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2020’s tips for 2021

[caption id="attachment_55670" align="alignnone" width="1500"]<img class="wp-image-55670 size-full" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151112/636bb5f39c7e80680e07bc32jpeg.jpg" alt="" width="1500" height="1000"/> Nepal has decided to live with coronavirus adhering to safety measures until the vaccine is developed. Photo: BIKRAM RAINepal confirmed its <a href="https://www.nepalitimes.com/banner/why-nepal-must-watch-about-coronavirus-but-not-panic/">first Covid-19 case</a> in a student who had returned from Wuhan in January. For two months nothing happened, but after the second case was detected in a student returning from Paris, <a href="https://www.nepalitimes.com/banner/nepal-goes-into-lockdown-for-a-week/">the government decided to shut the country down on 24 March</a>. Six months down the line, some experts say the lockdown was started too early and without a strategy for testing, tracing and quarantine. Indeed, the fact that after lying dormant for the first three months, the number of confirmed cases and fatalities have zoomed up.Most of the increase happened after 21 July, when the government made the mistake of declaring “<a href="https://www.nepalitimes.com/latest/nepal-ends-covid-19-lockdown/">lockdown lifted</a>” just as bordering states in India were seeing peaks. Since then, the virus spread like wildfire through the <a href="https://www.nepalitimes.com/latest/nepal-tarai-reels-under-covid-19-lockdown/">Tarai town</a>, and engulfed Kathmandu Valley.On Wednesday, there were 1072 cases, of which 637 were in Kathmandu Valley. There were 7 more fatalities on 23 September, 2 of them in Kathmandu, bringing the nationwide total to 436. Unlike the first four months of the lockdown, the number of symptomatic cases and those needing ICU have also gone up, meaning younger people are spreading it to family members and in the community. <iframe src="https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=1I948EK4KuJAZI4tKUFiZM_EKsPyyqGtr2GG7wqNWqlg&amp;font=Default&amp;lang=en&amp;initial_zoom=2&amp;height=650" width="100%" height="650" frameborder="0" allowfullscreen="allowfullscreen"></iframe>Since the first Nepali Covid-19 case declared in January, followed by the government’s decision to <a href="https://www.nepalitimes.com/latest/nepalis-from-hubei-quarantined-in-bhaktapur/">repatriate 175 students from Hubei, China on 16 February</a>, it looked like the Nepal government had things under control.Despite the horror stories in February from China and Italy, Nepal was going ahead with its <a href="https://www.nepalitimes.com/here-now/didnt-visit-nepal-year-2020/">Visit Nepal 2020</a> campaign. Tourism Minister Yogesh Bhattarai even went to Australia in the middle of bushfire season there to drum up business, declaring Nepal “<a href="https://www.nepalitimes.com/latest/lets-call-off-visit-nepal-year-2020/">coronavirus free</a>” country.<a href="https://www.nepalitimes.com/banner/3rd-month-of-lockdown/">3rd month of lockdown</a>, Sonia AwaleHowever, as cases spiraled in China and later India, Nepal closed all mountaineering expeditions and trekking on March 13. Tourists hurried back to Kathmandu to try to get the last flights back. On 22 March, Prime Minister K P Oli declared a <a href="https://www.nepalitimes.com/banner/kathmandu-under-semi-lockdown/">semi-lockdown</a>, sealed Nepal’s international borders, and grounded domestic flights. The following day, as the second Nepali tested positive, a complete lockdown was announced initially for a week. It kept being extended multiple times for the next months.  [caption id="attachment_55673" align="alignnone" width="1030"]<img class="wp-image-55673 size-full" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151112/636bb5f69c7e80680e07bc33jpeg.jpg" alt="" width="1030" height="643"> Empty Kathmandu roads during the lockdown. Photo: BIKRAM RAIAs neighbouring India also declared a lockdown, leaving <a href="https://www.nepalitimes.com/latest/nepalis-still-stuck-in-no-mans-land/">hundreds of thousands of migrant workers in the lurch</a>, Nepal was ill-prepared for the flood of returnees. At first it did not allow the workers in and tens of thousands were stranded for weeks at the border. Desperate, some even swam across the <a href="https://www.nepalitimes.com/latest/lockdown-limbo-in-no-mans-land/">Mahakali River</a> to get home.<a href="https://www.nepalitimes.com/latest/trumpism-in-nepals-covid-19-response/">Trumpism in Nepal’s Covid-19 response</a>, Sushil Koirala and Ben AyersThere was a surge of cases among returnees, and among men at a mosque in <a href="https://www.nepalitimes.com/latest/the-india-connection-in-nepals-covid-19-status/">Udayapur, Morang and Banke</a> who had returned from a congregation in Delhi. But the government reacted swiftly with sealing off districts and contact tracing. Nepalis at the border were <a href="https://www.nepalitimes.com/latest/nepalis-stranded-at-india-border-return/">finally allowed to enter Nepal</a>, but they were kept in poorly equipped quarantine centres, which themselves became incubators for the virus. <a href="https://www.nepalitimes.com/here-now/returnees-may-be-taking-coronavirus-to-rural-nepal/">Later, many infected people took the virus to their mountain districts.</a>The government also bungled by first getting <a href="https://www.nepalitimes.com/latest/nepal-relying-on-unreliable-covid-19-kits/">unreliable RDT test kits</a>, which though quick gave a lot of false negative results. After kickbacks and corruption was exposed in the media, the Covid-19 Crisis Management Committee finally switched to RT PCR, but there were not enough reagents and kits for the kind of mass testing that was required.[caption id="attachment_55676" align="alignnone" width="1368"]<img class="wp-image-55676 size-full" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151112/636bb5f89c7e80680e07bc34jpeg.jpg" alt="" width="1368" height="912"> Unreliable RDT test. Photo: BIKRAM RAIThe CCMC is chaired by Defense Minister Ishwar Pokhrel and he was directly implicated in awarding the<a href="https://www.nepalitimes.com/latest/nepal-to-test-covid-19-test-kits-from-china/"> RDT kit import contract to Omni Group </a>at inflated prices. Pokhrel then handed over the business to Nepal Army, but there were reports that Omni simply put up a front company to import from the same Chinese company that Omni dealt with.  <a href="https://www.nepalitimes.com/here-now/who-is-in-charge-in-nepal/">Who’s in charge in Nepal?</a>, Alisha SijapatiAs government revenue from taxes plummeted, Finance Minister Yubaraj Khatiwada announced a relaxation of the first lockdown on 7 May, <a href="https://www.nepalitimes.com/latest/nepal-partly-open-for-business/">partly opening businesses.</a> On 28 May, he <a href="https://www.nepalitimes.com/latest/nepal-unveils-covid-19-budget/">unveiled the Covid-19 budget</a> of Rs14.74 trillion, setting aside Rs6 billion to manage the pandemic.While, Prime Minister Oli continued to argue for extending the lockdown, Khatiwada announced on 21 July that the lockdown was “lifted”, although  there were still restrictions. This resulted in tens of thousands of <a href="https://www.nepalitimes.com/here-now/nepali-workers-returning-to-india/">Nepalis and Indians to stream back </a>just as India was seeing a peak.  However, by 18 August as the daily case load started to exceed 1,000, local  governments <a href="https://www.nepalitimes.com/banner/kathmandu-lockdown-2-0/">prohibitory orders on 18 August</a> in Kathmandu and 44 districts as cases spiked. But given that impact on the economy, rise in joblessness and the risk of an <a href="https://www.nepalitimes.com/here-now/survive-2020-revive-in-2021-and-thrive-in-2022/">economic meltdown</a>, the government accepted defeat and decided to open up – telling the people they had to take precautions and learn to live with the virus. <a href="https://www.nepalitimes.com/banner/24-march-24-august-2020/">24 March-24 August</a>, Alisha SijapatiLimited regular <a href="https://www.nepalitimes.com/banner/nepal-allows-limited-international-flights/">international flights were allowed from 1 September</a>, and <a href="https://www.nepalitimes.com/latest/nepals-domestic-flights-resume/">domestic flights resumed from 21 September</a>. Businesses, restaurants and public transport were also allowed with some restrictions. All this while the daily number of new cases and deaths in Kathmandu continue to break records every day. [caption id="attachment_55510" align="alignnone" width="960"]<img class="wp-image-55510 size-full" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109151112/636bb5fb9c7e80680e07bc35jpeg.jpg" alt="" width="960" height="640"> Domestic terminal reopens for operation after being grounded for six months. Photo: BIKRAM RAIPublic health experts say that the government’s strategy from Day One was that it did not have a strategy. Policies were reactive and ad hoc, locking down and opening up were wrongly timed.  In the end, the government realised that saving the economy was more important because <a href="https://www.nepalitimes.com/here-now/workers-return-to-jobless-nepal/">jobless and hungry people </a>would die in greater number than from the disease.As the northern hemisphere prepares for a second surge with the winter flu season, Nepal is once more ill-prepared. Hospitals in Kathmandu are already full, and there are not enough ICU beds and ventilators.  The only silver lining is that even as the numbers in Kathmandu Valley continue to surge, <a href="https://www.nepalitimes.com/here-now/covid-19-lessons-for-kathmandu-from-the-tarai/">the Tarai towns appear to have peaked.</a>Read also:<a href="https://www.nepalitimes.com/here-now/youth-led-feeding-campaign-spreads-across-nepal/">Youth-led feeding campaign spreads across Nepal</a>, Nunuta Rai<a href="https://www.nepalitimes.com/here-now/nepali-workers-stuck-in-no-mans-land/">Nepali workers stuck in no man’s land</a>, Nepali Times

Nepal has decided to live with Covid-19

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121120/636b8d7f9c7e80680e06b350jpeg.jpg" alt="" width="640" height="427"/><figcaption>Photos: BIKRAM RAI</figcaption></figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121120/636b8d849c7e80680e06b351jpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121120/636b8d879c7e80680e06b352jpeg.jpg" alt="" width="640" height="427">One week into my US tour, Europe was being ravaged by COVID-19, and America had belatedly begun to come out of denial about the pandemic. President Trump announced a ban on non-Americans flying to the United States. Europeans already there were scrambling to get out.Our nine-member group from the Philippines, Vietnam, Cambodia, Uzbekistan, Sri Lanka, India and Pakistan had been briefed at the Environment Protection Agency in Washington DC, and had arrived in New Orleans to meet activists who worked on relief after Hurricane Katrina. There were reports of an outbreak in California where we were headed next.<a href="https://www.nepalitimes.com/latest/nepal-lockdown-to-be-extended/" target="_blank" rel="noopener noreferrer">Nepal lockdown to be extended</a><a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/how-nepal-should-plan-to-exit-lockdown/" target="_blank" rel="noopener noreferrer">How Nepal should plan to exit lockdown</a>, Ramesh KumarAfraid we might be stranded by flight bans, the organisers decided to send us home. Soon, I was on a 24-hour journey from New Orleans to Kathmandu, via London and Doha. Along the way the airline lost my checked-in luggage in Heathrow, and I have given up hope of ever getting it back.Since landing in Kathmandu in mid-March in one of the last regular flights, I have been in self-quarantine. As a health and environment reporter at Nepali Times, I have been covering the pandemic from home, connecting to our virtual newsroom on Zoom.I did not have any symptoms during that time, but because we have elderly family members, I maintained a strict isolation, obsessively sanitising everything I touch, wearing a mask even when I have locked myself in my room.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/nepal-vs-covid-19/" target="_blank" rel="noopener noreferrer">Nepal Vs COVID-19</a>, Rastraraj Bhandari<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/opinion/prevention-while-searching-for-a-cure/" target="_blank" rel="noopener noreferrer">Prevention while searching for cure</a>, Buddha BasnyatWhen we got a call on Monday from the Municipality to come for testing, I was relieved because it meant that the government’s contact tracing system was working. Local governments were tracking down everyone in Lalitpur who had come back from abroad in the past month.I was never scared for myself, but for others in the family since the virus is so infectious. I extensively researched Rapid Diagnostic Test (RDT), Polymerase Chain Reaction (PCR) and what they entailed.That Tuesday morning I took a few steps out of my house for the first time in a month. Everything still looked and smelled the same, except the streets were deserted. We decided to walk to the Lagankhel testing centre, and on the way I had to tie my shoelace twice. Each time, I hand sanitised myself after I was done. I had turned into a certified germophobe.We avoided the main roads, and it was hot – Kathmandu had gone from winter to summer in the month I spent in self-isolation indoors. Buildings on the road to Lagankhel advertising ‘Study in Australia’ and ‘Learn Korean Language’ looked deserted, except for a few people peeking out of the windows.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/why-rapid-tests-are-doing-more-harm-than-good/" target="_blank" rel="noopener noreferrer">Why rapid tests are doing more harm than good</a>, Ramu Sapkota<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/latest/nepal-must-hope-for-the-best-prepare-for-the-worst/" target="_blank" rel="noopener noreferrer">Nepal must hope for the best, prepare for the worst</a>, Buddha BasnyatIronically, the tent for mass testing was placed right beside the temple where the idol of Machhindranath is bathed in milk before it is placed in the chariot for its annual festival. If it was not for the lockdown, just about now they would be preparing the temple for the jatra.Police were outside the tent telling people queuing up for tests to maintain a safe distance. The media was present in force in reflective green vests taking photos and videos of the returnees being tested, giving me a taste of what it feels like to be on the other side.All of us in the queue wore masks. Some even sported surgical gloves and sunglasses. Few wore jackets and hoodies. The person behind me was busy making calls to get his relative to also come for the test.Under the tent, there were puddles from the morning rain and flies were buzzing around nearby. They were all reminders that we already had a problem of unsanitary conditions spreading disease before this new infection came around.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/post-pandemic-mental-health-epidemic/" target="_blank" rel="noopener noreferrer">Post-pandemic mental health epidemic</a>, Sonia Awale<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/opinion/shape-up-the-lockdown/" target="_blank" rel="noopener noreferrer">Shape up the lockdown</a>, Marty LoganIt was my turn next. I was given sanitiser to apply on my hands. Two medical officers in PPEs asked my name, age, address, country I returned from and when I had flown in. Interestingly, a municipality official at the desk already knew my particulars and replied before I could. She was the person who had called my house that morning.We had been reporting on how despite the lockdown, Nepal was lagging behind in testing, but I was impressed with the coordination and the thoroughness of how it was being done. Local governments from the ward to municipality were being proactive in house-to-house contact tracing for new arrivals and symptoms. Someone was doing their homework, and that was reassuring.A lab technician drew a drop of blood from my finger, and gave me a cotton ball with disinfectant. That was it. Small kits with blood droplets were neatly arranged in multiple rows and columns, mine was placed next to them. So, this was a RDT, and not a PCR which would mean collecting an oral and nasopharyngeal swab sample.The test result came later that day – all of us in Lagankhel had tested negative. My blood did not have antibodies, which meant I had not been exposed to the virus.At home, I am still not taking any chances. I will continue to self-isolate amidst a nationwide lockdown. As for my parents, this is the first time they are happy that I failed a test.https://www.youtube.com/watch?v=LXCENWJLuKk&amp;t=6sSonia Awale is Associate Editor at Nepali Times, is a student of public health, and covers environment and healthcare issues.

Sonia Awale

How COVID-19 puts us to the test

<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8bca9c7e80680e06b2c1jpeg.jpg" alt="" width="480" height="854"/><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8bcc9c7e80680e06b2c2jpeg.jpg" alt="" width="480" height="854">Doctors in Jumla collects swab of a patient on 7 April. Photos: DHIRAJ GURUNGOn 13 April, the nose and throat swab of a woman in Kailali district tested positive for the COVID-19. The 65-year-old who was in quarantine had previously tested negative in a Rapid Diagnostic Test (RDT) and sent home.But only three days later, a <a href="https://www.nepalitimes.com/latest/nepal-extends-covid-19-testing-but-no-new-cases/" target="_blank" rel="noopener">Polymerase Chain Reaction (PCR) report</a> confirmed that she was infected with novel coronavirus, upon which she was taken to Seti Provincial Hospital for isolation. She is one of the eight people who had their swab and blood samples collected for both RDT and PCR, but officials didn’t wait for the PCR report.“She should not have been sent home without waiting for the PCR report confirmation. It was a grave mistake because she could have spread the virus after coming out of quarantine,” says Sameer Dixit, researcher at the Centre for Molecular Dynamics in Kathmandu.In fact the RDT can show false negatives in people for up to a week after infection because their bodies have not produced sufficient anti-bodies to be detected. In fact, public health officials say Nepal should have gone directly for PCR like Korea and other countries instead of RDTs.As of 16 April, 15,800 people have been tested for COVID-19, using both RDT and PCR. But a lack of distinction in the specificity of the two test methods in the public consciousness has led to unnecessary panic and stigmatisation of people and entire communities.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/latest/nepal-must-hope-for-the-best-prepare-for-the-worst/" target="_blank" rel="noopener">Nepal must hope for the best, prepare for the worst</a>, Buddha Basnyat and Sanjeev adhikari<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8bce9c7e80680e06b2c3jpeg.jpg" alt="" width="640" height="427"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8bcf9c7e80680e06b2c4jpeg.jpg" alt="" width="640" height="427">Health workers in Lalitpur conduct rapid diagnostic tests on 14 April for people who have come from abroad recently. Photos: BIKRAM RAIThe rapid diagnostic test can only monitor if an individual has developed antibodies to fight against the COVID-19, and can be detected only a week after infection and for at least six months after. The test cannot identify the virus itself and therefore cannot verify if the person has an active infection.When the virus enters a human body, the body’s natural immune system is activated and secretes a protein to kill the virus called antibody. There are two types of antibodies: Immunoglobulin G (IgG) and Immunoglobulin M (IgM). It takes at least six days for IgM and 15 days for IgG to develop after a virus enters the body.RDT kits being used to test COVID-19 can detect both types of antibodies, which is why rapid tests conducted in the early stage of infection will give a negative result even if the individual is actually infected. The case in point is the patient from Kailali who took a RDT before it could have detected the virus. The real-time PCR however was able to detect the coronavirus in her swab sample.“Tests conducted without proper scientific knowledge and guidelines will do more harm than good,” stresses lab specialist Umesh Prasad Gupta.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/ke-garne-attitude-kills-people/" target="_blank" rel="noopener">Ke garne attitude kills people</a>, Laxmi BasnetNepal has not yet developed a protocol to guide healthcare workers conducting mass testing for COVID-19, and the government’s decision to use RDT for mass testing actually contradicts the WHO recommendation and the Indian Council of Medical Research (ICMR) guidelines.Those protocols require RDT to be conducted only for individuals who have undergone 14 days of quarantine, healthcare workers, or for people placed in isolation in hospitals. And even if the result turns out to be negative, a retest with PCR is mandatory. High risk patients are to be placed under quarantine until the PCR confirmation.On the other hand, if a suspected individual tests negative in PCR, he/she should still be placed in quarantine and undergo RDT after 10 days. Only if the second test is negative, is the person to be released.The WHO has also recommended countries to use the real-time PCR for the COVID-19 testing because RDT is only 86% sensitive, and cannot detect new infections.However in Nepal, the Office of the Prime Minister and Cabinet on 4 April directed the health ministry to retest all people whose blood samples tested positive on RDT. The Health Ministry also decided to retest 20% of all negative RDT with PCR, when in fact PCR should have been the basis of further investigation.On 1 April, the Ministry of Health instructed that 75,000 RDT kits imported from China by a private contractor <a href="https://www.nepalitimes.com/latest/nepal-to-test-covid-19-test-kits-from-china/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/latest/nepal-to-test-covid-19-test-kits-from-china/&amp;source=gmail&amp;ust=1587217332074000&amp;usg=AFQjCNG1Z_W10XJJ0rgDFUS-jmgFusJQxw">not be used because of doubts about their reliability.</a> The importer, Omni Business Corporate Internaitonal (OBCI) was also accused to inflating the cost of the kits and using its connections to the Prime Minister Oli to do the deal on 25 March.The Department of Health also announced on 2 April that it had cancelled the contract with Omni and confiscated its Rs50 million deposit. However, it looks like Omni is still in business and the Department said 30,000 of the rapid diagnostic kits that Omni brought are the ones being used all over the country to test people who have come from abroad recently.

Why rapid tests are doing more harm than good

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8b0b9c7e80680e06b278jpeg.jpg" alt="" width="854" height="641"/><figcaption>A doctor in Hima Village Council in Jamla collects swab of a patient on Tuesday. Photo: DHIRAJ GURUNG</figcaption></figure>After being in <a href="https://www.nepalitimes.com/banner/unto-the-third-week-of-nepal-lockdown/" target="_blank" rel="noopener">lockdown now for nearly three weeks</a>, Nepal has started testing vulnerable groups in high-risk areas, but so far there have been no new COVID-19 positive cases. The numbers still stand at nine cases, one recovered and no fatalities.The government is focussing its tests on <a href="https://www.nepalitimes.com/here-now/returnees-may-be-taking-coronavirus-to-rural-nepal/" target="_blank" rel="noopener">western Nepal</a> and tarai districts where there have been returning migrant workers from India. Although the border is <a href="https://www.nepalitimes.com/latest/nepal-and-india-stop-nationals-in-each-others-countries/" target="_blank" rel="noopener">supposed to be closed</a> it is still possible for people to slip through.So far 3,524 tests have been conducted all over the country. 630 new tests (samples mostly from Kathmandu Valley) conducted in the last 24 hours did not show any positive case. Of the rapid diagnostic results conducted in Kailali, Kanchanpur, Kavilvastu and Baglung districts this week, 516 have come out negative.However, over 800 samples collected from <a href="https://www.nepalitimes.com/latest/western-nepal-potential-covid-19-outbreak/" target="_blank" rel="noopener">western Nepal</a> have yet to be tested at the National Public Health Laboratory in Kathmandu and public health experts are expecting the number of positive cases to climb over the weekend.At least 120,000 Nepali workers have returned from India without screening before both countries went into lockdown, and people from western region make up the highest number of returnees.“We have to assume there are more cases out there, especially in hotspots along the Indian border, and even in remote areas where migrants have moved back. Local communities and ward committees there are strictly monitoring residents for symptoms,” says Sameer Dixit, researcher at the Centre for Molecular Dynamics in Kathmandu.<a href="https://www.nepalitimes.com/latest/western-nepal-potential-covid-19-outbreak/" target="_blank" rel="noopener">Western Nepal potential COVID-19 outbreak</a>In Jumla, medical officers are on standby for a rise in the number of positive cases, as local officials move house-to-house to check if any new arrival has a fever. Families in quarantine and deemed to be at higher risk have been tested even if they do not show symptoms.“Many of those tested had recently come back from the most affected parts in India and we already have a case of local transmission in the country, so there may be some positives there,” said Dhiraj Gurung of Karnali Academy of Health Sciences (KAHS).<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109121112/636b8b0e9c7e80680e06b279jpeg.jpg" alt="" width="3088" height="2056"><figcaption>A Nepal Army helicopter at Bayalpata Hospital in Achham district in western Nepal on Tuesday from where it collected 51 swab samples for COVID-19 tests. Photo: BIKASH GAUCHAN</figcaption></figure>Over 1,300 samples have been collected over the last two days from from Jumla, Achham, Baitadi and Dadeldhura districts in western Nepal. Some 324 oral and nasopharyngeal swab samples from three different locations in Jumla were collected on 7 April: 150 at Chandanath airport, 124 from Hima Village Council and 50 from Kanaka Sundari in Sinja.Another 232 samples were collected from Achham district, 199 from Dadeldhura and 425 from Baitadi. Recent returnees from India, their immediate family members and those in quarantine were prioritised for the rapid diagnostic tests. Samples were flown in Nepal Army helicopters to Nepalganj, from where collected samples are taken every evening by military plane to Kathmandu for testing.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/returnees-may-be-taking-coronavirus-to-rural-nepal/" target="_blank" rel="noopener">Returnees maybe taking coronavirus to rural Nepal</a>, Mukesh Pokhrel and Sonia AwaleInitially, hospitals in western Nepal had collected only a handful of samples because there were not enough Viral Transport Medium (an equipment to transport the samples to the lab). Mass testing is now being carried out with 11 laboratories across the Nepal set up for Polymerase Chain Reaction (PCR).The PCR amplifies tiny bits of genetic material in the sample, enabling the detection of the virus. But there has been significant number of false positive and negative test results since the outbreak.Rapid diagnostic test kits have been controversial because of their reported unreliability in Europe, but health experts here say they have 86%, and those testing positive will be tested again with PCR. <a href="https://www.nepalitimes.com/latest/nepal-to-test-covid-19-test-kits-from-china/" target="_blank" rel="noopener">The Chinese kits</a> are being used in Kailali, Kanchanpur, Baglung, Myagdi and Parbat districts for people in quarantine. The government has some 75,000 rapid test kits, and has dispatched 5,000 to each each of the seven provinces.In Jumla, KAHS has over 47 staff and 100 nurses on call and 10 adult ICU beds have been added in anticipation of new cases. In Achham, the district hospital has been designated as a COVID-19 only hospital. Province 5 is trying to procure 20 ventilators. But despite preparedness, hospital staff say the region’s rudimentary healthcare system will be overwhelmed if there is a COVID-19 outbreak. The Health Ministry is therefore mobilising medical students on scholarship programs and retired medics to assist to fight COVID-19.“We do not know the exact number of people who have returned from India and even less about how many of them have symptoms, and where they are. We have to continue to work in prevention and control as well as increase mass testing,” explains Bikash Gauchan of Bayalpata Hospital in Achham which has set up a fever clinic and a separate ward.Four months into the pandemic, Nepal has been largely spared with only handful cases and only one community transmission. Public health experts are puzzled by this, and say possible theories like <a href="https://www.nepalitimes.com/latest/western-nepal-potential-covid-19-outbreak/" target="_blank" rel="noopener">BCG vaccine immunity</a> warrant further investigation.<a style="font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/latest/could-an-anti-tb-vaccine-be-protecting-nepalis/" target="_blank" rel="noopener">Could an anti-Tb vaccine be protecting Nepalis?</a>, Prabhas PokharelThe main worry is the continued spread in India where there were 30 new COVID-19 deaths in the past 24 hours, taking the total to 199. The case load in India have been rising at 567 per day.“There are sure to be more imported cases. But where are they? There is no severity, and only one community transmitted case. So something is going on,” says Sameer Dixit.Dhiraj Gurung who was involved in the Jumla testing said a larger than expected number turned up for the test, which may mean there are hidden cases. “But when we asked people to come for quarantine, very few showed up. This could mean there are individuals with mild symptoms, but there are not coming forward for fear of being ostracised.”The government has extended the nationwide lockdown till 15 April because it does not want families to gather for Nepal’s New Year Day on Monday. Experts say partial lockdowns will continue in areas at higher risk, and international flights may have to be suspended for another two weeks after 30 April.Says Sher Bahadur Pun at the country’s infectious disease centre in Kathmandu: “We are already in the second stage of COVID-19 transmission and the next stage will be serious. We cannot be complacent, and our only chance of containing it is to stop hidden cases from infecting others with an even stricter lockdown.”

Nepal extends COVID-19 testing but no new cases

Architecture can be a powerful agent of change, shaping not just spaces but the way people live, connect, and experience the world.&nbsp; For Nepal, which is <a href="https://nepalitimes.com/banner/natures-fragile-gift-to-nepal">gifted by nature</a> and rich in <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/ambassador-fund-cultural-preservation-nepal,2092">cultural heritage</a>, &nbsp;reviving rural architecture with modern amenities could hold the key to more <a href="https://nepalitimes.com/here-now/what-sustainable-tourism-means-in-practice">sustainable tourism </a>that benefits local people more. “<a href="https://nepalitimes.com/banner/bayalpata-hospital-in-nepal-wins-global-design-award">Design and architecture</a> are amazing tools to create a unique experience for visitors,” says Spanish architect Tomeu Esteva of Esteva i Esteva Architecture Studio. “Difficult destinations have beautiful hotels with design and comfort.” Esteva was in Kathmandu with his colleagues at an event organised by the Spanish Honorary Consulate at Dwarika’s Hotel last week to showcase buildings which Nepali architects can adapt with local material and design inputs.&nbsp; Rural architecture holds a unique significance: it is more than a shelter and must reflect <a href="https://nepalitimes.com/here-now/inking-an-idenity">local identity, culture</a> and <a href="https://nepalitimes.com/here-now/saving-humla-from-heritage-loss">heritage</a>. An area’s natural and cultural harmony can be upset by <a href="https://nepalitimes.com/here-now/protecting-protected-areas-from-infrastructure?fbclid=IwAR1wK0MDFlFST_2EYb3f54LS4-fPt6rYfLG1DJ1JaQsU3w8-ezyXIxGOqzk">poorly planned development</a>, speakers at the event said, but the environment can be improved and revitalised by well-integrated structures.&nbsp; Another Spanish architect, Belen Moneo, has designed hotels at elevations of 3,700m in her home country Spain that supply natural spring water spas. “<a href="https://nepalitimes.com/banner/lost-in-reconstruction">Creativity in construction</a> must be encouraged. Rural architecture always shows possibilities of what we can do better,” Moneo explains, adding that designs must enhance <a href="https://nepalitimes.com/opinion/the-healing-power-of-nature">the beauty of nature</a> and give a natural feel at a time when steel, glass and cement dominate <a href="https://nepalitimes.com/here-now/rebuilding-kathmandu-after-the-1934-quake">urban design</a>.&nbsp; This is why the <a href="https://nepalitimes.com/here-now/weaving-nature-into-craft">use of natural products</a> such as bamboo, local timber, straw and rammed earth are in demand from customers who want a fresh eco-friendly look encouraged in construction of rural architectural structures. The demand for boutique hotels has increased world over, with &nbsp;more and more tourists favouring aesthetics, experience and comfort over price. While creativity is an important part of <a href="https://nepalitimes.com/here-now/architecture-for-mountains">construction and architecture</a>, incentives to build and use <a href="https://archive.nepalitimes.com/article/nation/Building,370">rural construction materials</a> still remain minimal, and Moneo emphasises the significance of design and execution.&nbsp; Esteva helped design the Vana Retreat in Dehradun that kept the natural environment in focus, with the structure giving an elaborate aesthetic experience to visitors. Another example is Hotel Las Mercedes in the Dominican Republic which was designed and constructed by Moneo and the company she co-founded Moneo Brock, respecting and revaluing the traditional architecture of the area. Hotels providing such experience could attract tourists and revenue. The Spanish ambassador to Nepal Juan Antonio March Pujol said, “The role of architecture and architects in developing tourism is crucial, not only in urban areas but rural settings as well.”&nbsp; The concept of rural boutique hotels gained traction in Spain during the 1990s, particularly in regions like Majorca with economic and environmental sustainability as the main focus. In Nepal <a href="https://nepalitimes.com/opinion/12-full-opinion/guiding-nepal-s-tourism-industry">the tourism industry</a> directly employs about 1 million people, and makes up about 8% of the country’s GDP. In Nepal, the stone homes of <a href="https://nepalitimes.com/news/reviving-himalayan-vulture-and-culture">Mustang and Manang</a>, bamboo and mud structures of <a href="https://nepalitimes.com/here-now/the-tarai-s-shrinking-forests">the Tarai</a>, and the Kathmandu Valley’s terra cotta tile skylines, graceful temples, and tranquil bahal courtyards are all examples of <a href="https://nepalitimes.com/here-now/nepal-s-traditional-seismic-resistant-designs">Nepal’s traditional architecture</a>.&nbsp; Nepali architect Sarosh Pradhan has been working for the past eight years on the Brakka Village project in Manang Valley north of <a href="https://nepalitimes.com/banner/municipalities-want-to-manage-annapurna">the Annapurnas</a>. Other examples of this kind of rural architecture for high-end tourism are the Shinta Mani Hotel in Mustang and Khumbu Lodge below <a href="https://nepalitimes.com/news/mt-everest-pvt-ltd">Mt Everest</a>. Says Pradhan, “There are places in Nepal that radiate purity and embrace simplicity. Creating projects in such settings require deep reflection and thoughtful planning.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421030444_a07a23f6b60fa89c0f35b9dc1aaf19937da4881e6bfb2e1858f3c27dff91729f.jpg" data-media-id="editor_19" data-image-id="20250421030444_a07a23f6b60fa89c0f35b9dc1aaf19937da4881e6bfb2e1858f3c27dff91729f" data-rendition-name="original" width="4608" height="2184" loading="lazy" alt="A new architecture for Nepal's tourism"> </figure>  Rural architecture is not easy, and sometimes more expensive. Inflation, energy efficiency, <a href="https://nepalitimes.com/here-now/those-who-stay">the climate crisis</a>, and <a href="https://nepalitimes.com/banner/cost-of-living-in-a-big-city">increased costs of living</a> pose obstacles to sustainable rural architecture. Read also: <a href="https://nepalitimes.com/here-now/forgotten-international-starchitects-in-nepal">Forgotten international starchitects in Nepal</a>, Anne Feenstra and Varun S Bapu Esteva says faith and trust between client and architect is necessary for any project to be successful. He adds that architects must practice being humble, the process of designing always involves learning and not imposing their ideas on clients. Nepal is uniquely positioned for the growth of <a href="https://nepalitimes.com/banner/hiking-up-the-benefits-of-tourism">rural tourism</a> because of its stunning countryside as well as its internationally renowned traditions in holistic wellness. Creating infrastructure that is small, thoughtfully planned and that respects both tradition and contemporary hospitality standards is crucial. “Projects in Nepal can be made cost effective by using materials from houses that have been brought down,” says Esteva. “Pilot projects involving <a href="https://nepalitimes.com/banner/local-government-by-the-people-for-the-people-of-the-people">local people </a>and simple designing also helps the process.” <a href="https://nepalitimes.com/banner/vacant-homes-become-homestays-in-nepal">The growth of homestays in Nepal</a> is a step in the right direction, but they are still a bit too rustic for the international traveller who also wants comfort and is willing to pay extra for it. Upgrading the facilities in homestays and ensuring that the <a href="https://nepalitimes.com/here-now/an-archive-of-nepali-heritage">architectural heritage</a> of the locality is preserved using locally sourced building material could allow owners to charge more. Says Sangita Shrestha of Dwarika’s Hotel, “Our effort is to build upon rural architecture by empowering local communities and using what is available locally. We can fine tune and encourage indigenous design and training.” The vision goes beyond just boosting the economy, it is about building a future where tourism helps villages grow in a healthy and lasting way. Instead of using up resources, it gives back to the land and the people. It supports local communities by<a href="https://nepalitimes.com/opinion/staying-in-nepal-to-create-jobs"> creating jobs</a>, improving infrastructure, and protecting natural beauty. When done right, tourism can be a tool for <a href="https://nepalitimes.com/editorial/progress-and-or-preservation">preserving culture and nature</a>, not harming them. Architects must therefore see their work as more than just designing buildings, they also need to care deeply about people and places, especially in rural areas that can benefit the most.&nbsp; With global interest in sustainable and off-the-beaten-path travel increasing, Nepal stands at the cusp of a <a href="https://nepalitimes.com/news/missing-out-on-nepal-s-tourism-potential">tourism transformation</a> that values community-driven, eco-conscious hospitality. A mix of modern ideas and traditional knowledge could transform rural tourism in Nepal. Says Shrestha, “Young architects should spend time with <a href="https://nepalitimes.com/latest/the-unsung-heroes-of-conservation">local and indigenous communities</a>, listen to their stories, and learn from their <a href="https://nepalitimes.com/banner/life-and-livelihood-in-remote-nepal">ways of living</a>. These communities have deep knowledge about the land, materials, and climate. If this wisdom is used in new designs, it can help create tourism spaces that truly benefit everyone.” &nbsp;

A new architecture for Nepal's tourism

Extract from an addendum to Nepal's Two Wars, Chapter 2 in the updated edition of Essays on Nepal: Past and Present by Sam Cowan, a retired British Army general with a long association with the Gurkhas. The book was first published in 2018, and republished earlier this month by FinePrint exclusively on Amazon. The addendum details a one-to-one conversation the author had in the <a href="https://archive.nepalitimes.com/news.php?id=8884">Royal Palace </a>with the <a href="https://archive.nepalitimes.com/news.php?id=8371">King Gyanendra</a> in November 2002 just after he had taken his initial steps on the road that ultimately led to <a href="https://archive.nepalitimes.com/news.php?id=14681">the abolition of the monarchy</a> in Nepal in 2008. In the early evening of September 16, 2002, in my role as Colonel Commandant of the Brigade of Gurkhas, I had my second and last official audience with King Gyanendra to give him an update on the Brigade’s activities over the previous 12 months. I had some 6 or 7 such audiences with <a href="https://nepalitimes.com/here-now/preserving-king-birendra-s-family-home">King Birendra</a>.&nbsp; These were official affairs with the British ambassador of the day present, along with key <a href="https://archive.nepalitimes.com/news.php?id=12233">palace officials</a> and a representative from Nepal's Foreign Ministry. The two monarchs were very different in character and temperament, but both treated me with the utmost civility and made the audiences as relaxed and easy for me as possible.&nbsp; It is, however, worth recording that when the official business had been covered, King Birendra, with a twinkle in his eye, often ended by asking, “Now General, what’s the gossip in London?” The second audience with <a href="https://archive.nepalitimes.com/news.php?id=8026">King Gyanendra </a>was my last official act in uniform. We came back to Kathmandu in the first week of November (after treks) to stay for a few nights with our Defence Attaché before heading back to the UK. Waiting for me was a message from the Palace saying that King Gyanendra would like to meet me informally: <a href="https://archive.nepalitimes.com/news.php?id=6933">no uniform</a> and no ambassador.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421080420_f9046f9882d4481781d14f2b64f18c7fbbea62562e1d74e3465de6d01fb43750.jpg" data-media-id="editor_7" data-image-id="20250421080420_f9046f9882d4481781d14f2b64f18c7fbbea62562e1d74e3465de6d01fb43750" data-rendition-name="original" width="1750" height="2406" loading="lazy" alt="Gyanendra crowned page 1"> <figcaption>Nepali Times Special Edition of 6-14 June 2001 with enthronement of Gyanendra. </figcaption> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421080424_21333d6ae21828eb47fe3f849438d215fe2804460d47bb2896ef4aee4e895ad2.jpg" data-media-id="editor_8" data-image-id="20250421080424_21333d6ae21828eb47fe3f849438d215fe2804460d47bb2896ef4aee4e895ad2" data-rendition-name="original" width="1500" height="1857" loading="lazy" alt="Royal massacre"> <figcaption>Nepali Times 22-29 June 2001 covering the royal massacre after which Gyanendra became king. </figcaption> </figure>  Although I had no idea what the purpose of the meeting might be, events in Kathmandu since I last saw the king put me on edge. On October 4, 2002, Gyanendra had dismissed Prime Minister Sher Bahadur Deuba, allegedly for failing to hold <a href="https://nepalitimes.com/news/what-goes-on-in-nepal-s-elections">elections</a>. He had put in place a new prime minister and a cabinet personally selected by him. When I heard the news on my travels, the people I met were generally supportive of the king’s actions. There was a general view that something had to be done, the country was going nowhere, and the king deserved his chance, not least to solve<a href="https://nepalitimes.com/latest/14-years-after-conflict-no-closure-in-nepal"> the Maoist </a>problem. Back in Kathmandu, views were not so sanguine. The chosen prime minister, Lokendra Bahadur Chand, was a relic from <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">the Panchayat period</a> whose party had failed to win a single seat in the last elections held in 1999. Some of the chosen cabinet ministers had, to put it mildly, dubious reputations, and others had no record of proven competence in any field. There was a fear that the king’s real motive in dismissing <a href="https://nepalitimes.com/editorial/deubas-denouement">Deuba</a> was to start to reverse the democratic gains made since 1990. I informed <a href="https://nepalitimes.com/news/nepal-britain-mark-centenary-of-1923-treaty">the British ambassador</a> about the invitation. He was strongly against accepting it, which was probably the clinching reason for my decision to do the polite thing and accept it. On the evening of November 7, 2002, I presented myself at the royal palace, alone and in civilian attire.&nbsp; As in the past, the Military Secretary, Major General Vivek Shah, met and escorted me into the presence of the monarch. This time, however, he was politely asked to leave the room and shut the door behind him. King Gyanendra greeted me warmly and invited me to sit down.&nbsp; Read also:<a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal"> The ghost of monarchy returns to haunt Nepal</a>, Shristi Karki  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421080424_e382af945d0ad2a04ae41fabe5393f793dd10f54cb1220f111c7c9e7423eb558.jpg" data-media-id="editor_15" data-image-id="20250421080424_e382af945d0ad2a04ae41fabe5393f793dd10f54cb1220f111c7c9e7423eb558" data-rendition-name="original" width="1000" height="993" loading="lazy" alt="Gyanendra coup"> <figcaption>Nepali Times 4-10 February 2005 after king Gyanendra's coup imposed media censorship. anendra became king. </figcaption> </figure>  I had wondered, and to be truthful, had worried, not just about the purpose of the meeting, but about how the conversation might start and develop. I reduced my resolve to two points: be polite but speak candidly. The latter resolve was quickly put to the test with the king’s opening words: “Sam, [in previous meetings it had been ‘General’, you walk the highways and byways of this land more than most, tell me what the common man is thinking?” &nbsp;“Your Majesty, I have no idea what they are thinking, but they are waiting.” “Waiting?” “Yes, Your Majesty, they are waiting to see whether what you did some weeks ago in appointing your own prime minister and cabinet ministers is going to make any difference to their lives or whether it is just going to be more Kathmandu hot air.” “Everything is going to be difficult and is going to take time, a lot of time.” “Your Majesty, time is the one thing you don’t have. You must act quickly and decisively to take advantage of the opportunity you have created. Everyone knows that you have appointed these new ministers. Why don’t you get them in here one by one and tell them that they have three months to deliver a programme in their area of responsibility that is going to make a difference to people’s lives? Most will fail to do so. Sack them! It will be a powerful signal of your strong intent to deliver real change.” I can express the opening of our conversation in this way because just about every word is still etched in my mind. The king’s response to my last quoted words was to challenge me to give an example of something that could be delivered quickly. I can give a verbatim record of what I said in response to this unexpected challenge: “Health posts, Your Majesty, there is no shortage of them throughout the country as building them has been one of the sources of local corruption, but very few have any medicine to issue at present or have skilled people to assess and meet medical needs. Your Majesty, children are dying for lack of a few pills. Given the right priority, over a period, say of six months, every health post could be fully stocked with medicine and manned with trained people. This is something I could help to lead for you as I know it would have strong international backing. At last, people would know that you mean business.” As I warmed to the theme, I could see no sign of the king having any enthusiasm for the idea, and I quickly disengaged as it dawned on me, as it had clearly dawned on the king, that the reason for the deficiencies in health posts was to prevent any Maoist combatant from gaining access to any <a href="https://nepalitimes.com/opinion/tech-away/nepal-s-health-tech-industry-is-here-to-stay">medical support</a>, and if this meant people suffering, so be it. The subject of the Maoist insurgency inevitably came up, and I took the opportunity to elaborate on what is written in the final four paragraphs of the article above. I advised King Gyanendra that, self-evidently, since there were three parties in the conflict—him, the Maoists, and the political parties—it was imperative that he form an alliance with one of them, preferably the political parties; otherwise, he would find himself isolated, as the other two parties would inevitably, at some stage, form their own alliance. However, it quickly became apparent that the king’s mind was on a totally different track. On the Maoists, he told me that he had channels open to them, but he was scathing about the political party leaders. He made it clear that they would be waiting for a very long time before he gave any power back to them, and that is a polite way of expressing the actual words he used, but “crawling through the door” is a phrase which has stuck in my mind.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421080424_5403455ff6168f0d202a96cb53edea69136d74d59b989cfcc7cc4a1d57672cb5.jpg" data-media-id="editor_17" data-image-id="20250421080424_5403455ff6168f0d202a96cb53edea69136d74d59b989cfcc7cc4a1d57672cb5" data-rendition-name="original" width="2000" height="1317" loading="lazy" alt="fall of monarchy"> <figcaption>Nepali Times 28 April-3 May 2005 with cover image by Ajay Joshi of jubilant protesters after street demonstrations sidelined king Gyanendra, paving the way for a ceasfire and restoration of democracy. </figcaption> </figure>  As the conversation developed, it became ever clearer that King Gyanendra had decided to go in alone, relying on the misleading assurances he was constantly receiving from <a href="https://archive.nepalitimes.com/news.php?id=14954">the army</a>, and no doubt his close advisers, that the Maoists could and would be quickly defeated militarily, and taken out of the equation. This would obviate the need for him to do any deal with the political parties.&nbsp; Thus, the way would be clear for him to establish a version of his father’s Panchayat system, under a constitution that would be granted to the people by him, their sovereign, as his father and brother had done in 1962 and 1990. As in those constitutions, ultimate power would have remained in the sovereign’s hands. This proposed direction of travel was very clear from what the king said to me. In sum, King Gyanendra was motivated by a desire to emulate his immediate predecessors by granting his people a constitution that would restore his father’s Panchayat system in a modern form and give him a central role in decision-making. What was particularly dispiriting was that beyond this single objective he had no plan worthy of the name, nor demonstrably did he have the people with the skills to implement an appropriate plan even if one had existed. Crucially and depressingly, there was little or no indication from the king that he realised that such a course of action could put Nepal’s monarchy into serious jeopardy, as indeed proved to be the case. <h2>King Twice</h2>  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250420110436_315d519fe3d68d2406ebe1480fed54720fbf21b8907a4da5cde751fdc623d445.jpg" data-media-id="editor_19" data-image-id="20250420110436_315d519fe3d68d2406ebe1480fed54720fbf21b8907a4da5cde751fdc623d445" data-rendition-name="original" width="1302" height="632" loading="lazy" alt="“Tell me what the common man is thinking!”"> </figure>  <a href="https://archive.nepalitimes.com/news.php?id=8371">Gyanendra Bir Bikram Shah has been king twice</a>. In 1950 he was enthroned briefly as a child king (left, above) by the Rana Prime Minister Mohan Shumsher when his grandfather, King Tribhuvan, fled to exile in India. In 2001 he was crowned king again after the massacre in the royal palace in which his brother King Birendra and nine other members of his family were killed by Crown Prince Dipendra.&nbsp; During his second reign, Gyanendra gradually asserted power by sacking Prime Minister Sher Bahadur Deuba in 2002, and then taking full control after the 1 February 2005 coup. He was sidelined after the ceasefire in April 2006, and became a commoner after the Constituent Assembly finally <a href="https://archive.nepalitimes.com/article/from-nepali-press/Ftnp-abolishing,624">abolished the monarchy in 2008</a>. In the past year, Gyanendra has tried to exploit public dissatisfaction with the political parties to restore the monarchy.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250421080432_26ef4a4b0e3cee9fdc6794446702efe16550d293904b4f6dd46fe35d4d10c788.jpg" data-media-id="editor_22" data-image-id="20250421080432_26ef4a4b0e3cee9fdc6794446702efe16550d293904b4f6dd46fe35d4d10c788" data-rendition-name="original" width="1136" height="702" loading="lazy" alt="Essays on Nepal by Sam Cowen"> </figure>

“Tell me what the common man is thinking!”

“It's Kathmandu.” Just as the family was sitting down for one of its extended lunches, that jubilant cry was from François Driard’s grandfather announcing the next posting for his diplomat parents.&nbsp; Driard (pictured) was 18 in the summer of 1996,<a href="https://nepalitimes.com/opinion/suburban-tales/chasing-a-nomad"> a bit of a hippie</a> already, and his life was about to change forever with the magical word “<a href="https://nepalitimes.com/banner/time-capsule-of-kathmandu">Kathmandu</a>”. “I was awed with that information from my grandfather, nothing else mattered … In France <a href="https://nepalitimes.com/here-now/tales-of-courage-and-suffering-cx95f89e">in the 1990s</a>, Kathmandu had a mythical aura,” Driard recalls. He came to Kathmandu for Christmas that year to visit his stepfather, the French Ambassador Michel Lummaux. It was to be the first of many visits during school holidays, before he decided to permanently settle down in Nepal. “Kathmandu, and Nepal, were very different then, it was magical, I liked the nature, the people, civilisation, temples, trees,” says Driard, who explored the country sitting on the top of buses. “Visitors talk about the crazy <a href="https://nepalitimes.com/banner/cost-of-living-in-a-big-city">urbanisation</a>, traffic jams today, and all that is true. But Kathmandu has not <a href="https://nepalitimes.com/here-now/loss-of-soul-and-soil">lost its soul</a>.” After his stepfather’s tenure in Nepal ended, Driard worked as a business reporter for international publications but decided he did not want to be anyone’s employee anymore. In 2007 he landed in Kathmandu with €20,000 in savings to invest.&nbsp; He knew a few crucial things about himself: he liked food and nature, which is very much tied up with his upbringing--full of lively conversations during lunch and dinner at the family table between <a href="https://nepalitimes.com/here-now/nepals-yak-cheese-is-on-world-map">abundant cheese, wine and cigars</a>. So he decided it would be cheese, and registered Himalayan French Cheese and went to the French Alps for a month to learn how to make Tomme de Savoie. “<a href="https://nepalitimes.com/banner/the-story-of-langtang-cheese">Cheese making is such an ancient craft </a>and so I thought I won’t need much money or studying which I hated and indeed, if you have a tamako bhado and fire you are set,” explains Driard. But Nepal’s temperature and humidity were not ideal, even at higher altitudes. The first customers for his cheese were the Hyatt Regency and Nina and Hager. But he needed to create a market for cheese in a country which only knew hard churpi in the north and soft paneer in the south. He started selling his cheeses at the Summit Hotel weekend market, expanding to his own 1905 Farmer’s Market which later moved to Le Sherpa in Maharajganj, where it is now, and also a market at Labim Mall in Pulchok. He had cow dairies in Nuwakot and Dhulikhel, and finally a yak cheese unit at 3,379m in Ramechhap. It was the yak blue cheese from here that went on to win a Gold Medal in France, putting Nepal’s French cheese on the world map. “People come and try our cheese at the market, they ask questions. There is a lot of education to be done about cheese,” adds Driard, who also has three cheese shops in the Valley. Driard now makes 25 types of cheese. The products are being noticed and every year he has French students coming to Nepal to learn the art of yak cheese making. “In France, one family or company makes one kind of cheese for generations. In that I’m very unique as a cheese artisan,” he says. “The students come in to learn but I tell them to also teach us something too, add another cheese to my collection.” Read also: <a href="https://nepalitimes.com/here-now/langtang-after-10-years">Langtang after 10 years</a>, Sonia Awale Being a foodie, Driard is now also dabbling in meat with his own charcuterie at Meatini with bacon, ham, sausage and pâtés. All of this is now served at his Emilio’s Pizza, a leafy hideaway in Lazimpat. His South Side in Moksh is probably the smallest wine bar in the world. “I call the process sublime,” says Driard of his ventures, which have grown organically. “You need the same temperature and humidity of 12°C and 80% for cheese, meat and wine.” Emilio’s speciality is the eight-cheese pizza (which has eight types of cheeses), and a pizza with bhutan topping (not the country but fried intestines and organs Nepali-style). He has opened a small branch at Courtyard in Pokhara.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250426070456_bacae302c040dc18eeecdeafda72ddf06a6d2cec138ea9be7e45fe94cdf8b5b3.jpg" data-media-id="editor_8" data-image-id="20250426070456_bacae302c040dc18eeecdeafda72ddf06a6d2cec138ea9be7e45fe94cdf8b5b3" data-rendition-name="original" width="1500" height="1125" loading="lazy" alt="8 cheese pizza"> <figcaption>Eight-cheese pizza</figcaption> </figure>  With two artisanal cheese units, two farmers’ markets, a <a href="https://nepalitimes.com/here-now/the-meat-of-the-story">meat processing unit</a>, a bakery, and wine bar he now envisions a vineyard so he can add Nepali wine to his repertoire. Another future plan is to start up an agri-tourism business where customers can drink, eat and work in peace. In the past 20 years in Nepal, Driard has not always succeeded in his ventures but this hasn’t curbed his enthusiasm. He is learning as he goes, and like an old wine, Nepal is growing on him. Its slowness suits his French art de vivre with eating slowly outdoors, having conversation, importing less.&nbsp; “I have proven that with even a little money you can do a lot of things in Nepal,” adds Driard. “In the West, they easily invest half a million euros on a cheese factory, I invested 10 times less.”&nbsp;

Fromage, vin et charcuterie Népalais

Bhuthan भुठान starts with Bishnu Bahadur KC played by <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/dhuwa-smoke-telefilm,2671">Hari Bansha Acharya</a> on a call, requesting to speak to the visa officer. By this point, he had <a href="https://nepalitimes.com/here-now/nepal-should-now-allow-visa-on-arrival">applied for a visa </a>to Bhutan 10 times, but was denied each time. KC was a <a href="https://nepalitimes.com/here-now/nepal-s-women-excel-in-sports-in-2024-z9ramyct">national football player </a>in Bhutan in 1988 before he and other Nepali-speaking Lhotsampa people were forced out of the country in the 1990s as part of the Druk regime’s ‘One Nation One People’ campaign. Over 100,000 Bhutanese Nepalis were forced out, driven across India and dumped in Nepal where they lived in seven<a href="https://nepalitimes.com/here-now/elderly-left-in-bhutan-refugee-camp"> refugee camps</a> supervised by the United Nations and other charities until they were resettled in the United States, Australia, New Zealand and some European countries starting in 2007. In the fictional movie with the satirical English title The World’s Happiest Man, KC has resettled in the state of Ohio in the US but wishes to visit his home country once before he dies. Between flashbacks, we learn KC has died without having fulfilled his wish. &nbsp; The drama then focuses on KC’s two families from two marriages as they debate whether to cremate him as per <a href="https://archive.nepalitimes.com/article/from-nepali-press/muslim-hindu,2996">Hindu rites </a>or give him a Christian burial. A mediator played by Hollywood actor Bruce Dern urges them to take a firm decision before it is too long.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250430140420_b398a08091b866da2b0b8f6c1e6e26781609749aba896bfd2c68a10a519295c3.jpg" data-media-id="editor_5" data-image-id="20250430140420_b398a08091b866da2b0b8f6c1e6e26781609749aba896bfd2c68a10a519295c3" data-rendition-name="original" width="945" height="945" loading="lazy" alt="Bhutan, the movie"> </figure>  There are drawn out scenes of KC being baptised and when he is confronted by his first wife from Darjeeling played by Anuradha Majumdar, he says he changed his religion in the hope that he will be <a href="https://nepalitimes.com/opinion/comment/bhutan-s-refugees-between-hope-and-despair">allowed back in Bhutan</a>.&nbsp; We find out KC has a second wife, a Christian Nepali played by Puja Chand. Dayahang Rai as the younger son doesn’t have much screen time to flex his acting chops. &nbsp; Acharya competently portrays a man that is equal parts haunted by the memories of and longing for his home country. KC’s pain and loss is acute when he is teaching football to Gungun but between mid-scene, he freezes, perhaps lost in memories of being in Bhutan’s national team. &nbsp; In another scene, KC recalls his mother singing a lullaby in Dzongkha. He also has a box filled with medals, photographs and a football which he deflates with a knife in a powerful depiction of his <a href="https://nepalitimes.com/here-now/searching-for-a-homeland-away-from-home?fb_comment_id=1506516030025634">complicated emotions about his homeland</a>. KC keeps checking his mailbox in the hopes that his <a href="https://archive.nepalitimes.com/news.php?id=4977">visa application</a> has been accepted. He says in Nepali: “If a tree that has already struck roots in one place is shifted to another, it will not survive.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250430140420_4a9c27410326489576c04dedf40016bda3825e8f9663317f54fbfec4cbda6d34.jpg" data-media-id="editor_9" data-image-id="20250430140420_4a9c27410326489576c04dedf40016bda3825e8f9663317f54fbfec4cbda6d34" data-rendition-name="original" width="1422" height="2048" loading="lazy" alt="Bhutan, the movie"> </figure>  Dern’s character says that the <a href="https://nepalitimes.com/opinion/comment/nepal-s-transitional-justice-and-the-west-s-recalibration">western world</a> has become “lonely in pursuit of happiness”, another reference to Bhutan’s obsession with its Gross National Happiness index. Scenes shift quickly throughout making the story difficult to follow at times. The use of symbolism is a trite overdone. Nonetheless, भुठान is a nuanced depiction of raw pain and agony of losing one’s homeland. But one cannot help but leave the theatre feeling deflated. KC dies without having visited <a href="https://nepalitimes.com/here-now/small-bhutan-dreams-big">Bhutan</a>, but perhaps he does in his afterlife. It is up to the audience to create its own ending to this sad story of exile. भुठान Mad Monkey Films, 2025 Directed by Binod Paudel 102 minutes In cinemas in Nepal

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