<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b796d9c7e80680e064701jpeg.jpg" alt="" width="712" height="429"/><figcaption>Patan Darbar Square Photograph taken by Bourne and Sheperd in 1870. Photo: The British Library</figcaption></figure>Kathmandu in the 1880s was a small place, about 1.5 km across and with 50,000 people living in its dense core area. In-migration after 1768 and new Rana palaces after 1846 had started expanding the city. <a href="https://www.nepalitimes.com/banner/toilet-trained/" target="_blank" rel="noopener">Sanitation</a> was poor, and conditions in Kathmandu were ripe for another disease outbreak.The doctor at the British Residency in Lainchaur, G H Gimlette, did not pull punches in describing Kathmandu's poor hygenic conditions: ‘The filth of the city is indescribable; along each side of the narrow lanes and streets run deep gutters, a foot to eighteen inches wide, filled with a stagnant mass of black stinking mud, into which fecal matter and every sort of refuse find their way. The stench of the thoroughfares is at all times bad enough, but, on a warm morning in the rains, it becomes sickening. (The houses) are generally overcrowded and ill-ventilated.’<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://archive.nepalitimes.com/article/nation/%20jajarkot-open-defecation-free,2023" target="_blank" rel="noopener">Cholera</a> had struck before -- in 1823, 1831, 1843, 1856, 1862, 1867, 1872, 1874, and 1875. The 1856 and 1872 outbreaks killed large numbers. In 1872, 200 to 250 people perished each day.Read also: <a href="https://www.nepalitimes.com/here-now/the-mosquito-that-changed-nepals-history/" target="_blank" rel="noopener">The insect that changed Nepal's history</a>, Tom RobertsonThe dreaded disease which brought on dysentery and vomiting killed half of those who got it. People were just beginning to understand how to contain outbreaks. Health knowledge was needed, but also smart, concerted government action. Kathmandu had little of either.The city strained to feed itself. ‘Every scrap of available ground in the valley of Nepal is cultivated to exhaustion,’ an 1880s visitor noted, ‘to yield its utmost to support a population already too large for its limited area.’The most common ailments at the time were <a href="https://www.nepalitimes.com/banner/a-shot-in-the-arm-for-vaccines-in-nepal/" target="_blank" rel="noopener">typhoid fever</a>  chronic dyspepsia, goitre, and syphilis. With syphilis, the chronicler noted, it was ‘rather the rule than the exception for a man to be infected at some period of his life’.Read also: <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/how-chitwan-was-opened,4159" target="_blank" rel="noopener">How Chitwan was opened</a>, Tom RobertsonGimlette also worried about Nepali superstitions about cholera. One early outbreak had been blamed, he wrote, on the position of Saturn in the sky, another on the unluckiness of the king's 18th birthday coming in the Nepali year 1888.He had a point, but was also displaying some colonial self-congratulation. It had not been many years since John Snow had identified dirty water taps as the source of London's cholera outbreak in 1849. Before this, and afterwards, many westerners advanced their own quirky, unscientific explanations for disease.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b796f9c7e80680e064702jpeg.jpg" alt="" width="350" height="258"><figcaption> </figcaption></figure>In 1885 Nepal had seen lots of rain and extremely hot weather. The city's ‘sultry and oppressive’ air, Gimlette noted, ‘was undisturbed by the slightest breeze’.The first ugly symptoms of cholera manifested themselves in mid May. Soon, five or six people were dying each day. By the end of May 10-12 people were dying. The British doctor tried to spur the palace into action, making ‘frequent and urgent’ calls for temporary clinics to treat the sick. But his pleas went ‘entirely disregarded’ by the Rana rulers at the time.Read also: <a style="font-size: 15px; letter-spacing: 0.01em;" href="https://archive.nepalitimes.com/article/nation/land-reform-in-cold-war-Nepal,4192" target="_blank" rel="noopener">Land reform in cold war Nepal</a>, Tom Robertson<a style="font-size: 15px; letter-spacing: 0.01em;" href="http://archive.nepalitimes.com/article/nation/60-years-after-1954-devastating-flood-same-failings-of-government-today-post-quake,2433" target="_blank" rel="noopener">Disaster geopolitics</a>, Tom RobertsonEventually the government gave a space for a small dispensary, but that fell far short of the what Gimlette really wanted -- a ‘place into which patients could be admitted and treated continuously’.Another poor decision added fuel to the fire. Over 15,000 troops were gathered in Kathmandu for a possible deployment in India. Some soldiers got sick, and others were not dispatched home immediately. Only after a colorful parade two weeks later on 1 June 1885 were soldiers sent home. But it was too late.The disease followed them around the country. Kathmandu saw ‘a sudden increase’ in cases, the death rate now topping 50 per day. Cases appeared in Patan and then Bhaktapur. <a href="https://archive.nepalitimes.com/article/nation/Cholera-in-the-time-of-peacekeeping,1152" target="_blank" rel="noopener">Cholera</a> spread into the mountains.Meanwhile, the troops at the British Residency remained healthy, despite cases nearby. Gimlette credited good hygiene and a limited quarantine -- soldiers were not allowed into the city, then a slight distance away.By 14 June, cholera had invaded the palace. Of the over 300 people who lived there, 25 were dead by evening, chiefly slave-girls and servants.‘A panic ensued, and the Durbar was quickly emptied,’ Gimlette wrote. The dying were rushed to Pashupati. Others fled to the palaces of Patan and Bhaktapur which themselves soon grew into ‘fresh centres of the disease’.Read also: <a href="https://www.nepalitimes.com/here-now/african-americans-in-cold-war-nepal/" target="_blank" rel="noopener">African Americans in Cold War Nepal</a>, Tom RobertsonOn June 29th, after alternating days of heavy rain and high temperatures, the daily death toll climbed over 100, its highest yet, and stayed there for several days. Gimlette made house calls, and visited the ghats daily. He observed a society struggling to maintain its humanity.He described the cremation ghats as ‘crowded with sick, dying, and dead. Many unfortunate wretches were simply, when attacked, brought to the edge of stream and there abandoned’.The scene was gruesome. The better off could afford to burn their dead, but ‘the bodies of the poor and low castes were thrown into the middle of the shallow stream by hundreds, to be pulled again piecemeal to the banks by the dogs, jackals, and vultures, who feasted on them’.Read also: <a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/nepal-is-a-microcosm-of-all-of-the-changes-in-world-health/" target="_blank" rel="noopener">"Nepal is a microcosm of all of the change in world health"</a>Cooler temperatures in July gave the city a short respite. But the disease soon roared back ‘as bad as ever’. This time it devastated the city's lower quarters. Only in August did the death rate significantly drop, the outbreak finally coming to an end in early September.Over 9,000 people in Kathmandu Valley had died, the Darbar announced. Gimlette thought this estimate high, but agreed that the loss of life ‘must have been very great’. The city's population, before the outbreak, was approximately 50,000.G H Gimlette worried that poor hygiene and government indifference would yield yet more killer epidemics. ‘The disgustingly insanitary condition of Katmandu and other towns,’ he wrote, ‘is quite certain to breed epidemics in future. No efforts to remedy it are in the least likely to be made by the Durbar, nor would anything much short of burning the city to the ground suffice. The foundations are saturated with filth, and the air is almost thick with stenches.’Read also: <a href="http://archive.nepalitimes.com/blogs/thebrief/2015/01/12/katmandu-was-a-ruin/" target="_blank" rel="noopener">"Kathmandu was a ruin"</a>, Tom Robertson<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/how-chitwan-was-opened,4159" target="_blank" rel="noopener" data-saferedirecturl="https://www.google.com/url?q=https://archive.nepalitimes.com/article/Nepali-Times-Buzz/how-chitwan-was-opened,4159&amp;source=gmail&amp;ust=1584929397121000&amp;usg=AFQjCNFROKZdUkgWyGDkD4S_PwKhlbYe5w">Tom Robertson</a>, PhD, is researching the environmental history of the Kathmandu Valley.

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Kathmandu in the time of cholera

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70569c7e80680e060072jpeg.jpg" alt="" width="2088" height="1474"/><figcaption>Aerial view of Baudha</figcaption></figure>Swiss geologist <a href="http://nepalitimes.com/news.php?id=2692#.VRzIePmUdQ4" target="_blank" rel="noopener">Toni Hagen</a> first came to Nepal in 1950, crisscrossed the mountains and plains on foot to find out the kind of rocks the country was made of. His detailed stratigraphic cross sections of Nepal for the first time gave us an idea of what lay beneath our feet.Along the way he also took thousands of photographs and film which have been carefully archived by his family in Switzerland. <a href="http://archive.nepalitimes.com/news.php?id=2692#.XhlEIy2Q0Wo" target="_blank" rel="noopener">Toni Hagen died in 2003</a>, but the images represent a time capsule of the land and people, and show us the way we were.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70599c7e80680e060073jpeg.jpg" alt="" width="2000" height="1327"><figcaption> </figcaption></figure>Some of these photographs were included in the multiple editions of <a href="http://nepalitimes.com/news.php?id=19173" target="_blank" rel="noopener">Nepal</a>, the classic book about the country first published in 1962 which <a href="http://archive.nepalitimes.com/regular-columns/So-far-so-good/a-serious-swiss-toni-hagen-nepal,888" target="_blank" rel="noopener">introduced Nepal to the world</a>, and through its Nepali language edition, to Nepalis themselves.Now, the Nepal Heritage Society has published another collection of Toni Hagen’s photographs of Kathmandu Valley, some of which were included in <a href="https://archive.nepalitimes.com/page/kathmandu-valley-then" target="_blank" rel="noopener">an exhibition at the Nepal Art Council</a> in 2015 on the <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/tony-hagen-kathmandu-exhibition,3946" target="_blank" rel="noopener">centennial of Toni Hagen’s birth.</a><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b705c9c7e80680e060074jpeg.jpg" alt="" width="640" height="423"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70609c7e80680e060075jpeg.jpg" alt="" width="640" height="423">Vishnumati flowing clean and blue with Langtang peering over Shivapuri ridge. The Bagmati at Thapathali with a monsoon cumulus looming above Pulchoki.Toni Hagen: Photos of Kathmandu Valley 1950-1960 is edited by his physician daughter, Katrin, with extended captions by history professor Poonam Rajya Laxmi Rana. The book contains photographs that have not yet been published combined with accompanying historical text. This is an important work that shows us Kathmandu in aerial photography 70 years ago, neighbourhoods and street scenes that have long gone, but there are also plenty of reminders of how the inner city bahals and squares have not changed much in the six decades since the photographs were taken.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70639c7e80680e060076jpeg.jpg" alt="" width="2638" height="1778"><figcaption> </figcaption></figure>‘The photos and films by my father have immense value not only for the archives but for the studies of glaciers, as many of them have changed due to climate change,’ write Katrin Hagen in her preface. ‘The pictures of the old days are somehow a cultural heritage … there was no water supply, no sanitation facilities. But the water of the Bagmati was clean, there was no plastic waste.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70669c7e80680e060077jpeg.jpg" alt="" width="2000" height="1267"><figcaption> </figcaption></figure>Indeed, the book allows us to travel back in time to a Kathmandu where the Bagmati reflects the deep-blue monsoon sky, dark rain-heavy monsoon clouds draping the familiar outline of Pulchoki, the green paddy terraces  encircling towns with earthy brown sloping tile roofs. And, possibly because he was from Switzerland, almost all of Hagen’s photographs have as their backdrop snow mountains in the background.Buffaloes wallowing in Chapagain have Dorje Lakpa in the background. Oxen pull a plough with Ganesh Himal glistening on the horizon. Women in Not Danda carry firewood, with the entire panorama of the Central Himalaya on the horizon. In one photograph from Sanga on a clear day, you can see clear across Nepal to the Annapurnas.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b706a9c7e80680e060078jpeg.jpg" alt="" width="2000" height="1301"><figcaption> </figcaption></figure>Hagen chartered a six-seater Haviland biplane in Patna and flew it into Gauchar to take the first ever aerial photographs of Kathmandu Valley in 1950. One black-and-white photograph from above Hanuman Dhoka looking east towards Tundikhel shows just how much the city has changed and how much of it remains the same. There is Tundikhel with the khari tree in the middle, the temples of Kathmandu Darbar Square, Bhugol Park, the open space around Dharara and the two-storey buildings of Khichapokhari.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b706d9c7e80680e060079jpeg.jpg" alt="" width="2000" height="1347"><figcaption> </figcaption></figure>Ambica Shrestha, President of the Nepal Heritage Society that published the book, says in an introduction: ‘Sharing these photos reminds those who witnessed Kathmandu’s past, and those who did not have the good fortune to do so, to see and experience the scenes and atmosphere of the time.’Rana’s explanatory text provide the background to the images, giving he historical context. The words accompanying the rare aerial photograph of Singha Darbar, for instance, traces the history of neo-classical Rana architecture. There is one anecdote about Jung Bahadur being asked by a foreign visitor why his palace did not have an indoor toilet. His answer: “We do not go to the toilet, the toilet comes to us.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70709c7e80680e06007ajpeg.jpg" alt="" width="2000" height="1318"><figcaption> </figcaption></figure>Toni Hagen: Photos of Kathmandu Valley 1950-1960Edited by Katrin Hagen, Text by Poonam Rajya Laxmi RanaNepal Heritage SocietyVajra Books, 2019176 pages     Rs4,000<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101116/636b70739c7e80680e06007bjpeg.jpg" alt="" width="640" height="451">For more photographs from the book <a href="https://archive.nepalitimes.com/page/kathmandu-valley-then" target="_blank" rel="noopener">click this link to the 2015 exhibition</a> of Toni Hagen’s photographs.

Kunda Dixit

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Time capsule of Kathmandu

Photographs by: DANIEL W EDWARDS<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3d46d4b75d28c18e2c0jpeg.jpg" alt=""/> KATHMANDU-BHAKTAPUR TROLLEY BUS STOP 1975There are many photographs from the early 1900s that give us an idea of <a href="http://nepalitimes.com/page/kathmandu-valley-then" target="blank">what Kathmandu Valley looked like</a> a century ago. Most of those pictures were commissioned by <a href="http://nepalitimes.com/article/Nepali-Times-Buzz/the-rana-reign-a-recap-of-history,3751" target="blank">the Ranas</a>, who brought in photographers from Calcutta to take snapshots of their opulent palaces. They are a valuable visual documentation of a Nepal before the country opened up to the outside world.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3d76d4b75d28c18e2c1jpeg.jpg" alt=""> NEW ROAD 1966To see how much and how fast <a href="https://nepalitimes.atavist.com/untitled-project-rmc8q" target="blank">Kathmandu Valley has changed</a>, however, you don’t need to go back 100 years – four decades is enough. A new picture book by Peace Corps volunteer Daniel W Edwards shows us a Kathmandu from not so long ago.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3da6d4b75d28c18e2c2jpeg.jpg" alt=""> HIMALCHULI AND MANASLU TOWER OVER KATHMANDU WHERE RANA PALACES STILL DOMINATE, 1973Even as recently as 1970, you see in the photos <a href="http://nepalitimes.com/article/Nepali-Times-Buzz/tony-hagen-kathmandu-exhibition,3946" target="blank">how clean the capital's air was, how uncluttered the streets were, how much of the rice fields</a>, even within the Ring Road, were intact.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3dc6d4b75d28c18e2c3jpeg.jpg" alt=""> Left: TINKUNE AND THE BAGMATI FROM A LANDING JET 1972 (pic: Daniel W Edwards). Right: TINKUNE 2016 (pic: Kunda Dixit)But Edwards tries to look at the bright side, and explains in the Introduction to his book: ‘While much of the physical landscape has changed dramatically since the 1970s, readers will note that one may still see multi-storey traditional houses in <a href="http://nepalitimes.com/page/Patan-town-as-a-museum-piece" target="blank">Patan</a> or <a href="http://nepalitimes.com/news.php?id=19496#.WoVSbYNubIU" target="blank">Bhaktapur</a>, and one may observe festivals and religious ceremonies that are carried out much the way they were many years ago.’<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3de6d4b75d28c18e2c4jpeg.jpg" alt=""> POTATO FIELDS IN KOPUNDOLE 1975Edwards says the lively children he sees in schools and shops are better dressed and less shy today, but they still remind him of the Nepali youngsters he taught in the 1960s. Indeed, the book is another invaluable addition to the corpus of writings that have recently been put in the public domain.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3e06d4b75d28c18e2c5jpeg.jpg" alt=""> PADDY FIELDS SURROUND BAUDDHA STUPA 1974Edwards has let the photos speak for themselves, including only brief captions to show when and where they were taken. Many images stand out: Lagankhel and Lainchaur in 1966, the view of Tinkune from a plane landing in Kathmandu in 1972, the green fields near Bauddha, a <a href="http://nepalitimes.com/news.php?id=17058#.WoVMtoNubIU" target="blank">trolley</a> bus-stop in Bhaktapur, the Chobhar cement factory.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3e36d4b75d28c18e2c6jpeg.jpg" alt=""> STATUE OF JANG BAHADUR RANA IN TUNDIKHEL 1972One of Edwards’ former math students, Bijaya Bahadur Mali, writes in his foreword: ‘Looking back I feel our development process has gone terribly wrong. We embraced modernity on a wrong footing. We dumped trolley buses and ropeways for polluting and costly fossil fuel transport systems. We turned our rivers into sewers, and did nothing to stop the haphazard growth of our towns. My eyes were moist when I looked at the wonderful pictures of a Shangri-la when life was serene, innocent and less complicated.’<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221104091156/6364d3e66d4b75d28c18e2c7jpeg.jpg" alt="">Available at Himalayan Map House, Summit Books, Pilgrims, Patan Dhoka Bookshop, etc

Not so long ago

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

How the Peace Corps changed a volunteer’s life

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

Nepal’s Resource Curse

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

Trees of life and living

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