<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111413118/637230459c7e80680e0c255ajpeg.jpg" alt="" width="1594" height="986"/>With a new increase in the number of Covid cases in Nepal, there is now a looming threat of a fourth wave in Nepal, even as public health experts are divided about the extent and severity of the new surge.But they agree on one thing: we must continue to follow preventive measures despite our vaccination and infection status since the elderly and people with comorbidities are still at high risk.Six new Omicron variants have been detected in Nepal including BA.2, BA.5, BA.2.38, BA.2.73, BA.2.75 and BF.1, according to Rajeev Shrestha, infectious disease specialist at Dhulikhel Hospital which conducted whole-genome sequencing on 22 swab samples last week.On Sunday, Nepal reported 347 new cases while 95 patients recovered. Two fatalities were recorded in the past 24 hours. Active cases have surpassed 3,000 again, with the test positivity also climbing to 8.9%.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111413118/637230489c7e80680e0c255bjpeg.jpg" alt="" width="1500" height="1000">The newer variants of Omicron are many times more contagious than the original strain leading to a spurt in new Covid cases daily. The World Health Organisation (WHO) has also termed all the new sub-strains as variants of concern because of their higher  transmissibility.So far, BA.5 is the most dominant sub-variant and has spread over 110 countries with France, the US, Italy, Germany and Brazil.Japan, Australia and China are also reporting spikes in new Covid cases while Iraq and Tunisia have emerged as new 'hotspots'. In South Asia and Southeast Asia, BA.5 is widespread in India and Indonesia.“Some 5.7 million people worldwide have been infected with this variant. Scientists say that 50% of the existing Covid-19 infection is from this variant,” says Sameer Kumar Adhikari of the Health Ministry. “And because it is spreading widely in India, we are also very much at risk, especially if we are lax about it like we were with previous variants.”<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111413118/6372304b9c7e80680e0c255cjpeg.jpg" alt="" width="2554" height="1434">Another Omicron variant BA.2.75 which was first detected in India seems to be equally infectious and has spread to 14 countries including Japan, Germany, UK, Canada, America, Australia, New Zealand and Nepal.According to WHO chief scientist Saumya Swaminathan, BA.2.75 has mutated in such a way that it defeats the immune system's ability to fight the disease and can cause severe infections. Most recently, BA.1 has been found to be the most contagious of the bunch, more so than BA.2.75.The good news is that the new variants will largely spare previously vaccinated populations. But while the variants are yet to register complications like those caused by the Delta variant during the second wave, vulnerable populations are still at the highest risk, especially given that Nepal has a very low uptake for boosters.“What all these new variants are doing is reducing the effectiveness of Covid vaccines. How much is a matter of further investigation but they are indeed decreasing vaccine efficacy,” says Shrestha.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111413118/6372304e9c7e80680e0c255djpeg.jpg" alt="" width="1221" height="814">The Nepal government last week reinforced its vaccination campaign with a special focus on the booster shots. Even as over 80% of Nepal’s eligible population have been fully vaccinated against Covid-19, less than 25% of Nepalis have taken booster shots.Meanwhile, a new study from Qatar has found that while the rate of reinfection of new variants is comparatively high, people who have been previously infected with earlier versions of SARS-CoV-2, particularly Omicron are less susceptible to the two fast-spreading lineages BA.4 and BA.5 sub-strains.Nonetheless, experts recommend keeping a close watch on symptoms to break the cycle of infection and save those at risk of contracting the disease. People who have already been previously infected should also follow preventive measures, mask up, avoid crowds and sanitise regularly.Says Rajeev Shrestha: “As soon as you have fever, cold and loss of smell, think of yourself as Covid infected and manage accordingly. Prevention and vaccination are the only ways to stop another deadly  wave.”Read more: <a href="https://www.nepalitimes.com/banner/1-mask-up-2-avoid-crowds-3-get-boosters/">1. Mask Up. 2. Avoid Crowds. 3. Get Boosters</a>, Sonia Awale

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Is Nepal on the verge of a fourth wave?

<img width="782" height="512" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110912118/636b8aae9c7e80680e06b254jpeg.jpg" alt=""/>Nepali Times spoke to Barun Mathema, professor of epidemiology at the Mailman School of Public Health at Columbia University in New York about how the COVID-19 pandemic will affect prisons. He was recently on the <a href="https://www.facebook.com/cnn/videos/vb.5550296508/226123838751517/?type=2&amp;theater" data-saferedirecturl="https://www.google.com/url?q=https://www.facebook.com/cnn/videos/vb.5550296508/226123838751517/?type%3D2%26theater&amp;source=gmail&amp;ust=1586343755174000&amp;usg=AFQjCNGi6UJyyN6-u3mKXwecTMbIgCwAOw">Michael Smercornish show on CNN</a> to warn that jails can incubate infections. Nepali Times: How serious is the danger of coronavirus or other infections spreading out of prisons into the general population?  Barun Mathema: For detainees under trail for longer term sentencing I would say we need to guided by two principles: 1) as a society we are obligated to protect detainees (in jails or prisons); 2) likewise, we should take actions to reduce risk to the surrounding communities. Given that COVID-19 thrives on social contact, having crowded jails with people coming in and out is likely to promote transmission into jails, transmission within jails and 'spillover' of infections out of the jails into the community. There are many bridge populations, i.e. jail staff, detainees and visiting members of the community, for example family, that can transport the virus into or out of the jails. Also a very important consideration is that there is likely a sizable population that have a variety of co-morbid conditions that predispose poor/bad COVID-19 clinical outcomes.So, in my opinion, we need to figure out way to lessen the load of inmates in jails (and prisons) that would require us to restrict or lessen numbers going into jails and prisons and release those in jails responsibly and safely. The criminal justice system should at least consider: i) dropping charges on low-level crimes, ii) relax charging low level offenses in the first place, and 3) release detainees who are the most vulnerable (aging or those with serious co-morbidity). All of this must of course be done safely, ethically and responsibly.The result will likely help lift some pressure within the jails, reducing the risk of outbreaks and potential spillover into the community ... in addition this will likely help in our general mitigation goal of flattening the curve.Read also:<a href="http://archive.nepalitimes.com/news.php?id=13002#.XoxhTsgzbIU">Unsafe in prison</a>, Himal Khabarpatrika<a href="https://www.nepalitimes.com/latest/nepalis-trapped-down-under/">Nepal trapped Down Under</a>, Upasana Khadka<a href="https://www.nepalitimes.com/latest/lockdown-and-the-surge-in-domestic-violence/">Lockdown and the surge in domestic violence</a>, Suvexa Pradhan TuladhaYour research is mainly on the spread of tuberculosis in Brazil’s jails. But what is your view on the probable immune-enhancing property of the BCG vaccine?I work primarily on tuberculosis, anti-microbial resistance in tuberculosis and in other bacterial pathogens. BCG vaccination is one of the most widely used vaccines in the world. Although role of BCG in preventing TB has been heavily debated over the decades, BCG vaccination is thought to prevent against severe forms of childhood TB. BCG induces a potent immune response (in fact reasons why it is also used for Bladder Cancer therapy). Previous studies have shown that BCG vaccination of infants reduces all-cause mortality, and a considerable amount of infant mortality is due to respiratory and enteric viral infections. Therefore, it is plausible that BCG may induce protective immune response against viral respiratory pathogens such as SARS-CoV2. If this is the case, we do not know the extent or how long this protective immune response would last. My guess is that it will be short term - which would be great at, for example, protecting health care workers. We would need a properly controlled clinical trials for example randomised clinical trials, to demonstrate benefit of BCG vaccination in protecting against SARS-CoV2 - such a trial is underway.How did you develop an interest in epidemiology and especially on anti-microbial resistance?I have always been interested in how things work in the real world. Of course, I quickly learned that the real world is quite complex to understand and certainly too simplistic using just one type of lens. Epidemiology, as a discipline, offered a framework to integrate both macro and micro level processes at play and thus was very attractive.My interest in TB stems from the history of the disease in society, arts, and science. It is one of the oldest diseases that is really part of our social and historical DNA - virtually everywhere in the world. This is the number one killer (due to an infectious agent) in the world with nearly 4,000 deaths a day. Controlling TB, including in places like Nepal, has been challenging and very humbling. Studying TB is really a study of biology, history and society. This disease has really eluded scientists since its discovery in 1882. There is so much we should know about this disease, but just do not.In my own research, I consider myself a student of evolution. Evolution, of course, is continual a process that cannot be stopped but is rarely so visible in our day to day. AMR is a case and point for evolution. Its emergence is fascinating from a biologic perspective and the consequences quite devastating from a human health perspective. This interface has drawn me to study AMR in TB as well as other bacterial pathogens.Any comments on the way Nepal has been handling the pandemic so far?I do not think I know enough to answer this question fairly. It is surprising that there are such few confirmed cases ... likely a consequence of testing.

"Prisons can be incubators for COVID-19"

A few months ago, no one could have imagined that a microscopic microbe could ever consume the globe. Yet it has. The international economy has shut down, halting our lives, limiting families to their homes and affecting millions worldwide.
The <a href="https://www.nepalitimes.com/latest/what-nepal-can-learn-from-china-about-covid-19/" target="_blank">COVID-19 pandemic</a> has exposed the incapacity of governments and the international community to address a health emergency on this scale. While we were assured that we have the technology and resources to respond, the coronavirus has shown either that we had misplaced our trust on scientific advances, or that our technological capabilities have not been oriented in the right direction.
As Nepal’s first test-tube babies conceived through IVF technology, us twins are products of technological advances in medicine and healthcare. Science was a boon to our family, and technology bestowed its gift on us.
In other fields of medicine, technology has allowed researchers to find cures and treatments to chronic diseases, and to develop remote monitoring systems through improved connectivity. However, information technology has not been fully exploited in addressing curative and therapeutic aspects of medicine.
<a href="https://www.nepalitimes.com/opinion/newborn-deaths-and-a-vision-for-a-post-pandemic-nepal/" target="_blank">Newborn deaths and a vision for a post-pandemic Nepal,</a> Marty Logan
The inability to prioritise family and community health on a global scale and the inability of medical technology with epidemiology and non-pharmaceutical public health measures has cost us dearly. The current pandemic has exposed flaws in what we considered an advanced state of medicine.
The <a href="https://www.nepalitimes.com/opinion/what-is-novel-about-the-novel-coronavirus/" target="_blank">novel coronavirus outbreak</a> is not the first, nor will it be the last. There have been even more deadly, uncontrolled epidemics in history like the Black Death that wiped out half of Europe’s population, or the Spanish Flu of 1918 that killed up to 40 million people, half of them in India. More recently there was the SARS outbreak in 2003 and the influenza subtype H1N1 and the MERS epidemic in 2013.
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The real question is: with all our expertise in epidemiology and genetics why did scientists not foresee this one coming? Partly, it is because technological advances and the budgets to fund research into Artificial Intelligence and even viral research is skewed in favour of military applications. The remaining resources go to space exploration. Finding vaccines and cures for diseases that afflict poorer countries, like malaria and tuberculosis, are neglected.
<a href="https://www.nepalitimes.com/banner/pandemic-pangs/" target="_blank">Pandemic pangs</a>, Nepali Times
Before this pandemic arose, governments of rich countries felt it was a Chinese problem that could not threaten their shores. There was a failure of the political leadership in rich countries engrossed with endless growth, geopolitical rivalry, and weapons research to take it seriously. Just as populist leaders denied climate change, they also ignored scientists warning about the potential of this deadly virus to spread.
The neglect is now most tragically seen in the acute shortage of medical equipment from the very basic N95 masks to personal protective equipment and ventilators. Countries that were once considered to have the best healthcare systems have been most vulnerable to treat and contain the scourge.
COVID-19 has also exposed that nation states operate in the self-interest, ignoring international cooperation, first try to protect their borders and compete for scarce medical supplies. The pandemic should teach us the lesson that that is not a one-off crisis -- we ignore nature at our own peril. The virus has learnt to use human hosts networked with global air travel to spread across the planet, it does not respect national boundaries.
No doubt, the spread of the virus will proceed towards a gradual decline in the total global case load. There is a danger that we will forget the lessons from it as things return to normal, the global economy springs back, and air travel resumes.
<a href="https://www.nepalitimes.com/latest/climate-covid-19-and-china/" target="_blank">Climate, COVID-19 and China</a>, Rastraraj Bhandari
The world must converge towards rapid, efficient advancement of technology services through a sound healthcare system and distribution at the community level. Convergence in healthcare means bringing together advances in IT, AI, bio-medical sciences and genetic studies, and using digital platforms to link citizens remotely to medical institutions. &nbsp;Epidemiological tools like HealthMap, VivaLNK, and platforms like WeChat, Alipay, and QQ have been used in containing the coronavirus, but they need to be spread more extensively.
A potent chain of command and decentralisation of health authorities is &nbsp;integral in responding to such outbreaks, but the way the current pandemic is being dealt with at the local, national and global level have left many of our generation skeptical. We cannot pin our hopes on the present health system, and our futures are uncertain.
This inability to rely on governments during such a dangerous pandemic &nbsp;leads us to conclude that enhancing individual immunity of the body, and thinking globally about the response to future outbreaks is the only way.
For Nepal, this means strengthening self-resilience at the national level, having preparedness plans in place, enhancing the healing power of nature, and ensuring that medical care is more equitable.
Yugeshwor Koirala and Yugottam Koirala are twin brothers, Nepal’s first to be born through in vitro fertilisation (IVF). They are students of Kaasthamandap Vidhyalaya.
<div class="embed-block"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110912118/636b8a269c7e80680e06b226jpeg.jpg" alt="" width="132" height="95"></div>

A pandemic that must shake us into action

<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b79569c7e80680e0646f9jpeg.jpg" alt="" width="640" height="349"/>In an address to nation on Friday evening, Nepal’s Prime Minister K P Oli announced further restrictions on travel, including a ban on all international flights between 22-31 March.The prime minister, who himself is recovering from a second kidney transplant two weeks ago, also said all long-distance public buses within Nepal would stop operating from 23 March for an indefinite period.In an address that many had speculated would announce a nationwide lockdown, Oli also exhorted Nepalis not to hold large gatherings and to restrict all non-essential movement.<iframe style="border: none; overflow: hidden;" src="https://www.facebook.com/plugins/video.php?href=https%3A%2F%2Fwww.facebook.com%2Fwatch%2F%3Ft%3D2%26v%3D669242147237558&amp;width=500&amp;show_text=false&amp;appId=975519809274828&amp;height=500" width="500" height="500" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe>On Wednesday Nepal had already announced the stoppage of all passengers arriving by air from Europe and West Asia, including transit passengers. But that ban did not include airlines flying to Chinese and Indian cities, Bangkok and Singapore from Kathmandu. Now, even those flights will stop operating from Sunday.The flight restriction coincides with India also announcing a ban on all international flights for the same time period. While inter-city bus routes are going to stop from Monday, Oli did not mention a ban on domestic flights within Nepal.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b79599c7e80680e0646fajpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b795c9c7e80680e0646fbjpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b795f9c7e80680e0646fcjpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b79629c7e80680e0646fdjpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b79669c7e80680e0646fejpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b79699c7e80680e0646ffjpeg.jpg" alt="" width="640" height="427">From clockwise: Devotees in Jame Masjid don mask for their Friday prayers. Amidst COVID-19 scare people in Kathmandu stock up on face masks. Ticket counter in Gongabu buspark is crowded with people trying to buy tickets to leave for their villages. Local organisations and students raise awareness about hand washing and coronavirus pandemic. Photos: BIKRAM RAIOli also said there would be special health surveillance at the only four border checkpoints that are allowed between India and Nepal. The prime minister also issued a strong warning to hoarders and black marketeers who create artificial shortages.“I am aware of the difficulties faced by Nepalis abroad about returning home, I ask them to keep in touch with our diplomatic missions abroad,” Oli said in the live tv broadcast from his residence in Baluwatar.

All Nepal flights cancelled 22-31 March

India and Pakistan are twins separated at birth. Tensions between them have been at a hair trigger ever since independence and has erupted into full scale conflict at least four times in the past 80 years.
The 22 April terrorist attack in Kashmir that killed 25 Indian tourists and a Nepali citizen, threatens to escalate tension between the two nuclear-armed nations. India has squarely blamed Pakistan for the attacks, and Prime Minister Narendra Modi has given his military “operational freedom” to respond. Pakistan has said it has credible intelligence of an Indian military strike and its officials have promised a “full spectrum” response — a code for a <a href="https://nepalitimes.com/editorial/thinking-the-thinkable">nuclear retaliation</a>.
For Nepal, the killing of its national in the Pahalgam attack comes as another stark reminder that in conflicts from Afghanistan to Iraq, from <a href="https://nepalitimes.com/opinion/how-to-agree-an-armistice-in-ukraine">Ukraine</a> to Israel, <a href="https://nepalitimes.com/news/10-nepalis-from-one-town-fighting-in-ukraine">Nepalis are getting caught in the crossfire</a>. The last time full-scale fighting broke out between <a href="https://nepalitimes.com/opinion/peacemongers-at-india-pakistan-border">India and Pakistan</a> on Kargil in 1999, at least 22<a href="https://nepalitimes.com/here-now/india-s-trial-by-fire-for-soldiers-from-nepal?%27%5C%22="> Nepalis fighting for the Indian Army</a> were killed in action.
Three of Nepal’s immediate neighbours (China, India, Pakistan) have nuclear weapons, and they do not have good relations. With China supplying weapons, <a href="https://nepalitimes.com/editorial/war-and-warming">missile technology</a> and other support to Pakistan, this triangular friction could set off a regional conflagration.&nbsp;
<a href="https://www.nature.com/articles/s43016-022-00573-0" target="_blank">Research at Rutgers University</a> has calculated that even a week-long tactical nuclear exchange between India and Pakistan would throw up so much smoke and debris into the atmosphere that it would block out the sun for years, and lead to a collapse of the <a href="https://nepalitimes.com/news/grow-nourish-sustain-together-world-food-day">global food system</a>. This does not take into account the radioactive fallout that prevailing winds would blow up to <a href="https://nepalitimes.com/here-now/lives-on-the-line-in-the-himalaya">the Himalaya</a>, contaminating glaciers that are the sources of <a href="https://nepalitimes.com/here-now/saving-what-is-left-of-himalayan-rivers">Asia’s main rivers</a>.
The impact of <a href="https://nepalitimes.com/news/climate-breakdown-linked-to-thame-flood">climate breakdown </a>on High Asia was already ringing alarm bells about its <a href="https://nepalitimes.com/news/himalayan-icecap-melting-faster-than-thought">shrinking ice cap</a> reducing the dry season flow of water downstream. Water was going to be the next strategic commodity, geopolitical experts warned, and the next wars in Asia would be over water.
That water war is already happening. India retaliated to the Kashmir attack by suspending the <a href="https://www.nytimes.com/2025/04/24/world/asia/india-pakistan-indus-waters-treaty.html" target="_blank">Indus Waters Treaty</a> of 1960 mediated by the World Bank that has withstood at least three wars between India and Pakistan. The treaty gives India control over the three eastern tributaries of the Indus (<a href="https://en.wikipedia.org/wiki/Beas_River" target="_blank">Beas</a>, <a href="https://en.wikipedia.org/wiki/Ravi_River" target="_blank">Ravi</a> and <a href="https://en.wikipedia.org/wiki/Sutlej" target="_blank">Sutlej</a>), while Pakistan got water from the Indus and two of its western tributaries (<a href="https://en.wikipedia.org/wiki/Indus_River" target="_blank">Indus</a>, <a href="https://en.wikipedia.org/wiki/Chenab_River" target="_blank">Chenab</a> and <a href="https://en.wikipedia.org/wiki/Jhelum_River" target="_blank">Jhelum</a>.
Pakistan was assured of 70% of the annual flow, and India could use a reasonable amount of water for<a href="https://archive.nepalitimes.com/news.php?id=15231"> irrigation and hydropower</a>. &nbsp;Within days of its threat, India stopped water flowing down to Pakistan from the Chenab river and is reportedly preparing to do the same on the Jhelum.
The sabre-rattling has reached a crescendo. Besides threats and counter-threats there are also symbolic drills, with the Indian Air Force practicing landing on an expressway in Uttar Pradesh by its Rafale, Su-30 and Jaguar fighter jets to demonstrate ‘operational readiness’. In response Pakistan test-fired its Abdali ballistic missile that can carry a nuclear warhead and has a range of 450km.&nbsp;
The danger is that with ultra-nationalist rhetoric and the beating the war drums by both sides, India’s government and Pakistan’s military may have to ‘do something’ to appease domestic public opinion. But any tactical strike, an artillery exchange, or territorial incursion could quickly escalate out of control.
Expecting an Indian retaliation for the Pahalgam killings, Pakistan is using<a href="https://nepalitimes.com/opinion/interfaith-collaboration-for-nuclear-disarmament"> nuclear deterrence </a>and warning of “catastrophic consequences”. The two neighbours came close to a nuclear exchange in 2019 after an attack on the Indian military in Kashmir, and prompt international intervention led by the United States cooled tensions.&nbsp;
This time, the <a href="https://nepalitimes.com/news/trump-shock-wave-hits-nepal">Trump administration</a> is too distracted and not as engaged. Pakistan has denied it was responsible for the terrorist attack and called on Washington to stop a possible Indian retaliation. India and Pakistan have stopped overflights by each other’s airlines, and some international carriers have even stopped flying over Pakistan fearing an air war.
Washington, Beijing, the UN and the EU have all urged restraint. Iran, which has good relations with both India and Pakistan has sent its foreign minister to urge both countries not to go into a tit-for-tat war. Iran has its own nuclear flashpoint to worry about with tensions in Israel, &nbsp;Yemen and Syria.
India and Pakistan both share similar problems of joblessness, <a href="https://nepalitimes.com/here-now/why-nepal-s-poverty-rate-is-stuck">poverty </a>and <a href="https://nepalitimes.com/here-now/climate-change-new-threat-to-nepal-s-rhinos">environmental threats</a>. Neither side needs the threat of a senseless war, and we in the neighbourhood do not need it either.&nbsp;
Kunda Dixit
This Editorial is brought to you by <a href="https://nepalitimes.com/" target="_blank">Nepali Times</a>, in collaboration with <a href="https://inpsjapan.com/en/" target="_blank">INPS Japan</a> and <a href="https://sgi-peace.org/" target="_blank">Soka Gakkai International</a>, in consultative status with UN ECOSOC.

Nukes in the neighbourhood

The streets of Patan are alive this month with lavender jacaranda trees under rain-washed skies as <a href="https://nepalitimes.com/banner/the-red-god-rises-again-in-patan">the chariot of Rato Matsyendranath</a> is pulled across town. This is the festival of the rain god, and inevitably the heavens opened up and pre-monsoon showers pelted the chariot as it started being pulled in Pulchok last week. Thousands of devotees, onlookers and the chariot procession organisers thronged the streets on the first day last week. The rhythmic cymbals and drums exuded a vibrant energy as the enormous four wheels turned and the chariot lurched.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051007050_81df97744db16f732a419dc1f1579d235ce3df37642b078f50b83bd4bd026688.jpg" data-media-id="editor_1" data-image-id="2025051007050_81df97744db16f732a419dc1f1579d235ce3df37642b078f50b83bd4bd026688" data-rendition-name="original" width="1000" height="1503" loading="lazy" alt="Divine chariot"> </figure>  The<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Red-rain-god,3141"> red rain god</a> has Hindu and Buddhist antecedents, alternatively called Bungadya and<a href="https://nepalitimes.com/here-now/kathmandu-s-gravity-defying-chariot-festival"> Karunamaya</a> — reflecting Kathmandu Valley’s syncretic mixture of the two religions.&nbsp; “Bungadya is a profoundly <a href="https://nepalitimes.com/opinion/12-full-opinion/marketing-the-intangible">intangible form of heritage</a>,” explains heritage expert Monalisa Maharjan. “It embodies traditional knowledge,<a href="https://nepalitimes.com/multimedia/reviving-nepal-s-craft"> artisanal skills passed down through generations</a>. Local communities and specific families have specified roles in being custodians of the heritage, ensuring their survival over the centuries.” There are many legends and stories about this annual tradition. Lichhavi king Narendra Dev is supposed to have brought Rato Matsyendranath from Assam to Kathmandu Valley to convince Guru Gorakhnath to lift a spell that created a two-year drought in Kathmandu.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250510050520_347a9a398f8a9abc4a7fb4e2774fde8264cccbdce8bdab23851ab3f0e73c3e8a.jpg" data-media-id="editor_6" data-image-id="20250510050520_347a9a398f8a9abc4a7fb4e2774fde8264cccbdce8bdab23851ab3f0e73c3e8a" data-rendition-name="original" width="1503" height="1000" loading="lazy" alt="Divine chariot"> </figure>  Matsyendranath was Gorakhnath’s mentor, and upon seeing him, the serpents were released, unleashing the rains. The chariot festival honours the return of this life-giving rain. The deity is seen as an icon for thriving agriculture, t<a href="https://nepalitimes.com/here-now/before-the-next-monsoon">he arrival of monsoon</a> showers, and the welfare of the community. Read also: <a href="https://nepalitimes.com/opinion/the-reign-of-the-god-of-rain">The reign of the god of rain</a>, Vidhu Prakash Kayastha Till this day, the Rato Matsyendranath festival is no ordinary celebration. Patan does not sleep for a month as the chariot is pulled through various neighbourhoods. It unfolds at a state level with the president (formerly the king) attending the climax of the Bhoto Jatra in Jawalakhel later this month.&nbsp; The intergenerational transmission of tradition is unique in the world, and the reason the festival is one of the most vibrant cultural expressions that thrives despite inroads of modernity. The other unique aspect is that it is a transnational festival, binding Patan with Guwahati in the Indian state of Assam.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025051005058_8bc685ada13045d863b28e3eed91c931da2b510714586af6fd7eb5d1e298a24a.jpg" data-media-id="editor_9" data-image-id="2025051005058_8bc685ada13045d863b28e3eed91c931da2b510714586af6fd7eb5d1e298a24a" data-rendition-name="original" width="1000" height="1503" loading="lazy" alt="Divine chariot"> </figure>  “Unlike Nepal, where the deity commands grandeur and devotion, many in Assam are unaware of Rato Matsyendranath,” says Khagen Sharma of Gauhati University, which convened <a href="https://nepalitimes.com/news/nepal-assam-connection-revived">a symposium in February in Guwahati on the rain god</a>. Attending was a delegation led by Lalitpur Mayor Chiribabu Maharjan, organisers of the festival, and builders of the chariot. After the symposium, a committee was formed to explore and revive the tradition in Assam as well. Although the team had planned to visit Nepal this month, logistical challenges delayed the trip. Still, there are plans to build a Guru Matsyendranath statue in Assam to reestablish regular worship practices in the Guwahati shrine.&nbsp; The vines used to build the chariot in Patan are sourced from the jungles of Assam. But Sharma notes that in recent years unclear regulations have blocked the official import of the vines, although they are still brought to Nepal informally. The <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/makers-of-machhindranath,2204">chariot making</a> has also had a taste of modernisation in recent times. In the past, even a single nail or piece of steel was avoided. But over time, the wooden structure, particularly the shaft between the wheels, has been replaced with bronze. When that too proved unstable, metal clamps were introduced, which have become a pragmatic compromise.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250510050524_b2a819a5791612f14c81d30fc393dbd3f99f0c64b90a9110e8b0855d944bfa93.jpg" data-media-id="editor_12" data-image-id="20250510050524_b2a819a5791612f14c81d30fc393dbd3f99f0c64b90a9110e8b0855d944bfa93" data-rendition-name="original" width="1500" height="998" loading="lazy" alt="Divine chariot"> </figure>  Another welcome change is the focus on safety. Builders climbing the chariot’s tower now wear harnesses and there are efforts in crowd control. The most visible change in recent years has been the involvement of Patan’s enthusiastic youth in the festival — the tradition is now passing to a new generation. Says Matsyendranath expert Vidhu Kayastha: “There is more energy, the young people in red t-shirts this year were very organised, these modern touches aren’t diluting our culture, they’re keeping it alive in new forms.” He adds, “We are <a href="https://nepalitimes.com/here-now/searching-for-a-homeland-away-from-home">reconnecting with our roots</a>, we have more resources, more awareness than ever before. We must not be swept away by western values that may not serve us, and in some ways, cause more harm than good. We must revive our own culture.”&nbsp;

Divine chariot

Most Nepalis thought they had seen the last of it after <a href="https://nepalitimes.com/news/11-56-25-april-2015-wkc9q2an">the 25 April 7.8 magnitude </a>earthquake ten years ago. But the Himalaya had more surprises in store. On 12 May, another 7.3 magnitude tremor that some said was an aftershock, but was strong enough to itself be a major earthquake, struck Dolakha.&nbsp; Not many people had heard of Singati till then — a cluster of houses by the Tama Kosi River along a narrow gorge that is the roadhead to Rolwaling Valley.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_57b6e316656851f71eca56ca6f98d9bbcc820c1a00d62af3c990725b4361244d.jpg" data-media-id="editor_1" data-image-id="20250508110520_57b6e316656851f71eca56ca6f98d9bbcc820c1a00d62af3c990725b4361244d" data-rendition-name="original" width="1000" height="1500" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_016534fb2b6a79957402281cda768efb83a146786377e39e11df3e251d37159e.jpg" data-media-id="editor_2" data-image-id="20250508110520_016534fb2b6a79957402281cda768efb83a146786377e39e11df3e251d37159e" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>  It was here that dozens were killed on 25 April in the first earthquake. Hundreds of <a href="https://archive.nepalitimes.com/article/nation/Singati-rising-from-rubble-rebuilding,3703">Singati survivors</a> had lined up for food and relief supplies in the morning of 12 May when the second earthquake triggered a rock slide that buried a nearby camp. At least 50 people were killed. &nbsp; Three hours later, a US Marine Corps UH-1Y Venom helicopter landed in a nearby cornfield to pick up the wounded, and flew off. The aircraft lost contact with air traffic control in Kathmandu and its wreckage was located high on Kalinchok four days later. Six American servicemen, two Nepal Army soldiers, and five wounded civilians from Singati were killed. Today, Singati bears little physical scar of the multiple tragedies that struck the town ten years ago. Most <a href="https://nepalitimes.com/multimedia/bungamati-builds-back">houses have been rebuilt</a> as urban-style concrete structures, and Singati has become an economic hub on the road leading up to several hydropower plants and a<a href="https://nepalitimes.com/banner/off-the-beaten-trek-in-nepal"> popular trekking destination</a>.&nbsp; The town looks less like a village and more like a suburb of the Dolakha district headquarter of Charikot, 47km away.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_196f341d1df1403ba133e5dfeb837eec20d7cbcb4c8c56b17cc5598810de5df2.jpg" data-media-id="editor_6" data-image-id="20250508110520_196f341d1df1403ba133e5dfeb837eec20d7cbcb4c8c56b17cc5598810de5df2" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110524_ae66c4a92430f67db51b5e11e017059eedfbac4cb18c8e073f2a50cca1fe904e.jpg" data-media-id="editor_7" data-image-id="20250508110524_ae66c4a92430f67db51b5e11e017059eedfbac4cb18c8e073f2a50cca1fe904e" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> </figure>  “The demand for construction material, cement, iron rods and bricks peaked after the earthquakes,” says Suresh Khadka, who owns a hardware business here and now supplies material to the 456MW Upper Tama Kosi hydropower project that is undergoing repairs after it was damaged by a landslide last year. The demand for cement boomed since most residents believe, not necessarily correctly, that <a href="https://nepalitimes.com/banner/in-a-disastrous-state">cement houses are safer</a>. Although Khadka did well selling construction material after the earthquake, he worries that most new structures do not follow seismic-resistant building codes.&nbsp; The construction boom financed by bank loans has in turn forced many from Singati to <a href="https://nepalitimes.com/banner/making-overseas-migration-better">migrate overseas for work</a> so they can service their debt.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110524_50caa4530bd5ff9120cf7ab70a62173846d337ef448ff8bac339f3faa375a9e2.jpg" data-media-id="editor_10" data-image-id="20250508110524_50caa4530bd5ff9120cf7ab70a62173846d337ef448ff8bac339f3faa375a9e2" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Suresh Khadka</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_ef8b7d3993fc3b5df852bbf952feb3fbabc96d6883b0d5eb74ee5c60f4123b83.jpg" data-media-id="editor_11" data-image-id="20250508110520_ef8b7d3993fc3b5df852bbf952feb3fbabc96d6883b0d5eb74ee5c60f4123b83" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Phu Doma Sherpa (right)</figcaption> </figure>  “My family had no choice but to borrow money to rebuild our home since the government compensation was not enough, and ten years later we are still paying off the loan,” says Phu Doma Sherpa, 60. Because of the shortage of qualified masons and proper seismic engineering, <a href="https://nepalitimes.com/here-now/structural-problems">many of the buildings are of questionable building standards </a>and the traditional architecture has been abandoned, admits Kul Bahadur Budathoki, deputy chair of the municipality. “But these buildings were more expensive than what the government grants could cover, many people here are heavily in debt and the men have <a href="https://nepalitimes.com/here-now/every-day-is-closer-to-pay-day">migrated to the Gulf to pay their loans</a>,” Budathoki says.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250508110520_32f89e97b7e757fc9286c0bbb671f48ea8d4468e9634fa646d7247c650ad8480.jpg" data-media-id="editor_14" data-image-id="20250508110520_32f89e97b7e757fc9286c0bbb671f48ea8d4468e9634fa646d7247c650ad8480" data-rendition-name="original" width="1501" height="1079" loading="lazy" alt="Climate magnifies earthquake risk in Nepal village NT"> <figcaption>Kul Bahadur Budathoki</figcaption> </figure>  Singati is in a multi-hazard zone. The <a href="https://archive.nepalitimes.com/article/nation/Singati,3091">12 May 2015 earthquake </a>could have led to the collapse of Nepal’s largest glacial lake, <a href="https://nepalitimes.com/here-now/stairway-to-heaven">Tso Rolpa</a>, upstream. Due to global warming, the glacier has turned into an expanding lake 3.5km long, and its collapse would have unleashed a catastrophic Himalayan tsunami down the Tama Kosi Valley, with Singati directly in its path. Singati has literally risen from the ashes of 2015, with its residents beginning to recover from the trauma and financial toll. But it is not out of danger as <a href="https://nepalitimes.com/news/climate-breakdown-linked-to-thame-flood">climate breakdown </a>magnifies the risk from future earthquakes.

Climate magnifies earthquake risk in Nepal village

This is the 67th 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. <h2>Alpana Adhikari, UK</h2> Back in Nepal, I had worked as a nurse for a decade, but I had my heart set to go overseas. My reason for <a href="https://nepalitimes.com/banner/migration-not-a-wish-but-necessity-for-nepalis">wanting to migrate</a>, however, was a bit different as it was for my son. He has a disability, and considering his situation from multiple perspectives—including <a href="https://nepalitimes.com/here-now/it-s-all-in-the-mind">societal attitudes</a>, the preparedness of schools, and the availability of facilities for individuals with his condition—Nepal did not feel safe for my baby.&nbsp; I had to migrate, no matter what, for his sake. The facilities here in the UK for children with his condition are significantly better, and I am glad he and my husband will join me in a few months.&nbsp; I was applying via private routes like everyone else when the Government to Government pilot program between Britain and Nepal was announced. Even though the initial program targeted 100 nurses, only 40 of us were able to meet the criteria.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_46f6a3c05fd2d9bdac06a9a478f49079c2c69c783fcf0cc58b75da6128319745.jpg" data-media-id="editor_2" data-image-id="20250511160536_46f6a3c05fd2d9bdac06a9a478f49079c2c69c783fcf0cc58b75da6128319745" data-rendition-name="original" width="720" height="1280" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari started working as a nurse in a hospital in the UK in March.</figcaption> </figure>  I made it to the UK &nbsp;in February 2024 without paying a single paisa to any broker. The G2G scheme was unique as we were treated with dignity and valued for our skills: they covered costs for the <a href="https://nepalitimes.com/opinion/free-visa-free-ticket-policy-in-limbo">ticket and visa</a>, reimbursed us for exams we had taken and costs involved in the preparation and testing of the Objective Structured Clinical Examination were also covered.&nbsp; I started work in March last year, and currently am based in the respiratory ward of a hospital. I am enjoying my work a lot. In one year, I have received 26 WOW nominations which are notes of<a href="https://nepalitimes.com/here-now/the-healer-of-far-western-nepal"> appreciation from patients </a>we have served. ‘Alpana is one of the kindest nurses I have seen. Awesome and talented … always smiling, never appears tired and helps everyone,’ one patient testimonial said. Another: ‘You can see clearly that she cares about her patients…She was cool amidst great stress and ALWAYS with a smile which gave me confidence.’ I am also the International Educated Nurses Advocate which means I can raise issues with management about issues facing <a href="https://nepalitimes.com/opinion/comment/nepali-nurses-now-britain-bound">international nurses</a> here.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_87b959c7550bbd1272ebf840d9f24735db008307ad825e4aa15e66c1662a7fd4.jpg" data-media-id="editor_6" data-image-id="20250511160536_87b959c7550bbd1272ebf840d9f24735db008307ad825e4aa15e66c1662a7fd4" data-rendition-name="original" width="1590" height="1600" loading="lazy" alt="DD 67"> <figcaption>One reason Alpana Adhikari migrated to the UK was so there would be better facilities for her son, who has a disability. </figcaption> </figure>  Recruitment from NHS linked hospitals is free but when we <a href="https://nepalitimes.com/editorial/safer-migration-for-women">migrate through private routes</a>, agencies either charge upfront costs or in some cases, there is wage deduction once the nurses start earning.&nbsp; I have met Nepalis who have paid up to Rs 1 million for the same job. These costs can go even as high as Rs3 million for work in caregiving or nursing homes. I am lucky not to have to pay anyone for my posting.&nbsp; But beyond costs, I think there is also a reputational advantage of coming through the government selection process at the hospital. Such programs need to be expanded more because <a href="https://nepalitimes.com/editorial/nepal-s-nurse-flight">nurses are migrating </a>anyway and it would save people a lot of unnecessary costs and hassles. I will always be protective about Nepal and am grateful for the experience I gained, but it is true that nurses lack dignity in the workplace back home. Nursing is laborious work and completing the education takes a fortune but the <a href="https://nepalitimes.com/here-now/nursing-grievances-against-the-state">pay for nurses in Nepal</a>, other than at a handful of hospitals, is unfairly low.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160540_2a483361070e6e65413cf3bcf3be7af0581044f85c3e6da25a66dc87042af9d9.jpg" data-media-id="editor_10" data-image-id="20250511160540_2a483361070e6e65413cf3bcf3be7af0581044f85c3e6da25a66dc87042af9d9" data-rendition-name="original" width="2048" height="1536" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari while working as a nurse in Nepal.</figcaption> </figure>  It naturally makes nurses want to migrate. People often ask me what the difference in the UK and Nepal is. Work is similar but in terms of technology, there is less paperwork here as everything is digitised. Treatment is also more nurse-led and we have more say while making recommendations about medicine and discharging decisions which can be empowering. Read also: <a href="https://nepalitimes.com/here-now/nepali-nurses-gone-and-going-to-the-uk">Nepali nurses gone and going to the UK</a> I am not sure what it is about nursing but I am always in high spirits and energetic about showing up to work every day. To be a good nurse, you have to have the passion for <a href="https://nepalitimes.com/news/step-by-step-for-rural-health-care-in-nepal">patient care</a>.&nbsp; Sometimes people tell me it is because my family has not yet joined me which has freed up my time to singularly focus on work, but I do not believe that is true. Back home, too, I used to be as passionate about my job.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160540_47851c2c850c936b7bfb23da0f0e8a07620ea213ad929c229b6cca8711adc5d4.jpg" data-media-id="editor_13" data-image-id="20250511160540_47851c2c850c936b7bfb23da0f0e8a07620ea213ad929c229b6cca8711adc5d4" data-rendition-name="original" width="1024" height="768" loading="lazy" alt="DD 67"> <figcaption>Alpana Adhikari (left) during an International Nurses Day rally in Kathmandu.</figcaption> </figure>  What fuels my passion here is the appreciation we get. It is not just about the income. Sometimes after <a href="https://nepalitimes.com/here-now/you-must-be-having-so-much-fun-there?fbclid=IwZXh0bgNhZW0CMTEAAR0OsTusz4rvYDQLvB0bnwhlDvkS3zCQ-UvuoO5manWHC0LGI2c3XY7e6ZY_aem_hR-tZOp4xg1mINPJvwD7Nw">long hours at work</a> when it has been a particularly busy day, a phone message from my manager and colleagues appreciating me for a job well done can go a long way.&nbsp; Likewise, the WOW recommendations from my patients have boosted my confidence. One of my elderly patients who had a <a href="https://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486">mental illness </a>and I bonded, and she felt comfortable enough to open up with me. She would then refer to me as her friend with everyone.&nbsp; It is little things like this that can make a big difference. Perhaps that is why my flat mate and colleagues often question why I don’t look tired even after a long shift. <h2>Binu Gurung, Japan</h2> It has been five-and-half years since I came to Japan under the Specified Skilled Workers (SSW) visa in the nursing category. I had previously come to Japan as a language student as well.&nbsp; I grew up in Ghandruk and had just started my Bachelor’s course when a friend suggested we try<a href="https://nepalitimes.com/business/nepalis-in-japan"> to go to Japan </a>so I just followed the trend and stayed here for three years as a student.&nbsp; Two years after returning to Nepal, I re-migrated to Japan under the SSW scheme which was at its early stages and only open to nursing initially.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_305bb5cb5095da6148911dae8b07356ece5b292148e6c8e57a39fd31d811624b.jpg" data-media-id="editor_17" data-image-id="20250511160536_305bb5cb5095da6148911dae8b07356ece5b292148e6c8e57a39fd31d811624b" data-rendition-name="original" width="720" height="960" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung on arrival in Japan to work as a nurse three years ago.</figcaption> </figure>  I take care of the elderly Japanese who are mostly above 80 years of age, a few even above 100. I try not to get too attached to patients but it is of course not always easy because of the nature of the job and patients we serve.&nbsp; Patients dying of age is common as it is not a care facility where patients recover to return to their homes. Just recently, an elderly lady who had been here from the day I joined 5.5 years ago passed.&nbsp; These leave you a bit खिन्न and emotionally drained. Most are <a href="https://archive.nepalitimes.com/article/nation/dementia-brings-new-problem-that-families-have-little%20knowledge-of,2151">dementia patients</a> who do not &nbsp;even recognise their family members. Some elderly patients are reserved and do not feel comfortable as the work entails helping with personal care tasks like using the toilet or bathing and they can be irritable.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_c840a0b12c20c3d52d9eceec06a0bc8c90208f13e402c50f319583b1c1a93b87.jpg" data-media-id="editor_19" data-image-id="20250511160536_c840a0b12c20c3d52d9eceec06a0bc8c90208f13e402c50f319583b1c1a93b87" data-rendition-name="original" width="694" height="960" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung's work involves taking care of elderly Japanese.</figcaption> </figure>  Building trust and rapport takes time, patience and familiarity. I do not think there is a way to explain how happy I feel when they are happy with the care we provide and thank us in smiles like we are their own family members.&nbsp; My own grandmother back in Nepal was in a similar situation requiring care before she passed and I am able to extend that kind of care to many patients.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250511160536_0f41ad57ae1ac5bd2f406d86cdc5f542b613cef6961d8fdf20c883ee38404b5e.jpg" data-media-id="editor_20" data-image-id="20250511160536_0f41ad57ae1ac5bd2f406d86cdc5f542b613cef6961d8fdf20c883ee38404b5e" data-rendition-name="original" width="1600" height="1067" loading="lazy" alt="DD 67"> <figcaption>Binu Gurung in Yokohama.</figcaption> </figure>  I know that this job is not for everyone. That is why some nurses who come to Japan because they want to just<a href="https://nepalitimes.com/banner/making-overseas-migration-better"> migrate overseas </a>at any cost without considering the kind of employment realise that caregiving might not be for them.&nbsp; You have to be mentally, physically and emotionally prepared for it. If you are short-tempered by nature, for example, it may not be the best fit. However, for those who are genuinely interested in care work like I am, there are many growth opportunities in nursing which are also financially rewarding.&nbsp; While working under the SSW visa, I was able to take training classes on the side and passed the national exam for nursing. I was then able to change my visa from SSW to nursing caregiver visa. My son joined my husband and I recently in Japan and has started school.

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