name="original" width="3872" height="2592" loading="lazy" alt="coffee culture in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100216_f7ccb42d7a7fb656dadc7ba5132a6243b8f99a28f7877875172411b7a4c96bc0.jpg" data-media-id="editor_4" data-image-id="20260205100216_f7ccb42d7a7fb656dadc7ba5132a6243b8f99a28f7877875172411b7a4c96bc0" data-rendition-name="original" width="1024" height="768" loading="lazy" alt="coffee culture in Nepal"> </figure>  This is ‘Arabica’ coffee, and it is also considered ‘organic by default’ because farmers have limited access to chemical pesticides and fertilisers, adding to its premium. All of Nepal’s coffee is grown in only 4,300 hectares total, and this is just 0.36% of the area suitable for coffee farming. Still 31,000 households across 44 districts depend on this cash crop.&nbsp; Challenges include out-migration, limits on land ownership, and climate breakdown leading to colder, drier winters, droughts and heat stress. Shreeyanch Shrestha is the founder of Samparka Cloud Loyalty, a startup that helps businesses retain customers by giving them insights about customer behaviour. Among the services offered is a digital loyalty card for coffee shops, one of his biggest clientele.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100216_c80e17ac78016ae5a90f4b27105e16af6c39d1422665f9f9c9b1d8404e5e7d54.jpg" data-media-id="editor_5" data-image-id="20260205100216_c80e17ac78016ae5a90f4b27105e16af6c39d1422665f9f9c9b1d8404e5e7d54" data-rendition-name="original" width="1280" height="960" loading="lazy" alt="coffee culture in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100212_968c5b264ec2fb65014dc3ebc2777f0bf19f596a4152c59f9cad9d99dee79df7.jpg" data-media-id="editor_6" data-image-id="20260205100212_968c5b264ec2fb65014dc3ebc2777f0bf19f596a4152c59f9cad9d99dee79df7" data-rendition-name="original" width="1200" height="900" loading="lazy" alt="coffee beans"> </figure>  Shrestha is also a coffee enthusiast, and recently collaborated with Baato Maps on the playfully designed ‘Kathmandu Coffee Map’.&nbsp; “This was a marketing campaign but also a way to pay tribute to cafe owners we worked with,” he says. “A new generation of coffee farmers, processors, roasters and consumers seem to want to invest in upgrading their coffee experience.” COFFEE CULTURE Operators such as Raj Kumar Banjara have been in that game for over 30 years, even earning a PhD in Coffee Agriculture, running farms and teaching roasting and barista courses. Now, he makes short how-to videos on social media. Banjara’s Academy is run by Specialty Coffee Association certified Q Graders and Authorised Trainers.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100216_22433d3a8b71224cd8cb38105b9eb5502a104e03ccec2e3864c8b23efc9f3fc6.png" data-media-id="editor_7" data-image-id="20260205100216_22433d3a8b71224cd8cb38105b9eb5502a104e03ccec2e3864c8b23efc9f3fc6" data-rendition-name="original" width="3612" height="2028" loading="lazy" alt="coffee culture in Nepal"> </figure>  Also promoting a coffee culture through social media is Santosh Shah of Bariko Coffee. He documents his process on Instagram, from hand picking and processing coffee cherries to brewing.&nbsp; Nepal appears to be riding the Third Wave of Coffee (see box) as the beverage moves away from the café chain culture to one that values knowledge of the cherries, beans, the roasting process and brewing -- right from the plant to the cup.&nbsp; Along the way, there are tales to be told about where the coffee is grown, who grows it, and how farmers get a fair price for the product. Coffee then becomes a shared social experience that directly connects the consumer to the producer. Nima Tenzing Sherpa returned to Nepal from the United States to start Lekali Coffee Estate in 2018, and produces fine single origin coffee beans so that the quality of the product improves the quality of life of the growers.&nbsp; He told Nepali Times: “Specialty-grade beans are the only future for Nepal’s coffee industry. I am continuously hunting for the best coffee origins in Nepal.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260205100212_e08ba44d6396eb75da868404dd8cf2a26b71cd6d90ab3afaf7175790c111d21e.jpg" data-media-id="editor_8" data-image-id="20260205100212_e08ba44d6396eb75da868404dd8cf2a26b71cd6d90ab3afaf7175790c111d21e" data-rendition-name="original" width="3000" height="4000" loading="lazy" alt="coffee beans"> <figcaption>Photo: LEKALI COFFEE ESTATE </figcaption> </figure>  HISTORY OF COFFEE Human consumption of coffee began in Ethiopia when herders found their goats became perky after eating beans from a wild Arabica bush. The first commercial cultivation of the brew began in Yemen 600 years ago. &nbsp;&nbsp; Nepal’s coffee history is much younger. A holy man is said to have brought coffee seeds from Burma in 1938, and planted them in Gulmi, the district in the mid-mountains where the first coffee nursery was set up in 1981. The Nepal Coffee Company was founded in 1983 by Krishna Ghimire in Manigram near Butwal which educated farmers about the crop and recruited them to cultivate it. He then roasted the beans, and convinced the BhatBhateni stores, which had just opened, to sell it. The company still supplies coffee to cafes and has its own brands and farm. It supplies green beans to those who want to self-roast, or build a brand. In the 1990s, the National Tea and Coffee Development Board was established, and Himalayan Java Coffee (Nepal Made, right) opened its first shop in Kamaladi before moving to Thamel. Itr now has nearly 100 franchises across Nepal and overseas.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260207030236_1908f4a4246d373f51affa8ac48be90129e888f1222b8f10e5cd25421e931dd8.jpg" data-media-id="editor_9" data-image-id="20260207030236_1908f4a4246d373f51affa8ac48be90129e888f1222b8f10e5cd25421e931dd8" data-rendition-name="original" width="2052" height="1455" loading="lazy" alt="coffee map"> </figure>  What is the Third Wave? First Wave: Profit-driven, mass marketing, air tight containers and instant coffee. Consumption of coffee worldwide starts growing.&nbsp; Second Wave: Artisan-driven, origin and roasting style become important, epitomised by Starbucks and espresso. &nbsp; <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Nepali-specialty-coffee,4106">Third Wave</a>: Characteristics of the beverage take centre stage: origin of the beans, consistent processing techniques, and roasting style. Independent coffee shops demonstrate craftsmanship and knowledge of coffee beans from plant to the cup, promoting ethics and transparency.&nbsp; Coffee Districts Coffee is grown in over 44 districts of Nepal (see map, above). In the last fiscal year, Nepal produced 550 tonnes of Bourbon, Typica and Yellow Caturra varieties of Arabica coffee. The total plantation area in Nepal is 4,300 hectares, a fraction of the total suitable land. &nbsp;

Caffeine buzz

When I landed in Kathmandu last November, I arrived with a Diwali hangover. Not the festive kind, but the coughing, dust-coated, throat-scratching kind gifted by North India’s winter air. After a decade of breathing in Delhi’s seasonal gas chamber, my lungs were in an open revolt. But within days of landing in Kathmandu, my cough vanished. It felt almost miraculous. The air was crisper. The Air Quality Index was kinder, and the Himalayan peaks rose on the horizon.&nbsp;
But by the third week, the familiar grey veil returned. First as a faint blur, then peak by peak the Himalaya began to disappear. Locals said it had been getting worse every year.&nbsp;
Much of this haze is not Kathmandu’s doing. What drifts into Nepal each winter is a toxic spillover from the plains of North India and Pakistan: black carbon, brown clouds, and fine particulate matter carried across borders by seasonal winds. Kathmandu’s bowl-shaped valley simply traps what the region exhales.
Abid Omar, founder of the <a href="https://pakairquality.com/" target="_blank">Pakistan Air Quality Initiative</a>, put it bluntly: “We often view air pollution and climate change as separate silos, but in the Himalaya, they are one and the same.”
Black carbon is essentially soot from diesel emissions, brick kilns, and crop burning. It may be short-lived in the atmosphere, but when ash settles on snow and ice, it reduces reflectivity and accelerates melting.&nbsp;
Omar adds, “Black carbon is a threat to the water security of the entire Indus and Ganges basins.”
What burns on both sides of Punjab do not stay in Punjab. It ends up on glaciers that feed rivers, sustaining hundreds of millions of people downstream.
In November 2024, AQI levels in New Delhi hovered near 500 and about the same time Lahore briefly became the world’s most polluted city, with the AQI count crossing 1,100. These numbers are not abstract.
According to the <a href="https://www.stateofglobalair.org/resources/archived/state-global-air-report-2024" target="_blank">State of Global Air 2024 report</a>, India recorded more than 2 million deaths attributable to air pollution in 2023. Bangladesh and Pakistan each saw over 200,000 deaths. Air pollution is now one of the leading causes of premature death across South Asia.
Nepal, often imagined as cleaner by default, tells a sobering story of its own. Air pollution in Nepal led to an estimated <a href="https://www.worldbank.org/en/news/press-release/2025/06/17/air-pollution-is-the-number-one-health-risk-factor-in-nepal#:~:text=Vehicle%20Emissions:%20Continuing%20to%20electrify,airflows%20carry%20pollutants%20across%20borders." target="_blank">48,500 premature deaths</a>, with the loss of more than 1.4 million disability-adjusted life years. The University of Chicago’s <a href="https://aqli.epic.uchicago.edu/post/nepal-capital-chokes-as-wildfires-rage-en" target="_blank">Air Quality Life Index</a> estimates that particulate pollution cuts 3.4 years off the life of the average Nepali. In the Tarai region, life expectancy drops by nearly five years. In Kathmandu, residents lose 2.6 years.
Says infectious disease specialist Anup Subedee: “Air pollution is killing at a far higher rate than Covid-19 did during its worst years in Nepal. People are dying in their twenties of cancer, or having heart attacks and strokes in their thirties and forties.”
Nearly <a href="https://www.icimod.org/press-release/kathmandu-choked-on-polluted-air-for-75-of-the-last-90-days/?utm_source=chatgpt.com" target="_blank">40 per cent of winter particulate pollution in the Kathmandu</a> valley originates outside Nepal. Black carbon carried from Punjab, Haryana, and Uttar Pradesh in India, besides parts of Pakistan, rides the winds north, settles on Himalayan snow, and accelerates glacier melt by absorbing heat.
“The pollutants travel across borders within shared airsheds, creating one gigantic plume of polluted air over India, Nepal, Bangladesh, and Pakistan several times a year,” says Subedee.
In some Himalayan regions, <a href="https://www.icimod.org/success-stories/chapter-2/black-carbon-and-glacier-melt/" target="_blank">scientists estimate</a> that black carbon can increase localised melt rates by up to 30%. Yet global climate negotiations continue to treat glacial loss primarily as a carbon dioxide problem.&nbsp;
CHINA’S APPROACH
The South Asian story is transboundary, and more immediate as well as more preventable. This is not only about emissions. It is about coordination, and China offers an instructive contrast.
Since 2013, China has dramatically improved its air quality by declaring a '<a href="https://www.aljazeera.com/opinions/2025/12/12/what-new-delhi-can-learn-from-chinas-war-on-air-pollution#:~:text=In%20the%20following%20years%2C%20Beijing,29.3%CE%BCg%2Fm%C2%B3%20in%202024." target="_blank">war on pollution</a>'. A major air pollutant, suspended PM2.5 levels fell sharply through strict controls on coal, vehicles, and industry, massive investment in renewables, and legally binding national action plans.
Crucially, China shifted from city-by-city firefighting to a regional airshed approach. Provinces shared data, coordinated emergency responses, enforced unified standards, and tied environmental performance to political accountability. South Asian countries have done none of this.
Isolated national actions are insufficient when pollution itself ignores borders. India, Nepal, Bangladesh, and Pakistan share the same airshed. Without cooperation, each country keeps breathing its neighbour’s mistakes.
“As the government representing the largest population affected by air pollution, India should lead this effort. Instead, the region has drifted away from cooperation, and the cost is becoming catastrophic,” Subedee says.
The haze over Kathmandu is not only Nepal’s burden. It is a <a href="https://sapannews.com/2024/12/27/could-climate-diplomacy-be-the-googly-a-gamechanger-for-regional-cooperation/" target="_blank">regional failure</a>. The melting of South Asia’s glaciers is not just a global warming story. It is also a local one, written in the smoke rising from our own fields, factories, and highways.
If we keep ignoring black carbon, the Himalayas will keep losing time, snow, and stability. The disappearing peaks of Kathmandu are not a metaphor. They are a warning.
And like the air itself, that warning is already crossing borders. ©Sapan News
Pragyan Srivastava is an Indian journalist and associate editor at <a href="http://www.sapannews.com/" target="_blank">Sapan News</a>. <a href="mailto:pragyan@sapannews.com" target="_blank">pragyan@sapannews.com</a>

Cleaning up the Himalayan airshed

This is the 82nd episode of Diaspora Diaries, a Nepali Times series in collaboration with Migration Lab providing a platform to share experiences of living, working and studying abroad. In September, under pressure from GenZ activists, Home Minister Om Prakash Aryal pledged to ensure that overseas Nepalis would be able to vote in the March election. The analysis from experts, election officials, and much of the public was that the Election Commission was not prepared to ensure out-of-country voting in such a short time.&nbsp; But just because the diaspora cannot exercise its franchise does not mean Nepalis abroad cannot influence the election outcome. The 2021 census said 2.1 million Nepalis lived abroad, but realistically three times more live, work and study overseas.&nbsp; Being breadwinners also makes them decision makers for families back home. Most have left because they could not get meaningful jobs and sought opportunities abroad, which means they are not happy with the way Nepal has been governed by the established parties and leaders.&nbsp; The diaspora is therefore mostly an anti-incumbent vote bank, which was one reason the political leadership blocked out-of-country voting for so long – despite a Supreme Court ruling that all citizens had a constitutional right to vote, wherever they lived. &nbsp; In the 2022 polls, overseas Nepalis had already shown considerable influence by backing newer and alternative candidates like Balendra Shah for Kathmandu mayor, and parties like the RSP. In the four years since, and especially since the GenZ movement, support for a political shakeup has grown even stronger. So has technological reach that enables the diaspora to politically organise from overseas. &nbsp;‘Technology has reduced the distance in communication, but has also lowered the barrier in a way that allows overseas Nepalis to pressure family members,’ author Narayan Wagle wrote in an op-ed on Setopati this week. Indeed, all it takes for family members to be convinced whom to vote for is an ultimatum that relatives will stop sending money. With less than a month to go for the 5 March election, many Nepalis overseas are campaigning remotely for preferred candidates, even if they cannot themselves cast ballots.&nbsp; The overwhelming feeling seems to be that younger candidates should be given a chance. &nbsp;&nbsp; Read what some Nepalis abroad have to say. NEPAL'S NON-VOTING MIGRANTS <h2>My Respected Parents</h2> Anil Gole, Romania [This letter is a letter to my parents ahead of the election. They are UML supporters, my uncle is for the Nepali Congress (NC), and my grandfather supports the Nepali Communist Party (NCP).] My Respected Parents, I hear that election fever has picked up in the village. New faces with new ways of thinking have emerged this time. I don’t really understand politics, so what I say may feel bitter. But Father, when I see the flag with the sun in your hands, I remember the heat of Qatar from 12 years ago, your sunburnt skin and mother’s cheeks wrinkled with worry. Perhaps Uncle, too, found the Saudi heat so intolerable that he returned home. That may be why while seeking shade, he found the NC tree symbol endearing. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Great uncle spent his whole life back home in the village, which is perhaps why he identifies with symbols like the plough, the sickle, and the hoe.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040236_669402ff85bdbd58360c12e10d23900ad99596b7a8dc196b8db1bcfe7e81e80e.jpg" data-media-id="editor_0" data-image-id="20260206040236_669402ff85bdbd58360c12e10d23900ad99596b7a8dc196b8db1bcfe7e81e80e" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Overseas vote bank NT"> <figcaption>Anil Gole</figcaption> </figure>  Even then, at any cost, vote for the same politicians. Vote for the same politicians who have not developed the country, who have not fed the poor, whose sons have not been shot.&nbsp; What if the country does not change? I have changed my country. When homesick, I have learnt what it feels like to suffocate in tears under a blanket. Now my younger brother is old enough. Send him here as well. We brothers will earn together. We will marry off our sister in a grand way. So what if the country does not develop? We will build a small, cute house with a big yard. You can play with the grandchildren there. And when they grow up, they too can migrate. But if you vote for the right people and the country gets good leaders, future generations will not have to sweat in foreign lands. They will not have to leave the comfort of a mother’s lap to spend nights abroad in unknown cities. No matter how hard things get, they will not have to lie in letters to their mothers,saying, “I’m doing fine, Mother.” I have not lost courage because of your blessings. My body is here, but my mind is always back home in Nepal. Your children are here, but my children’s future is in your hands. That is why vote for the same politicians whose hearts did not bleed even when the young were killed, the same politicians whose children have not come home in a box. Mother and Father, please take care of each other. Yours truly, Your fortunate migrant son <h2>Algorithm versus vision</h2> Ambika Paudel, Qatar I have been in Qatar for 18 years, and work in the facilities management, engineering, shipping and logistics &nbsp;industry. I get to interact with people from across the world, and they are closely connected with their embassies through online systems and communities. I lead the Nepal Expatriate Community that has multidisciplinary professionals and have observed the need to revise the narrative around migrants. We are here for our families. The sacrifices we make are for them. We are working for our own career growth and families because there were no opportunities back home. Many of us have achieved a good standard of living through our hard work and merit. When I send money to Nepal, it is for my family and the benefit to the government is a byproduct. It would have been good if we got to vote, too. That possibility and promise got lost somewhere in the policy confusion and lack of technical capacity. Overseas Nepalis are also deeply invested in the election, but it is largely algorithm based. We are not questioning the vision of the candidates.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040236_dc05b31d3abcf126360d923615a785a36de5b62a8695af9cbff000b586d0336d.jpg" data-media-id="editor_1" data-image-id="20260206040236_dc05b31d3abcf126360d923615a785a36de5b62a8695af9cbff000b586d0336d" data-rendition-name="original" width="1200" height="1600" loading="lazy" alt="Overseas vote bank NT"> <figcaption>Ambika Paudel</figcaption> </figure>  Our parents back home are the actual voters, and those overseas &nbsp;are talking to them. I don’t think they will be swayed just based on calls, and they shouldn’t be either. We are prioritising algorithms and words and social media boosts over vision, experience, and concrete plans. I am for the NC but I am not a blind supporter. Despite being at the forefront of every significant democratic change in Nepal’s history, the party has had lapses but it is currently on a new trajectory. Not all candidates of all parties are good so we have to elect competent leaders and question them. Whatever promises they make need to be examined for delivery and vision.&nbsp; There are also Congress loyalists who are swayed and influenced by the new, but I let it be — it is their right, their choice. Change requires vision and experience, it should not be based on hype, I remind them. Over online conversations, I tell them to vote wisely so they don’t regret it later. I returned from my break just recently so I cannot come home to vote as it will be too expensive. There are good human resources back in Nepal and in the diaspora which can be used. There are people in decision-making positions in their companies who are very capable and intelligent who could contribute to Nepal. These are missed opportunities in our policymaking and governance: Nepal needs to create opportunities for capable Nepalis.&nbsp; The new government can make the investment climate better through a one-door system so that services are accessible, quick and there is no need to go to multiple offices to start a company or pay taxes. This would also stop unnecessary bribes and other hassles. I don’t have plans to return in the near future. I have a good job and am earning well. I came to Nepal between 2016 and 2019 and remigrated again after things did not work out. <h2>The young need convincing</h2> Jeevan Kumar Dewan, Malaysia I have been living in Malaysia since 2001, and am an active member of the UML wing here. There is excitement about the upcoming election, but we are bound by contracts so cannot go home to vote.&nbsp; There was hope that we would be able to vote from overseas, but there were questions of security. Even though we won’t be able to vote, people are actively participating online and using social media to show their support to their candidates and parties of choice.&nbsp; Political parties prioritise organisational expansion overseas but there is no direct campaigning during elections. It is through conversations and social media engagement that people are participating, debating and expressing their support and loyalty.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040240_2ed54377199b995f0a19b7be98fff79004c13787c7a07185a47427467237277a.jpg" data-media-id="editor_2" data-image-id="20260206040240_2ed54377199b995f0a19b7be98fff79004c13787c7a07185a47427467237277a" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="Overseas vote bank NT"> <figcaption>Jeevan Kumar Dewan</figcaption> </figure>  &nbsp;As a UML supporter, it is my duty to remind people to cut through the noise and to separate facts and truth. While elderly voters don’t need much convincing as they are loyal to the party, I do engage a fair amount with the young voters. I have to remind them not to get distracted by the videos shared in social media platforms. All new is not good just because it is new if there is no real political agenda. There is no doubt that we need change but being new is not enough nor can we overlook the contributions and experience of the old parties. All we can do is talk to the voters and try to get our message across. It is important to prioritise better managed migration and also to ensure migrants have proper guidance on how to invest their hard-earned money in productive sectors, even when it is not much, so they have something to fall back on after returning. I don’t have plans to return immediately, I go back and forth quite frequently. I have a stable job and I have seen how my friends who left secure jobs to return home ended up remigrating after their investment failed. I will stay here and continue with my job which I am happy with. <h2>The old need convincing</h2> Prajwal Poudel, Saudi Arabia I work as a data entry analyst in Saudi Arabia. People overseas have seen development, but have also experienced challenges of being away from home. Politicians are aware of this and didn’t want us to vote.&nbsp; When I was in Nepal, I did not care much about politics. It was not for me. But overseas we care about Nepal even more. Perhaps you don’t know the value of something unless you lose it. Perhaps distance makes hearts grow fonder. I am definitely more invested in Nepali politics after leaving.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040240_43ea30dfb58b873760e40177d84dca4bb34f1c9cdffdbc9a7c5a0c26b15e78b9.jpg" data-media-id="editor_3" data-image-id="20260206040240_43ea30dfb58b873760e40177d84dca4bb34f1c9cdffdbc9a7c5a0c26b15e78b9" data-rendition-name="original" width="738" height="1600" loading="lazy" alt="Overseas vote bank NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040240_dfbc2302411e1ae32a4ab048fa34d940147942c00845d82d9cf59574f5c2e0fe.jpg" data-media-id="editor_4" data-image-id="20260206040240_dfbc2302411e1ae32a4ab048fa34d940147942c00845d82d9cf59574f5c2e0fe" data-rendition-name="original" width="1080" height="1200" loading="lazy" alt="Overseas Nepali vote bank NT"> </figure>  So I have to make sure that family members back home make the right decision this election. My cousin is also with me in Saudi Arabia and I was talking to his parents and telling them to vote correctly. They have voted for the same faces for two decades. I said that if there had been changes we would not have had to migrate. That this time they should accept the masu-bhat and alcohol, say UML-Congress jindaawaad, take the money offered but finally stamp on Ghanti.&nbsp; My cousin posted a recording of that call spontaneously on Tiktok. It went viral perhaps because it resonated with the youth. We cannot vote but we have to make sure at least our close family members vote correctly. My mother also seems ready for a change despite her loyalty to the UML, but I tell her she does not need to change her party just change her vote this year.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20260206040240_0234dfec6f97a726f67120124833bb3fdc84cbf794eee910736649c5624e7576.jpg" data-media-id="editor_5" data-image-id="20260206040240_0234dfec6f97a726f67120124833bb3fdc84cbf794eee910736649c5624e7576" data-rendition-name="original" width="1168" height="1556" loading="lazy" alt="Overseas vote bank NT"> <figcaption>Prajwal Poudel</figcaption> </figure>  We need to give the new ones a chance. But it’s also true that the new will not bring dramatic changes overnight. Conversations here are all about the election back home. We talk about who is getting elected from their areas. Who they think will win. But the hottest topic of conversation is of course Jhapa. For those of us abroad, the government should make our embassies stronger. Back home, I hope corruption will be curbed and that good roads will reach all corners of the country. This will allow people to develop the country themselves.&nbsp; I am the son of a Malaysia returnee. I even worked as a teacher in Nepal. I could not even afford decent clothes so I left everything and came here. I don’t know when I will return.