https://www.youtube.com/watch?v=ezfdhBKEtsEGrowing up in Chitwan, Radha Paudel’s father used to tell her stories of faraway Jumla: how it took weeks to walk there, the cold snowy winters, the Tila River on the banks of which were the world’s highest paddy fields. She was fascinated.Paudel became a nurse and, as luck would have it, was posted to Jumla with a safe motherhood program. The maternal mortality rate in the Karnali at the time was at sub-Saharan levels. The strict patriarchy made it an epicentre for neglected reproductive health problems among women.Read also:<a href="https://www.nepalitimes.com/?p=21465&amp;preview=true" target="_blank" rel="noopener">Nepal’s superwomen beat superstition</a>, Aruna Upreti<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21434&amp;preview=true" target="_blank" rel="noopener">That time of the month</a>, EditorialNepal’s armed conflict with the Maoists was at its peak, and Jumla suffered several rebel raids. Paudel witnessed the fierce one in Jumla in 2002 in which hundreds, including the CDO, DSP and civilians were killed. She survived by hiding under a bed all night as gunfire and bombs were going off outside.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a269e9c7e80680e043a26jpeg.jpg" alt="" width="1400" height="933"/><figcaption>CODE RED: Nurse turned writer turned activist Radha Paudel discusses dignified mentruation at her work place in Kathmandu this week. Photo: BIKRAM RAI</figcaption></figure>“It was terrifying, I fainted. Then I asked myself what drove them to take up the gun. I found the answer: the class, caste and gender discrimination in the region,” Paudel recalls.She wrote a book, Khalangama Hamala (The Attack on Khalanga) that described not just the night of the <a href="http://archive.nepalitimes.com/news.php?id=4589#.XGFoddIza70" target="_blank" rel="noopener">battle</a> but the harsh condition of life for the people of Jumla. The book was awarded the <a href="https://archive.nepalitimes.com/article/review/Nurse-book-wins-Madan-Prize,1670" target="_blank" rel="noopener">Madan Puraskar</a> in 2013 and brought the plight of the <a href="http://archive.nepalitimes.com/news.php?id=3046#.XGFpl9Iza70" target="_blank" rel="noopener">Karnali</a> to national attention.After a career as nurse and writer, Paudel is now a full-time activist trying to address practices like menstruation restriction on women, which symbolise entrenched gender inequality not just in Jumla, but all over Nepal.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a19c7e80680e043a27jpeg.jpg" alt="" width="1422" height="888"><figcaption> </figcaption></figure>Paudel is back with a second book Pavitra Ragat (Pure Blood), and like her first one this book also deals with blood-letting — only this time it is about the discrimination and taboos women have to face during their periods.The story began in Paudel’s own childhood, and she writes about how her mother and sisters were made to stay away from the kitchen and temples during menstruation. She had seen girls who menstruated for the first time isolated for three weeks, so when it was her turn Radha ran away from home to her sister’s place.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a49c7e80680e043a28jpeg.jpg" alt="" width="1400" height="1050"><figcaption> </figcaption></figure>The book is searing in its honesty, and the practical difficulties Nepali women face during <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/That-time-of-the-month,3098" target="_blank" rel="noopener">adolescence</a>: not finding enough rags to soak up the blood, always worrying if the blood is leaking through clothes, and asking classmates in school if her skirt is stained, not drinking water so that she didn’t have to go to toilet and risk losing her rag…As a nurse, Paudel conducted research on <a href="https://www.nepalitimes.com/review/bloody-period/" target="_blank" rel="noopener">menstrual practices</a> and found that many rural women in Nepal did not even know about panties and pads, they bled freely all day, and in many households women took turns to use the same rags. The book is graphic, and not for the faint-hearted reader as it describes the monthly reality for <a href="http://archive.nepalitimes.com/article/nation/why-is-female-sexuality-still-a-taboo-in-Nepal,2908" target="_blank" rel="noopener">many Nepali women</a>.When Paudel got her first job, she proudly bought herself proper panties and new, clean cloth to use during menstruation. But, she realised the situation had not changed for many of her fellow-women in Jumla.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Removing menstrual shame</a>, Clara Hare-Grogg<a href="http://archive.nepalitimes.com/article/nation/women-speaking-out-against-chaupadi,3518" target="_blank" rel="noopener">Periods of banishment</a>, Subeksha PoudelToday, Poudel is not just spreading awareness but manufacturing <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">biodegradable sanitary pads</a> at a factory in Chitwan, and training young women about how to use these washable pads that do not leak.Paudel explains why it is important de-glamourise modern sanitary napkins: they are made of synthetic materials and take up to 1,000 years to degrade. Much of the plastic waste dumped by the trails in Nepal are made of discarded sanitary pads.Besides making an environmental statement, Paudel also wants to promote dignified menstruation and remove the taboo surrounding menstrual ostracisation, the practice of chhaupadi in which women in western Nepal are banished to the cow shed once a month.“Menstrual isolation is a human right violation, it isolates women by barring them from kitchens, water sources, temples, schools, and homes,” says Paudel. “This means women are treated like second class citizens, or not even human.”<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26a89c7e80680e043a29jpeg.jpg" alt="" width="500" height="753">Paudel is determined to also change the image of Karnali as being a backward, illiterate and primitive region. For instance, Nepal’s 2018 Criminal Code prohibits the practice of <a href="http://archive.nepalitimes.com/article/nation/period-of-banishment,3529" target="_blank" rel="noopener">banishing</a> women to chhaupadi huts during menstruation or childbirth, but does not address more general menstrual restrictions practiced all over Nepal. Limiting the crime of isolating women to <a href="https://archive.nepalitimes.com/regular-columns/GUEST-COLUMN/blood-sisters-menstruation,839" target="_blank" rel="noopener">chhaupadi</a> unfairly points the finger at only western Nepal.Women dying of suffocation or snake bites in menstrual sheds make headlines, but not the everyday humiliation women everywhere are subjected to. Paudel says the ceremonial demolition of chhaupadi huts is misdirected. “Even if you replace the huts with a 5-star hotel, that is still discrimination,” she says.<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Menstrual shaming</a> exists all over the world, not just in Nepal. Just this month, Unicode approved a droplet of blood as an emoji to symbolise menstruation. Plan International lobbied for the emoji because its poll found that nearly half the girls and women in the UK between 14-21 were embarrassed about their periods.Across the world, women use code words when they refer to their periods, and Nepal is no different. Paudel lists some of them: chhui, chhau, nachhune, para sarne, all describing the isolation and stigma women face.Radha Paudel now wants to go beyond physical aspects of menstrual ostracisation to psycho-social and religious beliefs that make many women themselves firm believers in the taboos. Part of the reason she wrote the book is to demystify menstruation so that students, families, men and women can <a href="http://archive.nepalitimes.com/article/nation/Girl-talk-period,2377">talk about it openly</a>.Read also:<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">Pad Power</a>, Ziyu Lin<a href="https://www.nepalitimes.com/uncategorized/stereotyping-women-as-victims/" target="_blank" rel="noopener">Stereotyping women as victims</a>, Radha Adhikari and Jeevan Sharma

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Communicating to remove menstrual taboo

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26849c7e80680e043a1djpeg.jpg" alt="" width="1400" height="902"/><figcaption>DEFYING TRADITION: This cow shed in Kailali used for menstural banishment. It has now been turned into a store room for rice husk.</figcaption></figure>Media reports of the practice of chhaupadi are full of harrowing tales of suffering, and women dying of cold or suffocation during their monthly exile to the cowshed.A recent trip across eight districts in Nepal’s Far West revealed a critical mass of women who are defying the practice and overcoming the superstitions that perpetuate it. Each of the women have a different reason for shunning the shed, but together they are breaking an entrenched taboo that has come to epitomise gender discrimination in Nepal.Read also:<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/communicating-to-remove-menstrual-taboo/" target="_blank" rel="noopener noreferrer">Communicating to remote menstrual taboo</a>, Sewa Bhattarai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21434&amp;preview=true" target="_blank" rel="noopener noreferrer">That time of the month</a>, EditorialIn Achham, a 23-year old girl bravely decided to stay at home, even though her mother goes to the shed. On occasions when they menstruate together, the daughter cooks food inside and takes it out for her mother. She says indignantly, “The municipality says there must be a toilet at home, but no one ever discusses that women must not be forced to live in cowsheds.”Nirmala BK, 30, is also from Achham and is an example of how a mother’s courage can help eliminate practices like chhaupadi. Since she was not allowed to cook during her periods, Nirmala’s children would walk through town carrying flour, and beg people to cook roti for them. After seeing how miserable they were, the mother resolved to stay home and cook during menstruation.Some women have supportive husbands who empowered them to break the taboo. In Bajhang one woman said her husband pressured her mother-in-law to be allowed to stay indoor during her periods. “My mother-in-law still tries to find out whether I am menstruating or not, but I just tell her a white lie that I took a medicine to stop the bleeding,” she added.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26889c7e80680e043a1ejpeg.jpg" alt="" width="1400" height="1057"><figcaption> </figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a268a9c7e80680e043a1fjpeg.jpg" alt="" width="800" height="1044">Ramaroshni Giri stays at home during menstruation for safety reasons, but has gone one step further to break the taboo about milking livestock during her periods. “If I don’t do it, the cows will not give milk, and besides, none of the cows have died,” Giri says.A teenage girl in Achham kept her monthly cycle a secret because her mother threatened to kick her out of the house if she stayed indoors.One day, coming home from school the girl was shocked to see that her younger siblings had gone hungry all day because their mother was in the shed. She flew into a rage against her mother: “Does our religion say the children have to go hungry?” After that outburst, the mother now stays home and cooks even during her periods.There is superstition that the shaman will shiver if a menstruating woman touches him. So, 35-year-old Gangadevi Bista from Doti decided to test that. Feigning an illness, Bista showed her hand to a dhami during her periods, but not a shiver from him. She made sure the whole village found out about it.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a268d9c7e80680e043a20jpeg.jpg" alt="" width="1400" height="1149"><figcaption> </figcaption></figure><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26909c7e80680e043a21jpeg.jpg" alt="" width="1400" height="778"><figcaption> </figcaption></figure>A restaurant owner in Achham has abandoned chhaupadi , saying her business would collapse if she banished herself to a shed every month. “The elders, dhami and jhankri have all eaten the food I cooked even during my periods, none of them fell sick,” she says.A Dalit woman almost lost her baby son while she was in the shed in winter. She fell asleep with her eight-month-old in the shed and they were both nearly killed by a fire. She has not gone back to the shed after that.Many equate chhaupadi with poverty, but it is a product of a deep-seated patriarchy. In spite of positive changes, the practice continues and the pain of many women proves that raising awareness alone is not enough. Chhaupadi has already been criminalised by law, and needs to be strictly enforced.Read also: <a href="http://archive.nepalitimes.com/article/nation/nation-holding-up-half-the-district,489" target="_blank" rel="noopener noreferrer">Holding up half the district</a>, Kunda Dixit<h2>Vending machine for pads</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26939c7e80680e043a22jpeg.jpg" alt="" width="1250" height="831"><figcaption> </figcaption></figure>Students at the Gyanodaya High School in Kathmandu do not have to worry about getting their periods while in class, forgetting to bring sanitary pads, or even skipping school for a few days every month. The school has installed a vending machine for its 1,300 female students and 75 female staff which will provide a napkin after dropping a Rs 1 coin, but the users have to pay Rs 5 to the school for the added cost.The students in Grade 6 or 7 who get their periods for the first time, often while in school, are the ones who are going to benefit the most from the vending machine, the first sanitary pad vending machine in Nepal, and Gyanodaya has established itself as a menstruation-friendly school.The school, whose students achieve one of the highest pass rates in SEE exams in the country, expects the girl students to do much better in class now that they don't have to worry about their periods so much."We used to face hassles when we would forget to bring pads, and it was troublesome to borrow from classmates, we used to have to leave school and go home," now we don't have to worry about it anymore," says Ganga Sapkota, a student.Principal Natikaji Maharjan, who also teaches science at the schoool, says the curriculum places a priority on studying reproductive health so as to remove the taboos and superstition surrounding menstruation.He says this is a pilot project, and the school hopes to set aside a budget for free distribution of the pads from next year. “It will help in spreading awareness about mestruation as being a natural biological process,” he says.From the Nepali PressShanti Tamang in Setopati.com, 14 Feburary<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://setopati.com/social/175077?fbclid=IwAR0wvMka4BR4PCNJVDc8vJn3GdI3e_4hKTzJW-Eqa_TsJYx6LH3LVjYNn1E" target="_blank" rel="noopener noreferrer">Full story</a> in Nepali here.

Nepal’s superwomen beat superstition

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26669c7e80680e043a12jpeg.jpg" alt="" width="800" height="1099"/><figcaption>Illustration: DIWAKAR CHETTRI</figcaption></figure>The practice of chhaupadi in which women in western Nepal are banished to cow sheds during their periods grabs a lot of media attention within Nepal and internationally, eclipsing the much more widespread and entrenched menstrual restrictions in the rest of Nepal.As cruel and inhumane as chhaupadi is, journalistic coverage as usual tends to be event-focused, headlining only deaths due to suffocation, snakebites or exposure. There is little context to explain that the practice is now much less widespread as literacy improves, and after it was outlawed.As public health specialist Aruna Uprety <a href="https://www.nepalitimes.com/here-now/nepals-superwomen-beat-superstition/" target="_blank" rel="noopener">reports from Accham in this issue</a>, young women and mothers across western Nepal are now defying this superstition. But that is not ‘newsy’ enough for the international media.To be sure, it is a travesty that young women are still dying because they are forced to fend for themselves in the flimsy huts, where some fall prey to the cold, infections, wild animals, or rapists. Chhaupadi is cruel and an egregious violation of the human rights of women, perpetuated by conservative societal norms.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=21465&amp;preview=true" target="_blank" rel="noopener">Nepal’s superwomen beat superstition</a>, Aruna Upreti<a href="https://www.nepalitimes.com/?p=21456&amp;preview=true" target="_blank" rel="noopener">Communicating to remove menstrual taboo</a>, Sewa BhattaraiBut while women in western Nepal are cast out to spend four days every month in sheds, in other parts of Nepal they are confined to isolation in separate rooms. They are not allowed to cook or eat in the kitchen, cannot touch taps, and are supposed to keep off places of worship. These are not poor and illiterate women in rural Nepal, but college graduates, upper and middle class urban women in Kathmandu, and even the Nepali diaspora.Many women believe the superstition about menstrual ostracisation and willingly follow the practice, thinking crops will wither, livestock will die, cows will not give milk, or that their fathers and brothers will die if they ‘pollute’ them during their periods. Festivals like Rishi Panchami reinforce these beliefs, where women apologise for all the ‘sins’ they many have committed, even unintentionally, during menstruation.Women are also excluded from festivals and auspicious occasions, forced to find distant water sources for washing, and left out of schools and work. More damaging is the emotional toll: women feel humiliated and dehumanised as they grow up feeling powerless from a young age.Writer and menstruation activist <a href="https://www.nepalitimes.com/banner/communicating-to-remove-menstrual-taboo/" target="_blank" rel="noopener">Radha Paudel in her new book</a> released this week, Apavitra Ragat (Impure Blood), argues that all menstrual restrictions are human rights violations, not just chhaupadi. She says the demolition of chhaupadi huts and the distribution of sanitary pads, while being important interventions, do not address the continuing isolation of women during their periods, and their feelings of inferiority that it perpetuates.Read also:<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/removing-menstrual-shame,4148" target="_blank" rel="noopener">Removing menstrual shame</a>, Clara Hare-Grogg<a href="http://archive.nepalitimes.com/article/nation/women-speaking-out-against-chaupadi,3518" target="_blank" rel="noopener">Periods of banishment</a>, Subeksha PoudelPaudel suggests that the focus should be shifted to a more holistic advocacy where all members of society accept that menstruation is not impure. For that, communication and education are key, and the campaigns must include men, as well as school teachers, health workers, faith healers and community leaders.Positive stories also need more coverage because not everything about menstruation is regressive in Nepal. Over the years, increasing numbers of women have started questioning this tradition, and have proactively and collectively broken the taboo. Education has brought about dramatic change, spreading knowledge among students and their parents about the biological reasons for menstrual blood.The accounts of women who suffer in cow sheds are tragic, but much more compelling are the brave stories of those that have countered the practice in Nepal’s most conservative communities. They prove that reform is possible, and can be brought about by the combined strength of many ordinary women fighting for justice and rights for themselves and their children. They show that courageous progressive women exist in the same places where the taboo is strongest, and where those extreme cases of deaths and despair are reported.Ultimately, dignified menstruation for women all over Nepal should focus not just on hygiene and safety through sanitary pads and alternatives to chhaupadi huts, but on making sure that women are not shamed by menstruation and are free to participate in any activity, whether or not it is ‘that time of month’.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/pad-power-nepal,4147" target="_blank" rel="noopener">Pad Power</a>, Ziyu Lin<a href="https://www.nepalitimes.com/uncategorized/stereotyping-women-as-victims/" target="_blank" rel="noopener">Stereotyping women as victims</a>, Radha Adhikari and Jeevan Sharma<h2>10 years ago this week</h2>Ten years ago this week, the<a href="http://archive.nepalitimes.com/news.php?id=15656#.XGZRbFUzaUk" target="_blank" rel="noopener"> Ass’ Backside Column</a> in edition <a href="http://archive.nepalitimes.com/issue/438" target="_blank" rel="noopener">#4</a>38 of Nepali Times of 13-19 February 2008 was titled “Go back to sleep’. It was a spoof on the elected Maoist government honouring the PLA anniversary. Excerpt:Go back to sleep, we’ll wake you up when things start getting really exciting around here. As things stand now, nothing is really happening. Politicians are all up to their ears in party affairs, and no one has any time for the country. The southern plains and the eastern hills have been locked down now for weeks, but PM PKD has all the time in the world to helicopter over to Panchthar to attend his army’s anniversary. Defence Minister Cloudy was off in western Nepal attending a Tharu council. This whole week, the Baddie brass has been busy getting organised for the three-day gala war anniversary in Nawalparasi. All the UML members of the cabinet, including the Hydro Minister, will be out of action for another week because of the party convention in Butwal. And next week Nepal’s Other Army will be celebrating its own Army Day on Shivaratri.<a href="http://archive.nepalitimes.com/issue/438"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101148/636a26699c7e80680e043a13jpeg.jpg" alt="" width="511" height="814"></a>

That time of the month

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.