It was a rainy night in August, 50 years ago, in our ancestral village of Balara near the Indian border. Because of the monsoon, our village was surrounded by flood waters.&nbsp; I vividly remember my grandmother Sharada Devi picking me up, and putting me to sleep on the bed. Waking up the next morning, I learnt that she had been bitten by a snake, and a porter had carried her in a bamboo basket across the Bagmati to a shaman. She died on the way. That bereavement at a young age left a wound that is still fresh. Even after half-a-century, the trauma of snakes has not left me. Many thousands of Nepalis die every year because of lack of timely treatment for snake bites. The Tarai presents an ideal habitat for venomous snakes, and during the monsoon they come out of their flooded hideouts to enter homes and fields. The monsoon is also when there are more farmers out and about for planting, exposing them to the danger. Snake bite has been such a clear and present danger to life in Nepal’s southern borderlands that during the many festivals this season, stories are told of people who have survived snake bites because of their devotion.&nbsp; There are Maithili folk songs that pray for the welfare of snakes, but also plead for divine protection from snake bites at night, so they can wake up alive in the morning.&nbsp; The traditional occupation of the Natuwa people is of snake charmers. They used to travel from village to village blowing on a flute-like instrument, making a captive cobra sway and dance.&nbsp; The Natuwa can be Hindu or Muslim, and are also called upon when a venomous snake is found inside the house. Some earned the reputation for being quacks because of their ineffective and fake treatment of snakebites. Mobarak Miya (below) lives near Simara, and shows a round wooden box in which he used to keep his dancing cobra.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240926110956_e1c94271600b547e21183c3502b51993e37a1aa404b16b3cbff89124d360c149.jpg" data-media-id="editor_0" data-image-id="20240926110956_e1c94271600b547e21183c3502b51993e37a1aa404b16b3cbff89124d360c149" data-rendition-name="original" width="1204" height="1600" loading="lazy" alt="The snake bite emergency"> </figure>  “Nowadays snakes are a protected species and the law does not allow us to keep them, but we had a charmed life as snake charmers,” recalls Miya, who now does day jobs to earn a living. For a hazard that claims thousands of lives every year in Nepal, there are no reliable estimates of fatalities from snake bites. Awareness is lacking about distinguishing between venomous and non-venomous snakes, or what to do if bitten. Snake bites are treatable, but health posts lack adequate anti-venom vials. About 10 people every year are killed by tiger or wildlife attacks, but those get much more media attention than the estimated 40,000 snake bite cases a year in Nepal and the 3,000 fatalities that result from them. &nbsp;&nbsp; As with everything else, it is the marginalised communities which are most exposed to the risk. Tarai Dalits, who spend more time outdoors in the fields and live in flimsy mud and thatch houses, suffer disproportionately.&nbsp; With federalism, rural municipalities should be taking a more proactive approach to supplying antidotes to their health posts and spreading awareness. But this is not happening. Statistics from existing health posts that administer antivenom show that many victims are from across the border in India. This proves that northern Bihar also suffers from the same risk and lacks treatment. The role of local FM radio in spreading awareness has transboundary importance because these stations have a considerable listenership in India.&nbsp; Tarai families are more exposed to the risk because most of Nepal’s venomous species are found in the plains. But in addition, unsafe housing, flooding, paddy plantation and harvest, grazing livestock, open defecation, and sleeping on the floor are added risk factors. Researchers at BPKIHS in Dharan showed in a pilot in four Tarai villages that a Motorcycle Volunteer Program to rush snake bite victims to health posts saved lives. There used to be about 500 snake bites per 100,000 population with a 10% fatality rate in the sites, but after the experiment, only 0.5% of the 315 cases were fatal. &nbsp; Snakes kill and maim the poorest Nepalis, which may be why the state is not so bothered, and there is a direct correlation with unsafe housing, lack of education, and quality health services.&nbsp; The snake bite emergency is as serious as ever. It could be that agriculture, pesticide use, urbanisation, infrastructure has forced snakes out of their habitat. Climate breakdown, heat stress, and floods could be making human-snake contact more probable. &nbsp;&nbsp; Whatever the cause, I lost my grandmother and many Tarai households lose family members every year. Nepal has had multiple governments in the past three decades, and two elections under the federal system that were supposed to provide accountable local governance.&nbsp; But the menace of snake bites remains an emergency. &nbsp; Chandrakishore is a Birganj-based commentator who writes this monthly column Borderlines for Nepali Times.

Chandra Kishore

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The snake bite emergency

There is nothing quite so green as a green pit viper, so distinctively designed as a banded krait or so exquisitely patterned as the scales on the hood of a spectacled cobra. Despite the chilling beauty of these ancient creatures, for centuries <a href="https://nepalitimes.com/banner/hisss">snakebites have caused thousands of deaths and continue to do so</a>. Living in the wild jungles of Chitwan and Bardia, we rarely saw any snakes except during the monsoon off-season when they were flooded out of their homes, so mishaps were minimal. Alerted by the vibrations of our stomping footsteps, keeping well out of the way is every snake’s preferred option. But for us any close encounter triggers an instinctive frisson recoil, no doubt inherited from ancestors and honed by deep-rooted survival mechanisms.&nbsp; In Nepal we have a specially complex relationship with our serpent brethren. They are heralded in mythology, revered as powerful protective deities, valued for medicinal properties and feared as potentially lethal. They are diligently worshipped during Nag Panchami and their venom compounded into lifesaving drugs. But <a href="https://nepalitimes.com/news/snakes-on-plains">snakes are generally destroyed at any opportunity</a>, even though most species are harmless and make valuable contributions to Nepal’s natural ecosystems. Of the 89 varieties found in Nepal, only 21 species are venomous. These harmful species of vipers, cobras and kraits annually kill mainly farmers, children and villagers from rural communities in the lowland Tarai, and particularly during the hot wet summer months. In Nepal, an estimated 40,000 persons are bitten and more than 3,000 die from snakebites every year, not all of them officially reported. Worldwide, WHO estimate 5.4 million people are bitten with 1.8 to 2.7 million cases of envenoming each year. The tragedy is that these fatalities are preventable and caused by a lack of understanding by those afflicted, often the poorest of the poor. Thousands of lives can be saved by spreading awareness about the venomous snake species in Nepal, how accidents can be prevented and the immediate steps to take when someone is bitten. Chief of the GoN’s Epidemiology and Disease Control Division, Hemantha Chandra Ojha is a softly spoken man with a lush moustache and an infectious passion for his subject. He explains that despite a network of snakebite treatment centres supplied with antivenom, “Over three quarters of victims die before they reach help by not acting fast enough, being delayed by jhankris, lacking transport or having to travel too far.” It was this confluence of avoidable catastrophes that first caught the attention of my colleagues at the Rotary Club of Kathmandu Mid-Town. Our member Isabella Khadka seized the opportunity to really make a difference. She has tirelessly cajoled, rallied, fundraised and inspired by leading the Rotary Snakebite Prevention Project in a four-year crusade 2022-2026 to reverse this lack of knowledge, and address this desperately neglected and preventable public health issue. “We aim to eliminate the myths,” says Khadka. “We are using high tech social media and communication solutions country-wide to tackle an age-old problem. No one should die of snakebite in Nepal.”&nbsp; Less than two years since inception, the Rotary initiative has already reached over 25 million listeners with radio spots on 41 local FM stations, Radio Nepal and Kantipur FM discussion programmes, outreach meetings, local champions, and orientation sessions for teachers, health workers and journalists. The range of knowledge products feature vibrant Maithili artwork using five colour-coded languages (Nepali, Pashimi Tharu, Awadhi, Bhojpuri and Maithili), and include posters, social media, Facebook, YouTube action clips, training videos and the bilingual website <a href="http://www.snakebitenepal.org/" target="_blank">www.snakebitenepal.org</a>.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_0dd9db2fb801ec6bf5891de08e94194972349d4e3b3737ffadd8e6623f0703ec.png" data-media-id="editor_3" data-image-id="20240304070344_0dd9db2fb801ec6bf5891de08e94194972349d4e3b3737ffadd8e6623f0703ec" data-rendition-name="original" width="1606" height="648" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_983e90e685e5dc0a2b621a5bfd169f08548c2cbd6c9ebd82ae7c5efea0064d09.png" data-media-id="editor_4" data-image-id="20240304070344_983e90e685e5dc0a2b621a5bfd169f08548c2cbd6c9ebd82ae7c5efea0064d09" data-rendition-name="original" width="1604" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_4054bb5a149d64b31ba629cc657a63310d3cb39b22b25fa527757e7cd90751c9.png" data-media-id="editor_5" data-image-id="20240304070344_4054bb5a149d64b31ba629cc657a63310d3cb39b22b25fa527757e7cd90751c9" data-rendition-name="original" width="1605" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_bf593d7aa91969e1dd8a6ef3390af2be49a0c4b9a94c9f08daa09c1442307c71.png" data-media-id="editor_6" data-image-id="20240304070344_bf593d7aa91969e1dd8a6ef3390af2be49a0c4b9a94c9f08daa09c1442307c71" data-rendition-name="original" width="1579" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_f2ac3217fd3e6aec4521f8d998b56cdf9e5cb26a23593e7c2d4db58f1af013ff.png" data-media-id="editor_7" data-image-id="20240304070344_f2ac3217fd3e6aec4521f8d998b56cdf9e5cb26a23593e7c2d4db58f1af013ff" data-rendition-name="original" width="1602" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_09029f12f168063624a452899762e4c0394947be752f7120e5b6bea73b4881b6.png" data-media-id="editor_8" data-image-id="20240304070344_09029f12f168063624a452899762e4c0394947be752f7120e5b6bea73b4881b6" data-rendition-name="original" width="1603" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_1a41528fcf31a07b9f70f123695f970e4510e03142a5d64376c257c1099067c3.png" data-media-id="editor_9" data-image-id="20240304070344_1a41528fcf31a07b9f70f123695f970e4510e03142a5d64376c257c1099067c3" data-rendition-name="original" width="1595" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>  Khadka has assembled a strong team to prepare the Rotary campaign, secure an international grant, and co-opt partners that include the BP Koirala Institute of Health Sciences in Dharan and Snakebite Research Centre with Prof Sanjib Kumar Sharma, Epidemiology and Disease Control Division, National Health Education Information and Communication Centre, World Health Organisation and WWF Nepal, amongst others. The implementers are Digital Broadcast Initiative Equal Access. In 2019 a major High Level Meeting and Workshop on Snakebite was inaugurated by President Bidya Devi Bhandari in Kathmandu to seek consensus on best practice methods to tackle this issue for Nepal. Experienced global practitioners from Oxford, Frankfurt, Melbourne and India, as well as Nepal’s many expert herpetologists, endorsed the need for increased public awareness.&nbsp; Since then, collaboration has been secured from government, embassies, development agencies and NGOs as well as medical institutions, civil society and local communities. Awareness events have been conducted throughout Nepal and abroad, and most recently on 22 February 2024 in the Armed Police Headquarters in Kathmandu to update diplomats and donors. Ongoing training is given in all seven Provinces to health workers on the management of <a href="https://nepalitimes.com/here-now/snakebite-is-treatable-no-one-need-die-from-it">anti-snake venom</a> and the improvement of snakebite treatment centres. The key messages being communicated in the national awareness campaign are not complicated. They resonate from my jungle days even though I was thankful never having to cope with a snakebite emergency. Reading this might save your life, or someone else’s.&nbsp; PREVENTION STRATEGIES - Keep your surroundings clean – snakes hide in tall grass, rubbish and firewood - Snakes are attracted to food storage – and hidden rodents - Beware while walking around at night - use a torch and tap the ground in front of you - Beware while working outdoors (e.g. in fields) - use a long stick to tap the ground - Stay away from areas where snakes might hide - Sleep under a mosquito net to help deter snakes – and avoid sleeping on the ground - Snakes are an important part of the natural environment. FIRST-AID&nbsp; - Help snakebite victims stay calm - don’t panic or move the bitten part - Do not feed the victim anything&nbsp; - Quickly transport victim to health care facility - on a motorcycle between driver &amp; pillion rider&nbsp; - Don’t play with or touch dead snakes – take a photo to show health workers - Use tables on the website to locate closest antivenom treatment center - Don’t have transportation? Use website to find a health worker to advise over phone.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_f34f8698f65a7b59ee3dda2646aa211da04d47858e4ef286087c1d753455bfc8.png" data-media-id="editor_11" data-image-id="20240304070344_f34f8698f65a7b59ee3dda2646aa211da04d47858e4ef286087c1d753455bfc8" data-rendition-name="original" width="1590" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_e0b67381546333a6b31ad40ad597b307a2884de3108b51e49414343cb110f58f.png" data-media-id="editor_12" data-image-id="20240304070344_e0b67381546333a6b31ad40ad597b307a2884de3108b51e49414343cb110f58f" data-rendition-name="original" width="1619" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_f095ea2254df8687ad13fe2139917a2b261994db791aea4d7dc3666ac6eaee9b.png" data-media-id="editor_13" data-image-id="20240304070344_f095ea2254df8687ad13fe2139917a2b261994db791aea4d7dc3666ac6eaee9b" data-rendition-name="original" width="1599" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070344_c1d7f6fb9ded5cc8d94c137f781c765e49aecd1bf9f34daeca302d7371fd72af.png" data-media-id="editor_14" data-image-id="20240304070344_c1d7f6fb9ded5cc8d94c137f781c765e49aecd1bf9f34daeca302d7371fd72af" data-rendition-name="original" width="1623" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070348_50708a81dca5486a7070fe8d21b5758fa5a0b47cc9a70b2171b1f752769fc370.png" data-media-id="editor_15" data-image-id="20240304070348_50708a81dca5486a7070fe8d21b5758fa5a0b47cc9a70b2171b1f752769fc370" data-rendition-name="original" width="1600" height="650" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>   <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240304070348_fb39503983562f902373e3a6ae612b3ae26baeba1faa72d3d832bede16329f2f.png" data-media-id="editor_16" data-image-id="20240304070348_fb39503983562f902373e3a6ae612b3ae26baeba1faa72d3d832bede16329f2f" data-rendition-name="original" width="1694" height="699" loading="lazy" alt="Snakebite prevention in Nepal"> </figure>  &nbsp;

Lisa Choegyal

A crusade to prevent snakebite casualties

https://www.youtube.com/watch?v=Q3Cvph_7Sjc&amp;feature=youtu.beLike every monsoon, this year has also seen a spike in snakebite deaths across the country. In the Tarai, emergency wards are crowded with patients as doctors try to cope. At least 15 people have died so far in Saptari, Sarlahi, Morang and Rautahat, districts that were also hardest hit by <a href="https://www.nepalitimes.com/editorial/flood-of-recrimination/" target="_blank" rel="noopener noreferrer">floods</a> last month.There are at least 40,000 cases of snakebite every year in Nepal, with some 3,000 fatalities in the Tarai alone. But a recent epidemiological study found the death rate from <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Buzz-a%20pound-of-prevention,575" target="_blank" rel="noopener noreferrer">snakebite</a> has come down from 18.7% 20 years ago to 6.62%, largely because of awareness and anti-venom treatment.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/here-now/snakebite-is-treatable-no-one-need-die-from-it/" target="_blank" rel="noopener noreferrer">"Snakebite is treatable, no one need die from it."</a>Globally, 5.5 million snakebites occur every year, with up to 138,000 deaths. Another 400,000 people require amputations and suffer severe injuries. Bangladesh, India, Nepal, Pakistan and Sri Lanka together account for 70% of global snakebite mortality. But it was not until 2017 that the World Health Organisation (WHO) recognised snakebite as a neglected tropical disease, and came up with a roadmap to reduce risk.In Nepal too, snakebite never received the attention it deserved. It is not communicable or infectious, is rare and tropical and affects the poorest people.“Snakebite is a severely neglected public health burden in Nepal. There is so much we don’t know about snakes and their venoms, and there are signs it is going to get worse with climate change,” warned Sher Bahadur Pun of Sukraraj Tropical and Infectious Diseases Hospital in Kathmandu. (See box) <figure><img width="1400" height="939" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52599c7e80680e0522ecjpeg.jpg" alt=""/><figcaption>Photo: AMERICAN CHEMICAL SOCIETY</figcaption></figure>High Level Meeting and Workshop on Snakebite in Nepal on 2-3 August in Kathmandu, is the first international conference on snakebite in the country. Taking part are 20 of the world's foremost  authorities on snakebite including David Warrell of Oxford, David Williams, head of the Global Snakebite Initiative (see interview, page 7), Ulrich Kuch of Goethe University in Frankfurt, and Priyanka Kadam from India, and 50 Nepali scientists are taking part.Nepal is aiming to be one of 11 member countries on WHO’s roadmap for snakebites, and is trying to muster serious commitment from the government for research and treatment.“We hope to sensitise policymakers and the public about the hidden burden of this neglected tropical disease,” said Sanjib K Sharma, a doctor at the BP Koirala Institute for Health Science in Dharan, one of the conference organisers. “We also want to start working on developing anti-venoms in Nepal instead of depending on imports.”Of the four types of anti-venom imported for the 21 types of poisonous snakes in Nepal, one doesn’t work and three others are not reliable. In fact, 80% of people here who are administered anti-venom suffer from reactions, 12% of which are fatal. Activists in India are now lobbying to stop the export of anti-venom because of unmet domestic need.Anti-venom is produced by injecting donor animals such as horses and sheep with venom, and then extracting the antigen from the blood. But the procedure is expensive – a vial of anti-venom costs up to $2,200. Since snakebite requires between 20-25 vials to neutralise the venom, the pharmacy bill alone would total $30,000 per patient. Global production is limited, and most snake bites can only be cured with anti-venom from that particular species.WHO’s target is to halve the numbers of deaths and disability from snakebite by 2030, and the Wellcome Trust and UK Department for International Development (Dfid) have announced £80 million and £9 million respectively for the development of a universal anti-venom. However, clinical trials will take decades.Nepal’s challenge is at ground level. Awareness about preventing snakebite is still low, people prefer to visit traditional healers if bitten, and many patients get to anti-venom centres too late. Even so, snakebite fatalities fell from 10.5% to 0.5% after motorcycle volunteers were deployed in a pilot project in 2013. (see box)Diana Barr of the Australian Venom Research Institute at the University of Melbourne says Nepal and Bangladesh are best equipped to take the WHO strategy forward. “You’ve got some of the key things, like local expertise, your health ministry is pushing for change, and there is support from outside organisations,” she told Nepali Times. “Nepal can easily implement the WHO strategy and get dramatic results in a couple of years.”Experts attending the Kathmandu conference this weekend believe the WHO target of halving snakebite deaths is doable. All it needs is effective treatment, trained nurses and doctors who deliver that treatment, educating the community to take simple precautions, and come to hospitals sooner if bitten.Said Sharma of BPKIHS: “The universal vaccine is the holy grail for snakebite treatment, but until then we have to work on anti-venom epidemiology within the country and educate people about snakebites.” <h2>Motorcycle volunteers to the rescue</h2> <figure><img width="1250" height="1068" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a525c9c7e80680e0522edjpeg.jpg" alt=""><figcaption> TWO-WHEELS GOOD: Snakebite victim held firmly between motorcycle volunteer driver and relative and being rushed to hospital. The fatality rate fell by ten times in this pilot project in the Eastern Tarai. Pic: SANJIB K SHARMA</figcaption></figure>One of the major barriers to snakebite treatment is the delay in getting victims to a health centre with anti-venom. In many cases, patients die on the way due to an inefficient transportation system.In 2004, a group from BPKHS in Dharan, in collaboration with the University of Geneva, tested a Motorcycle Volunteer Program in four villages in the eastern Tarai with a high incidence of snakebites. The pilot project mobilised motorcycle volunteers in all four villages, which had a total population 62,000. They helped transport snakebite victims to a specialised treatment centre in Damak that had anti-venom and staff trained in snakebite management. The motorcycles combined with community health education sharply reduced the mortality rate from snakebite.Before the experiment, there were 502 bites/100,000 population with a case fatality rate of 10.5%. After the intervention, the incidence decreased to 315 bites/100,000 and the fatality rate fell to 0.5%.‘Simple educational messages and promotion of immediate and rapid transport of victims to a treatment centre decreased the mortality rate and incidence of snake bite in southeastern Nepal,’ stated a study published in The American Society of Tropical Medicine and Hygiene in 2013. It recommended that the test be replicated elsewhere. <h2>Snakes and Ladders</h2> <a style="background-color: #ffffff; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/between-existence-and-extinction-in-nepal/" target="_blank" rel="noopener noreferrer">As global temperatures go up, so do snakes, insects and plants</a>. Not only are venomous snakes now found at altitudes where they were not present before, experts say even their venom may be getting more poisonous.Kathmandu Valley used to experience snake bites, but they were never fatal. Now, there are cobra sightings on the Valley rim, and even in Langtang National Park. And last year, a patient admitted for snakebite at Sukraraj Hospital in Teku died while undergoing treatment.Poisonous snakes may have come up hitchhiking on cargo trucks carrying logs from the Tarai, but health experts say there is evidence climate change may be allowing venomous snakes, and other tropical wildlife, to move to higher areas of the Himalaya.“Elsewhere we are starting to see the <a href="https://www.nepalitimes.com/editorial/climate-damage/" target="_blank" rel="noopener noreferrer">movement of various species with the warming of the earth</a>, so the case of snakes should be no different,” explains Sher Bahadur Pun of Sukraraj Topical and Infectious Disease Hospital in Kathmandu, which has seen a rise in the number of patients from the Valley and surrounding districts with severe snakebites.Pun adds that more research needs to be done to find the exact correlation between venomous snakes and climate change.In addition, snakebites that were previously poisonous only in the immediate tissue surrounding a bite can now be more venomous or even fatal. <a href="https://www.nepalitimes.com/opinion/turning-on-the-heat/" target="_blank" rel="noopener noreferrer">A warmer climate</a> appears to affect the physiology of the venom glands and the chemical composition of snakes' secretions.“When people got bitten by snakes in the past, they only developed swelling, but now I see cases where victims are bleeding from bites by the same type of snake,” says Sanjib K Sharma of the Department of Internal Medicine at BPKHS in Dharan. Read also: <a href="http://archive.nepalitimes.com/news.php?id=17330#.XULEUvIzbIU" target="_blank" rel="noopener noreferrer">Snakebite!</a>, Buddha Basnyat<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Buzz-a%20pound-of-prevention,575" target="_blank" rel="noopener noreferrer">An ounce of venom</a>, Buddha Basnyat<a href="https://www.nepalitimes.com/?p=30821&amp;preview=true" target="_blank" rel="noopener noreferrer">Snakebite is treatable,</a> Nepali Times <h2>Know Your Snakes</h2> Snakes look similar but their colour, scales, eyes and head shape can be useful in distinguishing dangerous species from harmless ones. Some snakes found in Nepal:Green Snakes (Orthriophis hodgsonii) have a few large scales on the top of the head and round pupils. These snakes are non-venomous and harmless. Cat-eyed Green Snakes (Boiga cyanea) have no pit organ between nostril and eye, which distinguishes them from venomous pit vipers.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a525f9c7e80680e0522eejpeg.jpg" alt="" width="1000" height="492"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52619c7e80680e0522efjpeg.jpg" alt="" width="1000" height="667">Green Pit Viper (Trimeresurus septentrionalis) are the only venomous species of green snakes in Nepal. They have a pit organ between the eye and the nostril, which is an infrared detector used to find prey in the dark. Bites are painful but not fatal.Russel Viper (Daboia russelii) is one of the most dangerous snakes in Nepal, found in the Tarai only. Its head is covered by numerous small symmetrical, oval scales, it has a long tail and long venom fangs that fold back into its mouth.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52649c7e80680e0522f0jpeg.jpg" alt="" width="1000" height="581"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52669c7e80680e0522f1jpeg.jpg" alt="" width="1000" height="739">Tibet Pit Viper (Trimeresurus tibetanus) can be found in oak and rhododendron forests on Phulchoki, Helambu and in Tibet, up to 3,200m. Bites can be painful, but not dangerous.Himalayan Pit Viper (Gloydius himalayanus) has a few large scales on the top of its head, like some non-venomous viper lookalikes. But it has a pit organ and a dark stripe from eye to mouth. Found at 1,600-3,000m in the mountains, it is active in the daytime hunting rodents. Bites can be painful but not fatal. Has been found in Mustang.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52699c7e80680e0522f2jpeg.jpg" alt="" width="1000" height="605"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a526b9c7e80680e0522f3jpeg.jpg" alt="" width="800" height="851">Cobra and King Cobra are common and dangerous causes of snake bite envenoming in Nepal. Most bite at dawn, injecting a large quantity of venom that leads to paralysis of the peripheral nervous system, and then death by asphyxia. Raises forebody, displays extended neck skin hood and hisses when disturbed. Found in the Tarai and up to 3,500m.Python (Python molurus) have no venom but kill prey by constriction. They can bite if disturbed. Found mainly in the Tarai and low valleys.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a526e9c7e80680e0522f4jpeg.jpg" alt="" width="1000" height="798"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52709c7e80680e0522f5jpeg.jpg" alt="" width="1000" height="545">Common Krait (Bungarus caeruleus), Greater Black Krait (Bungarus niger), Lesser Black Krait (Bungarus lividus) and Wall’s Krait (Bungarus walli) are the most common and dangerous causes of snake envenoming in Nepal. They differ from all other snakes in having one row of hexagonal scales along the middle of their back from neck to tail, which are much larger than other scales. Active at night, some victims do not know they have been bitten while asleep. Respiratory paralysis can kill even after 12 hours. Found up to 1,450m.Himalayan Krait (Bungarus bungaroides) found at higher altitudes, their bites cause death due to asphyxia. Banded Krait (Bungarus fasciatus) are also highly venomous and found in the Tarai.Cat Snake (Boiga trigonata) look like most Kraits but differ in having laterally compressed bodies, unlike Kraits, which have rounded or triangular cross-sections. Mildly venomous.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52729c7e80680e0522f6jpeg.jpg" alt="" width="1000" height="470"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52759c7e80680e0522f7jpeg.jpg" alt="" width="1000" height="426">Kukri Snake (Oligodon arnensis) differs from Russell Pit Viper in having pupils that are round, large scales on top of the head and no pit organ. Unlike Kraits, it has scales on the back that are all of similar size and shape.Common Wolf Snake (Lycodon aulicus) is a small snake that often enters homes at night to hunt geckos and mice. Unlike more dangerous Kraits, it has scales of the same size all over its body, and is harmless.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52779c7e80680e0522f8jpeg.jpg" alt="" width="1000" height="646"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52799c7e80680e0522f9jpeg.jpg" alt="" width="1000" height="553">Coral Snake (Calliophis beddomei) are rare and found up to 2,200m. If cornered, it responds by flattening its body and lifting and curling its tail. Bites are rare, sometimes fatal.Tawny Cat Snake (Boiga ochracea) are widely distributed in the Tarai and mid-hills. They are often reddish brown and active at night, but unlike Kraits are not venomous.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a527b9c7e80680e0522fajpeg.jpg" alt="" width="1000" height="518"><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a527d9c7e80680e0522fbjpeg.jpg" alt="" width="1000" height="558">Water Snake are common in paddy fields and ponds, but are not venomous. The Striped Keelback (Amphiesma stolatum) is active by day and rarely bite. It has prominent and distinct spots and stripes on the body.Adapted from: Venomous Snakes of Nepal: A Photographic Guide by SK Sharma, DP Pandey, KB Shah, F Tillack, F Chappius, CL Thapa, E Alirol and U KuchBP Koirala Institute of Health Sciences, 2013 ISBN number : 978-9937-2-6003-9<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52809c7e80680e0522fcjpeg.jpg" alt="" width="800" height="1037"> <img width="2500" height="1890" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52829c7e80680e0522fdjpeg.jpg" alt="">IF A SNAKE BITESReassure victims, lay them down sidewaysIdentify snake if possibleImmobilise bitten limb with splintDo not cut, use tourniquets, ice on wound Wash wound with soapTransport victim quickly to a health centre with anti-venomSymptomsEnvenoming due to cobra and krait bites lead to neuromuscular paralysis with the following effects: Inability to open the eyes on looking upInability to open the mouthInability to protrude the tongue from the mouthInability to swallowParalysis of the muscles of the hands and feetDifficulty breathing

HISSS

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52509c7e80680e0522e9jpeg.jpg" alt="" width="1400" height="787"/><figcaption>Pic: DIANA BARR</figcaption></figure>David Williams grew up in rural Australia among all kinds of creepy crawlies. He kept lizards and snakes as pets, even venomous ones. He has been bitten six times, but that has not put him off research into finding a cheaper and more effective anti-venom to treat bites.Williams now heads the Global Snakebite Initiative and has been helping in <a href="http://archive.nepalitimes.com/news.php?id=17330#.XULEUvIzbIU" target="_blank" rel="noopener">snakebite</a> management in Cambodia and Papua New Guinea. He is in Kathmandu for the first international conference on snakebite in Nepal this weekend, and spoke to Nepali Times.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=30833&amp;preview=true" target="_blank" rel="noopener">HISS</a>, Sonia AwaleNepali Times: Why hold a snakebite conference in Kathmandu?   David Williams: One of the main reasons the conference is being held here is that Nepal has got a lot of expertise, doctors who are very interested in research and want to fix the problem and initiatives like the motorcycle volunteers. There are many diseases that have no cure or treatment, but snakebite is something that is eminently treatable, nobody should have to die from it. So with a reasonably modest amount of investment by health ministries and supporting organisations, we can solve the problem of snakebite. Nepal has all the elements necessary to tackle its snakebite epidemic, and save lives.What are the main challenges?There is a solution to <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Buzz-a%20pound-of-prevention,575" target="_blank" rel="noopener">snakebite problems</a>, but it is largely a matter of investment. Production of anti-venom requires putting the money into establishing manufacturing facilities, having a proper quality control and a regulatory agency that is able to provide oversight of manufacturing. The same goes for collecting venom. So it is a matter of commitment, and spending the money to do it in the right way. The things that hospitals need to have in order to effectively treat snakebite patients are often the same types of medical consumables that are needed for a lot of other diseases. So if you have a strong health care system that is functioning well with the right drugs and treatment, then we are likely to achieve better outcomes.But are these <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/tips-for-surviving-snakebites,1471" target="_blank" rel="noopener">interventions</a> possible in Nepal? It is a lot easier and cheaper to prevent snakebite than to deal with consequences, so community education and awareness for behavioural change is probably the most important aspect. Another is having sufficient stock of effective anti-venoms. Countries have to ensure that reliable supply, and one way to go about is to ask for World Health Organization (WHO) assistance. The good thing is that there has been some strong research in this area with which Nepal should be able to take an initiative to be able to make anti-venom within the country and not rely so much on India. It is especially important to have addition supply of anti-venom this time of the year, when snakebite becomes an epidemic.The WHO wants to halve snakebite deaths by 2030. Is this realistic? It is fairly easy to achieve and there is good evidence to back this up. In Ghana it was found that if you introduce effective treatment, train nurses and doctors who deliver the treatment, and educate the community to come to the hospital sooner, fatalities can be reduced by as much as 80% in a very short period. It took Ghana only 18 months. So I think having 12 years from now to <a href="http://archive.nepalitimes.com/news.php?id=19557#.XULEV_IzbIU" target="_blank" rel="noopener">cut the fatality</a> and disability by 50% is quite a reasonable target. At core it is about effective treatment, health workers who know how to give treatment and communities that prioritise getting that treatment.Is climate change pushing venomous snakes up the mountains? If the world keeps warming, yes. As the weather warms up here in Nepal with climate change, you will start finding venomous snakes in areas where they were never found before because it was too cold. Another aspect that can contribute is changes in the habitat. For example, with deforestation you create open habitats that a lot of venomous snakes, such as the cobras and the Russell vipers, actually find more conducive to their lifestyle.Read also:<a href="http://archive.nepalitimes.com/news.php?id=17330#.XULEUvIzbIU" target="_blank" rel="noopener">Snakebite!</a>, Buddha Basnyat<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/Buzz-a%20pound-of-prevention,575" target="_blank" rel="noopener">An ounce of venom</a>, Buddha Basnyat<a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/tips-for-surviving-snakebites,1471" target="_blank" rel="noopener">Snakebite Survival,</a> Buddha Basnyat

“Snakebite is treatable,  no one need die from it.”

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

Kathmandu airport to cut flight hours

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

High living below the Himalaya

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

Back to the land in the cities

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