<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb2899c7e80680e07baebjpeg.jpg" alt="" width="2048" height="1366"/><figcaption>All photos; BIKRAM RAI</figcaption></figure>On 1 September, the first day that the Nepal government reopened regular flights after nearly six months, there were no scheduled flights – all four were chartered <a href="https://www.nepalitimes.com/latest/repatriation-regular-flights-to-nepal-to-resume/" target="_blank" rel="noopener noreferrer">repatriation flights</a>.Nepal Airlines operated flights from Doha and Kuwait, and the private Himalaya Airlines flew in stranded Nepali workers from Doha, with one more cargo flight from Kunming. Doha, Kuwait and Saudi Arabia are three countries to and from which regular flights are not yet allowed because of the difficulty for Nepali workers to get PCR tests before boarding.However, airlines are expected to <a href="https://www.nepalitimes.com/latest/nepal-to-open-regular-flights-from-1-september/" target="_blank" rel="noopener noreferrer">start operating regular flights</a> from countries where PCR tests are easily available this week with limited frequency, destinations and passengers. A Nepal Airlines Airbus will leave on its first regular flight since March to Tokyo Narita just after midnight on 1 September.Nepal Airlines will be operating two more flights to and from Narita this month, as well as four to Kuala Lumpur and Dubai. Altogether there will be 14 flights during September to and from Kuala Lumpur by Nepal Airlines, Himalaya, Malindo and Malaysia Airlines.Most other airlines are flying once a week with limited passenger loads to comply with the Civil Aviation Authority of Nepal (CAAN) limit on the number of arriving passengers. Earlier, CAAN had set a limit of 500 passengers a day, but has now increased it to 800, which includes chartered flights.International Airlines operating limited scheduled flights are Turkish Airlines, Qatar Airways, Etihad, Oman Air, Fly Dubai, Malaysia Airlines, Dragon Air, China Southern and Air China. Permission has not yet been given for flights from Indian cities because of the<a href="https://www.nepalitimes.com/banner/as-india-peaks-covid-19-spreads-rapidly-in-nepal/" target="_blank" rel="noopener noreferrer"> continuing rise in the number of Covid-19 cases </a>there, airlines sources said.So far, the government is allowing only Nepalis, diplomats, aid agency officials and their families to fly to Kathmandu on these flights. They will all need RT PCR negative reports done only 72 hours before their flights, and they will have to stay for seven days in home isolation (for Nepalis) and hotel quarantine (for foreigners).An exception has been made for a 13-member <a href="https://www.nepalitimes.com/latest/nepal-allows-royal-himalayan-expedition/" target="_blank" rel="noopener noreferrer">Bahraini mountaineering expedition to Manaslu</a> that includes three Britons – the only tourists allowed into Nepal so far this season.There were 262 Nepali workers arriving on two flights from Doha on Tuesday, and they were taken province-wise from the airport to their designated holding centres by the Nepal Army to await results of their PCR tests. If negative, they will be allowed to go home and self-quarantine for 14 days.The restriction on passenger capacity and frequency means that the cost of tickets to and from many destinations are much higher than pre-lockdown fares.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb28c9c7e80680e07baecjpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb2909c7e80680e07baedjpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb2939c7e80680e07baeejpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb2969c7e80680e07baefjpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb2999c7e80680e07baf0jpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110915110/636bb29c9c7e80680e07baf1jpeg.jpg" alt="" width="2048" height="1365"><figcaption></figcaption></figure>All photos: BIKRAM RAI

original

674x448

610x380

500x500

400x266

400x240

400x203

301x200

1250x600

1084x550

Nepal allows limited international flights

<figure><img width="1818" height="1016" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109141112/636ba7909c7e80680e07378ejpeg.jpg" alt=""/><figcaption>Photo: KUNDA DIXIT</figcaption></figure>In another reversal of policy, the Nepal government announced on Tuesday that it will resume flights to repatriate Nepali workers stranded abroad till 31 August. After that airlines will be allowed to operate limited regular international flights.On 17 August, the Covid-19 Crisis Management Committee (CCMC) abruptly cancelled permission for chartered repatriation flights that were previously scheduled till the end of the month. Now, the Ministry of Tourism and Civil Aviation says the chartered flights will be allowed for the coming week, so that 4,000 Nepalis stranded abroad can return. After 1 September, airlines will be allowed limited scheduled flights as long as the number of arriving passengers in Kathmandu airport does not exceed 500 daily.The Ministry’s timetable includes chartered flights by Air Arabia from Sharjah on Tuesday, Etihad from Abu Dhabi and Fly Dubai from Dubai on Wednesday. Nepal’s own carriers, Himalaya Airlines and Nepal Airlines will conduct chartered flights from Saudi Arabia on 27 August. On Thursday Turkish is flying in Nepalis who are stuck in Europe and North America, and Qatar Airways has a flight on Friday. Both airlines will be allowed to carry only 100 passengers inbound so as not to exceed the 500 limit at the airport. On Saturday, Silk Air is flying in Nepalis from Australia and Singapore, while Korean Air will operate from Incheon.All passengers will need PCR negative reports done not earlier than 72 hours prior to boarding. The government has also reversed its earlier requirement that all passengers, even those with PCR reports, have to spend at least one week in a hotel quarantine in Kathmandu at their own expense. Passengers with PCR negative reports will now be allowed to go home for 14 day self-isolation.However, countries where PCR tests are difficult to obtain, like Qatar, Saudi Arabia, and Kuwait, can fly to Kathmandu without those reports, but have to stay one week in hotel quarantine on arrival in Kathmandu. They have to pay the hotel costs to the airline with their tickets.The government says it will strictly not allow airlines to mix passengers with PCR negative tests with those who do not have those tests.

Repatriation, regular flights to Nepal to resume

<figure><img width="960" height="452" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914118/636ba67c9c7e80680e073724jpeg.jpg" alt=""/><figcaption>Nepali workers in Dubai after learning of the last minute cancellation of their flight to Kathmandu early Tuesday morning. Photo: NRNA UAE</figcaption></figure>Nepal’s sudden decision on 17 August to cancel all repatriation flights in and out of Kathmandu has left in the lurch tens of thousands of Nepalis abroad waiting to return home, as well as families and students who had already bought tickets to fly out.The government’s Covid-19 Crisis Management Committee (CCMC) which is chaired by Defence Minister Ishwor Pokhrel abruptly announced the cancellation on Monday night, the day airlines had started a new phase of repatriation flights till 31 August. This extended the uncertainty for many Nepali workers in the Gulf, Malaysia, Korea and Japan who had registered with embassies to come home. In addition, students and families who had confirmed bookings have been told outbound flights have been cancelled indefinitely.The CCMC’s Mahendra Guragain said the reason was that hotels that had been set aside for quarantine were not yet ready. However, many have pointed out that this is not logical because the number of arriving passengers had been reduced to 500 per day from this phase of repatriation flights – half the number arriving till last week.Over at the Ministry of Civil Aviation and Tourism, deputy secretary Buddha Sagar Lamichhane had a different reason about why the scheduled charter flights were cancelled: “It is because the number of confirmed Covid-19 cases is rising and there are neighbourhoods going into lockdown.”So, is it the lack of hotels or the rise in number of cases? When we put that question to the CCMC, they referred us to the government, even though the committee is made up of government ministers. The authorities at Kathmandu airport said they had no idea why the pre-scheduled flights had to be cancelled, and told us to ask the Ministry of Tourism. The Ministry of Tourism said it was the CCMC’s decision. <figure><img width="590" height="753" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914118/636ba67e9c7e80680e073725jpeg.jpg" alt=""><figcaption>Letter from the CCMC abruptly announcing the cancellation abruptly on Monday night.</figcaption></figure>Amidst this confusion, there is growing anger – especially among Nepali workers overseas who have been waiting for nearly six months for flights to Nepal and have run out of money and patience. Many had to turn back from airports in Dubai, Doha and Kuala Lumpur, and had already spent $50 carrying out mandatory PCR tests 72 hours before boarding. A Nepal Airlines Airbus 330 that had flown to Dubai to pick up passengers returned empty because of the government decision while it was en route.Nepali workers have been pouring outrage and scorn at the government for its mishandling and confusion. Many are threatening to start a campaign not to send money home via official government channels anymore to be taxed, and instead use unofficial hundi channels. Wrote one angry Facebook user in the Gulf: ‘We are not anymore going to let our remittance go to officials who will squander our hard-earned money.’Many <a href="https://www.nepalitimes.com/latest/nepal-grapples-with-bringing-workers-home/">stranded workers</a> say they have got no information at all from the government, the airline or the embassies about why the flights were announced and suddenly cancelled. They are even angrier about the mixed messages: is it because of the lack of quarantine hotels in Kathmandu, or because of government agencies working at cross purposes?“How can there not be enough hotels when the numbers flying in every day is going to be half of what it was last week?” asked one harried family member of a student booked on a flight later this week.Some flights, like Turkish Airlines, were allowed to land on Tuesday because passengers in North America and Europe had already boarded when the government made the announcement.“The government should just come out and tell the truth, that it is because case numbers in Kathmandu are rising,” said one airline source. ‘Why all this confusion? Also, if there are not enough quarantine hotels, why stop outbound passengers? Why stop people who want to leave?” <figure><img width="733" height="881" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110914118/636ba6809c7e80680e073726jpeg.jpg" alt=""><figcaption>Nepal Embassy in the UAE listing repatriation flights for Nepali workers which were later cancelled.</figcaption></figure>At a time when Kathmandu’s hotels are reeling from the collapse of the tourism industry, the government could have easily designated different categories of hotels for quarantine and set a room tariff for each. For international airlines, what is most frustrating is that the CCMC this time has not set a date on when charter, or regular flights can resume. International airlines are all in wait-and-watch mode, and have had to cancel up to 5,000 passengers who had been booked on outbound flights from Kathmandu in the coming weeks. Domestic airlines which were set to resume operations on 17 August have also been told to postpone the restart indefinitely. But the operators, whose planes have been <a href="https://www.nepalitimes.com/latest/all-nepal-flights-cancelled-22-31-march/">grounded for five months</a>, say they cannot do so any longer and have threatened action if flights are not allowed to resume on 31 August. The government says the spread of Covid-19 has put Tarai cities under lockdown, so there will be no passengers anyway.  “The government should just allow flights, and let us worry about passengers. We have done our rehearsals with safety protocols and can operate safely,” says Birendra Basnet of Buddha Air, Nepal’s largest domestic airline.  Nepal Airlines which had 17 repatriation flights and Himalaya Airlines with 14 flights from the Gulf and Malaysia have cancelled charter flights scheduled for the next two weeks, leaving thousands of Nepali workers stranded. This phase of repatriation flights would have been from 17-31 August and would have brought in 7,000 passengers. More than 51,000 Nepalis have returned on repatriation flights since they started on 15 June, but there are still another 250,000 who have registered with various embassies to return home. Previous passengers all needed coronavirus negative certificates, and were tested again on arrival and allowed to go home to self-isolate if they were negative. Public health sources say the real danger of virus influx is from those coming unregulated across the land border, and not so much those who fly in because of the strict rules on having PCR negative tests 72 hours prior to departure.

Chaos as Nepal bans repatriation flights

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

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.

covid-19-repatriation

Nepal allows limited international flights

Repatriation, regular flights to Nepal to resume

Chaos as Nepal bans repatriation flights

New year revolutions

What is invisible is more dangerous

The healer of far-western Nepal

82 in २०८२