<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a290b9c7e80680e0458a4jpeg.jpg" alt="" width="1500" height="1128"/><figcaption>Nepal's world renowned eye doctor Sanduk Ruit with his patient at Tilganga Institute. Photo: GOPEN RAI</figcaption></figure>Despite a decade long conflict, the absence of local government for 20 years, instability and bad governance, Nepal has taken dramatic strides in improving the health of its citizens. And it is in <a href="http://archive.nepalitimes.com/news.php?id=6416#.XH43n8AzaUk" target="_blank" rel="noopener">eye care</a> that the achievement has been most impressive.Thirty years ago, the Nepal Blindness Survey showed that 0.8% of the population was blind. Nepal’s population then was 15 million, which means 118,000 people were blind. Cataracts was the cause in 72% of the cases, and trachoma, a bacterial infection of the eye, was the second leading cause of blindness. Poor eye-sight and blindness due to Vitamin A were also prevalent. Most of these were preventable or curable. Women were found to be 1.35 times more likely to get cataracts because of the detailed  nature of their work, and injuries stemming from household work and farming.Today, the prevalence of blindness has decreased to 0.3% out of a population of 29 million, which means only 87,000 are visually impaired. But most of them are blind still because of cataracts. Last year Nepal became the first country in South Asia to eliminate trachoma. Cataracts and other preventable cases can now be treated much earlier with modern surgery.“The quality of community cataract surgery here is one of the best among developing countries and people are coming forward for treatment because they trust us,” said <a href="http://archive.nepalitimes.com/article/Nepali-Times%20Buzz/sanduk%C2%ADruit%C2%ADtilganga,2574" target="_blank" rel="noopener">Sanduk Ruit</a>, Nepal’s world-renowned eye doctor who pioneered small incision cataract surgery. (See below)But modern lifestyles and changing <a href="https://archive.nepalitimes.com/regular-columns/GUEST-COLUMN/we-are-what-we-eat-aruna-uprety,1022" target="_blank" rel="noopener">dietary habits</a> have brought new dangers: diabetic retinopathy is on the rise, so is glaucoma. An ageing population also means cataract is still common, as is macular degeneration among elderly Nepalis.The most challenging ailment, however, is visual impairment due to refractive error which is increasing alarmingly among children, and at a much higher rate in urban areas. A 2008 study found that one in five school-going children in Kathmandu were short sighted and need to wear glasses. In remote rural areas, many do not even know they need spectacles or cannot afford them.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a290f9c7e80680e0458a5jpeg.jpg" alt="" width="1265" height="717">Ruit’s team at <a href="https://tilganga.org/" target="_blank" rel="noopener">Tilganga</a> and the group <a href="http://www.nnjs.org.np/" target="_blank" rel="noopener">Nepal Netra Jyoti Sangh</a> are now trying to test and treat the eye-sight of school children district-by-district. Free spectacles are provided, and complicated cases are referred to hospitals.“Our goal is to reach all school-going children in Nepal within five years,” said Sailesh Mishra of Netra Jyoti. “This needs regular monitoring and follow-up if children are using glasses or not, and we need to educate people about eye diseases.”While there has not been a study in Nepal to directly link the increased incidence of visual impairment with the use of mobile phones, computers and reading, research in other countries have shown a correlation.Nepali eye specialists and institutions have not just addressed blindness in Nepal, but have been world leaders in innovative interventions. Sanduk Ruit’s Tilganga Institute of Ophthalmology has been exporting intraocular lens for cataract surgery at $5 apiece since 1995. Elsewhere in the world it costs $200. Tilganga is now equipped to also perform retinal transplant.Eye hospitals in Lahan, Hetauda and Kathmandu now treat not just patients from Nepal, but also provide affordable cataract and other eye operations for patients from India, and even Bangladesh and Sri Lanka.Read also:<a href="http://archive.nepalitimes.com/news.php?id=19839#.XH4vDSIzbIU" target="_blank" rel="noopener"> Two Decades of Vision</a>, Skye MacparlandTilganga has is an international centre of excellence for ophthalmology training, and its surgeons have been conducting camps in Bhutan, Mongolia, North Korea, Ethiopia and Kenya. Much of this is credited to non-government initiatives by the likes of Sanduk Ruit and pioneer activist Ram Prasad Pokhrel.“One of our most important achievements was to provide eye care outside the government, creating high quality community hospitals at the grassroots that run on the social entrepreneurship model with highly motivated professional staff,” explained Ruit, whose community eye centres and hospitals are autonomous and self-sustaining.But with its Vision 2020 goal to eliminate avoidable blindness now only a year away, Nepal needs to develop more specialists and infrastructure. Some experts say the non-profits have done all they can, it is now time for the government to step in for the last push.“Nepal is far ahead of others in the region in term of eye care, we have reduced blindness, have sound modern surgical technology that has been recognised internationally,” said Hukum Pokhrel of Netra Jyoti. “It is now time the government included eye care into a more equitable health package that is sustainable into the future.”<h2>The Visionary Sanduk Ruit</h2><h2>New biography of the Nepali eye surgeon who overcame</h2>all odds to give the gift of sight to the world<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a29119c7e80680e0458a6jpeg.jpg" alt="" width="1500" height="1000"><figcaption> </figcaption></figure>It was on the death bed of his young sister that <a href="http://archive.nepalitimes.com/news.php?id=12282#.XH448cAzaUl" target="_blank" rel="noopener">Sanduk Ruit</a> vowed to grow up to be a doctor so others like her did not have to die needlessly. Later, at a surgical camp he found his true calling after observing the magic of restored eyesight.There were many such instances that turned this boy from a family of salt traders in Olanchungola on the Tibet border into a world-renowned surgeon. Reading Ruit’s new biography, <a href="https://www.amazon.com/Barefoot-Surgeon-inspirational-Sanduk-surgeon-ebook/dp/B07BLJYZJ1" target="_blank" rel="noopener">The Barefoot Surgeon</a>, we find that it was sheer determination, hard work and perseverance that helped him overcome many obstacles on the way to rising from a remote village in Nepal to become an internationally acclaimed doctor.“I want this book to create awareness about how we alleviated blindness in Nepal, and how this experience can be fine-tuned and replicated in other parts of the world,” Ruit said in an interview, ahead of the launch of the soon to be released book.Australian journalist Ali Gripper recounts how his mother named Sanduk (sky dragon), and the family was so poor Ruit lost siblings to preventable infections like diarrhoea and tuberculosis. At boarding school in Darjeeling the young Ruit was bullied mercilessly, he spent hours with lab animals as a diligent student pulling all-nighters at King George’s Medical University in Lucknow, then operated on rhesus eyes in ophthalmology class at the All India Institute of Medical Sciences in New Delhi.Much of the book describes Ruit’s years as a junior eye surgeon trying to shake up the government health system in Nepal to introduce <a href="http://archive.nepalitimes.com/news.php?id=3804#.XGI_jtIza71">intraocular cataract surgery</a>. He is rebuffed by seniors who see his motivation as a threat. Gripper follows Ruit’s transformation into a young man with a vision to rid the world of <a href="http://archive.nepalitimes.com/news.php?id=6416#.XGI_adIza70">avoidable blindness</a>.Along the way, Ruit is mentored by famous Australian eye surgeon <a href="http://archive.nepalitimes.com/news.php?id=19839#.XGI_O9Iza70">Fred Hollows</a>, and much later American climber-surgeon Geoffrey Tabin becomes a protégé. Both individuals play a significant part in expanding Ruit’s transformative work, and leave a profound impact on the doctor.<iframe src="https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/585215052&amp;color=%23ff5500&amp;auto_play=false&amp;hide_related=false&amp;show_comments=true&amp;show_user=true&amp;show_reposts=false&amp;show_teaser=true&amp;visual=true" width="100%" height="300" frameborder="no" scrolling="no"></iframe>Ruit is known for pioneering the technique of small incision low-cost cataract surgery which he has used to restore the sight of more than 120,000 people so far in Nepal, China, North Korea, Ethiopia and other countries. He has won many accolades including the Ramon Magsaysay Award in 2006, and last year one of India’s highest civilian honours, the Padma Shri.As he interacts with patients in Kathmandu, he shows extraordinary kindness and humility for a doctor so famous. Ruit tells Gripper that he learned early in his career that giving back eyesight to people meant giving them back their life. Ruit’s life is not without personal tragedies, and the book is full of heartfelt moments. But it is as much about progress in eye care in Nepal as it is about Ruit himself.“Curing blindness is Nepal’s great success story,” said Ruit, who established the Tilganga Institute of Opthalmology in Kathmandu in 1994. At that time the prevalence of <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/Seeing-is-believing,2577">blindness in Nepal</a> was 0.8%, with cataract the major cause. Today, blindness is down to 0.3%, despite the population having doubled, and Ruit is operating much earlier with improved surgery on contracts.The world-class eye centre is also a training ground for young surgeons from around the world. Tilganga runs on the social entrepreneurship model with a sliding scale payment system where those who can afford treatment pay more than the less privileged.“Instead of investing time and money on mega projects, we should focus on developing small, self-sustaining grassroot independent community hospitals with qualified staff, and that is the most important thing we have achieved in eye care in Nepal,” said Ruit, who has opened eye centres in all 77 districts,  with community eye hospitals based on the <a href="http://archive.nepalitimes.com/news.php?id=17323#.XGI-U9Iza71">Tilgaganga model</a> in Hetauda, Biratnagar, Dhangadi, Nepalganj and Lumbini.The Barefoot Surgeon is being translated into Nepali by FinePrint, but it is not the first book about Ruit. <a href="https://www.amazon.com/Second-Suns-Trailblazing-Doctors-Blindness/dp/1615193626" target="_blank" rel="noopener">Second Suns</a> by <a href="http://archive.nepalitimes.com/article/review/helping-the-poor-to-see,2575">David Oliver Relin</a>, who also wrote <a href="https://books.google.com.np/books/about/Three_Cups_of_Tea.html?id=HbezCyqr3q0C&amp;redir_esc=y">Three Cups of Tea</a>, was about Ruit and Tabin’s quest to restore sight to the world’s poorest. But following an allegation of plagiarism in an earlier work, Relin committed <a href="https://www.nytimes.com/2012/12/03/business/media/david-oliver-relin-co-author-of-three-cups-of-tea-dies-at-49.html?_r=0">suicide</a> in 2013 right after handing over the manuscript of the Second Suns.Read also: <a href="http://archive.nepalitimes.com/article/review/helping-the-poor-to-see,2575" target="_blank" rel="noopener">Helping the poor to see</a>, Kunda DixitFor the new book, Gripper followed Ruit’s surgery team for more than three years in India, Bhutan and Burma. In Nepal she joined Ruit’s eye camps in Trisuli, Mustang, Hetauda and Solu Khumbu to see people seeing again. She noticed that Ruit preferred to work barefoot ‘allowing him complete control of the pedal under the table that pulls focus on his microscope’.The book recounts Ruit’s vision for Tilganga, the rapport he shares with Bhutan’s Queen grandmother, the eye camp in North Korea where minders followed their every move, his meeting with the Dalai Lama, the challenges in manufacturing low-cost intraocular lens in Kathmandu, and a treacherous journey to Mustang for a field camp.There will be tears of joy and of sadness, there will be elation and wonder as you turn the pages of The Barefoot Surgeon. This is a moving portrayal of a great Nepali whose work has transcended borders to transform many, many lives.Sonia AwaleThe Barefoot Surgeon: Inspirational story of Dr Sanduk Ruit, the eye surgeon giving sight and hope to the world's poorBy Ali GripperAllen &amp; Unwin, 2018305 pagesAUD $32.99<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a29149c7e80680e0458a7jpeg.jpg" alt="" width="1500" height="2294"><h2>Ozone and Eyes</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a29179c7e80680e0458a8jpeg.jpg" alt="" width="484" height="460"><figcaption> </figcaption></figure>The ozone layer in the outer atmosphere filters out harmful ultra-violet rays of the sun from reaching the Earth’s surface. There has been a steady <a href="http://archive.nepalitimes.com/news.php?id=2243#.XH44ecAzaUk" target="_blank" rel="noopener">depletion</a> of this, especially over the Southern Hemisphere, due to chemicals called CFCs used as a refrigerants. This has caused a rise in the incidence of skin cancer, but also of eye disorders. People living southern Argentina, Australia and New Zealand have been known to suffer more cataracts because of the solar UV-B radiation.A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1298891/" target="_blank" rel="noopener">2005 study</a> carried out by the American Journal of Epidemiology found out that  ozone depletion would result in a 20% rise in the number of cataract cases by 2050. Ultraviolet rays is also responsible for the onset of cataract at an earlier age. Not just people in the southern hemisphere, but those living in high altitude areas like the Tibetan Plateau and Nepal also become more susceptible to cataracts due to ozone thinning.Apart from cataract, UV radiation can also cause photokeratitis (inflammation of the cornea), eye cancer, conjunctivitis, pterygium, conjuctivitis, acute solar retinopathy, and degeneration of the macula. Long term exposure to the harmful rays can cause permanent damage to cornea, lens and retina.As a result of the <a href="https://archive.nepalitimes.com/article/nation/bringing-kyoto-and-montreal-together,1405" target="_blank" rel="noopener">1985 Montreal Protocol</a> to phase out CFCs,  the ozone hole over Antarctica has started to shrink, but exposure to UV B radiation will be seen till the end of the century. HFCs  that replaced CFCs in refrigerators and air conditioners are very potent greenhouse gases that contribute to the global warming.Doctors say, minimising the time spent outdoors especially in the southern hemisphere and at high altitude is a useful precaution.

Sonia Awale

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Nepal's far-sighted eye care

Nepal’s only international aviation gateway, at Kathmandu airport, will cut night-time operation hours to allow construction of taxiways, and airlines have been told to curtail flights. This is expected to lead to more than normal chaos during the height of peak autumn and spring tourist seasons at an airport that is congested even at the best of times. The airport will close from 10PM to 8AM from 8 November-31 March 2025. The taxiways will now connect to the thresholds at both ends of the runway, making the airport more efficient in handling higher frequencies of landings and takeoffs. The parallel taxiway extension will allow international flights to land every 4 minutes instead of the current every 7 minutes. At present planes have to wait to land until a plane taking off backtracks along the runway.&nbsp; Kathmandu is Nepal’s only airport with international operations, and it has only one runway that is only one way in from the south over the mountains. With the taxiway improvement, the airport will be able to handle 42 aircraft landings and takeoffs per hour — double the current capacity.&nbsp; The Civil Aviation Authority of Nepal (CAAN) has been trying to entice international airlines to also start flying to and from the other two international airports at Pokhara and Bhairawa (Lumbini) by slashing landing and handling charges. But so far only Nepal Airlines operates a weekly flight to Bhairawa from Kuala Lumpur.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32.jpg" data-media-id="editor_0" data-image-id="20241018161016_046569e53d1d66cd445cc66c697c0ef724810aec9f54bdf827481e3cd6b80c32" data-rendition-name="original" width="2356" height="1134" loading="lazy" alt="Kathmandu airport expansion"> <figcaption>Kathmandu Airport Expansion plan with extension of taxiways to the thresholds of runways 02 and 20 that will limit airport operations from 8 November 2024 - 31 March 2025. Areas in blue are existing structures, including the international terminal which in future will be the domestic airport, and the new international terminal near the north end of the runway,</figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a.jpg" data-media-id="editor_1" data-image-id="20241018121028_6e17cc2ee87c1b02d78cb54905825b7aa15299b7a00f5eddb01a59579ab85c1a" data-rendition-name="original" width="1353" height="1328" loading="lazy" alt="Kathmandu airport NT"> </figure>  CAAN has reportedly told international airlines to cut their flight frequency to Kathmandu citing the shorter operation hours and has told budget airlines to shift some of their flights to Pokhara or Bhairawa, or face cuts. Many airlines currently operate regular flights to and from Kathmandu between 10PM and 8AM: Air Arabia to Sharjah, Fly Dubai to Dubai, Jazeera Airways to Kuwait, Cathay Pacific to Hong Kong, Singapore Airlines, several Nepal Airlines flights, and one of four daily flights by Qatar Airways to Doha. Jazeera Airways, FlyDubai, and Thai AirAsia have applied and got permission from CAAN to begin regular flights to Bhairawa’s Gautam Buddha International Airport. Starting 9 November, FlyDubai will start making a stopover in Bhairawa before flying on to Kathmandu. Immigration, customs and security are all fully functional in Bhairawa. In Kathmandu, the next phase of the airport upgrade includes converting the current international terminal for domestic operations, the construction of a new international terminal where the domestic departure area is now, as well as moving the hangars and the Nepal Army Air Wing to the eastern side of the runway. The apron area will also double its parking space for widebody jets. This is part of a Airport Capacity Enhancement Project that was initially funded through a $80 million loan from the Asian Development Bank (ADB), and the entire masterplan is expected to cost $800 million. This project is the latest upgrade to Nepal’s only international airport since it saw its first flight in 1949. The current international and domestic terminals are too small to handle the current annual traffic volume of 8.5 million passengers a year that is growing at 20% a year.

Kathmandu airport to cut flight hours

As Kathmandu becomes more congested and polluted, and with remote online work becoming the norm, many professional Nepalis are planning to retire in Pokhara, or move there.&nbsp; With its stunning mountain panorama, balmy winters and proximity to a profusion of wilderness areas, builders are responding to this demand with new townhouses, housing development and apartments. One such block of flats is the 10-storey <a href="https://sungavaapartment.com/">Sungava Apartment</a> located at Phulbari above the Seti River, near the point where it flows into and under Pokhara. The imposing structure near Manipal Hospital is almost complete, and on a recent visit the site was strewn with huge boulders unearthed while digging the foundation.&nbsp; The Seti brought down these boulders during a gigantic flood that geologists estimate happened 800 years ago when a chunk of Annapurna IV broke off and ploughed into the glacier below. Today, Sungava (means ‘orchid’) sits safely on a high terrace, 100m above the blue-green Seti and commands a view of Dhaulagiri, Annapurna South, Machapuchre, Annapurna III and IV.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9.jpg" data-media-id="editor_1" data-image-id="2024102411104_5f8fc736c86ea3c08d7bef43bb727081d3cc1a2caa55ae2b441717e6044de7e9" data-rendition-name="original" width="2016" height="1512" loading="lazy" alt="High living below the Himalaya NT"> </figure>  The soil here is conglomerate that has solidified like concrete, and the boulders were extracted by heavy earthmovers. It is intriguing to think that these metamorphic rocks as big as cars, rounded by glacial grinding, were once a part of a much higher Annapurna IV. Even for those with little interest in geology, Sungava is an ideal place to contemplate the tectonic forces that pushed these peaks into the sky to be sculpted into delicate shapes by wind, snow, earthquake and avalanche over millions of years. The view of the Himalayan panorama from Sungava’s many balconies are breathtaking when not obscured by clouds, or the haze that drifts in from across the southern border. On most days, just watching the towering pyramid of Machapuchre (Tamu name: कतासुँ क्लिको) play hide and seek with the clouds is mesmerising. There are rocks aplenty at Phulbari, and it is probably the flowers that grew along the flat terraces e that gave the place its flowery name. The boulders will hopefully be turned into a rock garden while landscaping. An nearby restaurant complex is making the best use of the stones in its design, using flat rocks as outdoor benches and tables. Sungava was designed by the husband-wife architect team of Deepak Sherchan and Jyoti Joshi of <a href="https://thedarkmermaidamarbshrestha.blogspot.com/2013/12/creative-builders-collaborative-cbc.html">Creative Builders Collaborative (CBC)</a>, which also built Heritage Plaza, Indreni Apartment and numerous other projects in Nepal. Sadbhavana retains CBC’s trademark Newari-style masonry and here it borrows from the orange brickwork of the old town of Pokhara, integrating it with modern design elements. A few of those heritage houses are still standing in Ganesh Tole and Ram Krishna Tole in Pokhara’s old quarter.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab.jpg" data-media-id="editor_3" data-image-id="2024102411108_5eb64a4885961b6d30781cefeb1e8a313da313ac5227c7a66b60f0c7d48d6fab" data-rendition-name="original" width="1362" height="595" loading="lazy" alt="High living below the Himalaya NT"> </figure>  About 400m from the apartment past a bend on the river, and down below three tiers of terraces in the canyon is a suspension bridge. Below it, the Seti is still swollen with post-monsoon flow as it tumbles away in a hurry to head down south.&nbsp; Back at the apartment, it is quiet, far away from the hubbub of Lakeside a 15 minute drive away, and in the lap of greenery. There are 52 units at Sungava and it already has a close-knit prospective community of professionals, including doctors, publishers, engineers, and businesspeople from the renewable energy and IT sectors.&nbsp; Some residents say they opted for a second home in Pokhara to make it a ‘base camp’ to explore the Annapurnas with its many hiking trails made newly accessible with new roads. With the NRN citizenship law, overseas Nepalis can now also buy the flats. &nbsp; The floor plans include options for north and south-facing 3-bedroom apartments with verandas, and the facility has underground parking has EV charging, heated pool, sauna and gym. There are still some unsold apartments with panoramic views of the mountains and one can imagine oneself at the kitchen with its huge window, humming a ditty while preparing breakfast: “खाना पकाउँ हिमाल हेरेर...”

High living below the Himalaya

When the United Nations held its Summit of the Future at its headquarters in New York in September, many world leaders, including Nepal’s Prime Minister K P Oli, highlighted the effect of climate breakdown in increasing the frequency and intensity of natural disasters. What did not get as much attention was the long term impact of the climate crisis on food production. In fact, heat stress, weather extremes and the consequences on rain-fed agriculture is already being felt worldwide, undermining the chances of the <a href="https://unstats.un.org/sdgs/">UN’s Sustainable Development Goals (SDGs)</a> being met by 2030.&nbsp; The SDG’s 17 targets commit countries like Nepal to reduce poverty and inequality, end malnutrition, protect the natural environment, and ensure that citizens all enjoy health, justice and prosperity without leaving anyone behind.&nbsp; However, besides the impact of climate breakdown on agricultural production, in Nepal the area under cultivation is impacted by urban expansion, falling productivity and the need for expensive inputs like fertiliser and pesticides.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62.jpg" data-media-id="editor_1" data-image-id="20241019041052_626413c5baf4dae407ac9579231b41daeb51510aa636b75aeb7489d94cca6a62" data-rendition-name="original" width="999" height="1500" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Kathmandu's urban sprawl is eating into its fertile cultivable lands. Photo: TAYLOR MASON</figcaption> </figure>  Now, a new study led by Nepali researcher Prajal Pradhan at the University of Groningen in The Netherlands looks at how urban agriculture may offer a solution to falling food production and meeting SDG targets. The researchers evaluated 1,450 publications exploring the contributions of urban agriculture with both positive and negative effects, and published their findings in the journal Cells Report Sustainability. Urban agriculture can help achieve 17 SDGs, positively influencing 81 targets. However, it could also undermine 51 goals.&nbsp; Read also: <a href="https://nepalitimes.com/here-now/the-vanishing-land">The vanishing land</a>, Taylor Mason “Urban agriculture offers immense potential for sustainable development, but realising this potential depends crucially on adopting practices that minimise its adverse effects while maximising its benefits,” Pradhan explains. Urban agriculture can substantially enhance urban food security, provide employment to the urban poor, serve as ground water recharge in built-up areas, and preserve open spaces that can serve as safe havens during disasters like earthquakes. However, it also presents problems like the potential health risks from contamination and the need for expensive inputs. &nbsp; “Urban agriculture plays a definitive role in advancing the SDGs, but achieving this requires tailored, context-specific solutions that address the unique challenges of different regions,” says Yuanchao Hu of Wuhan University in China and who is a researcher at the Potsdam Institute for Climate Impact Research. “But it needs equitable access and rigorous management of environmental risks.”&nbsp; Rapid urbanisation is eating into Nepal’s most fertile agricultural land, which means farming in remaining open spaces inside cities can be a viable alternative, especially as food prices rise.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8.jpg" data-media-id="editor_3" data-image-id="20241019041052_7b7c9413086226fbdc630d45acf772cfa1ced77a8970b9056ec5ec7e5226fdf8" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>A vegetable patch in between new houses in Thimi. Photo: TAYLOR MASON</figcaption> </figure>  “The conversion of Nepal’s most fertile land into cities is a severe problem,” Pradhan told Nepali Times. “Crop cultivation, horticulture, agroforestry, beekeeping, livestock rearing, or aquaculture can all be farming activities within and around cities.”&nbsp; The study makes recommendations for sustainable practices that build on the positive aspects of urban agriculture while mitigating the downsides, thereby promoting more resilient cities in future. Research shows that urban agriculture has been helping many countries attain SDG targets by enhancing food security and biodiversity while helping education and preservation of open spaces.&nbsp; Indeed, many farmers from the hinterland who have settled in Kathmandu Valley or other urban areas of the country have been practicing urban agriculture, leasing neighbourhood patches or cultivating roof gardens both out of necessity because of inflation and falling income to grow their own food, and also as a fulfilling hobby. Saurav Dhakal, a sustainability advocate with Story Cycle and now research fellow at the Asian Institute of Technology in Thailand, says there are socio-economic and environmental benefits of urban agriculture. “It provides benefits to all urban dwellers, regardless of their income status,” says Dhakal, “families get fresh food, and there are many other benefits like water retention, heat regulation and biodiversity. These are all public goods, so special government incentives may be needed.” It is not unusual to see vegetable patches and even paddy fields within inner city Kathmandu where an older generation of farmers are using available fertile land and <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/rooftop-gardens-kathmandu,1415">roof gardens to produce fresh, nutritious food </a>to reduce their dependence on food items that have to be bought after being trucked in from large distances.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77.jpg" data-media-id="editor_5" data-image-id="2024101905100_1291ce98dbbb8caed8702ac4b1d469b3e13016d7ecaaf3bfd5f91c974d3c0c77" data-rendition-name="original" width="1500" height="999" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>An older generation of farmers are using any available fertile land to continue farming but it is getting more and more difficult. Photo: TAYLOR MASON </figcaption> </figure>  Nepal’s urban population grew rapidly from only 3.6% in 1991 to 25% today. There is large outmigration from the mountains to peri-urban areas of the Tarai, to Kathmandu Valley and Pokhara, with many young men then moving abroad for work. Kathmandu Valley’s population has swelled to nearly 3 million, and is growing at 6.5% a year. Dilip Shrestha, 71, used to work for Nepal Food Corporation, so he knew firsthand about inflation, shortages and vegetables with pesticide residue. So, when he designed his new house in Kathmandu, he built a spacious roof where he grows cucumber, ginger, garlic, coriander, onions, tomatoes, chili, beans, okra, pumpkin and lettuce. His family eats healthier, and he has reduced dependence on the market.&nbsp; The co-author of the Cell Reports Sustainability journal article, Daya Raj Subedi who is a PhD candidate at Beijing Forestry University, says urban agriculture also promotes inclusion and psycho-social wellbeing.&nbsp; He says, “A crucial finding of the study is the identification of opportunities and challenges associated with urban agriculture, it can promote sustainable transformation of society.” In Banepa, 55-year-old Bijaya Manandhar in her lifetime has watched the fertile farms of her neighbourhood that used to supply vegetables to Kathmandu, now completely built up with no open space left. The pandemic lockdown prompted her to turn to the family’s <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world">ancestral livelihood by growing food</a> not on terrace farms, but on the roof terrace. Manandhar is now a part of <a href="https://nepalitimes.com/banner/rooftop-agriculture-on-the-roof-of-the-world%5C%5C">कौसी खेती र करेसाबारी क्रान्ती</a> (Rooftop Farming and Garden Revolution) which has an online membership of 52,000, and awards annual prizes to women who excel in urban agriculture.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d.jpg" data-media-id="editor_8" data-image-id="20241019041052_7257f5def8f823f35a799fa6f6825e153f2ffa406ac11325d4fe74049b79e96d" data-rendition-name="original" width="1600" height="736" loading="lazy" alt="urban agriculture in Kathmandu"> <figcaption>Rooftop farming is gaining popularity as a form of urban agriculture. </figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed.jpg" data-media-id="editor_9" data-image-id="20241019041052_beff1a4494ce896dd8fd383ee1f518e5448bcf7ea8bb138255391c7bcb9769ed" data-rendition-name="original" width="4000" height="3000" loading="lazy" alt="urban agriculture in Kathmandu"> </figure>  Pradhan says the challenge now is to upscale such examples of successful urban agricultural practices so they support Neal’s efforts to meet SDG targets. He adds, “Crop cultivation around cities can be protected by land use plans and regulations. Promoting community-based agriculture, including rooftop gardens, requires community engagement and public-private partnerships across the food value chain.”&nbsp; Such support would accelerate the popularity of existing rooftop farming and community gardens in Kathmandu Valley, or kitchen garden initiatives in Pokhara, and building on traditional farming practices that are preserved and integrated into urban settings like in Bhaktapur and Banepa. In Lalitpur, the Women Entrepreneurship Facilitation Center promotes urban farming enhancing both sustainability and empowerment.&nbsp; Another co-author of the report, Yuanchao Hu from China says followup research of the team will aim to identify good practices in local urban agriculture practices. He adds, “There are examples of urban agriculture that optimise sustainability, ensuring that it remains a viable solution for cities globally while countries try to meet SDG targets.” Prajal Pradhan, Daya Raj Subedi, Kshitij Dahal, Yuanchao Hu, Prakriti Gurung, Sijal Pokharel, Sagar Kafle, Biplav Khatri, Sudeeksha Basyal, Monika Gurung, and Aruna Joshi. Urban Agriculture matters for sustainable development. Cell Reports Sustainability, 1:100217, 2024. [DOI: 10.1016/j.crsus.2024.100217] Prajal Pradhan (<a href="mailto:p.pradhan@rug.nl">p.pradhan@rug.nl</a>) This article is brought to you by <a href="https://nepalitimes.com/" target="_blank">Nepali Times</a>, in collaboration with <a href="https://inpsjapan.com/en/" target="_blank">INPS Japan</a> and <a href="https://sgi-peace.org/" target="_blank">Soka Gakkai International</a>, in consultative status with UN ECOSOC.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758.jpg" data-media-id="editor_14" data-image-id="20240630110640_30c3782f9c09219bf1c249b51483a3cfb7a53a06d117d2aebd23ca7080d12758" data-rendition-name="original" width="680" height="103" loading="lazy" alt="SDG logo"> </figure>

Back to the land in the cities

The 700-year-old Lakshmi Narasingha temple in Bhaktapur houses a rare half-lion and half-human incarnation of Lord Vishnu carrying the Goddess Lakshmi. The temple was destroyed in the 1934 mega earthquake that killed 10,000 people and destroyed many monuments in Kathmandu Valley. It was rebuilt by a German project in the 1980s, but as a single-storey structure instead of its original two-tier pagoda design.&nbsp; With new findings from in-depth research, Bhaktapur municipality began re-restoring the temple in 2021, preserving its original architecture.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18.jpg" data-media-id="editor_0" data-image-id="20241017131016_2fae38cce543ad7b1f6de632feb3e212e08ed1acedd747830e949d7b8e878f18" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “Our temples and heritage sites hold deep meaning. It is disheartening to witness how often they lose their original elements, whether by design or accident,” explains Kumar Chawal of the Consumer Committee of Bhaktapur. “There is a need to preserve our architecture and protect its historical value for future generations. Otherwise, we risk losing a vital part of our identity.” The Laksmi Narsingha restoration is similar to the Bhai Dega temple in Patan Darbar Square which also collapsed in 1934, but was rebuilt with a Moghul-style dome by the Rana government at the time. Only two months before the 2015 earthquake, heritage conservationists had started to rebuild Bhai Dega as the original three-tier based on early photographs. But priorities shifted when four other temples in the square were brought down by the 7.8M earthquake on 25 April 2015.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130.jpg" data-media-id="editor_1" data-image-id="20241017131016_697ea707d9ad163be5de5f2efbf5b70d3cab771adcc22f0fae6bf937c6cb0130" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  This showed how damage to monuments in Kathmandu Valley spanned from one earthquake to the next. Bhai Dega restoration remains half-complete to this day because money for its restoration ran out.&nbsp; Whereas Bhai Dega restoration was done by the Kathmandu Valley Preservation Trust with grants from western embassies and international foundations, in Bhaktapur it is the municipality itself that allocated the Rs30.7 million needed to restore the Lakshmi Narasingha temple. The expected date of completion is early 2025. The municipality and local communities are focusing on two main aspects: preserving the past and promoting localisation. The restoration team has designed a blueprint for the temple by using historical photographs and insights from older generations.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30.jpg" data-media-id="editor_2" data-image-id="20241017131016_182882fdc393c99e70d1d0490319e415229563666c4934e3a582426ebf00ca30" data-rendition-name="original" width="1200" height="560" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “At first, the Lakshmi Narasingha temple had only one entrance, but during the demolition process, we uncovered the foundations of four doors. Now, we are restoring all of them. This is an example of how our ancient structures have changed over time, often without our knowledge,” says Chawal. “Constructing temples is not like building houses. They carry historical and spiritual values, which is why they hold a special place in our hearts,” he adds. By replicating ancient design elements and rebuilding the temple as accurately as possible to its original form, the team has stayed true to Bhaktapur’s soul. But the restoration also revived ancient techniques that were in danger of being forgotten, generating employment for woodcarvers, masons, and contractors. The community of Bhaktapur’s Gahiti neighbourhood near the famous Nyatapola Temple has also set aside specific days for locals to volunteer in the reconstruction work. This has encouraged young people to take pride in ownership of their heritage. Families have also supported the effort by donating funds for bells, the temple pinnacle, and other structural features to the temple.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6.jpg" data-media-id="editor_3" data-image-id="20241017131016_db850ec0c084cdbe54f65bee92dad2ad8122d20fd60ec87ec086fbb9d2f72bd6" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="In with the old in Nepal NT"> </figure>  “I feel at peace knowing I have contributed my sweat to restoring this temple,” said one volunteer. “It is our duty to preserve our temples and heritage. The Nyatapola area will look magical once this temple is completed.” Community mobilisation is a long-standing tradition in Bhaktapur. In the past, locals have actively participated in the restoration of other temples in the city, such as Bhairav and Nyatapola fostering a strong sense of ownership. This collective engagement has not only been crucial in preserving the city's historical monuments but also in strengthening the bond between local communities and their heritage, says officials at the municipality. While securing funding is essential, and the municipality showed it values heritage conservation, the Lakshmi Narasingha restoration is proof that active involvement and sense of responsibility of the local community is as important, if not more. Local involvement also means that the monuments will be cared for into the future, When locals take ownership of these efforts, the restored monuments are not only protected in the present but are also cared for in the future.

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