https://youtu.be/rWChxjpei0AAn increasing number of Nepali workers in the Persian Gulf and Malaysia are dying of heat stress, and experts warn that the fatality rate could go up as the <a href="https://www.nepalitimes.com/editorial/act-globally-think-locally/" target="_blank" rel="noopener">global average temperature</a> rises in coming decades.<a href="https://www.karger.com/Article/Pdf/500853" target="_blank" rel="noopener">A recent study</a> published in the journal <a href="https://www.karger.com/Article/Abstract/500853" target="_blank" rel="noopener">Cardiology</a> presents a strong correlation between average monthly afternoon heat levels and mortality among Nepali workers in Qatar. Of the total fatalities due to cardiovascular disease (CVD) among Nepalis, 58% occurred during the summer months and 22% in winter, mostly caused by heat stress. This is much higher than the global average of 15% of total deaths in the 25-35 age group being due to CVD.Read also: <a href="https://www.nepalitimes.com/?p=30850&amp;preview=true" target="_blank" rel="noopener">His last journey home to Nepal</a>, Shankar Dahal‘There was a strong correlation between average monthly afternoon heat levels and cardiovascular disease mortality. It is likely that a large proportion of these CVD deaths during hot months were due to serious heat stroke,’ the report states.Nepali climate expert Ngamindra Dahal agrees: “<a href="https://nepalitimes.atavist.com/nepalis-killed-in-the-line-of-duty" target="_blank" rel="noopener">Deaths of Nepali migrant workers</a> in the Gulf due to excessive heat is not new, but the climate crisis has made working conditions outdoors hotter and more humid.”Read also: <a href="https://www.nepalitimes.com/?p=30810&amp;preview=true" target="_blank" rel="noopener">LABOUR PAINS</a>, Editorial<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52419c7e80680e0522e4jpeg.jpg" alt="" width="1400" height="778"/><figcaption>HEAT AND STRESS: Bishnu KC’s brother-in-law Keshar Khatri in his home village of Okharkot in Piuthan district preparing the cremation by the Jhimruk recently. KC died of heat stroke while working in Qatar. Pic: SHANKAR DAHAL</figcaption></figure>A <a href="https://www.nature.com/articles/nclimate2833" target="_blank" rel="noopener">study of high-resolution climate models</a> published in the journal Nature Climate Change projected that much of the Gulf region will be uninhabitable before the end of the century. The Persian Gulf is the fastest warming sea on the planet due to its shallowness, a process that is increasing humidity, making the mugginess worse.Ironically, the part of the world that is exporting most fossil-fuel energy will now feel the brunt of the greenhouse warming caused by carbon emissions.Climate simulations show that by 2090 average ‘wet bulb temperature’ – a combination of temperature and humidity – in cities like Dubai and Doha will exceed the threshold of human adaptability of 35°C, the temperature beyond which the human body is unable to survive more six hours at 70% humidity.A recent <a href="https://insideclimatenews.org/news/23072019/military-heat-death-illness-climate-change-risk-security-global-warming-benning-bragg-chaffee" target="_blank" rel="noopener">investigative report</a> by Inside Climate News and NBC News showed that at least 17 US soldiers have died of heat exposure during exercises at US military bases since 2008.Many Nepali migrant workers in the Gulf are exposed to similar conditions since they work in construction, which requires them to be outdoors all day. Many of them are not properly briefed about the dangers of dehydration, and at the end of the work day return to chilly air-conditioned rooms.Read also: <a href="http://archive.nepalitimes.com/article/nation/disproportionate-number-of-deaths-of-Nepali-workers-in-Malaysia,2812" target="_blank" rel="noopener">Dying to work in Malaysia,</a> Sonia AwaleBishnu KC from Okharkot village in Piuthan went to work in the Gulf 10 months ago. He often told his sister back home how difficult it was to work on the high scaffolding in the heat. KC came home in a coffin recently, just another of the 7,000 Nepalis who have died working overseas in the past 10 years. Others return with kidney problems, and need dialysis or transplants.Says Dahal: “This problem is going to get worse. Pre-departure orientation for workers should emphasise how to cope with heat stress, and the importance of keeping hydrated.”<h2>Dignity in life and death</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52459c7e80680e0522e5jpeg.jpg" alt="" width="1400" height="990"><figcaption> </figcaption></figure>Appalled by the sloppy <a href="https://nepalitimes.atavist.com/home-they-bring-the-workers-dead" target="_blank" rel="noopener">treatment of dead overseas workers</a>, Nepali activists petitioned the Supreme Court two years ago to demand autopsies to determine cause of death, and to provide a more dignified return home at Kathmandu airport.The NGOs, <a href="https://pourakhi.org.np/home/" target="_blank" rel="noopener">Pourakhi Nepal</a> and Law and Policy Forum for Social Justice, filed the public interest litigation writ demanding the right of migrant workers to a post-mortem and more respectful handover of bodies in a separate section at the airport. They won the case, but implementing agencies have been slow to act.“We are heavily <a href="https://www.nepalitimes.com/editorial/remit-for-remittances/" target="_blank" rel="noopener">dependent on remittance</a> from <a href="https://www.nepalitimes.com/banner/paying-an-arm-and-a-leg/">migrant workers</a> but where is our respect for the individuals who make it happen?” asks Manju Gurung of Pourakhi Nepal. “We do not care for their working conditions, we mistreat them and we do not even respect them after they have died. The cause of death goes uninvestigated and their bodies are unmanaged.”Activists claim that doctors in the destination countries are aware of the actual causes of the majority of these fatalities, but are often bribed by employers to pass them off as ‘natural deaths’.In addition, many workplaces do not meet even the most basic standards of safety and minimum working conditions, they say, which often leads to occupational hazards that can result in death. If the real cause of death is revealed, employers are liable to pay hefty compensation and hence to try and cover up the true causes. Most deaths are described as ‘heart failure’, ‘natural’, or ‘cardio-vascular disease’.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52489c7e80680e0522e6jpeg.jpg" alt="" width="1250" height="417"><figcaption> </figcaption></figure>Rising average temperatures in the Gulf region due to climate change have also increased the incidence of heat stress among those who have to work outdoors. Experts say many of the deaths of Nepali workers are due to heart failure cause by heat and overwork.Apart from the daily average 2-3 migrant workers who arrive at Kathmandu airport in coffins, many others remain in morgues in the Gulf and Malaysia. Some are workers who ran away from their first employers after being dissatisfied with their pay and working conditions. Under the kafala system, they lacked passports and became undocumented workers. Without legal documents to verify their identity, the bodies have not made it back home. No one has an exact figure of such cases.Lately, the Foreign Employment Board has updated its mandatory pre-departure orientation for migrant workers, making them more country-specific and relevant. They now include information on legal issues, working conditions and pay, cultural sensitivities and heat stress and the need to keep hydrated.Gurung blames a lack of political will for the continued apathy, because it is ordinary citizens who are affected.  She adds: “It is the poorest who suffer, so it is not a <a href="https://www.nepalitimes.com/editorial/bargaining-power/" target="_blank" rel="noopener">priority for the government</a> and our embassies in destination countries. Workers should be cared for, even after death.”

Sonia Awale

original

674x448

610x380

500x500

400x266

400x240

400x203

301x200

1250x600

1084x550

The heat is killing us

https://youtu.be/rWChxjpei0AKeshar Khatri was pacing up and down the arrival area of Kathmandu airport one recent morning, frequently glancing up at the Arrivals monitor. It had been more than two hours since the Doha flight landed, yet there was no sign of his brother-in-law, Bishnu KC.Finally, he saw them – three grim-faced men pushing two baggage trolleys with a red box. Ten months after leaving his home village of Okharkot of Piuthan, Bishnu KC was coming home in a coffin. A few minutes later, another coffin arrived containing the body of a Nepali who had died in Saudi Arabia.Other happy returning workers rolled heavy, cellophane-wrapped suitcases as they emerged from the arrival concourse where relatives who had been waiting waved at them from behind the glass partition. There were happy reunions in the parking lot. They barely noticed the two coffins being strapped to nearby pickups.Read also:<a href="https://www.nepalitimes.com/?p=30810&amp;preview=true" target="_blank" rel="noopener">LABOUR PAINS</a>, Editorial<a href="https://www.nepalitimes.com/?p=30809&amp;preview=true" target="_blank" rel="noopener">The heat is killing us</a>, Sonia Awale<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a528c9c7e80680e052300jpeg.jpg" alt="" width="1400" height="780"/><figcaption>SUDDEN DEATH: The coffin of Bishnu KC is wheeled out of Kathmandu Airport by his room mate Ram Bilas Yadav. All Photos: SHANKAR DAHAL</figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a528f9c7e80680e052301jpeg.jpg" alt="" width="1400" height="787"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52929c7e80680e052302jpeg.jpg" alt="" width="1400" height="1066"><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52959c7e80680e052303jpeg.jpg" alt="" width="1400" height="788"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52989c7e80680e052304jpeg.jpg" alt="" width="1400" height="782"><figcaption> </figcaption></figure>Bishnu KC was now a statistic: just one of 670 Nepali workers overseas who died in the last 12 months, and 6,921 in the past decade, among them <a href="http://archive.nepalitimes.com/article/nation/death-of-nepali-migrant-workers-in-qatar,1592" target="_blank" rel="noopener">1,367 in Qatar alone</a>. At the nearby Departure area, other Nepalis were lining up at the special gate for overseas workers to check in for flights. At least 900 are still leaving every day, yet this number is down due to a freeze on Malaysia work permits.Ram Bilas Yadav, KC’s roommate in Qatar, accompanied the coffin and handed Khatri a bag with his brother-in-law’s belongings, including his remaining salary of 4,052 Qatari Riyal ($1,113). The certificate in Bishnu KC’s name from the public health department of Qatar stated the cause of death: ‘Died in sleep of natural cause. Heart failure.’ There was <a href="https://archive.nepalitimes.com/article/headline/Sudden-death,2797" target="_blank" rel="noopener">no post-mortem report</a>.The pickup then left on the 450km journey to Okharkot. Driver Rabin Shrestha, from Ramechhap, works as a hearse driver for the Foreign Employment Promotion Board. He exits the Valley at Thankot, driving at top speed. He says he has to return to Kathmandu to collect another coffin the next day. (See box.)<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a529b9c7e80680e052305jpeg.jpg" alt="" width="640" height="654"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a529e9c7e80680e052306jpeg.jpg" alt="" width="640" height="905">Occupants of the pickup reach Bhalubang off the East-West Highway past midnight, and decide to catch some sleep in their seats. They have timed their arrival in Okharkot in the morning so KC’s family can immediately perform funeral rites. Although tired after the long ride, no one can sleep. Khatri thinks of Bishnu, who was 27 and had only his mother at home. His brother lives elsewhere, and his sisters are married, one of them to Khatri.“He was promised work in Global Link Food Service in Doha, but ended up working on a high rise construction site in 50-degree heat,” Khatri recalled. “He used to write home to his sister that he was finding the work very difficult.”There was a big crowd of relatives and neighbours when the pickup reached the village the next morning, accompanied by loud wailing as the coffin was taken out. Bishnu’s mother whispered ‘mero babu’ when she saw her son’s lifeless face, and fainted. Relatives draped the body in yellow, sprinkled vermilion and carried it to the banks of the Jhimruk for the cremation.This is the second body to be returned home to Okharkot from overseas, while Piuthan district recorded five fatalities of migrant workers last year. There is no record of the number of Nepalis working in India, although the estimates vary between 2.5 and 3.5 million. If a person from Piuthan dies in India there is no official record, and the bodies are usually not brought home.Although research on <a href="http://archive.nepalitimes.com/article/nation/disproportionate-number-of-deaths-of-Nepali-workers-in-Malaysia,2812" target="_blank" rel="noopener">Sudden Death Syndrome</a> is sparse and autopsies are rarely performed on dead workers, the causes are thought to <a href="https://nepalitimes.atavist.com/home-they-bring-the-workers-dead" target="_blank" rel="noopener">be hard work in hot and humid conditions</a>, excessively air-conditioned living quarters at night, worry about low pay, stress because of cheating by middlemen, and homesickness. Rising temperatures due to the climate emergency are also making working conditions harsher in the Gulf (see adjoining article).Although the Nepal government offers the family of every worker who dies abroad Rs700,000, the ones whose deaths are categorised as ‘natural’ are not eligible. In the past decade, the government has paid out Rs1.67 billion to the families of <a href="http://archive.nepalitimes.com/article/nation/nepali-migrants-too-young-to-die,2811" target="_blank" rel="noopener">dead workers</a>.Here on the banks of the Jhimruk, the cremation is done. Khatri finally looks through the content of his brother-in-law’s handbag. There is his passport, some letters and the death certificate that says his death was ‘natural’. “It is going to be most difficult for Bishnu’s mother,” he says. “He was the only one taking care of her.”<h2>Delivering death</h2><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52a19c7e80680e052307jpeg.jpg" alt="" width="1400" height="782">Rabin Shrestha’s job as a <a style="background-color: #ffffff; letter-spacing: 0.01em;" href="https://nepalitimes.atavist.com/home-they-bring-the-workers-dead" target="_blank" rel="noopener">hearse driver</a> is year-round. The reason he drove so fast from Kathmandu to Piuthan with the coffin of Bishnu KC in the back of his pickup was because he had to return to Kathmandu airport to collect another body of a dead worker the next day. Shrestha says he alone delivers 12 coffins every month all over Nepal.The task has taken Shrestha to 69 of Nepal’s 77 districts. “I have really seen the whole of Nepal on this job,” he said on the long drive to Piuthan recently. “Rain, landslides, bandhs; I have to get the bodies of the workers home one last time.”Shrestha and his colleagues mostly do the Kathmandu-Central Tarai route. That is because the highest number of fatalities of Nepali workers overseas is among those who come from the six districts of the central and eastern Tarai. Last year alone, Morang registered 35 deaths, Sarlahi 35, Dhanusha 33, Siraha 29, Mahottari 27 and Dang had 21.At the Foreign Employment Board in Kathmandu, an overworked civil servant says he is waiting for a transfer from his depressing job. He said: “My job is to keep track of which coffins are arriving on which flights, and make sure there is a hearse to receive them and take them to their home districts. It is like working in a funeral home.”

His last journey home to Nepal

<figure><img width="1400" height="1050" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a524a9c7e80680e0522e7jpeg.jpg" alt=""/><figcaption>Pic: SHANKAR DAHAL</figcaption></figure>Nepal’s politicians are prone to hyperbole, and every decade or so they have a habit of declaring that no Nepali will have to go abroad to work. A more realistic goal would be to make migration as safe as possible, eliminate exploitation and abuse by fellow Nepalis and unscrupulous employers in destination countries, and upgrade migrants’ skills so they earn more. Migrant workers need to be treated with respect at the departure and arrival desks at the airport, as befitting their vital role in propping up this country’s economy.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=30850&amp;preview=true" target="_blank" rel="noopener">His last journey home to Nepal</a>, Shankar DahalOnly after we do that, and start generating infrastructure and manufacturing-driven employment through investment-friendly policies back home, can we start boasting that Nepalis don’t have to leave the country anymore to find work. Alas, we don’t see signs of that happening any time soon.   We are stuck with labour migration for the foreseeable future, and we have to make the best of it. There are signs that under Labour Minister Gokarna Bista, economic diplomacy has moved into high gear. Nepal has been playing a leading role on migration matters in South Asia, starting with the declaration at the 2015 SAARC Summit in Kathmandu of Article 21, which enjoins regional countries to collaborate for the welfare of migrant labour in destination countries.Read also: <a href="https://www.nepalitimes.com/?p=30809&amp;preview=true" target="_blank" rel="noopener">The heat is killing us</a>, Sonia AwaleThe SAARC Plan of Action on Labour Migration was adopted in May 2016, and a ministerial declaration of the ‘Colombo Process’ was made in November of that year. South Asian countries also started working together under the umbrella of the ‘Abu Dhabi Dialogue among the Asian Labour Sending and Receiving Countries’. Nepali diplomats and activists have also been active in the Global Compact on Migration, adopted last year, which seeks to ensure ‘safe, orderly and regular migration’.Read also: <a href="https://nepalitimes.atavist.com/home-they-bring-the-workers-dead" target="_blank" rel="noopener">Home they bring the workers dead</a>, Upasana KhadkaExperts at a recent roundtable organised in Kathmandu by SARTUC (South Asian Regional Trade Union Council) and the Hri Institute, and attended by advocacy and labour policy gurus, reaffirmed the natural weakness of sending countries because of competition and lack of political will to coordinate. Destination countries therefore shop for the cheapest labour, for example playing off Bangladeshis against Nepalis.To a greater or lesser degree, all South Asian labour exporting countries face the same problems of exploitation by middlemen, cheating by employers – as in the recent case of 44 Nepali women tricked into sewing jobs in China, and others rescued from a night club in Mombasa.  Although Nepali workers seem to be disproportionately affected by Sudden Death Syndrome because of heat stress, all South Asian workers have higher fatality rates for young men in that age group.Despite the hardships, Nepalis have a good reputation for hard work. Perhaps because of this, they are assigned to dangerous work on high-rise scaffoldings. Increasingly, Nepalis are also moving into the service sector and managerial positions, taking over from Filipinos.Yet, the challenges for countries heavily dependent on migrant labour, like Nepal, are growing. They include trafficking of women, and men, as in recent cases in Kenya and Libya. Tensions are brewing between Qatar and the UAE/Saudis, as well as the Saudi-Iranian conflict, an ‘Emeritisation’ happening in the UAE, and East and West African labour are displacing traditional Nepali jobs in construction and security in the Gulf. (The Kenyans come across as smarter, better-dressed and with English competence.) All these events serve to remind us that dependence on remittances is fragile, and we must have a Plan B.The idea of developing skills for Nepalis before they go overseas has been limited to rhetoric, despite tens of millions of dollars spent by donors and the government.Read also: <a href="https://www.nepalitimes.com/latest/nepal-malaysia-labour-pact/" target="_blank" rel="noopener">Nepal-Malaysia Labour pact</a>, Ramu SapkotaMedia coverage of issues related to overseas migrant labour tends to obscure the millions of Nepalis, the poorest among the migrants, who go to India. Exact figures are lacking, with Indian diplomats pointing at a high figure of 7 million. But during the Eminent Persons’ Group negotiations a more realistic 3 million figure was presented. The Pew Research Institute has placed Nepal as the seventh largest country sending remittances to India, thanks to migrant workers from Bihar, West Bengal and Odisha.In this issue, we examine Sudden Death Syndrome, and how the climate crisis will make heat stress a matter of life or death for Nepali workers in the Gulf (page 14-15). Sudden death is classified as ‘natural’ and not ‘workplace related’, preventing workers’ families from collecting insurance. The Nepal government must insist on autopsies of dead workers to pinpoint cause of death, or perform them on bodies when they arrive in Kathmandu. The coffins are also not handled with respect when they arrive via the regular baggage channel at Kathmandu Airport.Read also: <a href="https://www.nepalitimes.com/banner/kleptocrats-of-kathmandu-and-kualalampur/" target="_blank" rel="noopener">Kleptocrats of Kathmandu and Kuala Lumpur</a>, Ramu Sapkota  and Alyaa AlhadjriThe group Paurakhi has won a writ petition at the Supreme Court ordering the government to create special facilities at the airport for arriving coffins. But there has been no move to implement this.The Foreign employment Board has now upgraded its curriculum on pre-departure training to make it more relevant and country-specific. That is a welcome step to making migration safer. Let us also make it more worthwhile. 10 Year Ago This WeekIn Nepali Times 10 years ago (issue #462 of 31 July - August 6) we are reminded that there is nothing new about the annual emergency Nepal faces during the monsoon. The only difference is that it is getting worse. Excerpt from the page 1 report:‘When it rains it pours. As if the political crisis wasn’t bad enough, Nepal is going through a multi-layered economic and development emergency.But roaming the corridors of power in Singha Darbar, you wouldn’t know it. There is a cholera epidemic in western Nepal, the winter drought that destroyed the wheat crops was followed by a delayed monsoon that decimated maize and rice.This is bound to make inflation of essential food commodities even worse. It is already running between 20 and 50%, defying all economic theories, and despite the open border with India where inflation is single digit.’<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a524e9c7e80680e0522e8jpeg.jpg" alt="" width="800" height="1225">

LABOUR PAINS

Many of us former Nepal Peace Corps volunteers (PCVs) would agree that our time in Nepal changed in significant but very different ways our perspectives on life if not the future paths we chose to follow. Of no one was this truer than Dorothy Mierow. Dorothy was born in 1920, in Colorado Springs. Her father Charles C Mierow was a classics scholar and Latin professor, who served for ten years as president of Colorado College.&nbsp; Dorothy developed an interest in animals as a child, graduated with a BA degree in natural history from Carlton College in 1942, a Master’s in biology from the University of Pittsburgh, and another Master’s in geography from the University of Minnesota.&nbsp; As a young woman, Dorothy traveled with her father throughout Europe, including a visit to ancient Greek ruins, and took a Magellan Tour by cruise ship around the world in 1958.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_0bad133ab22aada319e74bbad95d563e191371db291c08f373839fbd15440262.jpg" data-media-id="editor_0" data-image-id="2025071901074_0bad133ab22aada319e74bbad95d563e191371db291c08f373839fbd15440262" data-rendition-name="original" width="903" height="1178" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>HOME AWAY FROM HOME: Dorothy Mierow as a college student in her native Colorado.</figcaption> </figure>  She was a college teacher during much of the 1940s, also teaching at a girls’ school in Hawaii. Then back to her native Colorado in 1953, where she became a curator and later director of the Colorado College Natural History Museum. She taught geography classes, and in her free time, Dorothy climbed 22 of Colorado’s 14,000-foot peaks. Traveling in India in 1960, Dorothy decided to spend two weeks in Nepal. In late 1961, she filled out an application to join the Peace Corps and specified that she wanted to go to Nepal, ‘because I admired the people so much when my father and I were there on our trip’.&nbsp; Dorothy reached Kathmandu in September 1962 as the first group of American Peace Corps volunteers in Nepal. She stood out from the others: one of the few women in that group, surely the oldest at age 41, a world traveler, and a woman who already had established a professional career.&nbsp; One doubts if Dorothy had had a husband and children whether she would ever have gone to work and spend much of the rest of her life in Nepal.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901078_68e84ade1ffb0f6c83c7f8fa5c1e7315b5f6c543217f96cde012e4d86f171515.jpg" data-media-id="editor_1" data-image-id="2025071901078_68e84ade1ffb0f6c83c7f8fa5c1e7315b5f6c543217f96cde012e4d86f171515" data-rendition-name="original" width="1259" height="910" loading="lazy" alt="How th Peace Corps changed a volunteer's life NT"> <figcaption>Pokhara Bazar in 1962.</figcaption> </figure>  The Peace Corps assigned Dorothy to teach geography at Tri-Chandra College. After the school closed in the winter due to lack of heating, USAID and the College of Education asked Dorothy to help train general science teachers.&nbsp; She taught for two months and became involved in a textbook-writing project, commenting: ‘I would like the children to know something about public health, conservation (the trees are going fast and so is the soil), and learn the names of some of their common birds, trees, and flowers. They are more impressed with electricity, airplanes, and cell structure.’ When a new college opened in Pokhara in 1963, Dorothy was transferred there and lived with a Nepali family. The college boasted 30 students and no permanent buildings.&nbsp; In October 1963, Dorothy wrote: ‘Pokhara is a town of almost 5,000 people … We are in a fertile valley surrounded by foothills … There is a small Mission Hospital … a Leper Hospital and Tibetan Refugee Camp started by the Red Cross and now run by the Swiss. With winter approaching, more Tibetans are appearing in town, often with pack horses or donkeys. Some have been carrying large boxes of powdered milk,donated (by USAID) to the camp from the airport … There is no electricity, and the transportation problems make many items scarce and expensive. I am really a sort of a museum. The landlord brings all kinds of people in to see how I live and count my shoes and dresses. They express amazement at my books, pictures, tin oven, Nepali dolls from Kathmandu, screened food shelves and curtained closet.’ The standard term for Peace Corps volunteers was two years, but Dorothy extended her term and was still at Prithvi Narayan College at the end of 1965, when she wrote that she had 20 Geography students in the first-year class and 6 in the second year preparing for the IA Examination. The college enrollment was 125 students, and the foundation for a new science building was being excavated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_c6a80e5e0db0c705b2f8733c6d30dc0386fe3abbd2238ea9d947b7d746f94a29.jpg" data-media-id="editor_2" data-image-id="2025071901074_c6a80e5e0db0c705b2f8733c6d30dc0386fe3abbd2238ea9d947b7d746f94a29" data-rendition-name="original" width="902" height="605" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow and friends at Phewa Lake.</figcaption> </figure>  Dorothy noted that she ate one meal a day at the (Shining Mission) Hospital but otherwise lived on dal-bhat, momo, and potato curry at local shops. However, she had developed a new passion: to build what she initially called the Pokhara Museum of the Himalaya. In commendable Peace Corps fashion, Dorothy always worked with Nepalis and respected the culture. ‘The greatest joy and satisfaction I have had has been from the building of a Museum-Library in memory of my parents … It has been possible to feel like a wealthy benefactor with the money saved by father for the family’s education and now available for the education of others… (Father) would have loved to be in on the founding of a new college and be able to plan a library. Several hundred of the books to be in the museum-library came from his collection and were carefully selected to be of use for students in Nepal…’&nbsp; ‘The museum part is to satisfy my own inclinations and was thought of when I found how little diversion there was for the people of Pokhara… It is part of the University requirements for the college that it should have a geography and biology museum. The museum building is small but adequate.&nbsp; I have tried to design it in harmony with Nepalese architecture and decorate it with some of the art of the best artists or woodcarvers… Posts holding up the porch roof are carved by Cottage Industries to represent different peoples of Nepal in typical costumes. The door was carved by a local wood carver and has typical birds of Nepal around it. Inside are 10 roof-support carvings designed by the retired Director of the National Museum in Kathmandu, Mr. C.M. Maskey.&nbsp; They were carved by the best wood carvers in Patan very skilfully. The building has three rooms: the library, the exhibition room, and a smaller workroom which can be used by our newly formed Woman’s Club as well as other groups or classes.’  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_03d3359c65389d30a0134e9a4862778994121e7e833b7d28b18e06e36fc76ff8.jpg" data-media-id="editor_3" data-image-id="2025071901074_03d3359c65389d30a0134e9a4862778994121e7e833b7d28b18e06e36fc76ff8" data-rendition-name="original" width="629" height="599" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow with local women in Pokhara in 1969.</figcaption> </figure>  Dorothy promoted her project to influential Nepalis connected with organisations whose support she solicited: The Department of Archaeology, the Department of Agriculture, the Godavari Botanical Gardens; Tribhuvan University’s Science and Education Department, Nature Conservation Society.&nbsp; The museum was opened officially in early 1967. The Annapurna Natural History Museum, the building Dorothy designed and had constructed, is still open and features some exhibits which she created many years ago.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_54326a8a0685e980e782378076de2f5cd02d2426e9b0d94eed972d3dbe83af26.jpg" data-media-id="editor_4" data-image-id="2025071901074_54326a8a0685e980e782378076de2f5cd02d2426e9b0d94eed972d3dbe83af26" data-rendition-name="original" width="1333" height="1000" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>The Annapurna Natural History Museum.</figcaption> </figure>  Dorothy returned to America in 1967, but she longed for Nepal. In the spring of 1969, she again tried to enroll as a Peace Corps volunteer but was told that as she had spent more than four years, she would not be eligible for another assignment. Undeterred, she persuaded the college in Pokhara to invite her to return as a teacher.&nbsp; UNICEF and the Forestry Department sponsored Dorothy to prepare charts on trees, birds, animals and flowers in colour for distribution to the schools of Nepal. Dorothy, back in the Peace Corps, returned to Pokhara and the Museum in 1972. She formed a friendship with her former geography student from Sikles, Chandra Prasad Gurung, and in 1974, she brought Chandra to America, where he enrolled in Colorado College and studied cultural anthropology.&nbsp; Chandra subsequently earned his PhD in geography from the University of Hawaii and returned to Pokhara to become director of the Annapurna Conservation Area Project. Gurung actively promoted ecotourism, landscape conservation, and biodiversity conservation in Nepal. His life was cut short along with those of 23 other Nepalis and foreigners who perished in a helicopter crash near Taplejung in September 2006.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025071901074_322d3c3ac6f1b08ffa07c44a19998b937a7db9eb43527f7539cf6481e1546314.jpg" data-media-id="editor_5" data-image-id="2025071901074_322d3c3ac6f1b08ffa07c44a19998b937a7db9eb43527f7539cf6481e1546314" data-rendition-name="original" width="2500" height="1000" loading="lazy" alt="How the Peace Corps changed a volunteer's life"> <figcaption>Mierow's four books on Nepal and its biodiversity. </figcaption> </figure>  Dorothy worked with several well-known Nepalis to publish her paintings and photos in beautifully illustrated books. She and Hemanta Mishra of the National Parks and Wildlife Service wrote Wild Animals of Nepal (Ratna Pustak Bhandar, 1976). More than 400 photos Dorothy took on treks to the Everest region, Gosaikunda, Muktinath, Jumla and Rara Lake, as well as travels in the Tarai, appeared in Himalayan Flowers and Trees (Sahayogi Prakashan, 1978).&nbsp; The botanist Tirtha Bahadur Shrestha identified the species. Dorothy and Kesar Lall published This Beautiful Nepal (Sahayogi Press, 1981). Birds of the Central Himalayas (1988) contained Dorothy’s paintings of 250 species of birds found along the areas of the Kali Gandaki River, Pokhara, Chitwan and the central Tarai. Dorothy summed up her life and work in Nepal in Thirty Years in Pokhara (Pilgrims Book House, 1997). Dorothy returned to Pokhara and her adopted Gurung family several times during the 1980s and 1990s to celebrate festivals and meet old friends. Her final years were spent at her mountain cottage in Green Mountain Falls north of Colorado Springs. She died at the age of 79 in August, 2000. Nepal gave new meaning and purpose to Dorothy Mierow’s life. Daniel W Edwards was a Peace Corps volunteer in 1966 and is the author of several books on Nepal. The author thanks Special Collections, Tutt Library, Colorado College.

How the Peace Corps changed a volunteer’s life

· On the night of 15 May, two glacial lakes burst in Tharka in Humla and the debris flow washed away homes and bridges.&nbsp; · Last week, a slurry surge on the Kali Gandaki in Upper Mustang caused at least Rs15 million in damage, and was traced to a melting glacier. · Dozens are feared dead after <a href="https://nepalitimes.com/news/rasuwa-flood-likely-a-glof">an expanding glacial lake in Tibet overflowed</a>, sweeping down into Nepal and damaging four hydropower plants generating 230MW, nearly 8% of the country’s total grid supply.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060748_45225dc707c1e9c2968ca8dbf6e564e01e4eb6e2ff254fb8eb940cf62cdd910b.jpg" data-media-id="editor_1" data-image-id="20250718060748_45225dc707c1e9c2968ca8dbf6e564e01e4eb6e2ff254fb8eb940cf62cdd910b" data-rendition-name="original" width="2667" height="1500" loading="lazy" alt="Rasuwa flood"> <figcaption>Miteri friendship bridge connecting Nepal and China was swept away in the Rasuwa flood. Photo: PRAKASH CHANDRA TIMILSENA / NPL</figcaption> </figure>  And those are just in the past month. Climate scientists say Himalayan glacial lake outbursts are becoming more frequent and destructive, and a warning for Nepal not to put all its eggs in the hydropower basket.&nbsp; <a href="https://nepalitimes.com/editorial/when-it-rains-it-pours-ksqprbu3">Record precipitation last September</a> unleashed floods that killed 200 people, and temporarily slashed Nepal’s total generation capacity of 3,000MW by nearly half. The <a href="https://nepalitimes.com/banner/nepal-valley-suffers-quadruple-disaster">Melamchi flood of 2021</a> caused by <a href="https://nepalitimes.com/multimedia/the-not-so-permanent-frost">permafrost melting</a> on a glacier upstream nearly destroyed a $800 million water supply scheme, Nepal’s largest infrastructure project which four years later still has not resumed full operation. The <a href="https://nepalitimes.com/news/sikkim-flood-is-warning-to-nepal">glacial lake overflow in Sikkim</a> caused by record rainfall in September 2023 that destroyed the $1.2 billion Chungthung Dam and caused catastrophic damage to infrastructure on the Teesta River. This was a warning to the cascade of hydropower plants on the Arun and Marsyangdi river basins.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060736_6f61797a6be308321e3bae26e55d2f64cba4b9e5eb262adacb9e92fb5f3c6152.jpg" data-media-id="editor_6" data-image-id="20250718060736_6f61797a6be308321e3bae26e55d2f64cba4b9e5eb262adacb9e92fb5f3c6152" data-rendition-name="original" width="919" height="549" loading="lazy" alt="hydro disasters and hydropower plants"> </figure>  Nepal has set a target of generating an additional 28,500MW by 2035 -- out of the feasible 48,000MW -- but how viable is an energy strategy that is exposed to heightened risk due to climate breakdown? &nbsp; “As extreme weather events increase, we must design and build infrastructures respecting river flow and topography,” says former Energy Secretary Dwarika Nath Dhungel. “We must make the best use of our water resources, but not by letting excavators loose everywhere mining riverbeds and building haphazardly where we shouldn’t.”&nbsp; Although no project can be disaster-proof, <a href="https://nepalitimes.com/banner/climate-smarter-himalayan-infrastructure">climate smart design</a> can minimise damage from flash floods and landslides. Recent disasters have driven up insurance premiums for energy projects in Nepal, and smaller ones cannot even afford them. The 456MW Upper Tamakosi hydroelectric project which is still not fully functional after the September floods has claimed insurance worth Rs1.8 billion. The alternative to high risk high investment hydropower projects is <a href="https://nepalitimes.com/here-now/what-s-cooking-in-nepal-besides-politics">energy diversification</a> to other renewables such as solar, wind or biogas. Nepal gets annual sunlight of 300 days with 6-7 hours on average to total 50,000 terawatt-hours (TWh) per year.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060744_4acd452b4117180ca9bb5d3be839ff46dfd5464e4d507f5ad3704cef6253bc48.jpg" data-media-id="editor_9" data-image-id="20250718060744_4acd452b4117180ca9bb5d3be839ff46dfd5464e4d507f5ad3704cef6253bc48" data-rendition-name="original" width="1080" height="720" loading="lazy" alt="solar power"> <figcaption>Farmers in Tarai using solar powered water pump. Photo: GHAMPOWER</figcaption> </figure>  The Solar and Wind Energy Resource Assessment (SWERA) calculates that Nepal could source 3,000MW from wind energy alone, considering 10% of the area with more than 300W/m2 wind power density. <a href="https://nepalitimes.com/opinion/people-power/decentralising-power-in-nepal">Solar energy</a> stations are cheaper and quicker to build, and would be an ideal alternative to reliance on hydropower.&nbsp; “There has been some investment in solar power, especially from the state sector,” says water expert Madhukar Upadhyay. “But there is an issue of land acquisition since the arrays need a lot of space. It is comparatively easier to get a permit to put up a hydropower plant on a river.” As for biogas, there is simply no incentive to build on past success with household level plants to <a href="https://nepalitimes.com/here-now/more-bullshit">promote industrial-scale production</a>. Scaling up biogas by integrating it with urban biodegradable waste would still be a viable alternative to LPG.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250718060744_715d44afd5eb4ba8dafa209b0ad0f19400665797b5f078f5636821e600f96684.jpg" data-media-id="editor_12" data-image-id="20250718060744_715d44afd5eb4ba8dafa209b0ad0f19400665797b5f078f5636821e600f96684" data-rendition-name="original" width="1419" height="954" loading="lazy" alt="windmill"> <figcaption>A wind mill in Hapsikot in Nawalpur. Photo: WINPOWER NEPAL</figcaption> </figure>  Nepal’s public sphere is buzzing with excitement over the discovery of potentially 430 billion cubic metres of methane gas beneath Dailekh district that, if properly harnessed, would meet the country’s energy demand for the next 50 years. Even though a feasibility study is awaited, politicians from the prime minister down see this as a petro bonanza that will make Nepal rich. But drilling, storage and distribution of CNG in the country’s current kleptocratic state make that unlikely. If Nepal was to get rich solely on its hydro-energy potential, it could have done so in the past 50 years. Says Dhungel: “This is not exactly a new discovery, but it is premature to celebrate until its extraction is proven to be cost effective. And let us hope it does not get <a href="https://nepalitimes.com/news/balance-of-power">tangled in geopolitics</a>, since China is involved in the prospecting and drilling, which could make India uneasy.”&nbsp; The country suffers from the Dutch Disease curse even before its resource is fully exploited. And the same cronyism, corruption and rent-seeking structure cannot deliver the riches we expect from Dailekh’s methane discovery. Now, <a href="https://nepalitimes.com/here-now/right-climate-for-nepal-s-energy-transition">with hydropower in jeopardy</a>, Nepal’s planners will have to evolve a new strategy for energy security into the future. But first, governance needs to be cleaned up with long-term strategic planning that takes climate risk into account. For example, do we need to mine fossil gas when there are renewable options? Will Dailekh take Nepal away from its climate commitments? Says Madhukar Upadhyay: “Nepal has always been resource rich and management poor. And the larger the resource, the bigger our management incapacity. It is a societal malaise.”&nbsp;

Nepal’s Resource Curse

चौतारा rest stops have long been an integral part of scenic touristic town of <a href="https://nepalitimes.com/news/pokhara-six-decades-ago">Pokhara </a>but are now rarely seen as the city bursts at the seams. They say inhabitants of Pokhara saw a plane before they saw cars. Indeed, the grass airfield was built in the 1950s, while the Kathmandu highway 20 years later. Before roads, people walked to get around, pausing to rest or even nap under the shade of banyan-pipal trees. <a href="https://nepalitimes.com/here-now/pokhara-s-desperation-and-hope">Pokhara airport’</a>s ‘terminal’ in those days was a shady chautara where passengers waited for their flights. The chautara bore silent witness to daily life, whether it was travellers seeking a brief respite from the summer heat or villagers gathering for a chat in the mornings and evenings. But with the roads came vehicles, and then houses started filling up spaces, even farmlands. Pokhara began transforming from a serene village to a <a href="https://nepalitimes.com/news/pokhara-comes-alive-at-night">bustling city</a>.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250719010724_d101fa482441ce67afdf5bc4e4547b334e7662c1cf0a20e9d31a0e8dff66f04b.jpg" data-media-id="editor_3" data-image-id="20250719010724_d101fa482441ce67afdf5bc4e4547b334e7662c1cf0a20e9d31a0e8dff66f04b" data-rendition-name="original" width="2147" height="1581" loading="lazy" alt="Trees of life and living NT"> <figcaption>Photo: DURGA RANA MAGAR</figcaption> </figure>  The banyan-pipal trees were chopped down to make way for wider intersections and buildings. The once-iconic rest stops that carried Pokhara’s identity had all but vanished. “Building chautara was once considered a religious duty, which is why so many of them were constructed across Pokhara,” says archivist Sunil Ulak. <a href="https://archive.nepalitimes.com/news.php?id=10927">Ekai Kawaguchi</a>, a Japanese Buddhist monk, who visited Nepal 120 years ago en route to Tibet, documented <a href="https://nepalitimes.com/banner/no-visitors-in-pokhara-to-admire-view">the landscape of Pokhara</a> and its surroundings. In his book, Three Years in Tibet, he reflects on the natural beauty of the town and its shady trees. A chautara used to be surrounded by ponds, where shepherds would bring their cattle to drink from while they took a nap under the shade. The gentle rustling of leaves in the cool breeze lent a soothing melody as did the chirping of birds, while the insects took refuge in the branches and leaves. Read also: <a href="https://nepalitimes.com/here-now/pokhara-800-years-ago">Pokhara 800 years ago</a>, Kunda Dixit This ‘nature’s breeze’, as botanist Kalyan Panta puts it, is now history due to <a href="https://nepalitimes.com/banner/cost-of-living-in-a-big-city">haphazard urbanisation</a>. “When the wind strikes against one leaf, it creates a domino effect and other leaves start waving as well,” he explains. There were 632 chautara in the city until 1977, and by 2000 the number had fallen to 278. But in some wards the number of trees fell from 55 in 1984 to only five now.&nbsp; The gradual loss of these resting places has meant habitat <a href="https://nepalitimes.com/banner/between-existence-and-extinction-in-nepal">destruction of birds and insects</a>, it has also damaged the environment and natural beauty of the city.&nbsp; Researcher Jagannath Adhikari’s study showed that infrastructure projects ignored the environment, and concluded that that urbanisation in Pokhara was unsustainable.&nbsp; The destruction continues to this day. Recently, old chaurata in wards 6, 13 and 14 were cleared to make way for a sacrificial ritual. In fact, ward 6 got a permit from the local government to clear its remaining trees.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250719010724_cee1d4faf8376e7ba18b9c7012ea4215b7c3fbf7e0983b0c97005df5567d6de0.jpg" data-media-id="editor_9" data-image-id="20250719010724_cee1d4faf8376e7ba18b9c7012ea4215b7c3fbf7e0983b0c97005df5567d6de0" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Trees of life and living NT"> <figcaption>Photo: DURGA RANA MAGAR</figcaption> </figure>  But in wards 13 and 14, the Human Service Foundation cut down some 33 trees for which it is in a dispute with the metropolitan city as there is no unclear jurisdiction regarding who gives the permit. The Kaski Division Forest Office is currently investigating the matter. Elsewhere in ward 19, the ward office had launched ‘मेरो रूख, म काट्छु’ campaign due to an alleged chaos caused by monkeys in the area. The decision was rescinded after an all-around opposition.&nbsp; To be sure, there are policies in place to protect trees such as the Gandaki Province Forestry Act, 2080, and the Regulations, 2081. The province government also introduced an act in 2019 per which no tree, including pipal, silk cotton and other <a href="https://nepalitimes.com/opinion/suburban-tales/trees-trees?%2F">trees of natural and historical importance</a> shall be damaged, eroded or removed. But the local government, responsible for implementing the Act, is doing the opposite. “If this rapid rate of tree felling continues, neither trees nor chautara will survive for the future generation,” conservationist Ram Bahadur Poudel tells us, adding that old trees are being cleared under the pretext of pruning branches. Interestingly, Ulak notes that Pokhara-8 was called सिमलचौर in the past because there were so many majestic silk cotton trees, but there are very few left, if any, and hence altering the identity of a place. With modernisation, people have questioned the significance of chautara in this day and age. But they still have relevance. Urban centres in Pokhara and Kathmandu are much hotter than the outskirts because of the <a href="https://nepalitimes.com/news/in-the-heat-of-the-moment-5xcycyot">urban heat island effect</a>. Says archivist Ulak: “While their original purpose was to provide rest, today they continue to play a crucial role in regulating temperature, beautifying the city, and preserving our environment.”

Trees of life and living

Nepalis are living longer than ever. By 2028, the country is set to join the ranks of other <a href="https://nepalitimes.com/news/nepals-demographic-window-is-closing">ageing societies</a> around the world, and by 2054, 1 out of every 7 people in Nepal will be over 65. Life expectancy at birth has risen dramatically from just 55 in 1990 to 71 today, &nbsp;thanks to improvements in public health and access. But as more people live longer, the country must also prepare for a parallel rise in age-related illnesses and the complex social and medical needs that come with an <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/need-to-prepare-for-ageing-society,3624">ageing population</a>. Extended families have always acted as a safety net for <a href="https://nepalitimes.com/news/home-sweet-home-for-older-nepalis">the elderly</a>, with children and grandchildren shouldering most caregiving duties. But with more than 1,600 <a href="https://nepalitimes.com/banner/migration-not-a-wish-but-necessity-for-nepalis">Nepalis migrating </a>every day, older parents are left behind with no one to care for them. <a href="https://nepalitimes.com/editorial/the-new-equaliser">Remittances</a> from migrating youth, which account for nearly a third of Nepal’s GDP, have kept the economy afloat. But money sent home cannot make up for the chronic departure of kin and caregivers, who are often the first to catch the signs and symptoms of disease in elders. In rural areas where over 85% of Nepal’s elderly live, the absence of this daily vigilance means early signs of illness often go unnoticed until they become debilitating. As a result, chronic conditions like hypertension, diabetes, and depression are left unmanaged.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250720130748_213f2c65f2638872e9ac0550a7ac251e4960c3726dc5c76215962a23ba71dff1.jpg" data-media-id="editor_5" data-image-id="20250720130748_213f2c65f2638872e9ac0550a7ac251e4960c3726dc5c76215962a23ba71dff1" data-rendition-name="original" width="1064" height="701" loading="lazy" alt="Smart ageing is Nepal’s next frontier"> </figure>  Geriatric medicine is largely absent from medical curricula and there is no national plan in place to manage cognitive decline, memory loss and confusion. These are often mistaken for signs of normal ageing, instead of <a href="https://archive.nepalitimes.com/article/nation/dementia-brings-new-problem-that-families-have-little%20knowledge-of,2151">dementia</a>, delaying care until it is too late. The same pattern plays out with strokes, osteoarthritis, and vision problems — conditions that could be managed early but are instead allowed to spiral into <a href="https://nepalitimes.com/opinion/comment/changing-disability-to-this-ability-h68f6sq2">disability</a>. Nepal is not ready for an older future. It needs a strategy for ‘smart ageing’ where the focus is not adding years to life, but enhancing years lived through the intelligent application of policy, infrastructure, and crucially, <a href="https://nepalitimes.com/opinion/comment/tech-and-transition-in-nepal">technology</a>. Many models of smart ageing, however, are sculpted around modern societies where independent living in later life is the norm. Furthermore, eroding traditional family care and an underdeveloped formal care system means there is a large gap that can’t simply be filled by copy-pasting from foreign models. Nepal must shape its own version of smart ageing. The <a href="https://nepalitimes.com/news/healthcare-moving-from-hospitals-to-homes?%2F">tech boom</a> has led to homegrown digital healthcare apps such as Hamro Doctor, Cura Health, Jeevee and Health Yaad Ayo which offer teleconsultations, online appointments, and at-home test bookings. As <a href="https://nepalitimes.com/review/nepal-s-new-digital-landscape">smartphones and internet access</a> extend to the most rural fringes of the Nepali countryside, geography is no longer a barrier to the use of these digital tools. What limits their use is the lack of digital proficiency among the older generation. Others find the idea of turning to a device instead of a familiar, reassuring face unfathomable. That is why <a href="https://nepalitimes.com/opinion/addressing-nepals-digital-divide?ref=blog.togglecorp.com">digital literacy</a> efforts must be paired with guided human support to build trust alongside technical skill. Such a model of community-led digital mediation is already gaining traction elsewhere. In the UK, ‘digital health ambassadors’—often young people or even schoolchildren—are trained to co-design and advocate for online platforms that resonate with peers who might otherwise feel excluded from automated health services. A Nepali version could engage cohorts of nursing students, tech-savvy youngsters and returnee migrants to assist elders in navigating digital health platforms and troubleshooting problems, and most of all, normalising the idea of health apps being a reliable recourse.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250720130748_fcb94ab76e76b5574189757e88d76fccad4e115e78dd9eae92a3bd4c882c3431.png" data-media-id="editor_12" data-image-id="20250720130748_fcb94ab76e76b5574189757e88d76fccad4e115e78dd9eae92a3bd4c882c3431" data-rendition-name="original" width="2246" height="1590" loading="lazy" alt="Smart ageing is Nepal’s next frontier"> </figure>  Nepal’s own network of Female Community Health Volunteers (FCHVs), whose credibility is rooted in long-standing relationships across rural communities, could be similarly upskilled, their roles in <a href="https://nepalitimes.com/here-now/target-2030-for-maternal-and-newborn-health">maternal and child health </a>expanded and repurposed to also include geriatric tech support. However, there is a limit to how much older adults can adapt to new technologies. So, Nepal should simultaneously invest in passive technologies—tools that monitor and act for the elderly, instead of demanding active use. That is where wearables and in-home smart health devices collectively known as 'gerontechnology' come in. Picture an 82-year-old in far-flung Rolpa, away from the facilities of an urban hospital. Installed in her home are low-cost motion sensors that monitor prolonged inactivity or signs of a fall, instantly triggering alerts to the nearest health post when necessary. On her wrist, a wearable bracelet continuously tracks her sleep, vital signs, oxygen saturation, and glucose levels. This data is encrypted and synced to a digital dashboard accessible by health staff at the local post. If the system flags an acute risk—such as a potential stroke or hypoglycemia—a nearby health worker is dispatched immediately to her home. If her readings over time indicate a trend toward a <a href="https://nepalitimes.com/news/why-do-so-many-nepalis-have-high-blood-pressure">chronic condition</a> like diabetes, community health volunteers step in. They help schedule a virtual consultation with an endocrinologist in Butwal. Based on the advice received, she gets a prescription and picks up her medication from the local community pharmacy, along with a smart dispenser to ensure she sticks to her treatment plan without missing doses. This is not as far-fetched as it may sound. Many of the individual devices forming this connected medical system called an Internet of Medical Things (IoMT) already exist in Nepal as imported commercial products. What is missing is a stronger framework for <a href="https://nepalitimes.com/business/public-health-partnership">public-private collaboration</a>: one where health tech companies continue developing locally adapted tools, and the government actively integrates these innovations into public health delivery. <a href="https://nepalitimes.com/opinion/people-power/nepal-as-an-ai-power-bank">Nepal’s tech ecosystem</a> is maturing, but policymaking must evolve in tandem, especially when it affects an older generation largely resistant to change. The backlash against the recent mandate requiring National Identity Cards for accessing social security benefits revealed the pitfalls of imposing top-down reforms without adequate preparation or support for seniors. For Nepalis to age well, community caregivers, doctors, innovators, and above all, the state, must step in where families have stepped away. The goal is not to replicate traditional care, but to build a coordinated system of support that connects everyone through technology. The future is older for Nepal, let us be wiser too. The writers are pursuing their undergraduate studies in biomedical engineering at the Hong Kong Polytechnic University.