On the morning of 25 April 2015, as shocked residents of Kathmandu were sifting through the rubble of collapsed homes and temples, there was thunder in the air. Many thought it was another earthquake. A formation of six Indian Air Force MI17 helicopters were flying low over the Lalitpur to land at the airport. Soon after, the Chinese Air Force dispatched its own MI17s, flying over the Himalaya. In the week that followed, the US Marines flew in V-22 Ospreys from Okinawa with mid-air refueling along the way. Then C-17s landed in Kathmandu with UH-1L helicopters in their bellies. Singapore, Israel, Japan, Thailand sent military aircraft with relief and also evacuated their nationals. The Nepal Army only had three small helicopters at the time. So, the most urgent need after 25 April was air support to lift injured people out of remote areas, fly in relief supplies, and conduct aerial surveys of the most affected regions.&nbsp; “The international response was commendable. It was immediate and overwhelming,” recalls &nbsp;Sagar Shrestha of the Nepal Red Cross Society. Indeed, it may have been too overwhelming: the airport soon ran out of apron space as heavy jets started coming in one after another.&nbsp; Despite the intensity of the shaking, there was no damage to the runway and terminal building and the airport was immediately operational. This meant that within 16 hours of the earthquake, a Turkish Red Cross emergency response team had already landed in Kathmandu. The Nepal Army set up a command and control centre at its hangar at the Airport to coordinate relief and conduct medevacs from affected areas. Army personnel accompanied the helicopters to navigate in high terrain. But in the immediate aftermath, it was local communities that sprang into action to dig survivors out of the rubble. Since most of the collapsed buildings in Kathmandu were not concrete high rises, it did not need specialised equipment.&nbsp; Before long, the Nepal Army, Armed Police Force (APF) and the Nepal Police came together in the search efforts, carrying out most of the rescues, pulling babies out alive after 22 hours. “The APF was responsible for search and rescue and the army had the job of transporting wounded people,” recalls Govinda Raj Pokhrel, vice-chair of the Nepal Planning Commission at the time.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250412150420_444da7500f04cad6cb37e728d5dbc09d358e0a08e35ede82b6900dfe416cc41c.jpg" data-media-id="editor_0" data-image-id="20250412150420_444da7500f04cad6cb37e728d5dbc09d358e0a08e35ede82b6900dfe416cc41c" data-rendition-name="original" width="1778" height="1000" loading="lazy" alt="It better be better next time NT"> <figcaption>A Turkish seach and rescue team arrived the very next day after the earthquake because Kathmandu airport was not damaged. Photo: WIKIPEDIA</figcaption> </figure>  The government declared a state of emergency and requested international help within 3–4 hours of the earthquake, and relief flights started arriving immediately. In parts of Kathmandu where concrete structures had collapsed like Gonga Bu, their carbon dioxide life detectors and listening equipment helped locate buried survivors.&nbsp; But it was old fashioned pick and shovel and sniffer dogs that sufficed in most collapsed structures in Bungamati, Bhaktapur, Sankhu and other badly-affected towns. Local first responders and the APF and Army were responsible for most of the rescues. Lack of information to international relief agencies meant that most arrived with equipment that was not really needed. There was also duplication with foreign search and rescue teams stepping on each other’s toes in ruined neighbourhoods. “The government launched coordinated rescue efforts, assigning specific responsibilities to each ministry. For instance, the Ministry of Forests was tasked with managing helicopters arriving from foreign countries to ensure smooth logistics,” adds Pokhrel.&nbsp; Sushil Koirala who was the prime minister at the time, coordinated with the ministers and assigned them responsibilities. The government was slow to coordinate international assistance, and when it finally took charge, it insisted aid go through a ‘one-door policy’ to the Prime Minister’s Relief Fund.&nbsp; This was heavily criticised on social media by Nepalis and foreigners alike, and actually dissuaded many wishing to help to either withdraw or delay providing monetary and in-kind support. The other government decision that was ridiculed was an over-enthusiastic Customs Department that wanted to tax relief material. Although some of the clothing, food and home repair supplies were low quality or inappropriate, obstructing help during an emergency was not a good idea.&nbsp; “There were issues at the airport as large numbers of foreign aircraft were flying in. And the one-door policy for donations to be through the prime minister’s fund became a problem,” admits Pokhrel, adding, “the government was in full control though, which is required during such large-scale disasters.” Pokhrel helped organise an international pledging conference within two months after the earthquake. Even while aftershocks rocked Kathmandu, international donors from 34 countries responded generously with promises of $4.4 billion. However, some of that money was calculated in the help already sent, and much of the pledges never materialised.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250412150420_9d9cde1aad5ed3233702719394f1ca01c99d7c6e4dd8fb12d4bed97bb14b7183.jpg" data-media-id="editor_1" data-image-id="20250412150420_9d9cde1aad5ed3233702719394f1ca01c99d7c6e4dd8fb12d4bed97bb14b7183" data-rendition-name="original" width="640" height="640" loading="lazy" alt="It better be better next time NT"> <figcaption>Most of the rescue of survivors was carried out by Nepal Army and APF. Photo: NEPALI TIMES ARCHIVE</figcaption> </figure>  &nbsp;“Some foreign assistance did come in, but there was no clarity to mobilise and coordinate the relief, which should have come from the government,” says Sagar Shrestha of the Red Cross. The earthquake struck just as Nepal was preparing to promulgate a new Constitution with controversy about its provisions. Unhappy with it, India blockaded border checkpoints for six months, relief supplies was stuck, and there were shortages of food, fuel and medicines. “Nepal was in political transition, so some lack of coordination was understandable, but given the circumstances we did as much as we could,” says Pokhrel of the post-disaster period. Nepal also could not say no to international offers to rebuild monuments which it could have done itself. Large flags of American, Chinese and other countries were painted at reconstruction sites of destroyed monuments.&nbsp; Help comes with strings attached, and it was obvious some countries were deriving propaganda value from it. Because of Nepal’s strategic location, the presence of so many aircraft from India, China and US gave the impression that this was more of a military exercise — especially near sensitive northern border regions. Ten years later, there are lessons to be learnt that will be useful when the next disaster strikes, as it surely will in future. Foreign assistance was robust and rapid, but coordination struggled with logistical, political, and capacity constraints. There was also a glaring need to upgrade urban search and rescue capacity of the security forces — especially for collapsed multi-storey concrete structures because next time we may not be so lucky. &nbsp;Pneumatic drills, rotary rescue saws, concrete cutters, chipping hammers, hydraulic shoring, and life detectors like thermal, CO2 and snake-eyes have to be prepositioned in various parts of the country. Nepal Army also needs more heavy helicopters and station them in bases in Surkhet, Pokhara and Dharan for rapid deployment. The rescue of people from a fire on a high-rise in Itahari earlier this month needed a helicopter to fly all the way from Kathmandu, and that may have been too late if the fire was more serious. Raging forest fires in the past two weeks all over Nepal has also exposed a woeful lack of aerial firefighting capacity, a gap which the Nepal Army could fill with water dropping equipment. This is important because the next earthquake could also be followed by uncontrolled urban fires. Says Sagar Shrestha of Nepal Red Cross Society: “The biggest lesson is that there needs to be better communication about what is needed after a disaster and coordination between Nepal’s agencies and the internationals to make relief flow smooth.”&nbsp;

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It better be better next time

<figure><img width="1802" height="1192" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022111414114/63723d229c7e80680e0c9659jpeg.jpg" alt=""/><figcaption>Photo: WFP / Srawan Shrestha</figcaption></figure>Disaster response usually is just that: responding to disasters after they happen. But with better forecasting, communities can get help before weather extremes induced by the climate crisis unleash floods.October’s unseasonal rains in Nepal was not a surprise, meteorologists using weather modelling had warned of unusually heavy unseasonal post-monsoon downpours. This allowed relief agencies and the government to rush aid to the remote Karnali region of western Nepal. The World Food Programme (WFP) with support from the German government distributed emergency cash, early warning information and other assistance to 3,000 households deemed to be living in high-risk areas.Even so, nearly 100 people were killed when landslides and flash floods hit settlements in the Himalayan foothills in early October, and the heavy rain destroyed ready to harvest paddy in large parts of Nepal. It is called ‘anticipatory action’, and is an innovative new approach to disburse humanitarian aid before a weather-related disaster hits communities that depend on subsistence agriculture. More than 15,000 people in the Karnali Basin benefited from the Rs15,000 cash entitlements per household to help soften the blow of the climate-related disaster.“With reliable forecasts, it is increasingly possible to anticipate extreme weather events and take necessary action in advance,” said Robert Kasca, WFP Representative and Country Director in Nepal.He added, “Nepal is extremely prone to climate-related disasters, and this approach offers a new and effective way of supporting communities not only to cope with, but also adapt to the impact of the climate crisis.”By supporting preparedness and anticipatory action, humanitarian organisations help prevent and mitigate some of the impact of extreme weather events on the food security, nutrition, and livelihoods of at-risk households. This also reduces potential loss and damage, and the cost of later humanitarian response. As world leaders prepare to meet on the climate crisis at the COP-27 UN climate change meeting in Egypt next month, WFP is calling for increased investment in climate change solutions to better protect communities from future climatic shocks like the ones that hit Nepal and the bigger disaster in Pakistan this year.https://www.youtube.com/watch?v=7bkTQ39SWAoLast year, too, WFP provided cash assistance to 1,665 vulnerable households before flood emergencies hit their villages based on accurate weather forecasts. WFP says this was the fastest forecast-based response that it had ever implemented in its history, reaching targeted households in a record four hours, following the onset of sudden flash floods. The cash enabled the families to buy food and other necessities, evacuate family members and livestock to safer places, and protect their houses and assets.Nepal’s Department of Hydrology and Meteorology has upgraded its forecasting systems with real-time satellite data, doppler radar and other equipment. However, while predicting extreme weather has become more accurate, there is still a need for a wider network of precipitation measurement equipment that can prove early warning of localised flash floods.For example, <a href="https://www.youtube.com/watch?v=7bkTQ39SWAo" data-saferedirecturl="https://www.google.com/url?q=https://www.youtube.com/watch?v%3D7bkTQ39SWAo&amp;source=gmail&amp;ust=1666758545445000&amp;usg=AOvVaw1yNKoPldUJ_oZY7yu_f2X_">a sudden debris flow </a>on a small tributary of the Tila River in Kalikot District on 9 October killed 17 people who were attending a funeral on the banks. The neighbouring districts of Jumla, Accham, Dailekh, and Mugu were also hit by deadly landslides.Nepal’s National Disaster Risk Reduction and Management Authority (NDRRMA) has dispatched a technical fact-finding team to determine the impact of the floods and landslides, and to come up with solutions on how to improve early warning to save lives and reduce damage from future climate-related extreme weather events.

Better forecasting reduces flood impact in Nepal

Drones to the rescue in Melamchi

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121140/636b920e9c7e80680e06f127jpeg.jpg" alt="" width="1050" height="701"/><figcaption>Photo: MANISH PAUDEL/NEPALI TIMES ARCHIVE</figcaption></figure>The 2020 southwest monsoon was forecast to be 'normal' in Nepal, but it turned out to be more intense than predicted, and lasted much longer.Last year saw deadly landslides and floods across the country, <a href="https://www.nepalitimes.com/here-now/deadly-monsoon-in-nepal-turns-deadlier/" target="_blank" rel="noopener noreferrer">killing at least 400 people</a>, with Sindhupalchok, Baglung, Myagdi, Jajarkot, Kalikot and Bajura districts bearing the brunt of the disasters. Entire villages were buried and debris flows swept away rocks, trees, bridges and houses.We are now bracing up for the 2021 monsoon season, and it is predicted to be <a href="https://www.nepalitimes.com/here-now/nepal-braces-for-monsoon-pandemic-double-hit/" target="_blank" rel="noopener noreferrer">much more intense than last year</a>. The South Asian Climate Outlook Forum has forecast that this year's monsoon precipitation will be 'above normal' almost throughout the country.This year's monsoon comes after the <a href="https://www.nepalitimes.com/banner/nepal-is-going-up-in-smoke/" target="_blank" rel="noopener noreferrer">worst wildfire season ever</a>, and it could make this year’s monsoon even more destructive. Wildfires that raged for months burnt through forest-shrub cover, undermining the ability of mountain slopes to absorb rainfall and prevent soil erosion. This could potentially result in more landslides and floods.Then there is also the Covid-19 pandemic, that is now <a href="https://www.nepalitimes.com/latest/in-nepal-virus-climbs-from-plains-to-mountains/" target="_blank" rel="noopener noreferrer">raging across the hinterland</a>, and has further compounded the challenges in responding to <a href="https://www.nepalitimes.com/here-now/in-nepal-either-too-much-or-too-little-water/" target="_blank" rel="noopener noreferrer">monsoon-induced disasters</a>. Many local first responders have fallen sick during the second wave of the coronavirus, and those who are fit enough to conduct rescue and relief will find it difficult to maintain safe distance.Given all these considerations, it would be naive to hope that everything will be all right in the next few months, but the slopes are already saturated by pre-monsoon rains and this does not bode well.Here at the National Disaster Risk Reduction and Management Authority (NDRRMA) we are committed to reducing losses in lives and livelihoods by:<ul><li>Preparing joint response during the pandemic to landslides, floods and water borne diseases with federal, provincial, local governments including District Disaster Management Committees for swift rescue and relief operations.</li> <li>Closely working with the Nepal Army, the Armed Police Force, Nepal Police, community groups, non-profits, development partners and the private sector.</li> <li>Improving Early Warning System and communicating disaster risks in more effective ways.</li> <li>Prepositioning search and rescue equipment including relief items.</li></ul>While preparing for this year's monsoon, we have also begun to look beyond 2021. With the right policies and actions, we can achieve our target of <a href="https://www.nepalitimes.com/banner/disastrous-management-in-nepal/" target="_blank" rel="noopener noreferrer">substantial reduction of disaster risk</a> and loss of lives and livelihoods by 2030. It may sound ambitious, but we have a vision to pull it off in sync with the Sendai Framework for Disaster Risk Reduction (2015-2030).<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121140/636b920f9c7e80680e06f128jpeg.jpg" alt="" width="2081" height="1260"><figcaption> </figcaption></figure>Through this year's budget program, the government has unveiled a 10-year campaign to build Suraksit Nepal -- a disaster resilient Nepal which will fast track actions to ensure safety in not just future earthquakes, but other hazards.The 10-year campaign to build a resilient Nepal will use our valuable learning and insights from <a href="https://www.nepalitimes.com/banner/rebuilding-five-years-after-2015-quake/" target="_blank" rel="noopener noreferrer">post-earthquake recovery and reconstruction</a>. In the first few years after the 2015 earthquake, Nepal received unfair bad publicity in the international media for sluggish reconstruction, but the National Reconstruction Authority (NRA) quickly made up for lost time to achieve its mandate.The NRA’s completion of post-earthquake recovery despite the 2015-16 border blockade and the 2020-21 lockdowns is a model for other countries. Nepal is planning an international conference next year to share this success story.To wrap up the post-earthquake recovery, the government has allocated the budget to build 14,155 more classrooms, 105 health facilities, 195 <a href="https://www.nepalitimes.com/banner/learning-from-nepals-past-to-rebuild-its-future/" target="_blank" rel="noopener noreferrer">cultural monuments</a> and 36 government buildings. Similarly, reconstruction and retrofitting of heritage buildings and completion of 39 integrated settlements also feature prominently in this year's budget.This year’s budget also allocates money for disaster preparedness, search, rescue, relief, and rehabilitation. This includes programs for disaster risk financing, helicopters for aerial firefighting, multi-hazard early warning system, multi-purpose robotic firefighting equipment in all provinces, advanced fire brigade, multi-seater ambulance, rescue vehicles and fire trucks at all local levels.This is the first time Disaster Risk Management has featured so prominently in Nepal's national budget. Disasters are traditionally seen as acts of god in Nepal, this is why there was little will to work on prevention.We now see a paradigm shift in this thinking. We are moving from response more towards <a href="https://www.nepalitimes.com/banner/nepal-villages-learn-to-cope-with-climate-crisis/" target="_blank" rel="noopener noreferrer">preparedness and risk reduction</a>. Rather than waiting for disasters to happen and spending financial, human and institutional resources on rescue and relief, our new emphasis in this decade is on disaster risk reduction and preparedness for effective response.As part of the 10-year campaign to build a disaster resilient Nepal, we need to plan, design and implement:<ul><li>Multi-hazard risk assessment and mapping</li> <li>Establishment of a national platform to communicate risk information</li> <li>Early warning system using all forms of media for all hazards</li> <li>Disaster risk financing with insurance of private houses and public buildings</li> <li>Integrated settlements for communities at high-risk locations</li> <li>Guidelines and system to reconstruct infrastructure damaged by disasters</li> <li>Revision of the building code to integrate key risks such as floods, fire and lightning and create incentives for implementation</li> <li>Reduction of Glacial Lake Outburst Flood risks</li> <li>Design standards to integrate disaster and climate risks for roads, water supply and irrigation</li> <li>Establishment of Provincial Disaster Risk Reduction and Management Authority at all seven provinces</li> <li>Establishment of Emergency Operation Centers at all seven provinces, 77 districts and key municipalities with high risks</li> <li>Building capacity of provincial and local governments to integrate risk considerations into development planning</li> <li>Restructuring of NDRRMA to include a Training and Research Directorate for disaster risk reduction</li></ul>Successful completion of these tasks will lay the groundwork for the 10-year plan. Its success will not only save lives and livelihoods, but also reduce recurrent economic damage and loss from disasters.Anil Pokhrel is the Chief Executive of the National Disaster Risk Reduction and Management Authority (NDRRMA).

A disaster resilient Nepal is possible

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

New year revolutions

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

What is invisible is more dangerous

82 in २०८२

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

disaster-response