On 15 January 2015 on National Earthquake Safety Day, an Editorial in Nepali Times titled ‘<a href="https://archive.nepalitimes.com/page/preparing-for-the-next-big-earthquake-in-nepal">Preparing To Be Prepared</a>’ warned: ‘When (not if) the next earthquake strikes Nepal, don’t ask what the government can do for you, ask what your community can do for itself.’
Just over three months later, Kathmandu was struck at 11:56AM on 25 April by a 7.8M earthquake epicentred in Gorkha. Nearly 9,000 people were killed, tens of thousands wounded, and entire neighbourhoods were destroyed.&nbsp;
There were tragic scenes in the immediate aftermath, followed by days of uncertainty, rumours and disinformation. But it was the same community spirit cited in the Editorial that helped Nepalis pull together to get through the calamity.
Relief groups sprang up spontaneously through the Internet to rush relief and help survivors to rebuild. Government agencies that were initially slow to respond ultimately stepped in.&nbsp;
The Nepal Army, APF, and Police pulled out most people from the ruins, even though international search and rescue teams got most high profile media coverage.
It was clear from the outset that despite the loss of life and the destruction, things could have been much worse. Had it not been a Saturday, schools would be open and filled with children. Nearly 35,000 class rooms in 7,000 schools in 14 districts were destroyed.&nbsp;
Read also: <a href="https://nepalitimes.com/here-now/lessons-not-learned-from-2015-o2etq6zu">Lessons not learned from 2015</a>, Sonia Awale&nbsp;
Even if there were only 10 children per class, a mind boggling number of students and teachers would have been killed.
Although there was network congestion, mobile phones worked, most national highways were serviceable, and Kathmandu airport was back in operation by 1PM. Electricity was restored in most places by nightfall. None of the <a href="https://nepalitimes.com/here-now/danger-nepal-s-glacial-lakes-are-filling-up">glacial lakes in Nepal</a> and China, including those close to the epicentre, burst. No major landslides blocked any rivers.
The unique characteristic of the rupture meant the earthquake was felt mostly eastwards from the epicentre, concentrated in and around Kathmandu Valley. The frequency of the earthquake waves and its duration damaged or destroyed older brick and clay buildings, but most cement-built structures survived.&nbsp;
All these factors ensured a relatively low loss of life, although 10 years later, 2015 is also a stark reminder that we may not be so lucky in the future. It is not panic-mongering to remind ourselves that there will be next times. <a href="https://nepalitimes.com/banner/past-disasters-foretold">Nepal sits on one of the most seismically active parts of the Himalaya</a>.&nbsp;
The 7.7 magnitude quake in Burma last week serves as a reminder that <a href="https://nepalitimes.com/editorial/lessons-still-not-learnt">earthquakes are a regular phenomenon</a> along the Himalayan arc, and there is a seismic gap in western Nepal where a mega quake is long overdue. &nbsp;
It is also important to keep the 8,900 earthquake fatalities in 2015 in perspective. Nearly 40,000 children in Nepal die every year before their first birthday due to preventable diseases -- that is 109 every day.&nbsp;
But that does not get as much international media attention.

Kunda Dixit

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11:56 25 April 2015

Commemorating the eighth anniversary of the 2015 earthquakes is a time to mourn the loss of lives, and recall the resolve of people and institutions who came together during that national calamity for reconstruction and recovery. But most of all, it is a chance to make Nepal resilient and sustainable against similar future shocks in the coming decade of BS 2080s and beyond. Over the past decade, Nepal has been struck by one disaster after another: the 2015 earthquakes, the Covid-19 pandemic, the biggest dengue outbreak in 2022, unprecedented loss and damage from floods and landslides, fires, avalanches, Glacial Lake Outburst Floods, a rare tornado in the Tarai that levelled villages in 2019, locust infestation, highway fatalities, aviation disasters.&nbsp; During the very first week into New Year BS 2080, we topped global charts for the worst air quality due to widespread wildfires across the country. Just in 2021, three climate-related disasters brought heavy rains, floods, landslides, debris-flows and wildfires that claimed hundreds of lives, destroyed thousands of homes including schools, bridges, government buildings and hydropower stations. Other slow-onset disasters such as the aggradation of river bed and ‘flash’ droughts have led to the forced migration of hundreds of settlements. Disasters and climate change-induced loss and damage in the last decade have stretched our idea of what these impacts can do and how we can cope. Read also: <a href="https://www.nepalitimes.com/here-now/back-to-classroom-for-earthquake-preparedness">Back to classroom for earthquake preparedness</a>, Rachael Lau&nbsp; After 2015, the National Reconstruction Authority (NRA) set an example of planned and systematic reconstruction within a tight deadline. Local governments in new federal structure performed well in Covid-19 recovery. The fast-paced reconstruction of the Bara-Parsa tornado helped people get shelter before the monsoon.&nbsp; In 2017 Nepal’s Parliament endorsed the Disaster Risk Reduction and Management Act, which led to the creation of Nepal’s National Disaster Risk Reduction and Management Authority (NDRRMA). The Act and the establishment of NDRRMA in December 2019 signals a paradigm shift in Nepal's approach to disaster risk management: from being mostly response-centric to prioritisation of understanding risk, improved governance, financing, including preparedness for effective response, early warning system, recovery and reconstruction. The NDRRMA has not only taken on the NRA's remaining task of reconstruction, but also has a responsibility to increase resilience during future disasters. In a short span of three years, it has collated nationwide multi-hazard risk information and made it available through the <a href="https://bipadportal.gov.np/">Bipad Portal</a>. Municipal governments have been trained to enter risk and open space information (below).  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2023042512044_0ea0235e25f046cfaf8f25617e0dece4b8d5f6185a01f4b1f882169a650570b2.jpg" data-media-id="editor_2" data-image-id="2023042512044_0ea0235e25f046cfaf8f25617e0dece4b8d5f6185a01f4b1f882169a650570b2" data-rendition-name="original" width="986" height="531" loading="lazy" alt="Credit: NDRRMA"> <figcaption>Credit: NDRRMA</figcaption> </figure>  All 753 local governments contribute to the disaster risk, hazard, exposure and vulnerability information including the down-to-the-household information on disaggregated information by gender, age and disabilities. The technical teams have been deployed to undertake risk assessment in areas impacted by landslides and floods. The use of satellite imagery and drones including for land displacement to assess complex risks has begun. A <a href="https://vms.ndrrma.gov.np/">national volunteer bureau management information system</a> that houses more than one hundred thousand trained volunteers has been established. The volunteers are mobilised under the municipal leader’s command. Similarly, information of stockpiles and search and rescue equipment are housed in a <a href="https://godam.ndrrma.gov.np/">resource management system</a>. Building on the NRA’s experience of owner driven reconstruction, the Executive Committee led by the Minister of Home Affairs has endorsed a nationwide reconstruction of private households damaged by floods and landslides. &nbsp;Reconstruction of thousands of homes have begun using the World Bank-supported loan. Read also: <a href="https://www.nepalitimes.com/here-now/in-a-disastrous-state">In a disastrous state</a>, Sonia Awale But making Nepal’s mountains, hills and plains more resilient to climate-induced disasters will also require investment and increased capacity. Since the 2015 earthquakes, there have been moderate-intensity earthquakes in Lamjung, Bhojpur and Khotang. The recent Doti-Bajura earthquake in November 2022 killed six people and thousands of houses were destroyed or damaged, many of them public buildings. Apart from the immediate response and relief we have not been able to support the reconstruction of houses and infrastructure there. A nationwide assessment of Emergency Preparedness for Response prioritised five key areas for improvement. Nepal requires nearly $200 million just for preparedness and response till 2030. Setting up a nationwide multi-hazard early warning system that considers key service sectors such as disaster management, transport, agriculture, hydropower dam operations and water management will require another $600 million. These priorities are being woven into a National Disaster Resilience Framework that includes the role of all levels of government, financing needs, roles and responsibilities of relevant agencies and means to track progress over time till 2030. In September 2021, Nepal and 17 of its development partners endorsed the Kathmandu Declaration on Green, Resilient and Inclusive Development (GRID) which involves a fundamental shift in managing risk and development: from a basic reactive response mode to a deliberate proactive risk reduction and recovery strategy for long-term growth, climate action and sustainable development for all. The Finance Ministry, with support from development partners, has started developing a ten-year GRID Strategic Action Plan and identifying new investments and policies for building resilience. The Nepal government and partners like the Asian Development Bank, World Bank, International Monetary Fund and UN, as well as Australia, the European Union, Finland, France, Germany, Norway, South Korea, Switzerland, The United Kingdom and the United States have identified up to $4.2 billion in potential future support, in addition to the $3.2 billion already committed to GRID for Nepal. In the Nepali 2080s decade, we will need to learn our lessons from the 2015 earthquakes and climate change impacts to focus on building a green, resilient and inclusive country to minimise loss and damage. Read also: <a href="https://www.nepalitimes.com/opinion/comment/turkey-and-nepal-face-similar-seismic-risks">Turkey and Nepal face similar seismic risks</a>, Surya Narayan Shrestha

Anil Pokhrel

#NepalQuake 8 years later

https://www.youtube.com/watch?v=e8yxWFuWYmwFour months after Rabindra Puri launched his Nepal Vocational Academy in <a href="https://www.nepalitimes.com/banner/ancient-panautis-french-connection/" target="_blank" rel="noopener">Panauti</a> in January 2015, the earthquake hit and his plans were completely shaken up. The architect’s buildings were intact, the students were safe but the quake opened up a huge new demand for skilled carpenters, plumbers and masons.One later year, Puri saw the need for another training institute, and started work on a new centre in Bhaktapur, where carpentry lessons have already begun. When finished the school will have the capacity to train up to 200 students at a time.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45d79c7e80680e04d3a7jpeg.jpg" alt="" width="1500" height="1000"/><figcaption>All photos: MONIKA DEUPALA</figcaption></figure>“When we started, we could produce 60-70 artisans annually but after the earthquake, the demand boomed,” recalls Puri. “We had to work day and night to expand capacity.”Puri’s centres offer not only standard construction skills but also traditional wood carving, a craft that was being displaced by modern techniques. They have already produced 250 artisans, who are now equipped with the temple-building skills of their forebears.    <img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45db9c7e80680e04d3a8jpeg.jpg" alt="" width="1400" height="933"> The Panauti academy started with training in metal casting, stone carving and carpentry, but there was a demand from local women for beautician and tailoring courses. Others sought bakery training, and some even wanted to learn the basics of designing small hydropower plants.In response, Puri donated his ancestral property in Panauti, to revive traditional craftmanship wherever possible. It now helps locals learn new skills so they can find jobs and avoid migrating overseas for work.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45dd9c7e80680e04d3a9jpeg.jpg" alt="" width="1400" height="933"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45e19c7e80680e04d3aajpeg.jpg" alt="" width="229" height="300">The Germany-trained architect and entrepreneur says: “Many students in the institution were planning to go to the <a href="https://www.nepalitimes.com/banner/paying-an-arm-and-a-leg/" target="_blank" rel="noopener">Gulf for work</a>. Some of them were convinced to remain and are now getting free training with accommodation and pocket money.”Some of Puri’s interns make Rs20,000 a month during their apprenticeships, and with experience can earn double that. He now wants to train 1,000 youth a year, and hopes to set up sister training centres across Nepal. The academy is already self-sustaining, a year ahead of schedule. Its major source of income is tuition fees, and earnings from selling students' products, including stone figures of gods and goddesses.The entrepreneur is also targeting young people who have already gone abroad, urging them to return and learn the technical skills that would allow them to prosper independently back home in Nepal. Indeed, surveys have shown that the demand for both traditional and modern skills after the eathquake is so high that Nepalis can earn as much here as in the Gulf.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45e29c7e80680e04d3abjpeg.jpg" alt="" width="1500" height="1000"><h2>Learning by doing</h2><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45e59c7e80680e04d3acjpeg.jpg" alt="" width="1500" height="1001">The Nepal Vocational Academy in Panauti provides both theory and practical classes, and some faculty members are traditional artisans. Post-earthquake, a major part of the building course is how to <a href="https://www.nepalitimes.com/banner/learning-from-nepals-past-to-rebuild-its-future/" target="_blank" rel="noopener">construct earthquake-resistant houses in the traditional style.</a>Saroj Shrestha, 29 from Panauti, gave up his fine arts studies due to family problems. He joined the academy after the earthquake, in the first batch. “At the academy I was doing what I loved, designing on wood, and was also learning  carpentry. Even if I couldn’t continue my fine arts studies, I was close to art,” says Shrestha.He easily found a job in the <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/The-beginning-of-history,3225" target="_blank" rel="noopener">post-quake reconstruction of heritage sites</a> in Panauti and Bhaktapur, and is now teaching other students what he has learnt.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110813114/636a45e89c7e80680e04d3adjpeg.jpg" alt="" width="1500" height="1000">The institute also provides philosophy classes on the importance of preserving local architecture and other cultural heritage, and building attractive, <a href="https://www.nepalitimes.com/here-now/nepals-traditional-seismic-resistant-designs/" target="_blank" rel="noopener">earthquake-resistant buildings</a>. Founder Rabindra Puri says he also plans to construct a museum of stolen art in Panauti, which will display replicas of many idols that have been stolen from Nepal. The school’s students are also working on making replicas of various stone idols.Dipa Shrestha Piya, 28 from Kavre, used to stay at home after getting married. She then learnt to be a beautician at the academy, and now owns her own beauty parlour in Panauti. Says Piya: “Nepal Vocational Academy has shaped who I am today. I'm much more independent and I earn enough to take care of my family."

Monika Deupala

A vision for vocations

<img width="1400" height="661" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107161120/636922e39c7e80680e03a152jpeg.jpg" alt=""/>Shrinkhala Khatiwada is on a whirlwind tour: to the remote village of Bharta in Makwanpur (pictured) where she is building a health post, on to London for a fundraising dinner, and stopping over in Kathmandu en route to China.Nepali Times caught up with her to find out what Miss Nepal 2018 has been up to since her coronation in April.The reason Khatiwada is into post-earthquake reconstruction is because she is also an award-winning architecture student. She wants to complete a health post in the Chepang village of Bharta before the Miss World pageant in November as her entry for the subtitle ‘Beauty with a Purpose’.“I have always been passionate about architecture, and the earthquake opened up a huge need for architects. While we rebuild, we have to take care to preserve our traditional architecture and make sure the cities are well planned,” says Khatiwada.Read also: <a href="http://archive.nepalitimes.com/news.php?id=9224#.W6zDhnszbIU" target="_blank" rel="noopener">The Palung story</a>, Gaurab Raj Upadhyaya<a href="http://archive.nepalitimes.com/article/nation/Chepang-living-edge,3136" target="_blank" rel="noopener">Living on the edge</a>, Riwaj Rai in Makwanpur She expands on the concept of healing by design: how a well ventilated hospital room makes a patient feels better. The Makwanpur health post is a learning experience, as she finds out the nitty-gritty of transforming this concept into reality. She had initially hoped to finish construction for Dasain, but the cost has doubled because the site is so remote that it is expensive to transport construction materials there. <figure><img width="1400" height="932" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107161120/636922e79c7e80680e03a153jpeg.jpg" alt=""><figcaption> </figcaption></figure>So, she is busy with fundraising dinners and approaching corporates, while the costs keep going up. Now, she is helping build a road to the village which had none. The village is now accessible, but the monsoon has delayed work. The foundation for building has finally being laid, and Khatiwada hopes to complete it soon and hold a health camp before the Miss World pageant.Read also: <a href="https://www.nepalitimes.com/from-the-nepali-press/stuck-in-grade-5/" target="_blank" rel="noopener">Stuck in Grade 5</a>, Binita Dahal<a href="http://archive.nepalitimes.com/news.php?id=9489#.W6zD8HszbIU" target="_blank" rel="noopener">Chepangi schools</a>, Mallika Aryal<a href="http://archive.nepalitimes.com/article/from-nepali-press/First-Chepang-nurse,3143" target="_blank" rel="noopener">First Chepang nurse</a>, Sajana Baral“A health post is for treatment, but prevention of diseases is just as important,” explains Khatiwada, who herself spoke to villagers about basic hygiene like hand washing, showering, and building latrines. The village has a high level of malnutrition among children, complications from early marriages and rampant superstition.At present, villagers have to walk for two hours to reach the nearest health post, and Khatiwada knows there are many villages which are as much in need as this one. “This is just the beginning of my work in philanthropy and architecture. Eventually I want to use my fame to build more of what Nepal needs, whether it is health posts in remote areas, or schools and homes in disaster zones,” she adds.Read also: <a href="https://nepalitimes.atavist.com/reconstruction-in-ruins" target="_blank" rel="noopener">Reconstruction in ruins</a>, Om Astha Rai and Sahina Shrestha<a href="https://www.nepalitimes.com/here-now/building-homes-on-a-deadline/" target="_blank" rel="noopener">Building homes on a deadline</a>, Om Astha raiAfter her year as Miss Nepal ends, Khatiwada plans to focus on philanthropic architecture through her One Home Foundation. This is actually what attracted her to Miss Nepal, to use the celebrityhood for a good cause, not necessarily its glamour.“This is a platform where you get famous overnight, and then it is up to you how you use that fame,” she explains. “I want to use it to become a change maker. In fact, the whole reason I am excited about participating in the Miss World pageant is so I can make global contacts to help me continue my work in architecture.”Nepal has never won the Miss World title, though Ishani Shrestha bagged the Beauty with a Purpose title in 2013. This year, all eyes are on the competent and confident Shrinkhala Khatiwada, and Nepal will be cheering her on.Read also: <a href="http://archive.nepalitimes.com/blogs/thebrief/2017/06/12/charismatic-nikita/" target="_blank" rel="noopener">Charismatic Nikita</a>, Sabita Shrestha<a href="http://archive.nepalitimes.com/news.php?id=12450#.W6zFbHszbIU" target="_blank" rel="noopener">Mud, glorious mud</a>, Nripal Adhikary

Miss Nepal's mission

On Tuesday, leader of the monarchist RPP once again gathered on Kathmandu’s streets to deliver fiery speeches, but this time there was no arson and looting and no need for riot police to fire live rounds or tear gas.
RPP leaders demanded the release of their members including vice-president Rabindra Mishra and MP Dhawal Shamsher Rana were arrested during the violent <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">28 March protests at Tinkune </a>which left two dead. 
They denounced the current leadership of the main parties, demanding the <a href="https://nepalitimes.com/editorial/nepal-party-reincarnating-hindu-monarchy">restitution of Nepal as a Hindu kingdom</a>. They also said the government was responsible for the fatalities on 28 March because it provoked its rally with a tear gas attack even before it started.
It has now been revealed that the police fired at least 100 live rounds from high powered assault rifles at the crowd. Twenty-one of the 120 injured received bullet wounds, and most of them were bystanders and people trying to reach home. 
Tuesday protest on the Ring Road in Balkhu was much more subdued, and comparatively fewer RPP supporters showed up. The arson and vandalism in the previous protest appears to have cost some support for <a href="https://nepalitimes.com/news/the-ghost-of-monarchy-returns-to-haunt-nepal">former king Gyanendra </a>especially for the anointment of medical tycoon and bank defaulter <a href="https://nepalitimes.com/news/street-politics">Durga Prasai </a>as ‘commander’ of the Tinkune rally.
Some monarchists acknowledge Gyanendra’s mistakes when was king 2001-2008, but say he has had a lot of time to reflect on his shortcomings and seems more disciplined and committed. His supporters have tried to build on nostalgia among some Nepalis for<a href="https://nepalitimes.com/news/why-invest-in-nepal"> domestic stability </a>and international respect that <a href="https://nepalitimes.com/here-now/if-birendra-was-alive-nepal-could-still-be-a-monarchy">the monarchy</a> commanded. 
“Nepalis were promised better service delivery, opportunities for the underserved, as well as better, more honest use of state resources, but the <a href="https://archive.nepalitimes.com/news.php?id=16992">people in leadership </a>have not been able to deliver on their commitments,” says RPP leader Prakash Chandra Lohani. “The gap between their rhetoric and reality has widened, the people feel betrayed, and the respect Nepali people had previously had for them has changed to revulsion.” 
Indeed, many commentators have warned the three main parties and their <a href="https://nepalitimes.com/editorial/politics-as-usual">serial prime ministers</a> who have ruled Nepal for much of the past 30 years should address rising public anger with them, and see the writing on the wall.
‘<a href="https://nepalitimes.com/news/nepal-government-changes-again">The UML, NC and Maoists</a> must introspect about their conduct,” warns Gunaraj Luitel, editor of Nagarik, in an op-ed this week. ‘These leaders for life may save themselves from simmering public anger, but they will not be able to save the system. The monarchist wave can only be dispelled when citizens are assured of <a href="https://nepalitimes.com/here-now/nepal-s-local-election-gives-power-back-to-people">better governance</a> through <a href="https://nepalitimes.com/latest/real-world-training-for-youth-leaders">younger leaders</a>, and reforms.’ 
Rifts between radical royals who are gunning for a return to <a href="https://nepalitimes.com/here-now/mob-movement-and-mayhem">Panchayat-style absolutism </a>and moderate monarchists who favour a constitutional king have also weakened the movement somewhat. The split between the RPP and RPP-Nepal cost the royalists numbers in Parliament in 2022, and both parties denounced the violence last month, albeit shifting the blame on the government.
The irony is that the same royalists who want to scrap the republican Constitution had formed electoral alliances with the UML during the 2022 elections. RPP-Nepal chair Kamal Thapa contested the 2022 election with the UML. Thapa has not taken part in the last two rallies, saying he will only be a part of a movement under a national flag, and not a RPP party banner.
For his part, the RPP’s Rajendra Lingden is said to be hesitant to censure some of his party’s more radical royalists for fear of fissure within his ranks, despite his aversion to Durga Prasai’s role. 
Analysts have questioned why <a href="https://nepalitimes.com/news/old-is-still-gold-in-nepali-politics">supporters of the monarchy </a>have decided to reestablish an institution that would not ultimately have executive decision-making power. There are doubts about whether authoritarian-minded Gyanendra will be satisfied being a <a href="https://archive.nepalitimes.com/news.php?id=13957">ceremonial king</a>. 
Read also: <a href="https://nepalitimes.com/news/nepal-s-deja-vu-on-black-friday">Nepal’s déjà vu on Black Friday</a>, Sonia Awale
"The Nepali people will not accept <a href="https://nepalitimes.com/here-now/forgotten-woman-who-sheltered-communist-activists">an absolute monarchy </a>at this point of time, and both the public as well as <a href="https://archive.nepalitimes.com/news.php?id=8371">king Gyanendra</a> are fully aware that there is no other possibility beyond a constitutional monarchy," asserts the RPP’s Lohani. “The traditional monarchy’s institutional capacity might have been enough to meet the needs of feudal Nepal, but an absolute monarchy is impossible both in concept and practice in the context of <a href="https://archive.nepalitimes.com/regular-columns/Economic-Class/waiting-for-an-industrial-revolution,784">modern day Nepal</a>.”

New year revolutions

Besides multiple <a href="https://nepalitimes.com/news/republicans-and-royalists-on-nepal-s-streets">street demonstrations </a>that gridlocked Kathmandu’s traffic for the past weeks, public discourse in Nepal has also been dominated by dangerously <a href="https://nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking">high air pollution levels</a>. Caused mostly by hundreds of <a href="https://nepalitimes.com/news/wildfire-season-starts-early-in-nepal">forest fires </a>raging across the country, the smoke contains suspended soot particles that harms <a href="https://nepalitimes.com/opinion/playing-with-poison">human health</a>. Thursday’s rain have cleared the air somewhat, and many people will soon forget how bad the air quality was. But the time to address the roots of next summer’s fire season is now.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524.jpg" data-media-id="editor_4" data-image-id="20250411060440_d1a119716a9031aadfdd611d299348d436842d376a03e664b8d773957a237524" data-rendition-name="original" width="502" height="540" loading="lazy" alt="Wildfires"> <figcaption>EXTINGUISHED: Forest fires raging all over Nepal in the week after 3 March (above) reduced air quality, creating a public health hazard in Kathmandu and across the country. Each red dot is a fire detected by infrared sensors on the NASA Fire Information for Resource Management System (FIRMS) satellite. But the rain on Thursday doused most of the fires (below) with more rain forecast over the weekend.</figcaption> </figure>  The reason everyone was talking about air pollution was because the<a href="https://nepalitimes.com/banner/nepal-is-going-up-in-smoke"> smoke from wildfires</a> was visible. But much more toxic are the invisible and odourless <a href="https://nepalitimes.com/news/nepal-doubles-its-carbon-footprint">gases from vehicular and industrial emissions </a>which have always been there. The theme of World Health Day on 7 April this week was ‘Healthy Beginnings, Hopeful Futures’ dedicated to <a href="https://nepalitimes.com/opinion/comment/saving-more-mothers-and-babies">preventing maternal and newborn deaths</a>. It is estimated that in Nepal, 30% of neonatal mortality can be blamed on air pollution. But that is only part of the story. Harmful as fine particulate matter is to human health, carbon monoxide, nitrogen dioxide, ground-level ozone and other gases in vehicular emissions are more hazardous to health. While the concentration of suspended particulate matter tinier than 1.5 microns (PM2.5) is closely monitored, these toxic gases are invisible, not measured much, and the public is not aware about the dangers they pose. Surface ozone is produced by the interaction of various gases found when <a href="https://nepalitimes.com/news/fossil-fuels-poison-air">burning fossil fuels</a>. Besides being poisonous, ground level ozone contributes up to 0.23°C to <a href="https://nepalitimes.com/here-now/nepal-s-mountains-are-melting">global warming</a> because it is also a greenhouse gas. A new policy brief by the Clean Air Fund titled The Case for Action on Tropospheric Ozone blames surface ozone for a half a million premature deaths every year, 54.8% of which are in South Asia. Ozone also stunts plant growth and reduces crop yields by 26% globally, and 11% loss in <a href="https://nepalitimes.com/news/economic-benefits-of-saving-the-ecology">forest productivity</a>, the report adds.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85.jpg" data-media-id="editor_11" data-image-id="20250411060456_aa02a923f8b27544ae54d0220162678f5bbb5eeb8fc3c466173c22c49b3e9a85" data-rendition-name="original" width="998" height="724" loading="lazy" alt="Gas Chambers"> </figure>  Read also: <a href="https://nepalitimes.com/here-now/bad-air-and-polluted-politics">Bad air and polluted politics</a>, Sonia Awale Ground-level ozone is not emitted directly into the air like other gases, but is formed when oxides of nitrogen (NOx), carbon monoxide (CO) and volatile organic compounds (VOCs) released from automobile tailpipes or industry smokestacks react chemically with each other in the presence of sunlight. The main source of carbon monoxide in Kathmandu Valley are its 1.2 million two-wheelers. “Usually the concentration of carbon monoxide is 200-500 parts per billion (ppb), this has increased up to 3,000 in Kathmandu. Meanwhile, ground-level ozone has gone from 70-80 ppb to 150 ppb,” says Ravi Sahu, regional air quality specialist with the Kathmandu-based International Centre for Integrated Mountain Development (ICIMOD).&nbsp; Sahu says <a href="https://nepalitimes.com/news/no-smoke-without-fire-p7vb9dcj">rampant forest fires of the past weeks</a> have also added to carbon monoxide and ozone in the air, not just the fine particles that make up the visible smoke. He adds, “There isn’t much awareness about <a href="https://nepalitimes.com/banner/poisoning-the-air-we-breathe">ground-level ozone and carbon monoxide</a>, we need to urgently look into it.” A distinction must be made between good and bad ozone. Stratospheric ozone protects living beings from harmful ultraviolet (UV) radiation from the sun.&nbsp; Tropospheric ozone can again be separated into two types: ozone in the free atmosphere which is a greenhouse gas much more potent than carbon dioxide, and ground-level ozone which has adverse impacts on health and agriculture. ‘Cutting tropospheric ozone presents a unique challenge as it requires smart and fast action across multiple greenhouse gases and air pollutants, as well as multiple economic sectors,’ notes the Clean Air Fund's policy briefing. ‘It is a growing and neglected problem that needs an integrated approach on both a local and global level to tackle climate change and air pollution together.’ Dying young There was a time when Nepal made it to international news bulletins only if there were fatalities on Mt Everest. Now, Kathmandu’s bad air frequently makes headlines all over the world. This past week, the concentration of PM2.5 that harms human health was up to 40 times the WHO recommended guideline — adding to the poisonous gases already present from vehicle emissions. The Department of Environment says 40% of the pollution in the past weeks was from wildfires sparked by nearly 6 months without substantial rain over central Nepal. Most of the rest is from vehicular and industrial emissions from Kathmandu itself and across the southern border. NASA’s Fire Information and Resource Management System (FIRMS) which issues daily maps of fires, showed hundreds of blazes raging across Nepal on Wednesday, mainly in Chitwan, Parsa and along the East-West Highway.&nbsp; “If we look at the figures for the last few years, it is clear that wildfires have become the biggest source of air pollution, they are seasonal but have overtaken vehicular emissions,” says urban planner and environmentalist Bhushan Tuladhar. “Forest fires, stubble burning, and open burning of garbage are the bigger problems now. Nepal, India, Bangladesh, and Pakistan are at risk every year, we shouldn’t further delay in finding solutions,” warned air quality expert Bhupendra Das during an event on air pollution organised on 7 March by the Nepal Forum of Environmental Journalists (NEFEJ).&nbsp; Indeed, studies have shown that in winter 60% of the air pollution over Kathmandu is transboundary from the south, and in November it is compounded by smoke from crop residue burning by farmers in India and Pakistan blown in by prevailing winds. Forest fires are a regular pre-monsoon occurrence in Nepal, often intentionally set by farmers and herders to stimulate new grass growth for livestock. Winter rains have failed for eight of the past ten years, and this means the fires often spread out of control. The other reason for the increase in wildfires is the doubling of forest fires to 46% of the country’s area in the past 25 years. But this has happened simultaneously with outmigration, with some mountain districts losing 30% of their population between 2011-2021. With less pressure on forests for fodder and firewood, the undergrowth of community forests is loaded with dry fuel just waiting for a spark. The bowl-shaped topography of Kathmandu, Pokhara and other valleys further concentrates pollutants as they are trapped by surrounding mountains. But a year with a high number of wildfires is usually followed by a year or two with fewer incidents. For example: there were 6,537 fires in 2021 but the following year the number was down to 1,528. There were 5,216 fires last year, this year the number has already reached 1,800, and the trend is likely to be broken. Heavy rains forecast for the coming days are expected to douse some of the fires and clean up the air. But the damage has been done: Kathmandu residents of all age groups this week crowded clinics and hospitals with burning eyes, itchy throats, difficulty breathing, headaches, and dizziness. But in the longer term, soot particles that are tiny enough to jump the blood-air divide in lung capillaries do not just cause Chronic Obstructive Pulmonary Disease (COPD), asthma, but also cancers, heart attacks, strokes, birth defects and other chronic diseases. The latest Air Quality Life Index (AQLI) report by the University of Chicago shows that the annual concentration of PM2.5 in Kathmandu’s air rose from 17.87µg/m3 in 1998 to 31.33µg/m3 in 2022. Air pollution has got worse by 75% in Kathmandu in 25 years. During this time, air pollution has reduced the average life expectancy of Kathmandu’s residents by 3.5 years. According to the Health Effects Institute in Boston, dirty air is among the biggest public health concerns in Nepal killing over 42,100 a year. The adverse impact of high levels of air pollution is not limited to public health, it is seriously affecting tourism. Operators in Pokhara this week said that there were many negative online posts by visitors unable to see the famous panorama of Machapuchre and the Annapurnas even from Sarangkot. Aviation is also affected, as planes have to circle sometimes for hours burning a lot of fuel because of runway visibility being below minima at Kathmandu airport. The higher fuel cost is just passed down to customers, making air tickets in and out of Kathmandu some of the highest in the world. Kathmandu, with a population of four million, has not implemented a concrete policy to curb toxic air despite having formulated various action plans and repeated commitments by the government to protect the environment and control air pollution. The Department of Environment’s 2017 Air Quality Management Action Plan for Kathmandu put forward a policy to reduce air pollution caused by vehicles which was approved by the Cabinet, but has yet to be put to practice. The action included the immediate implementation of the Euro 5 emission standard to reduce pollution emitted by vehicles. However, Nepal has not even been able to implement Euro 4 standards so far. India, meanwhile, has already moved forward with the implementation of the Euro 6 standards. Says Ravi Sahu: “Air pollution in Nepal is not just about air pollution, it has ties to tourism, aviation, the economy so we must be prepared for annual conditions like forest fires, and this requires urgent interdisciplinary collaboration.” &nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742.jpg" data-media-id="editor_15" data-image-id="20250411050452_821d09e283d8a590f1369bfb71b9b7fc6d950726e0651ea86c6488d04deb1742" data-rendition-name="original" width="839" height="784" loading="lazy" alt="Silent Killers"> </figure>  &nbsp;

What is invisible is more dangerous

82 in २०८२

Here in the mountains of far-western Nepal, the biggest threat to life and limb is gravity. Women collecting fodder fall from trees, boys grazing goats fall off cliffs, heavily loaded tractors plunge from dirt roads carved out of steep slopes. There is nothing to be done about those who die on the spot. But for the severely wounded there is only one hospital: Bayalpata. And it is there that <a href="https://www.youtube.com/watch?v=CJzWlnYd0ZM&amp;t=8s" target="_blank">orthopaedic surgeon Mandeep Pathak</a> is the last hope for many wounded people. Pathak, 42, is too modest to tell us how many lives he has saved over the past 10 years he has worked at Bayalpata. But hospital records show he has performed more than 4,000 operations in the past decade, many of them so patients did not suffer permanent physical disabilities. Pathak also did 800 major life-saving surgeries in that time. “I treat patients with injuries, but I wish I could also treat poverty,” Pathak says, emerging from Bayalpata’s surgical theatre one recent afternoon. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/CJzWlnYd0ZM?si=s_rkbU4YDaw87gqH" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> Sudurpaschim Province in Nepal’s far-west is far away from everything: from Kathmandu, from adequate medical care, from food security, and far from the reach of government services. It has suffered state neglect for centuries, its men mainly migrating to India for seasonal work to families who depend on subsistence agriculture. Pathak remembers the searing sadness he felt when a patient once told him, “Doctor, I sold the last of my rice to pay to come here, please give me a medicine that I can take on an empty stomach.” Pathak was born in Kathmandu, and after getting his MBBS from Kathmandu University, he got an MD from The Philippines. At a time when many Nepali doctors and staff nurses were emigrating, Pathak did not just return to Kathmandu but decided to go to one of the remotest districts in Nepal to serve those most in need. The hospital was established in 2009 in the village of Bayalpata, and has been managed by the non-profit <a href="https://www.nyayahealthnepal.org/" target="_blank">Nyaya Health Nepal (NHN)</a> as a public-private partnership treating 100,000 patients a year for no fees at all. NHN is now preparing to hand over the running of the hospital to the Sudurpaschim provincial government so its <a href="https://nepalitimes.com/banner/this-is-how-to-upgrade-nepals-rural-health" target="_blank">model of hospital management</a> can be replicated.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae.jpg" data-media-id="editor_4" data-image-id="20250414130456_b59dabd4604a24426a55fe91c0e5866b5029858bdb4c4028c331557aeb5408ae" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Bayalpata hospital"> <figcaption>Bayalpata hospital in Achham.</figcaption> </figure>  People from not just Achham but surrounding districts, and from as far away as Humla, bring patients to Bayalpata, sometimes walking for days. Some with complicated pregnancies are brought in stretchers, young children with broken arms walk into the emergency, and sometimes there are mass casualties when a tractor or bus falls off a road. And Pathak is always there with his team performing triage, and doing orthopaedic surgeries that would be difficult even in Kathmandu. Recently, his team did a hip replacement at <a href="https://nepalitimes.com/banner/state-of-the-art-rural-hospital" target="_blank">Bayalpata Hospital</a>. Mild mannered, modest, soft-spoken, hard-working, professional are the words families of patients who have been treated at <a href="https://nepalitimes.com/here-now/nepal-s-rural-lifeline" target="_blank">Bayalpata Hospital </a>use to describe Mandeep Pathak. But the surgeon is too busy to let all this get to this head.&nbsp; Asked why he does not emigrate like his peers or get a lucrative position at a private hospital in Kathmandu, Pathak answers simply, without a trace of self-importance, “I do not think I could get the satisfaction or sense of fulfilment anywhere else.” When travelling to attend medical congresses overseas or visit family in Kathmandu, Bayalpata has other doctors to take care of patients, but many wait patiently till Pathak returns for their consultation or surgery.&nbsp; When he returns from seminars abroad after learning the latest skills, Pathak’s suitcases are not full of clothes or presents, but titanium bone implants, external fixation rods, or intramedullary nails to be used in <a href="https://nepalitimes.com/news/altruistic-healthcare-models-in-nepal" target="_blank">surgeries at Bayalpata</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80.jpg" data-media-id="editor_8" data-image-id="2025041414040_5356278472c1eb2b9e4af1d593d6234cc8dc5e5161a8c614197c01abefadbd80" data-rendition-name="original" width="2048" height="1368" loading="lazy" alt="surgery"> </figure>  Before Bayalpata Hospital was established, most people suffering broken bones had to travel down to Dhangadi or Nepalganj for treatment. No more. Although Pathak’s specialisation is orthopaedic oncology, he is mostly treating fractures and rejoining broken bones.&nbsp; Now as Bayalpata’s Hospital Director, Pathak also has administrative and fundraising duties. He has to take the 10-hour ride down to Dhangadi often to meet various Sudurpaschim ministries to release the hospital’s budget — that is sometimes more difficult than the most complicated surgery. Recently, he had to cancel an appointment with the Chief Minister to rush back to Bayalpata because there was a patient who needed emergency surgery. “I told myself, let me save this patient first, then I will try to save the hospital,” he recalls.&nbsp; Once, when he had to be away for a month on emergency surgery training in the US, the family of a 90-year-old woman who had dislocated her hip after falling from a staircase was waiting for him to return. Her son told Pathak: “Doctor, either put her out of her suffering, or cure her.” Pathak told him it was too dangerous to operate at her age, but the son said his mother was in so much pain it was worth the risk. The operation was touch-and-go, but it was successful. The woman who had been brought in on a stretcher, walked out of the hospital three days after the operation.&nbsp; A few months later, a 27-year-old woman was brought into the ER bleeding profusely from an arm mangled by a thresher machine. Even in that state, she was breastfeeding her baby. Pathak welled up seeing this display of selfless motherhood, as he wheeled her into surgery. She needed three operations, but now has full use of her hand. <div class="embed-block"><iframe width="700" height="415" src="https://www.youtube.com/embed/xJdxLD0hBqo?si=mOpM2R_DsYL88Lfg" title="YouTube video player" frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen></iframe></div> It is the sense of achievement from such recovery that keeps Mandeep Pathak here in this isolated village in the middle of nowhere. Bayalpata Hospital has not just saved lives, it also saves families from poverty because they do not have to take sick relatives to expensive city hospitals.&nbsp; In January, a woman was brought to Bayalpata with both hands broken. She said she had taken a fall, but Pathak did not believe her. When alone in the surgery, she finally admitted that her husband had beaten her.&nbsp; It was her husband who had brought her to hospital for treatment, but she refused to file a police report. Pathak quietly put both her arms in casts, thinking about the poverty, patriarchy and injustice in society that he is unable to treat.

post-earthquake-reconstruction