<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114131116/637232639c7e80680e0c4891jpeg.jpg" alt="" width="1500" height="998"/><figcaption>APasang Lama Sherpa with his donation box on the Everest Trail. All photos: DUSTYNEP</figcaption></figure>The name Sherpa has become synonymous all over the world with mountaineering guides, but here in the villages below Mt Everest Pasang Lama Sherpa is better known as someone who has <a href="https://www.youtube.com/watch?v=-qYOUIhLFe0">dedicated his life</a> not for fixing ropes on Mt Everest, but for maintaining the walking trails.The 78-year-old Khumjung native is no engineer, but his lifelong work has made the Everest trail safer for thousands of trekkers and villagers below the world’s highest mountain.Pasang Lama is a familiar face as he sits by the trail every day with a blue box for <a href="https://www.youtube.com/watch?v=RN9eIgssRcQ">donations from trekkers</a>, and a register to note down names and amounts. It is like a voluntary toll booth, and the money goes to the trail’s upkeep.People here affectionately call him Lama Seru, and the man with the wizened face and glasses, began his career in the trekking industry at age 18. He was appalled by the dismal condition of the trails, and was determined to make them less dangerous for porters like himself.He quit portering and in the 1960s started maintaining trails with his wife Lakpa Yangji around Dingboche village which is situated at an altitude of 4,410m. Eventually, he rallied a team to widen other paths along the steep slopes to connect villages in Upper Khumbu for the benefit of locals.As trekking and mountaineering took off, footfalls on the trails grew, and with it the need to maintain the and repair the dangerous sections. For Pasang Lama and his wife, the only reward is a sense of personal fulfillment that comes from providing a public service.“I have revived trails in two wards here,” says Pasang Lama with pride. “Everyone is happy to walk along these paths because we have cleared all the bushes and thorns.”After the Sagarmatha National Park was established in 1976, Pasang Lama worked with it to streamline the paths. Finally in 2012, the Himalayan Trust set up by Edmund Hillary, recognised the couple for their years of service to the community.The trail from Namche to Tengboche is now a wide two-way path easily navigable for trekkers and yak trains, despite dangerous cliff drops. <a href="https://www.nepalitimes.com/here-now/everest-trail-repaired-during-pandemic/">During the pandemic lockdown</a>, locals also laid down steps and railings along the steeper sections.For now, Pasang Lama sits by the trail with his donation box and a sign (right) that reads: ‘Dear visitors, this man Pasang Lama Sherpa has been doing social work to build, mend and maintain the main trail to Everest Base Camp with high spirit and solemn determination. Visitors are requested to make a small donation to support and encourage this devoted man to continue his sacred work, so that all the inhabitants and visitors in this area will be befitted on the days ahead.'<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114131116/637232679c7e80680e0c4892jpeg.jpg" alt="" width="1500" height="1125">North of the airfield at Lukla, most supplies reach the higher villages by porters carrying heavy loads, or on mule and yak trains. Namche is the largest town on the trekking route, but above the popular tourist hub there are only smaller seasonal settlements.There are plans to <a href="https://www.nepalitimes.com/here-now/nepal-building-a-highway-to-everest/" target="_blank" rel="noopener noreferrer">extend the roadway</a> from Phaplu to Lukla, which is currently only accessible through the Tenzing-Hillary Airport or on foot. While there is some support for the road, others have argued that the road might disrupt the local environment if it connects the national park.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114131116/6372326b9c7e80680e0c4893jpeg.jpg" alt="" width="1500" height="1000">The lack of a motorable road means that local people have to pay more for basic items. A Rs1,800 cooking gas cylinder in Kathmandu may <a href="https://www.nepalitimes.com/here-now/nepal-building-a-highway-to-everest/" target="_blank" rel="noopener noreferrer">cost up to Rs15,000</a> in Upper Khumbu due to the additional transport cost. Helicopters can reach the higher villages above Namche, but that makes the items even costlier.In 2017, the construction of a new bridge over the Dudh Kosi River at Orlang Ghat raised hopes for easier vehicle access to the Solu Khumbu.The road is being extended to Chaurikharka, a village at 2,800m in altitude, near Lukla, and a day’s walk down from Namche. For now, most locals including Pasang Lama Sherpa are in favour of the better connectivity that the motorable road will bring, and he sometimes walks down to watch the excavators in action.He says, “With the new road, my family members from the city can visit me whenever they want.”

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The trail builder of Everest

<figure><img width="926" height="648" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be26c9c7e80680e083ea7jpeg.jpg" alt=""/><figcaption>The Everest Trail has been spruced up during the pandemic for a new influx of visitors expected next year. All photos: ANG RITA SHERPA</figcaption></figure>The communities along the Everest Trail have been using the past nine months of the Covid-19 slump in tourism to clean up and upgrade the trekking routes below the world's highest mountains.The Nepal government had declared 2020 Visit Nepal Year with a target of attracting 2 million tourists, and there was a lot of hope here that the increased footfall would bring more income. But the Khumbu region was sealed off at the height of the spring tourist season in March and remained closed for non-Nepalis <a href="https://www.nepalitimes.com/here-now/everest-trail-reopens-but-cautiously/" target="_blank" rel="noopener noreferrer">till 17 October</a>.Since then trekkers have trickled back, marvelling at how clean and quiet everything is.The reason it is quiet is that there are hardly any visitors along the trails, and <a href="https://www.nepalitimes.com/latest/virus-fear-closes-everest-treks-again/" target="_blank" rel="noopener noreferrer">a coronavirus outbreak</a> in Namche kept even limited visitors away since October. But the reason the Everest region is clean is that local communities have used the crisis to build back better.      <figure><img width="1310" height="529" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be26f9c7e80680e083ea8jpeg.jpg" alt=""><figcaption> </figcaption></figure>To be sure, the global pandemic has been a mixed blessing for the Sherpa people who live below Mt Everest. On the downside, the shutdown meant that the region’s economy suffered a direct hit. Many families lost their seasonal source of income from trekkers, many had taken loans to build lodges in anticipation of more trekkers in 2020. For the thousands of porters, kitchen staff, yak and pony caravan owners, and traders it has been an unimaginable disaster. Lukla airfield, which used to get 60 flights a day, was closed after <a href="https://www.nepalitimes.com/latest/more-stranded-tourists-evacuated-from-nepal/" target="_blank" rel="noopener noreferrer">the last trekkers flew out</a> in March. It only reopened in early October, and <a href="https://www.nepalitimes.com/latest/nepal-open-for-trekking-from-17-october/" target="_blank" rel="noopener noreferrer">foreign trekkers and mountaineers were allowed back from 17 October</a>.The Sagarmatha National Park got more than 60,000 visitors in 2019 – nearly ten times the local population of the region. So far this year, it has got only 4,000, and most of those <a href="https://www.nepalitimes.com/latest/everest-trek-closed-open-closed-open-again/" target="_blank" rel="noopener noreferrer">after October has been Nepali tourists</a>. The National Park’s income has been sharply reduced, affecting its conservation work.Sherpas who usually travel to the other parts of the world for work as mountain guides and other jobs have not been able to go this year. Sixty households in Khunde, for instance, have members that used to <a href="http://archive.nepalitimes.com/article/nepali-times-buzz/nepali-sherpas-making-steps-in-norway,1539" target="_blank" rel="noopener noreferrer">travel to Norway every summer</a> to work on hiking trails there. The families have been deprived of that income. <figure><img width="623" height="767" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be2729c7e80680e083ea9jpeg.jpg" alt=""><figcaption> </figcaption></figure><figure><img width="602" height="759" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be2749c7e80680e083eaajpeg.jpg" alt=""><figcaption> </figcaption></figure>Another negative side-effect of the lockdown was an increase in poaching. The National Park saw one of its most serious cases in April when <a href="https://www.nepalitimes.com/latest/7-musk-deer-killed-by-poachers-during-lockdown/" target="_blank" rel="noopener noreferrer">six rotting bodies of the endangered Himalayan musk deer and a gold eagle were found</a> caught in wire traps. Altogether 54 other traps set by poachers were found and dismantled. There was also an increase in illegal logging.Despite all this, the pandemic has had silver linings. Carbon emissions dipped, there was almost no carbon monoxide in the air for six months. Particulates, sulphur dioxide and nitrous oxide concentrations dropped. Mt Everest was even visible from Kathmandu for the first time in many years.<a href="https://www.nepalitimes.com/here-now/survive-2020-revive-in-2021-and-thrive-in-2022/">“Survive 2020, revive in 2021 and thrive in 2022”</a>, Alisha SijapatiThe peak itself got a much-needed respite from the traffic jams of previous years after the government cancelled all expeditions to the mountain. <a href="https://www.nepalitimes.com/banner/saving-gokyo-from-itself/" target="_blank" rel="noopener noreferrer">Popular destinations like Gokyo Lake</a> got a chance to revitalise itself from the pressure of tourism. Nepali mountain guides and porters, who did not get any clients in 2020, were instead engaged by local communities in repairing and upgrading trails and bridges and cleaning up. Complaints by visitors from previous years about the poor state of trails, trash management, lack of signage, etc were addressed.   <figure><img width="892" height="421" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be2769c7e80680e083eabjpeg.jpg" alt=""><figcaption> </figcaption></figure>An example of work accomplished during the lockdown is the response of Khumjung which made some dangerous sections of the Everest Trail safer, as damaged bridges were maintained. Most volunteered for the work under the principle of ‘for the villagers, by the villagers, to the villagers’, in the firm belief that that ‘every problem provides an opportunity’.Some who have returned from similar work in Norway and elsewhere put their new skills to good use in rehabilitating the trails using local materials.The youth of Khunde, Khumjung, Thame, and Namche were self-motivated to make a great effort to conserve and preserve the cultural heritage of their people and respect the gift of their ancestors. Overgrown mani walls and chaitya along the trails have been repainted and cleaned up. <figure><img width="578" height="742" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be2789c7e80680e083eacjpeg.jpg" alt=""><figcaption> </figcaption></figure><figure><img width="677" height="740" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109181124/636be27a9c7e80680e083eadjpeg.jpg" alt=""><figcaption> </figcaption></figure>For the first time, many Sherpa children who would otherwise have been in school in Kathmandu were at home and could observe important rituals like the Dumji festival in June and Mani Rimdu this month.The women's group in Khumjung had used the lockdown period to clean their neighbourhoods and put in place a waste management system that has set an example for other communities in Nepal.Ang Rita Sherpa is Chair of <a href="https://thepartnersnepal.org/team/" target="_blank" rel="noopener noreferrer">The Partners Nepal.</a>

Everest Trail repaired during pandemic

https://www.youtube.com/watch?v=5nvOL_MJ2KI&amp;feature=youtu.beFlying from <a href="https://www.nepalitimes.com/banner/more-than-luck-in-lukla/" target="_blank" rel="noopener noreferrer">Kathmandu to Lukla</a> today is almost like taking an international flight. Passengers need a negative RT PCR report not older than 72 hours, have to wear masks, visors and latex gloves on the 45-minute Twin Otter flight.  The <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener noreferrer">Khumbu Valley</a> below Mt Everest is so far coronavirus-free, and residents here want to keep it that way.Which is why they have enforced strict rules on outsiders. Since flights restarted on 17 September, Nepalis who had been cooped up for months by the lockdown are making up for the absence of <a href="https://www.nepalitimes.com/latest/trekkers-welcome-in-nepal-but-conditions-apply/" target="_blank" rel="noopener noreferrer">foreign trekkers</a>. Non-Nepali tourists are going to be allowed to fly to Kathmandu after 30 October, although many trek reservations have been cancelled. <img width="640" height="359" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb179c7e80680e0802a3jpeg.jpg" alt=""/>Ang Jangmu Sherpa (pictured left) owns Rivendell Lodge in Debuche which has a stunning view of <a href="https://www.nepalitimes.com/banner/nepal-china-re-measure-height-of-mt-everest/" target="_blank" rel="noopener noreferrer">Everest</a>, Lhotse and Ama Dablam. She is happy several groups of Nepalis arrived after the <a href="https://www.nepalitimes.com/latest/nepal-allows-royal-himalayan-expedition/" target="_blank" rel="noopener noreferrer">Bahrain Royal Guard expedition</a> members came last month to acclimatise and train in the area. “It’s not just our Khumbu region where businesses are suffering. The entire world is affected by Covid,” she said. “We have invested a lot of money to build this place, and suddenly we are in the midst of this crisis.”Aside from the economic difficulties, Ang Jangmu is also worried about visitors bringing the coronavirus to the Khumbu. But she adds: “As long as people take precautions, get PCR tests, Nepalis are welcome and that would be good enough for now.”Records show nearly 60,000 visitors entered the Sagarmatha National Park last year, contributing more than Rs180 million in fees and permits. That does not include another levy charged by the municipality, and also what tourists spend on food, lodgings and paying porters.  <figure><img width="960" height="720" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb199c7e80680e0802a4jpeg.jpg" alt=""><figcaption> </figcaption></figure>The spring season had just started in March when the Covid-19 pandemic hit, the government cancelled all <a href="https://www.nepalitimes.com/banner/hiking-in-the-himalaya-during-covid-19/" target="_blank" rel="noopener noreferrer">trekking and mountaineering</a>, and tourists had to rush back to Kathmandu to catch flights out before Nepal went into lockdown on 24 March.There had been zero tourists since then. In September, Nepali trekkers started trickling in and the only foreign mountaineering expedition this autumn climbing Mt Manalsu in central Nepal had acclimatised on nearby Mt Lobuje last month. <figure><img width="640" height="480" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb1b9c7e80680e0802a5jpeg.jpg" alt=""><figcaption> </figcaption></figure>Many lodge-owners are happy that at least Nepali visitors are finally arriving in the Khumbu after a quiet spring and monsoon, and they see no reason why foreigners should be kept away, as long as they take health precautions. “Either the government should look after tourism-sector workers like us, or it should end restrictions on movements of tourists and allow them to travel to the Himalaya with necessary safety measures,” says mountain guide Dawa Nuru Sherpa (left) in the village of Pangboche. “Porters have no work, hotels are facing problems. We should welcome Nepalis, at least people like us can work and earn our living.”Dawa Nuru was happy that his sons and daughter could work for the Bahrain Royal Guard expedition team on Lobuje, and is glad to see several groups of Nepali trekkers have spent night here on their <a href="https://www.nepalitimes.com/banner/too-many-mules-on-the-everest-trail/" target="_blank" rel="noopener noreferrer">way to Everest Base Camp</a>.Nepali tourists are taking advantage of attractive packages offered by airlines, helicopter companies and lodges in the Khumbu. Tara Air, for example, is discounting roundtrip Kathmandu-Lukla flights with four days to Namche and back for only Rs14,000. <figure><img width="640" height="359" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb1d9c7e80680e0802a6jpeg.jpg" alt=""><figcaption> </figcaption></figure>“We wanted to use the opportunity to get to see Nepal," said Bishnu Parajuli from Butwal, who works in Abu Dhabi, and has been stuck in Nepal because of the lockdowns. "We followed all the travel safety protocols to visit Gokyo. It was worth every paisa we spent and every step we took. It was amazing and unforgettable.”Pasang Yangji Sherpa who runs Sherpa Guide Lodge in Phakding was happy to greet visitors after months. As 27 Nepalis arived from Lukla, she had a busy morning last week preparing food and rooms for them. Her neighbor Indra Maya Magar, also a lodge owner, came to help. Pasang Yangji said, “It’s a crisis time but now I’m happy to welcome Nepali tourists. We are following health guidelines, although sometimes in the kitchen or restaurant it is difficult." <figure><img width="640" height="480" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb1f9c7e80680e0802a7jpeg.jpg" alt=""><figcaption> </figcaption></figure>In Khumjung, lodge owner Lhakpa Dorje Sherpa, who has climbed <a href="https://www.nepalitimes.com/here-now/measuring-mt-everest-because-it-is-there/" target="_blank" rel="noopener noreferrer">Mt Everest</a> and Ama Dablam twice each, looks worried. Khumjung is slightly off the beaten track on the trail between Namche and Tengboche, and few villagers wear masks. Last week, he talked to visitors from two metres away, wore a mask, and encouraged them to use his sanitiser.“The PCR tests you do in Kathmandu may not be reliable because you move a lot after that test: you were in a plane, met people after that, you may have caught the virus along the way. We have also heard there are fake PCR reports,” he says. Pasang Lhamu Rural Municipality in Namche, has set up health check posts along key trails that require PCR negative reports from all visitors. The municipality is trying to set up PCR testing facilities in Lukla and Namche, not just for trekkers, but also for the porters they hire who are mainly from further down the Valley in Okhaldhunga or Khotang. <figure><img width="640" height="480" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb219c7e80680e0802a8jpeg.jpg" alt=""><figcaption> </figcaption></figure>“We don’t have the right health infrastructure at present for PCR tests,” says Lhakpa Tsheri Sherpa of the municipality, “for the moment we have no choice but to rely on PCR reports from Kathmandu.”<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109171152/636bdb239c7e80680e0802a9jpeg.jpg" alt="" width="640" height="359">It is not just the tourist lodges that are suffering, Sagarmatha National Park also depends on revenue from trekker fees to finance its conservation work, and has been hurting from the loss of income.  The Park’s Chief Conservation Officer Bhumiraj Upadhyay (pictured left) has this piece of advice to <a href="https://www.nepalitimes.com/here-now/declare-a-health-emergency/" target="_blank" rel="noopener noreferrer">prospective visitors over the Dasain holidays</a>:  “Please make sure that you get a proper PCR test before coming here. If you do so, you will know that you are safe and you will help people of Khumbu remain safe from the virus.”

Everest Trail reopens, but cautiously

https://www.youtube.com/watch?v=jdJPUVWW9U4&amp;feature=youtu.beMt Everest has been called the ‘The World’s Highest Garbage Dump’ or ‘The Toilet Paper Trail’, but the international media has missed the good news: that Sagarmatha National Park is cleanest it has been since tourism started in the 1960s. And it is about to become even more garbage free as every visitor will be asked to volunteer to take down 1kg of trash back for collection by recyclers at Kathmandu airport.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58379c7e80680e05481fjpeg.jpg" alt="" width="938" height="1005"/>Photo: TOMMY GUSTAFSSON<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a583a9c7e80680e054820jpeg.jpg" alt="" width="1191" height="1257">Photo: ALTON C BYERSA ‘Carry Me Back’ bag that will contain 1kg of pre-processed solid waste that tourists will carry back to recycling facilities in Kathmandu.The spring 2019 climbing season saw another surge of international media coverage with daily stories of <a href="https://www.nepalitimes.com/banner/most-days-its-not-so-crowded-on-mt-everest/">‘traffic jams’</a>, newly exposed garbage, bodies and helicopter parts that surfaced as the mountain thawed due to climate change.Some 400 tons of plastic, metals, glass and other refuse is generated each year by lodges catering to the tourist industry, the bulk of it burned and buried in some 75 community landfills located near villages along the Everest Trail. Burnable garbage includes plastics that poison the air, contaminate the water, and create new health hazards for humans and livestock alike.Read Also: <a href="https://www.nepalitimes.com/banner/living-below-nepals-melting-mountains/" target="_blank" rel="noopener">Living below Nepal's melting mountains,</a> Alton C Byers<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://nepalitimes.atavist.com/high-water" target="_blank" rel="noopener">High Water,</a> Alton C Byers in the Barun Valley<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a583c9c7e80680e054821jpeg.jpg" alt="" width="1016" height="762"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a583f9c7e80680e054822jpeg.jpg" alt="" width="1016" height="762">Typical garbage pit outside of a village, usually out of sight of the main trekking trail. Landfills are particularly problematic in the alpine zone above 4,000m, where decomposition processes are much slower than those at lower, warmer and more humid environments. Photos: ALTON C BYERS<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58419c7e80680e054823jpeg.jpg" alt="" width="1218" height="1642"><figcaption> </figcaption></figure>It hasn’t always been this way. When I first visited the <a style="background-color: #ffffff; letter-spacing: 0.15px;" href="https://www.nepalitimes.com/banner/more-trekkers-more-trees/">Khumbu in 1973</a>, there were no lodges, the total number of tourists per year was under 2,000 and virtually no solid waste was produced. Food came in reusable packaging (doko baskets, cloth bags) and meals consisted of rice, lentils, potatoes and some vegetables.By the 1980s and 1990s a few lodges started being built, and trekking groups camped in village potato fields rented out by landowners. By the early 2000s the rush to build lodges to feed and shelter the growing numbers of tourists took off, transforming the cultural landscape. With lodges came both greater tourist numbers as well as an increased demand for consumables like beer, whiskey, wine, bottled water, fruit cocktail, sunscreen, TVs and batteries, with their non-biodegradable packaging. It all ended up in refuse pits to be routinely burned.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58449c7e80680e054824jpeg.jpg" alt="" width="500" height="328"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58469c7e80680e054825jpeg.jpg" alt="" width="500" height="328"><figcaption> </figcaption></figure>Going by the international press narrative, the problem is bad and getting worse. Are the Sherpa people, Sagarmatha National Park and government doing nothing about it? <a href="https://www.nepalitimes.com/here-now/everest-garbage-caravan/">Far from it.</a> More than 20 years ago, the <a href="http://www.spcc.org.np">Sagarmatha Pollution Control Committee (SPCC) </a>was launched as a local initiative to manage waste. Since then, the SPCC and its partners have installed 106 waste collection centres throughout the park, banned glass beer bottles, organised <a href="https://www.nepalitimes.com/banner/expeditions-brings-down-11-tons-of-mt-everest-trash/">annual Base Camp clean ups</a>, conducted compost trainings, and continually look for new and innovative solutions to the challenges of managing the waste generated. Not much of this is reported by the international media.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58489c7e80680e054826jpeg.jpg" alt="" width="961" height="647"><figcaption> </figcaption></figure>During two solid-waste workshops facilitated by the University of Colorado and Arizona State University in Namche Bazaar and Kathmandu last month, local stakeholders were looking for innovative new ways to manage the waste of 60,000 trekkers and climbers, plus their support staff, who are in the park every year. The SPCC is now working with <a href="https://sagarmathanext.com/about-us/">Sagarmatha Next</a>, which is setting up segregation stations for a ‘carry me back’ program, where every tourist agrees to take back 1kg of waste to recycling centres in Kathmandu.The trek from Lukla to Everest Base Camp has long been referred to as the ‘toilet paper trail’ -- today it is anything but. In spite of the growing numbers of visitors, support staff and pack animals, it is one of the cleanest and most beautiful treks in the high mountain world.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a584a9c7e80680e054827jpeg.jpg" alt="" width="633" height="475"><figcaption> </figcaption></figure>Of course, a lot more needs to be done. Participants at the Namche and Kathmandu workshops stressed the need for innovation to deal with solid waste in a location-specific way, while being sensitive to local culture and values. The first step is establishment of waste separation centres, pre-processing facilities (shredding, compacting, baling) and finding way to transport the material to recycling centres in Kathmandu and elsewhere. Some of the aluminium and plastic waste is already being turned into ‘Everest Art’ to be sold for fund-raising. Aluminium cans are also converted into utilitarian objects like frying pans and other utensils. Human waste can be addressed through new solar technology, and more efficient septic tanks can prevent leakage.As a first step, Colorado and Arizona will be working with the local government ahead of the autumn trekking season to follow up the recommendations of the workshops. A landfill-free and waste-free Sagarmatha National Park, where garbage is not burnt, can be a reality in a few years. It could provide a much needed model for other mountain areas where the problems of tourist-related solid and human waste management exist.The difference is, things get done in the Khumbu.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a584c9c7e80680e054828jpeg.jpg" alt="" width="633" height="475"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a584e9c7e80680e054829jpeg.jpg" alt="" width="240" height="320"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a584f9c7e80680e05482ajpeg.jpg" alt="" width="1280" height="960">Photo: TOMMY GUSTAFSSON<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a58529c7e80680e05482bjpeg.jpg" alt="" width="1280" height="960">Photo: ALTON C BYERSSagarmatha Next's Interpretation Centre in Syangboche.Alton C Byers, PhD, is a mountain geographer, conservationist and mountaineer specialising in applied research, high altitude ecosystems, climate change and glacier hazards. Field work for this project was supported by a grant from the National Geographic Society.

Everest fights back

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

New year revolutions

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

What is invisible is more dangerous

82 in २०८२

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

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