<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108151116/636a653e9c7e80680e05991cjpeg.jpg" alt="" width="3024" height="4032"/>Singapore-born Nepali American designer Prabal Gurung has brought out a pictorial autobiography of his life and career in a hefty coffee table book that lets us understand his passion.Because it is a book by and of Prabal Gurung, the volume is itself a work of art. Beautifully printed, elegantly designed, and with sparse text that allows us to understand his approach to life: tolerance, compassion, style, originality, activism, and a kinship to the land of his forebears.The very first two-page spread of fold upon fold of Himalayan ridges fading into lighter and lighter shades of blue right up to the horizon has a dedication: ‘To my mother, Durga Rana, who always made sure I had the correct shade of lipstick.’Gurung expresses his innate feminism and feminity with a fresh style that combines the exotic east with the practical couture of the west. It is this iconic blend that has made Prabal Gurung a much sought after luxury brand in the United States. Indeed, Gurung describes his designs as ‘feminity with a bite ... she wants to look feminine but doesn’t want to look over girly’.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108151116/636a65429c7e80680e05991djpeg.jpg" alt="" width="2764" height="3228">Many celebrities have donned Prabal Gurung, including Michelle Obama when she was First Lady, Oprah Winfrey who Prabal says has always been his personal hero, the actress Jennifer Lawrence, and many others.Prabal Gurung’s activism goes beyond feminism. He has spoken against social injustice and exclusion, and has been a campaigner against bullying. He talks about this in a conversation with Hanya Yanagihara, the editor of T Magazine at the beginning of the book.‘In Nepal ... I went to an all-boys’ Catholic school, and that’s where I realised how different I was – because I was constantly told I was different. I was bullied constantly. Sketching became a way to find some peace.’Gurung remembers his American teacher in Kathmandu who wore a beautiful cotton dress. ‘I remember I was completely transfixed, transformed,’ he says.In his twenties, Prabal Gurung went to New York and the freedoms there made him come out about being gay for the first time. He used to go to gay bars, and felt like a misfit because he did not fit into the perception of a muscular white gay. Gurung remembers telling himself: ‘The world hasn’t caught up to my worth ... damn I’m beautiful.’Gurung has set up a foundation that is now helping more than 300 Nepali children, and helping female prisoners. Asked about his future plans, he says he wants to open an art museum in which Nepali artists will get global exposure.In Spring 2015, inspired by a trek in Nepal Prabal Gurung showcased new designed that used Nepali motifs with androgynous American sportswear that was a hit. But then tragedy struck, Nepal was hit by an earthquake that killed 9,000 people. Feeling helpless so far away, Gurung organised a fundraiser show in New York dedicated to the land of his mother. He writes about that show: 'My heritage is my identity, and I want to share a piece of myself with our community... the devastating experience was a rebirth, a shedding of a layer to step into anew role, pacing the way for even greater advocacy, social responsibility and activism.'The book starts with the designs from his 2009 show at the FLAG Art Foundation in New York which launched Prabal Gurung’s career and his ‘real American dream’. Soon, he was being noticed by the fashion industry and designed the contoured red dress that Michelle Obama wore to the White House Correspondents’ dinner.The book has a close up of the floral prints on the fabric of the dress that the duchess of Cambridge Kate Middleton wore in Singapore in 2012. We have blown up images of Kirsten Stewart, Deepika Padukone, Gigi Hadid and many other beautiful people.Gurung designed Kate Perry’s gown at the last Hillary Clinton rally during the 2016 presidential election with sequined letters down the back that read ‘I’m with Madam President’. The designer admits feeling ‘devastated’ following the elections, and adds in the caption: ‘Looking back, I try to believe that it has only made some of us stronger, and more courageous, more active citizens.’One of Prabal Gurung’s avid admirers is the actress Sarah Jessica Parker. She writes in her foreword: ‘Prabal is a social activist. He has used his voice for good in the world – speaking out on diversity, women’s rights, and body positivity—and embedded meaning into each of his pieces. He has created not just any brand, but a luxury brand with a soul.’Kunda DixitPrabal Gurungby Prabal GurungAbrams, New York 2019$75      272 pages<a href="https://www.amazon.com/Prabal-Gurung/dp/1419738100"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108151116/636a65459c7e80680e05991ejpeg.jpg" alt="" width="2703" height="3276"></a>

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https://www.youtube.com/watch?v=3n5A4GQc9DsKing Mahendra made it mandatory for government officials to don the dhaka topi to work 60 years ago, giving the traditional weave state sanction. The fabric had been part of Nepal’s unofficial national dress long before that royal nod, and is today becoming a fashion item.Dhaka fabric is no longer restricted to the ubiquitous topi — today it is used in saris, shawls, wedding jackets, cushion covers, tote bags and even shoes. In recent years, Nepali designers have experimented with the traditional cloth, transforming both its conventional geometric patterns and colours.<a style="background-color: #ffffff; letter-spacing: 0.01em;" href="http://www.dochaa.com/" target="_blank" rel="noopener">Dochaa</a>, a Nepali shoe brand, has curated a line of minimalistic tie-up sneakers with a patch of traditional Nepali fabric woven in (see photos). Their flagship shoe: The Buna Dochaa (buna means woven) comes in maroon and grey dhaka and is woven in looms in Dhankuta, Terathum, Palpa, Kathmandu and Lalitpur.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60e09c7e80680e056ea1jpeg.jpg" alt="" width="1500" height="1006"/><figcaption>Photos: DOCHAA</figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60e59c7e80680e056ea2jpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60e89c7e80680e056ea3jpeg.jpg" alt="" width="640" height="427">“We wanted to connect urban and semi-urban Nepalis with traditional dhaka fabric,” says co-founder Watsal Rajbhandari. “Fabric from different parts of the country have distinctive weaves, so we wanted to create a contemporary footwear with that fabric as it would be appealing to our customers, who shy away from 'glammed' and glittery use of dhaka.”Dochaa has chosen to be understated, but other designers have been more audacious with their use of dhaka. Actress Swastima Khadka recently wore a full dhaka fabric pantsuit at the SAARC Film Festival, where she won an award for her performance in Bulbul. The outfit was designed by Muku Boutique’s Mukta Shrestha.“Seeing how young, modern and bright Swastima is, I wanted to create something that reflected her contemporary style,” says Shrestha for whom dhaka is an “exciting fabric” with limitless possibilities. Her modern take on dhaka involves bold, bright colours and innovative patterns.Read Also: <a href="https://www.nepalitimes.com/banner/clothed-in-cannabis/">Clothed in cannabis in Kathmandu</a>, Pema Sherpa<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60eb9c7e80680e056ea4jpeg.jpg" alt="" width="1000" height="1500"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60ed9c7e80680e056ea5jpeg.jpg" alt="" width="1000" height="1500">                                        Photos: LAKHEY NEPAL“Whenever you see dhaka fabric, it is visible, it is very Nepali,” says Shrestha, adding that she wants to bridge the disconnect between urban youth and the classic fabric by developing her own patterns and colours to customise dhaka according to the latest trends for items like evening gowns.Designer Erina Shrestha, founder of Lakhey Nepal (pictured above), focuses more on the fabric itself rather than experimenting with patterns, melding traditional dhaka with her minimalist clothing designs for a nostalgic effect.“To me, the dhaka fabric is very unusual because of the widely used colour choices. The greens, blues, red and oranges do not go with the aesthetic I want for my brand,” she says, which is why her use of dhaka is limited to the fabric itself, choosing solid colours instead of multi-colour patterns.Currently, Shrestha is simplifying dhaka with pastel patterns that she plans to use in designing full-length overcoats, preserving the fabric’s simple woven foundation without the distracting colours.Read Also: <a href="https://www.nepalitimes.com/banner/a-post-mortem-of-nepals-garment-boom/" target="_blank" rel="noopener">A post mortem of Nepal’s garment boom</a>, Sewa Bhattarai<h2>Is dhaka from Dhaka?</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60f09c7e80680e056ea6jpeg.jpg" alt="" width="1400" height="924"><figcaption> </figcaption></figure>Although the dhaka fabric is now emblematic of Nepal’s national dress, it did not originate here. As its name suggests, it actually came from southeast Asia, via then East Bengal during the British days. In fact, experts have traced the patterns and colours of Nepali dhaka to the Bangladeshi jamdani dhakai.While the patterns vary, simply because each piece is a unique creation of the maker, the Nepali dhaka and the jamdani dhakai are both made with cotton, and mainly in handlooms.‘The geometric flower designs of Bengal’s fabled woven air or jamdani textiles has been skilfully interpreted by the Nepali weaver and block-printed to create the dhaka textile,' writes Emma Martin, curator and lecturer in museology at the University of Manchester.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60f39c7e80680e056ea7jpeg.jpg" alt="" width="1500" height="1000">Martin could have been referring to Jessie Brown (1888-1983), a British woman who came to Nepal in the 20th century as a nurse of Princess Nani, the granddaughter of Chandra Shumsher. ‘Brown produced a design that was “heavily influenced by jamdani and dhaka textile motifs”,' says Martin in her sketchbook.Mohan Raj Sharma (pictured below with dhaka topi) of Palpali Dhaka Pasal in Maitidevi, who has been in the dhaka business for more than 30 years, says that most dhaka traders believe that the Nepali dhaka was inspired by fabric brought from Dhaka in East Bengal, which became Bangladesh in 1971.But how did Palpa become famous for dhaka weaves? Sharma says that in the late 1950s, Ganesh Man Maharjan from Palpa travelled to Dhaka (then in East Pakistan) and encountered beautiful saris made from the delicate muslin jamdani dhakai.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110815110/636a60f69c7e80680e056ea8jpeg.jpg" alt="" width="1500" height="1000">After learning the process from weavers, Maharjan set up his own factory in Tansen, the Swadeshi Vastrakala Palpali Dhaka, establishing an industry worth more than Rs200 million a year today, according to the Micro Enterprise Development Program.Indeed, Bangladeshi jamdani dhakai closely resembles the Palpali dhaka with its thinner threads, unlike the thicker Purbeli dhaka fabric, and seems to have inspired the Nepali dhaka we see today.According to Sharma, Nepali weavers had to minimise costs so opted for geometrical patterns that were more convenient to design and print, and a sturdier weave to withstand the mountain cold.

From heads to toes

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813118/636a46ed9c7e80680e04d404jpeg.jpg" alt="" width="1400" height="1283"/><figcaption>Pic: DIWARKAR CHETTRI</figcaption></figure>Buying a bouquet for a friend’s wedding the other day, I got really involved in the process of choosing the flowers, arranging the blooms and packaging them up. So much so, I was bent over and stooping about the little flower shop to find the right coloured ribbons, paper and paraphernalia.That’s when my husband noticed my clothes.Light coloured, because I dressed to cope with the stifling summer heat of the valley, traces of my undies showed through when I leaned down to scrutinise some ribbons. He noticed. And according to him, others noticed too.Should I feel ashamed that they did? Should I wear the burden of having males stare at my bottom when I happen to bend over, or stare at me when I walk? It’s not often I’m scrounging about a small shop exposing my bum to the world. When I walk, the pants don’t pull tight enough to look ‘indecent’ or ‘vulgar’.In a country where exposed bellies under the drapes of saris are normative, or push-up bustiers and sexy, diaphanous tailoring are to be seen at any given wedding or celebratory event across the city, why am I made to feel like I’ve committed a great sin by wearing my kind of fuss-free, breezy fashion that happens to be in a light colour and fabric? Why should my girlfriends feel intimidated by people staring at them when they wear skirts or shorts cut above the knees?It is no wonder to me that the <a href="https://www.nepalitimes.com/banner/daughter-slaughter/" target="_blank" rel="noopener">abuse of women and girls in Nepal</a>, and in the rest of the subcontinent, is prevalent.Read also: <a href="https://www.nepalitimes.com/editorial/corrosive-conduct/" target="_blank" rel="noopener">Corrosive conduct</a>, Editorial<a href="https://www.nepalitimes.com/banner/four-fold-increase-in-reported-rape-in-10-years/" target="_blank" rel="noopener">Four-fold increase in reported rape in 10 years</a>, Sewa Bhattarai<a href="https://www.nepalitimes.com/opinion/theytoo/" target="_blank" rel="noopener">#TheyToo</a>, Sewa BhattaraiIf women are yoked with the responsibility of presenting ourselves in ways that do not offend the male or conservative gaze, where would the blame lie should such offence be taken, I would ask. Also, should we start examining the dynamics of treating women and girls in ways that are harmful to their well-being, in the name of tradition and religion and along class and caste strata?Generally speaking, like other South Asians, many Nepalis are quick to judge and bred to not question the status quo. In a situation like mine, with a Nepali husband who by so many measures is modern in his mindset, I am constantly surprised at the sudden yanking of traditional mores at my ankles.It’s not like me to be too affected by it. I’ll shake it off, like I’m doing now, but I’m irritated. I’ll voice my disharmonising opinions, and I’ll keep wearing what I want to, and doing what I need to, as long as I’m not hurting anyone to the best of my discretion. I’m a woman who knows herself and knows her self-worth as a human being.However, there are many women brought up in this country who don’t have the mindset that I do, perhaps fortunately for them, so that the harmony of life as they know it is maintained. I understand that unquestioning acceptance is often exercised in this culture I’ve chosen to be immersed in. But I do think it’s healthy to question culture when it is <a href="https://www.nepalitimes.com/editorial/3-4th-of-the-sky/" target="_blank" rel="noopener">domineeringly patriarchal</a>, as it still is in this part of the world.I question that in order to live harmoniously a woman has to give up her rights to be comfortable in her own skin, in how she chooses to look. She gives up her humanity, her security, her sexuality, her sensuality, her intelligence, her curiosity, just to please men and matriarchs, just to fit into a culture that validates only certain aspects of her entire nature.Abuse of women in this culture will remain prevalent until the men and women of power speak up and act out against it, and until the downtrodden powerless learn to voice their dukha beyond the strains of sad folk songs. I am not of your culture, but I’m affected by it. This is my voice.Read also: <a href="http://archive.nepalitimes.com/news.php?id=4364#.XRR-fOszaUk" target="_blank" rel="noopener">Patriarchy, female freedom Shrisha Karki</a>, Pramod K Mishra<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/she-for-her,3292">She for her</a>, Sahina Shrestha

Ill-fitting in Nepali society

<img width="538" height="541" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121140/636a402b9c7e80680e04a606jpeg.jpg" alt=""/>Though the medium is oil on canvas, Mann Gurung employs only sepia tones in his paintings, evoking the era of old photographs. Indeed, his artwork harks back to an older, more innocent time in Nepal. The  women still wear the fariya choli, and the men are in patuki and dhaka topi.Gurung’s second solo exhibition, Lost in Transition, is on at Siddhartha Art Gallery in Baber Mahal Revisited from 9 May - 9 June. Though most of the works are oil paintings, there are also graphite and ink drawings. They differ from his previous solo exhibition Power, Politics and War, which was predictably focused on politics. This time around, the emphasis is on a visual depiction of social change.Read also: <a href="https://www.nepalitimes.com/banner/the-karnali-on-canvas/" target="_blank" rel="noopener">The Karnali on Canvas</a>, Sewa Bhattarai  <img width="640" height="920" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121140/636a402d9c7e80680e04a607jpeg.jpg" alt="">Gurung has captured women who collected milk in wooden theki, and have now turned to plastic Coke bottles. Though they cling to traditional dresses, they cannot help wearing Crocs on their feet. He has captured the dhyangro hand drum, an important instrument in his community that seems torn and neglected, and an old record player that looks like it hasn’t been used in a while.  These portraits are from Khorla, a mountain village in Gurung’s home district of Gorkha. Collectively, the impression is of a bygone era: of a place caught in transition as traditional values are fast being replaced by modern ideas. Gurung’s paintings capture the reality of most of Nepal today. With the youth migrating out, the elderly and women are left to fend for themselves. It is an uphill battle to cling to their traditional lifestyles.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/nepal-art-now-in-vienna/" target="_blank" rel="noopener">Nepal Art now in Vienna</a> Gurung believes he has captured the last of a generation that carries our identity, as younger Nepalis are ‘already fitted out in denims and pride themselves for embracing western culture’.“They have already made a transition from madal to box speakers, rodhi to mp3 players, hand sewn bags to polythene ones, handmade garments to imported polyester, bamboo baskets to zebra bags, and from sanduk to flatscreen TVs. We will soon lose the older generation, erasing hundreds of years of our identity, tradition and culture,” laments Gurung.His paintings force us to ponder identity, how we can hold on it, and whether it is even possible. The paintings are a testament to a lost time, and present Gurung’s concern for his own heritage, which he seems powerless to conserve. But at least he has preserved and documented a part of his culture in his art. Read also: <a href="https://www.nepalitimes.com/banner/the-craft-of-art/" target="_blank" rel="noopener">The Craft of Art</a>, Sewa Bhattarai <img width="1052" height="584" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108121140/636a402f9c7e80680e04a608jpeg.jpg" alt=""> Lost in TransitionSiddhartha Art Gallery, Baber Mahal RevisitedUntil 9 June

Lost in Transition

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.

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