<figure><img width="1920" height="1152" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a57ce9c7e80680e054800jpeg.jpg" alt=""/><figcaption>Illustration: SONNY ROSS</figcaption></figure>The climate crisis is making people sicker – worsening illnesses ranging from seasonal allergies to heart and lung disease.Children, pregnant people and the elderly are the most at risk from extreme weather and rising heat. But the impact of the <a href="https://www.nepalitimes.com/banner/weather-warning-for-climate-meeting/" target="_blank" rel="noopener">climate crisis</a> – for patients, doctors and researchers – is already being felt across every specialty of medicine, with worse feared to come.<figure data-interactive="https://interactive.guim.co.uk/embed/iframe-wrapper/0.1/boot.js" data-canonical-url="https://interactive.guim.co.uk/uploader/embed/2019/09/archive-5-zip/giv-3902d8jdxgN0Ltya/index.html" data-alt="series linker"></figure>“There’s research suggesting that our prescription medications may be causing harm because of changing heat patterns,” said Aaron Bernstein, a pediatric hospitalist who is the co-director of the Center for Climate, Health and the Global Environment at Harvard University.Read also: <a href="https://www.nepalitimes.com/banner/mosquitoes-move-up-mountains-as-the-earth-warms/" target="_blank" rel="noopener">Mosquitoes move up the mountains as the earth warms</a>, Sonia Awale“There’s evidence that <a href="https://www.nepalitimes.com/opinion/turning-on-the-heat/" target="_blank" rel="noopener">extreme weather events</a> are affecting critical medical supplies so we can’t do things as we normally would do because IV fluids aren’t available.“And there’s evidence that extreme weather events are knocking out power more and more, and that is a huge issue for providing care in healthcare facilities.”In a recent example, a study in the Journal of the American Medical Association found that lung cancer patients undergoing radiation were less likely to survive when hurricane disasters disrupted their treatments.An August <a href="https://www.nejm.org/doi/full/10.1056/NEJMp1906035" data-link-name="in body link">article</a> in the New England Journal of Medicine lays out dozens of similar studies to show how the climate crisis affects each practice of medicine. Renee Salas, a co-author of the report, who teaches emergency medicine at Harvard Medical Schoolsaid: “The climate crisis is impacting not only health for our patients but the way we deliver care and our ability to do our jobs. And that’s happening today.”Read also: <a href="https://www.theguardian.com/environment/2019/sep/16/climate-crisis-health-risks-extreme-weather" target="_blank" rel="noopener">'Like a sunburn on your lungs': how does the climate crisis impact health?</a>, The Guardian<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a57d19c7e80680e054801jpeg.jpg" alt="" width="200" height="200"><h2>Allergies</h2>Climate change makes <a href="https://archive.nepalitimes.com/article/nation/what-are-you-allergic-to,4151" target="_blank" rel="noopener">allergies</a> worse.As temperatures increase, plants produce more pollen for longer periods of time, intensifying the allergy seasons. Increased concentrations of carbon dioxide in the atmosphere can make plants grow more and <a href="https://www.ncbi.nlm.nih.gov/pubmed/25372614?dopt=Abstract" data-link-name="in body link">cause more grass pollen</a>, which causes allergies in about 20% of people. Carbon dioxide can also <a href="http://www.publish.csiro.au/fp/FP05039" data-link-name="in body link">increase the allergy-causing effects</a> of pollen.Neelu Tummala, an ear, nose and throat specialist at the George Washington Medical Faculty Associates in Washington DC, said she sees many patients with allergic rhinitis, or inflammation of the nasal cavity, congestion and post-nasal drip.“It used to be that tree pollens were only in spring, grasses were just in summer, ragweed was just in fall,” Tummala said. “But the timing of those is starting to overlap more.”One of Tummala’s patients, Kelly Kenney, had minor seasonal allergies as a child but now suffers from year-round from sinus pains, ear pressure and congestion.“The last four years, my symptoms have gotten increasingly worse,” Kenney said.<h2>Pregnancy and newborn complications</h2>Pregnant people are more vulnerable to heat and the <a href="https://www.nepalitimes.com/here-now/air-pollution-is-more-dangerous-than-smoking/" target="_blank" rel="noopener">air pollution</a> that is being made worse by climate change.Bruce Bekkar, a San Diego-based obstetrician gynecologist who stopped practicing six years ago to spend more time as a climate activist, has compiled 68 studies from the continental US on the association between heat, smog and the tiny particles of pollution that come from <a href="https://www.nepalitimes.com/banner/from-a-fossil-past-to-an-electric-future/" target="_blank" rel="noopener">fossil fuels</a> and how they are connected with premature birth, low birth weight and stillbirth.More smog forms when it is hot, and some research suggests particulate matter also increases with the <a href="https://www.nepalitimes.com/editorial/climate-damage/" target="_blank" rel="noopener">climate crisis</a>, although the data is less robust.Bekkar said he and his co-authors found a significant association in 58 of the 68 studies. The body of research covers 30m births in the US.Bekkar said doctors should talk to their patients about how heat waves could lead to premature births and how staying away from <a href="https://www.nepalitimes.com/opinion/toxic-bubble/" target="_blank" rel="noopener">air pollution</a> can help them keep their children healthy.“We’re finding that we have increasing numbers of children born already in a weakened state from heat and air pollution. That’s a totally different story than thinking about climate change as the cause of hurricanes over Florida … It’s a much more pervasive and ongoing impact.”In the developing world pregnant people can also suffer from food and water scarcity. <a href="https://www.nepalitimes.com/banner/mosquitoes-move-up-mountains-as-the-earth-warms/" target="_blank" rel="noopener">Insect-borne illnesses</a> – such as the Zika virus, which was spread by mosquitoes – are also a hazard to developing fetuses.<h2>Heart and lung disease</h2><aside data-component="rich-link-tag" data-link-name="rich-link-tag"> Air pollution gets worse as temperatures rise, stressing both the heart and lungs. The fossil fuel pollution that causes the climate crisis also is linked with increased hospitalizations and deaths from cardiovascular disease, and it is connected with more asthma attacks and other breathing problems. </aside>More intense <a href="https://www.nepalitimes.com/opinion/its-a-jungle-out-there-2/" target="_blank" rel="noopener">wildfires</a> spew dangerous smoke into the air, as documented in the western US this year. And hotter days make more smog, which the American Lung Association describes as acting “like a sunburn on your lungs which may trigger an asthma attack”.<h2>Risks for children</h2>Children under the age of five experience the majority of the <a href="https://www.nepalitimes.com/here-now/climate-health-emergency/" target="_blank" rel="noopener">health burden from climate change</a>, according to Salas’ report.Samantha Ahdoot, a pediatrician in Alexandria, Virginia, treated an 11-year-old and a 13-year-old who moved from Florida after a hurricane destroyed their community and their medical records at their doctor’s office.One needed surgery for a heart condition and had to start from scratch with a new cardiologist. Both had attention-deficit/hyperactivity disorder (ADHD) that was harder to treat amid the major life disruption and without records on adjustments to medication dosages. Ahdoot, who also founded the group Virginia Clinicians for Climate Action, said she has seen an influx of families moving because of weather disasters.<h2>Dehydration and kidney problems</h2>Much hotter days make it harder to stay hydrated. They are linked with electrolyte imbalances, kidney stones and <a href="http://archive.nepalitimes.com/article/Nepali-Times-Buzz/A-mysterious-rash-of-kidney-failures,3639" target="_blank" rel="noopener">kidney failure</a>. Patients who need dialysis as their kidneys fail can have trouble getting treatment during extreme weather events.<h2>Skin disease</h2>Higher temperatures and the depletion of the ozone layer increase the risk of skin cancer. The same refrigerants and gases that damage the ozone layer contribute to climate change.<h2>Digestive illnesses</h2>Heat is linked with higher risks for salmonella and campylobacter outbreaks. Extreme rains can contaminate drinking water. Harmful algae blooms that thrive in higher temperatures can cause gastrointestinal problems, too.<h2>Infectious disease</h2>Changing temperature and rainfall patterns allow some insects spread farther and transmit malaria, <a href="https://www.nepalitimes.com/banner/mosquitoes-move-up-mountains-as-the-earth-warms/" target="_blank" rel="noopener">dengue</a>, Lyme disease and West Nile virus. Waterborne cholera and cryptosporidiosis increase with drought and flooding.<h2>Mental health conditions</h2>The American Psychological Association created a 69-page guide on how climate change can induce stress, depression and anxiety. The group says “the connections with <a href="https://archive.nepalitimes.com/article/nation/stigma-and-silence-mental-health-nepal,3486" target="_blank" rel="noopener">mental health</a> are often not part” of the climate-health discussion.People exposed to or displaced by extreme weather or violent conflict are at higher risk for mental health challenges. Extreme heat can also make some mental illnesses worse.The University of Maryland’s Howard Center for Investigative Journalism found emergency calls relating to psychiatric conditions increased about 40% in Baltimore in summer 2018, when the heat index surged above 103F, as reported on <a href="https://www.npr.org/2019/09/04/757034136/how-high-heat-can-impact-mental-health" data-link-name="in body link">NPR</a>.And some psychotropic medications interfere with the body’s ability to regulate temperature – increasing vulnerability to heat.<h2>Neurologic disease</h2>Fossil fuel pollution can increase the risk of stroke. Coal combustion also produces mercury – a neurotoxin for fetuses. Diseases spread by mosquitoes and ticks increase the chance of neurological problems. Extreme heat is also linked with cerebrovascular disease, a disorder that affects blood supply to the brain.<h2>Nutrition</h2>Carbon dioxide emissions are lowering the nutritional density of <a href="https://www.nepalitimes.com/latest/ipcc-report-and-nepals-food-security/" target="_blank" rel="noopener">food crops</a>, reducing plant levels of protein, zinc and iron and leading to more <a href="https://www.nepalitimes.com/banner/junk-food-is-making-nepali-children-shorter/" target="_blank" rel="noopener">nutritional deficiencies</a>. Food supplies are also disrupted by drought, societal instability and inequity <a href="https://www.sciencedirect.com/science/article/abs/pii/S2211912418300063" data-link-name="in body link">linked with climate change</a>.<h2>Trauma</h2>Extreme weather events, including hurricanes, floods and wildfires, often cause physical injuries. Doctors see minor fractures, crush injuries and smoke inhalation. Extreme heat is also linked with aggression and violence, and the climate crisis globally is connected with violent conflict and forced migration.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108141120/636a57d29c7e80680e054802jpeg.jpg" alt="" width="360" height="180">This story originally appeared in <a href="https://www.theguardian.com/international">The Guardian</a>. It is republished here as part of Nepali Times' partnership with Covering Climate Now, a global collaboration of more than 250 news outlets to strengthen coverage of the climate story.

original

674x448

610x380

500x500

400x266

400x240

400x203

301x200

1250x600

1084x550

'Like a sunburn on your lungs': how does the climate crisis impact health?

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131148/636a50749c7e80680e04fd5ejpeg.jpg" alt="" width="1500" height="1125"/><figcaption>Photo: KUNDA DIXIT</figcaption></figure>“Can we tell the story so people get it?” US tv journalist Bill Moyers said at the launch of <a href="https://www.cjr.org/covering_climate_now/covering-climate-partnerships.php">Covering Climate Now</a>, a project aimed at breaking the climate silence that has long prevailed within too much of the news media.Co-founded by The Nation and the Columbia Journalism Review, in partnership with The Guardian, Covering Climate Now aims to convene and inform a conversation among journalists about how all news outlets—big and small, digital and print, TV and radio, US-based and abroad—can do justice to the defining story of our time.Covering Climate Now has among its members tv networks (CBS News), major newspapers in the US (The Philadelphia Inquirer, Minneapolis Star Tribune, San Francisco Chronicle, Seattle Times) and Asahi Shimbun and la Repubblica in Japan and Italy. Nepali Times is also a member.Other participating media include specialist publications (Nature, Scientific American, InsideClimate News, Harvard Business Review), distinguished digital publications (HuffPost, Vox, The Intercept, Slate) leading individual and institutional voices (author Bill McKibben; the radio and TV program Democracy Now!; Channel 4 UK correspondent Alex Thomson; veteran TV meteorologists Dan Satterfield, Mike Nelson, and Paul Gross); and many more.Each of these outlets has committed to running one week of focused climate coverage, to begin September 16 and culminating on September 23, the day of the landmark international <a href="https://www.un.org/en/climatechange/">Climate Action Summit</a> hosted by UN Secretary General Antonio Guterres in New York.“We’re not here to tell people what to write or broadcast. All that’s required is for each outlet to make a good faith effort to increase the amount and the visibility of its climate coverage—to make it clear to their audiences that climate change is not just one more story but the overriding story of our time,” said <a href="https://www.cjr.org/author/mark-hertsgaard-and-kyle-pope">Mark Hertsgaard the environment correspondent of The Nation and Kyle Pope</a>, editor of CJR.The point is to give the climate story the attention and prominence that scientists have long said it demands so that the public and policymakers can make wise choices, they said.Covering Climate Now seeks to fulfill journalism’s most sacred responsibilities: to inform people and foster constructive debate about common challenges and opportunities. Arguably, no problem in today’s world is more challenging, or offers brighter opportunities.In a report last October, scientists with the UN’s Intergovernmental Panel on Climate Change warned that humanity had just 12 years to slash heat-trapping emissions in half or else face catastrophic temperature rise and the record-breaking extreme weather it unleashes. Meanwhile, spectacular advances in solar, wind and energy efficiency illustrate how doing right by the climate can make our societies better, not worse, if we’re smart about it.To elevate climate coverage is no more of a value judgment than it is to sideline such coverage. For many years now, most of the news media, at least in the US, has done the latter. The major TV networks devoted more air time in a week this spring to a new royal baby in Britain than they did in the entire year to the climate story. When last October’s IPCC report was released, 28 of the 50 biggest newspapers in the US didn’t bother to tell their readers about it.The Covering Climate Now initiative includes:Print &amp; Online Newspapers and Magazines:<ol><li>The Columbia Journalism Review</li> 	<li>The Nation</li> 	<li>The Guardian</li> 	<li>The Philadelphia Inquirer/<a href="http://philly.com/">com</a></li> 	<li>HuffPost</li> 	<li>The Minneapolis Star Tribune</li> 	<li>Nature(UK)</li> 	<li>Scientific American</li> 	<li>The Conversation (UK)</li> 	<li>Asahi Shimbun(Japan)</li> 	<li>la Repubblica(Italy)</li> 	<li>Newsweek Japan(Japan)</li> 	<li>The Seattle Times</li> 	<li>Vox</li> 	<li>Slate</li> 	<li>The Intercept</li> 	<li>The Texas Observer</li> 	<li>The Coast(Canada)</li> 	<li>Harvard Business Review</li> 	<li>The (Colorado Springs) Gazette</li> 	<li>The Nepali Times(Nepal)</li> 	<li>CQ &amp; Roll Call</li> 	<li>Mongabay</li> 	<li>Maclean’s(Canada)</li> 	<li>National Catholic Reporter</li> 	<li>Yale Climate Connections</li> 	<li>Clean Energy Wire (Germany)</li> 	<li>IEEE Spectrum</li> 	<li>Talking Points Memo</li> 	<li>The Alpinist</li> 	<li>Rock and Ice</li> 	<li>La Tercera(Chile)</li> 	<li>Stuff (New Zealand)</li> 	<li>Newsroom (New Zealand)</li> 	<li>The Spinoff (New Zealand)</li> 	<li>Literary Hub</li> 	<li>Ecosystem Marketplace</li> 	<li>Renewable Energy World</li> 	<li>Ensia</li> 	<li>Jolon Indian Media</li> 	<li>Croakey Health Media (Australia)</li> 	<li>Planet Friendly News (Canada)</li> 	<li>San Francisco Chronicle</li> 	<li>Bay Nature</li> 	<li>Sludge</li> 	<li>The Shoestring</li> 	<li>The Junction (Australia)</li> 	<li>The Tyee</li> 	<li>InsideClimateNews</li> 	<li>Nexus Media</li></ol>TV &amp; Radio:<ol><li>CBS News (national)</li> 	<li>WNYC (public radio station for New York City area)</li> 	<li>WHYY (public radio station for Philadelphia area)</li> 	<li>WAMU (public radio station for Washington, DC, area)</li> 	<li>WBEZ (public radio station for Chicago area)</li> 	<li>WBUR (public radio station for Boston area)</li> 	<li>WFPL (public radio station for Louisville, KY area)</li> 	<li>WWNO (public radio station for New Orleans area)</li> 	<li>KQED (public radio station for San Francisco Bay area)</li> 	<li>Marketplace, daily business show of American Public Media</li> 	<li>The World, daily global news show of PRI and BBC</li> 	<li>Science Friday, public radio news program distributed by WNYC Studios</li> 	<li>Dan Satterfield, chief meteorologist, WBOC-TV, CBS affiliate in Salisbury, Maryland</li> 	<li>Mike Nelson, chief meteorologist, Channel 7 Denver, ABC affiliate in Denver</li> 	<li>Paul Gross, chief meteorologist, WDIV, NBC affiliate in Detroit</li> 	<li>The Years Project/Years Of Living Dangerously</li> 	<li>Politically Aweh, TV news show (South Africa)</li> 	<li>Elemental: Covering Sustainability(regional collaborative of PBS and NPR stations in Denver, Phoenix and Los Angeles)</li> 	<li>Democracy Now!(national radio and TV show)</li> 	<li>The Global GoalsCast</li></ol>Independent Journalists (outlets listed for identification purposes only):<ol><li>Bill McKibben, writer</li> 	<li>David Biello, TED Talks</li> 	<li>Alex Thomson, chief correspondent, Channel 4 News (UK)</li> 	<li>Yereth Rosen, formerly Anchorage Daily News</li> 	<li>Rex Dalton, formerly Nature</li> 	<li>Isabel Seta (Brazil)</li> 	<li>Michael Tatarski (Vietnam)</li> 	<li>Sean Holman (Canada)</li> 	<li>Nivedita Khandekar (India)</li> 	<li>Preti Jha (Singapore)</li> 	<li>Don Paul, contributing meteorologist, The Buffalo News</li> 	<li>Peter Schwartzstein, freelance Middle East environment correspondent</li></ol>Institutions:<ol><li>Climate Matters (Climate Central, George Mason University Center for Climate Communications, and Climate Communications)</li> 	<li>Solutions Journalism Network</li> 	<li>Boston University</li> 	<li>The Lancet Countdown On Climate Change and Health</li></ol>coveringclimatenow@cjr.org

World media joins to cover climate

<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101136/636a239d9c7e80680e0417f8jpeg.jpg" alt="" width="1500" height="1125"/>Responding to a slew of reports in the international media about <a href="https://www.nepalitimes.com/banner/heli-rescue-fraud-tarnishes-nepals-image/" target="_blank" rel="noopener">insurance fraud in the trekking industry</a>, the Nepal government says it is cracking down on perpetrators, while planning action against an insurance investigator said to be behind the sustained negative coverage.Reports this week in <a href="https://www.nytimes.com/2019/01/25/world/asia/nepal-everest-insurers-fraud.html" target="_blank" rel="noopener">The New York Times</a> and <a href="https://www.independent.co.uk/travel/news-and-advice/nepal-everest-helicopter-scams-evacuation-rescue-travel-insurance-a8745601.html" target="_blank" rel="noopener">The Independent</a> quote a letter written to Minister of Tourism Rabindra Adhikari by Jonathan Bancroft, Managing Director of <a href="https://www.travellerassist.co/" target="_blank" rel="noopener">Traveller Assist</a>, in which he has threatened to get his clients to cut coverage if Nepal does not press charges against 17 trekking agencies, helicopter companies and hospitals it says are involved in claiming insurance for fake rescues.Read also:<a href="https://www.nepalitimes.com/banner/heli-rescue-fraud-tarnishes-nepals-image/">Heli rescue fraud tarnishes Nepal's image</a>, Robert SkinnerBoth stories quote Danny Kaine of Traveller Assist, who is said to have personally delivered the letter to the ministry in which Bancroft bluntly writes: ‘To be clear, this is an ultimatum! If our clients stop issuing travel insurance policies in Nepal … (it) will have a devastating effect on the tourism industry in Nepal, and your country’s reputation.’ (See box below.)<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101136/636a23a19c7e80680e0417f9jpeg.jpg" alt="" width="181" height="172">The government appears to be taking the damaging media coverage seriously, and called an emergency meeting in Singha Darbar on Tuesday with Tourism Minister Rabindra Adhikari, representatives of the Ministry of Finance, the Central Bureau of Investigation and others.Read also:<a href="https://www.nepalitimes.com/latest/choppers-to-abc-banned/">Choppers to ABC banned</a>, Yuvaraj ShresthaAdhikari told Nepali Times: “We are committed to cracking down on insurance fraud, and set up a Committee last year to investigate. After that, the number of cases of helicopter rescues, especially unnecessary ones, had actually started to drop. Which is why we are concerned by the continued leaks to the international press, and the threatening tone of this letter.”The Ministry of Tourism says its statistics show that there were only 186 helicopter rescues in the autumn trekking season last year, a sharp drop from the 1,532 between March and May of 2018. (See graph below.)In the letter to the minister, Bancroft says his company had issued the 15 February deadline since ‘not a single charge has been laid’ on the companies named in the ministry’s report, which it said were still in business.<a style="color: #989898!important; text-decoration: none!important;" href="https://infogram.com/f3a5c6ea-cddc-4183-b708-ea4f7e14ab05" target="_blank" rel="noopener">Helicopter rescues</a><a style="color: #989898!important; text-decoration: none!important;" href="https://infogram.com" target="_blank" rel="nofollow noopener">Infogram</a>The incidence of fraudulent rescues claiming insurance has risen in the past four years, <a href="https://www.nepalitimes.com/banner/heli-rescue-fraud-tarnishes-nepals-image/">as reported by this newspaper</a> and others. Some trekking companies, in collusion with helicopter charters and hospitals, entice trekkers to opt for medical evacuation at an inflated fee, and share the profits. There have even been rumours of guides deliberately spiking the food of trekkers so they fall sick.Stung by the flurry of reports, the Tourism Ministry set up an investigation committee which issued its report in August. The Ministry then drafted new rules governing search, <a href="http://archive.nepalitimes.com/news.php?id=19077#.XFOgGM8zYnU" target="_blank" rel="noopener">rescue</a>, and <a href="https://www.nepalitimes.com/banner/going-to-great-heights-to-prevent-altitude-illness/">treatment of trekkers</a> to check fraud.However, Tourism Ministry officials themselves admit that the rules have not been enforced because of a lack of manpower. Says Secretary Krishna Devkota: “We are committed to investigate and take action against the guilty. These scams are having a negative impact on the industry ahead of Visit Nepal 2020.”A source at the Tourism Ministry disclosed that last August, after the investigation committee presented its report, a delegation led by Nabaraj Dahal of <a href="http://www.taan.org.np/" target="_blank" rel="noopener">Trekking Agents Association of Nepal</a> met the co-Chair of the ruling NCP Pushpa Kamal Dahal who then put pressure on Minister Adhikari to let those named off the hook.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108101136/636a23a29c7e80680e0417fajpeg.jpg" alt="" width="640" height="480">Some of the unscrupulous companies involved in the scam enjoy high-level political protection because they are party donors, offer free helicopter rides during elections, or provide complimentary hospital treatment.Prakash C Lohani of <a href="http://www.alpine-rescue.com/" target="_blank" rel="noopener">Alpine Rescue Service</a> which represents half the foreign insurers says: “The rescue business needs to be better regulated. We need to punish the guilty, and stop maligning the whole trekking industry.”Those involved in fake rescues play on the grey zone in which even physicians are not able to tell if a patient suffering from <a href="https://www.nepalitimes.com/banner/going-to-great-heights-to-prevent-altitude-illness/">altitude sickness</a> or <a href="https://www.nepalitimes.com/opinion/trekkers-with-the-trots/">severe diarrhoea</a>  needs immediate evacuation or will get better by simply descending and taking medicine. Many trekkers themselves agree to be evacuated at the slightest sign of trouble.Read also:<a href="https://www.nepalitimes.com/banner/going-to-great-heights-to-prevent-altitude-illness/">Going to great heights to prevent altitude sickness</a>, Peter Hackett <a href="https://www.nepalitimes.com/opinion/trekkers-with-the-trots/">Trekkers with the trots</a>, David R ShlimRam Sapkota of <a href="https://www.hsj.com.np/" target="_blank" rel="noopener">Himalayan Social Journeys</a> says the real problem is unnecessary rescues rather than fake rescues. “Some trekkers get seriously sick, others pretend to be more ill than they are. <a href="http://archive.nepalitimes.com/news.php?id=2912#.XFOhDc8zYnV" target="_blank" rel="noopener">Up in the mountains no one wants to take a risk</a>,” he adds.After the investigation and new rules, the Tourism Ministry says the number of unnecessary rescues have gone down. Strict enforcement of the guidelines, setting an upper limit for <a href="https://archive.nepalitimes.com/article/nation/Insurance,361">helicopter rescues</a>, a fixed price for hospital treatment, and monitoring compliance would prevent price gouging.“All they have to do to control fraud rescues is to enforce existing rules,” says Rajendra Bahadur Singh of <a href="http://mtnhelicopters.com/" target="_blank" rel="noopener">Mountain Helicopters</a>, who knows of rescues in which charter companies evacuate more than one trekker, but bill them separately. There is also conflict of interest: some travel and trekking agencies represent insurance companies, and approve final compensation payments to themselves.Says mountaineer Kaji Sherpa: “This scandal has tarnished Nepal’s image, and that of the many upright companies here. There should not be a cover-up, we should correct ourselves and book the guilty.”<h2>What is Traveller Assist?</h2>This Ireland-based company works on behalf of international insurance underwriters in Nepal and other ‘difficult countries’ on medical assistance, insurance processing and ‘cost containment’ – a euphemism for investigating and reducing false claims.All stories in the international media in the past year exposing insurance fraud in Nepal’s trekking industry quote <a href="https://www.travellerassist.co/" target="_blank" rel="noopener">Traveller Assist</a>’s Danny Kaine, an ex-soldier and a frequent Nepal visitor. This week, Kaine is said to have delivered a letter from Traveller Assist Managing Director Jonathan Bancroft addressed to the Minister of Tourism Rabindra Adhikari in which he has threatened to get his clients to stop issuing coverage for Nepal after 15 February unless those guilty of fraudulent rescues are charged. The letter was leaked to international media and got wide coverage.Ministry officials say they are now strictly monitoring unnecessary rescue flights, and claim that the numbers have come down. “We are surprised by these damaging leaks to the international press at a time when we were cleaning up the industry,” said a Ministry official. “We have taken note of the threatening tone of the letter. Who are they to be giving an ultimatum to the Government of Nepal on behalf of their clients?”Indeed, reputable agencies and hospitals in Nepal, while admitting there are dodgy companies involved in insurance scams, accuse Kaine of writing them emails soliciting all insurance business for himself. Ministry officials also refuted Kaine’s claim that he has an agreement with the government to uncover rescue fraud. The Police Central Investigation Bureau is reportedly probing Kaine’s activities in Nepal, and confirmed that he flew out this week.Many media reports quote Traveller Assist’s statistics on the fraudulent rate for the 3,200 helicopter rescues in 2018. Doctors specialising in high altitude medicine interviewed by Nepali Times say that even if a company had access to so many medical records of rescues, it would still be difficult to determine the exact condition of the patient, and whether a rescue was necessary or not in cases of Acute Mountain Sickness.In an interview in Kathmandu last week, Kaine denied writing emails to trekking agencies and hospitals, and demanded to see them. He added: “I don’t have any personal interest in this, but Nepali companies are cheating American, British and Australian insurance firms as reported in the international media. If the guilty are not charged, we will increase international attention on this issue.”In a separate note to Nepali Times on 29 January, Kaine said the emails about him were ‘fabricated … by one of the companies named in the fraudulent investigation’. He went on to accuse this paper of ‘acting on behalf of the companies accused of fraud … a very dangerous precedent to set for a journalist from a respected news agency in Nepal’.Earlier, in answer to a simple email query about whether Kaine really worked for Traveller Assist, Jonathan Bancroft was needlessly abrasive, and accused this reporter of trying to play him off against Kaine. Bancroft went on to add: ‘Mr Sharad, after asking some questions in the industry in Nepal about you … (it) _gives me the inclination to no longer communicate with you or your organization…’.

Nepal trekking industry in damage control mode

The monsoon has got bad press because Nepal’s tourism operators actively told visitors to avoid <a href="https://nepalitimes.com/opinion/managing-the-monsoon?%2F">the rainy season</a>. It is time to change that. The reason can be found right here in the vast alpine meadows of Central Nepal where this time of year you can walk on velvet grass of pastures abloom with delicate pink, red and yellow flowers as the mist rolls up the valley. There is no sound except the hum of bumble bees. &nbsp;&nbsp; There are dozens of places across high Nepal called Chaurikharka, which means yak pasture. But this particular Chaurikharka in Rukum East located at an altitude of 4,000m stands out for its serene beauty, rustic charm and bucolic setting. There is just the occasional chime of <a href="https://nepalitimes.com/here-now/when-yaks-go-so-does-culture">yak bells</a> in the distance, and the sharp whistle of herders corralling sheep. &nbsp;&nbsp; The grass shoots are so fragile that one hesitates to step on them, the rounded ridges appear and quickly vanish in waves of mist. With the<a href="https://nepalitimes.com/here-now/before-the-next-monsoon"> arrival of monsoon</a>, these meadows are a soothing shade of green dotted with millions of <a href="https://nepalitimes.com/review/the-anatomy-of-a-flower?%2F=">multi-coloured flowers</a>. Until very recently, it took a week or so to hike up to places like Chaurikharka, but with the expansion of the road network even to these far-flung mountains in the lap of Dhaulagiri, they are much more accessible. It is just a three-hour uphill from the Mid-Hill Highway on the border between Baglung and Rukum East.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250802130828_a0b06b494d751b2144ffbbf10894ea64b29e8aed844bc8c66171783abfaf4e16.jpg" data-media-id="editor_4" data-image-id="20250802130828_a0b06b494d751b2144ffbbf10894ea64b29e8aed844bc8c66171783abfaf4e16" data-rendition-name="original" width="2048" height="1365" loading="lazy" alt="Visit Nepal in the monsoon"> </figure>  Purists would say that such easy access devalues the sanctity of these remote high meadows, but it also means more people will be moved to treasure the experience, appreciate <a href="https://nepalitimes.com/banner/natures-fragile-gift-to-nepal">the value of nature </a>so they can take steps to protect it.&nbsp; To be sure, the <a href="https://nepalitimes.com/here-now/deadly-monsoon-in-nepal-turns-deadlier">monsoon season can be challenging for road travel</a>. The roads are rough even at the best of times, and in the monsoon they become muddy and treacherous, often blocked by<a href="https://nepalitimes.com/news/monsoon-deluge-in-nepal"> landslides</a>. But that could be precisely the kind of adventure that the more intrepid visitors crave. Improved road connectivity has already made Chaurikharka and places like Badimallika &nbsp;and other sacred lakes in the mountains of western Nepal popular with domestic tourists. What is driving this traffic is the urge to go to exotic new places and share videos and selfies on social media. Several of Nepal’s travel vloggers have visited Chaurikharka and popularised the place, enticing followers on TikTok or YouTube to retrace their footsteps. But even as they become more popular, these fragile and once-remote places should be protected from over-tourism.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250731110736_f97110b7cdc3e7f80d5877690948fc9f4c95a09c583deb23b07355491e6c5446.jpg" data-media-id="editor_8" data-image-id="20250731110736_f97110b7cdc3e7f80d5877690948fc9f4c95a09c583deb23b07355491e6c5446" data-rendition-name="original" width="1083" height="699" loading="lazy" alt="Visit Nepal in the monsoon NT"> </figure>  <h2>INCREASING FOOTFALL</h2> Chaurikharka is located in Bhume Rural Municipality of East Rukum, near the scenic valley of Dhorpatan in Baglung district. Even in the <a href="https://nepalitimes.com/banner/monsoon-culture">middle of the monsoon</a>, there is a steady stream of Nepali hikers trooping to these high pastures – especially during festival days like Saune Sankranti which this year was on 17 July and actually marks the auspicious beginning of the monsoon here. “This year the rains have not been as heavy and there have been some clear mornings when we could see everything from Dhaulagiri to Machapuchre,” says Khageswar Bhandari, who trekked up here from the road. “The flowers, the greenery and the snowy mountain views make this an incredibly unique place.”&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250802130824_1b9e26f2e9853fdfe69154bb42a7c9ea6da4bf4940efc1da99b304dcfbd7d3d9.jpg" data-media-id="editor_10" data-image-id="20250802130824_1b9e26f2e9853fdfe69154bb42a7c9ea6da4bf4940efc1da99b304dcfbd7d3d9" data-rendition-name="original" width="2048" height="1152" loading="lazy" alt="Visit Nepal in the monsoon"> </figure>  Chaurikharka is worthwhile to get to in any season, but it has a different charm during the monsoon. Word has spread and because it is now easy to get to from Baglung or even Pokhara, people have been flocking here.&nbsp; “Holidays and Saturdays see the largest crowds, with up to 500 visitors every day,” says ward chair Mankaji Pun of Bhume.&nbsp; There was a time not too long ago when local herders brought sheep, goats, cows, buffaloes, horses, and mules to graze here during the monsoon. Although there are still livestock around, animals have been replaced by visitors taking selfies. Read also: <a href="https://nepalitimes.com/here-now/the-monsoon-and-nature-s-arithmetic">The monsoon, and nature’s arithmetic</a>, Tom Robertson Ward Chair Pun says infrastructure development is his main priority. A foot trail to Chaurikharka was built last year by the Tourism Division Office in Kohalpur, but access via the Raniwas-Koipa road section still remains challenging.&nbsp; “If we get more budget, we can improve the road and facilities to make Chaurikharka the main tourist attraction of this region,” says Bhume Municipality Chair Hom Prakash Shrestha. “After that, we hope to promote Chaurikharka as a top tourist spot.”&nbsp; Economic activity is also picking up with the arrival of visitors, but there seems to be a need to manage the makeshift sheds made of corrugated sheets that spoil the beauty of the place. Tea shops and lodges are also available but facilities are basic. Kuldeep Neupane took a three-day trip from Ghorahi in Dang to visit Chaurikharka recently, and says: “This is an ideal trip to make a quick getaway and let nature recharge your mind and body. And it is much more fun with a tent, to watch the sunrise over the Himalaya or the mist blowing in.”

Visit Nepal in the monsoon

Two weeks ago, Prime Minister KP Sharma Oli announced jubilantly on social media that Nepal had achieved a historic annual growth of 81.8% in exports. He was right. Nepal’s trade did take a great leap forward compared to last year. But the dramatic rise was mainly due to processed soya bean oil.&nbsp; However, Nepal does not produce the edible oil it exports. In fact, the soya and palm oil that make up 44% of total exports are imported from Southeast Asia and South America, and simply re-exported, mostly to India.&nbsp; Under the SAFTA (South Asian Free Trade Area) Agreement, Nepal can export products to India duty-free if it has at least 30% value-added. Nepal’s traders have taken advantage of SAFTA even though the edible oils they export do not reach that value addition threshold. “The 30% value addition requirement is often only on paper,” says former commerce secretary Purushottam Ojha. “It is clear that simply packaging edible oils in Nepal does not fulfil the terms of the trade agreement.” Prime Minister Oli is aware of this, and even called Nepal’s export figures “fake” at an earlier event. The government is relying on other iffy figures to suggest that Nepal’s economy is strong and getting stronger. For example, the value of imports rose by 13.25% in 2024-25 compared to the previous fiscal year.&nbsp; Some of it was due to a jump in electric vehicle imports worth Rs 31.76 billion, but mostly it was because more wholesale soya oil was imported to be re-packaged and sold in India. The very fact that the government boasts about increased imports is an indication of how much it relies on taxing them for revenue. Touting such trade figures cannot be the basis to claim an economic rebound.&nbsp; “A jump in the value of imports can be interpreted as an increase in purchasing power, but it is not evidence of a stronger economy,” says economist Keshav Acharya. “Even though imports have increased, Nepal's domestic production and productive capacity have not improved.” Nepal Rastra Bank's semi-annual economic activity study report shows that industrial production was down in the first six months of the last fiscal year. This despite an increase in the number of new industries registered and investment commitments. Out of the Rs70.2 billion proposed foreign investment, Nepal received only Rs17.9 billion last year.&nbsp; Meanwhile, the rate of capital formation was limited to 24% last year, which is lower than the year before, suggesting that new investment, job creation and economic expansion all declined. If domestic production does not improve in relation to this year’s inflated trade figures, the outflow will put pressure on foreign exchange reserves like it did three years ago. At that time, Nepal borrowed from the IMF under its Extended Credit Facility Program to kickstart the economy.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/2025080710084_2cdaaa5795828c4a7de93a0604ba884ef0a8b8f24cccd939f6c24e279ab6058f.jpg" data-media-id="editor_0" data-image-id="2025080710084_2cdaaa5795828c4a7de93a0604ba884ef0a8b8f24cccd939f6c24e279ab6058f" data-rendition-name="original" width="1633" height="723" loading="lazy" alt="Nepal's bubble economy NT"> <figcaption>Source: NEPAL RASTRA BANK</figcaption> </figure>  The macroeconomy is on firm footing with foreign exchange reserves at a comfortable Rs2,520 billion in May, up 23% from last year. This was largely due to remittances, and partly due to a falling NPR exchange rate. Real estate transactions and the stock market index have also been climbing as a result of government policies to revive the sector.&nbsp; However, former executive director of Nepal Rastra Bank Nar Bahadur Thapa cautions: “This is not organic growth, it is the result of deliberate policy decisions to relax rules on real estate and stock markets transactions.” In reality, the sharp rise in land prices have increased the cost of production, and excessive monetisation of the real estate has become the main source of Nepal’s economic woes. The central bank has announced a slew of new policies, shifting the terms of loan repayment for industrialists and entrepreneurs, reducing interest rates, and injecting more working capital — all designed to inject adrenaline into the real estate and stock market sectors.&nbsp; When he was governor, Mahaprasad Adhikari made several financial reforms during the latter half of his tenure to stimulate the economy, including tightening credit flow.&nbsp; By the last fiscal year, additional financial reforms had resulted in a credit expansion rate of around 8%. As the pace of credit expansion slows, real estate prices have started to fall. This is actually beneficial to the economy, because it lays the foundation for improvements in land-related entrepreneurship, production, and the construction sector. Just because real estate and the stock market transactions increase, it does not indicate an economic turnaround — especially when manufacturing and productive sector continues to languish.&nbsp; “It is foolish to believe that real estate and the stock market have magically revived our economy. Agriculture employs more than half of the population, but it is in decline. Investment in the productive sector has not increased, and job creation has not increased.” Two years ago, Nepal’s industrialists, business leaders, and political leadership predicted a recession amidst a sluggish business, declining market demand, large-scale job loss, and a shrinking real estate and share market.&nbsp; Still, the economy grew by 3.36% in fiscal year 2023/24. In fact, Nepal’s economy has grown nominally over the last two decades even when all sectors of the economy are in decline.&nbsp; Says Keshav Acharya: “The growth in trade, real estate, and the stock market are bubbles. The real economy remains stagnant.”

Nepal’s bubble economy

The final investigation report on the crash of a Saurya Airlines jet on 24 July 2024 at Kathmandu airport has revealed flaws in the carrier’s technical operation procedures, poor monitoring by the Civil Aviation Authority of Nepal (CAAN) and gaps in the airport’s emergency response. Eighteen people including a child were killed, and only the captain survived as the plane plunged seconds after takeoff, crashing within the airport perimeter. This was the latest in a series of aircraft accidents in previous years, and further tarnished Nepal’s already poor aviation safety record and contributed to the country being retained in the EU’s air safety list. &nbsp;&nbsp;&nbsp; The circumstances in the Saurya crash were different from the Yeti Airlines crash in Pokhara in January 2022 that killed all 72 on board, and two Tara Air crashes in February 2016 and May 2022 on approach to Jomsom that together claimed 45 lives. However, all four tragedies were a result of negligence of carriers and crew, failure to follow procedures, regulatory slackness, and overconfidence. The Saurya crash, especially, was a glaring example of how an ailing airline broke its own rules to allow passengers, including non-employees, a joy ride to Pokhara on a maintenance ferry flight. CRASH REPORT The Final Investigation Report prepared by the Aircraft Accident Investigation Commission and released on the first anniversary of the crash last week carried a long list of rules that were ignored or broken, and of regulatory failure. The first mistake was to cram spares, tools and inflammable chemicals needed for the aircraft’s C-Check in Pokhara into the cargo hold flouting its own ground handling procedures.&nbsp; There was no check-in of passengers, some of whom were not even employees – even though regulations say only flight and maintenance crew should be on board a maintenance positioning flight. Many brought their own luggage into the plane and stored it unsecured in the cabin. There was no flight attendant to give a safety briefing to passengers. The load and trim charts given to the flight crew were rough estimates, and the total takeoff weight of the plane was 18,300kg plus or minus 200 kg. That would still have been all right, but there was a glaring mistake in the speedchart Saurya pilots were using to calculate the minimum takeoff speed (known as VR), and it had been wrong ever since the 21-year-old aircraft entered service with the airline in 2017. FAULTY DATA&nbsp; The Commission probed Flight Data Recorder inputs from previous takeoffs of the Canadian-built CRJ200-LR in 2023-2024 and found that the undetected error in the speedchart had caused the plane to pitch up at an abnormal rotation rate at least 18 times on previous takeoffs.&nbsp; Any rotation rate more than 3°/sec is regarded as unusual. But on at least two occasions, this aircraft with tail number 9N-AME had rotation rates of 5.8°/sec and 5.5°/sec, the second one was when the pilot who survived was flying in March 2024.&nbsp; On this particular day, the plane’s rotation rate was 6.5°/sec, causing it to go into a deep stall soon after takeoff, the Commission report said. Essentially, the plane was not flying fast enough down the runway to take off safely.&nbsp; It is not yet clear whether excess weight, unsecured luggage, wrong centre of gravity were also factors, but relying on a faulty speedchart for the given takeoff weight, the captain flying pulled back on the yoke before the plane had reached takeoff speed and at a pitch angle that was too steep. The investigation report says the plane then went into a deep stall and started banking right with the stick shaking. At this point, the flight officer on the right hand seat is heard on the cockpit voice recorder saying: “Whoa, whoa, whoa. Sir, Sir, Sir…” It then banked left before the pilot flying turned the plane sharply to the right again in an evasive action to avoid the parking aprons of the international and domestic terminals. Had he not done so, there would have been a disaster of a much greater magnitude at Kathmandu airport that day. The plane scraped the runway with its right wingtip, collided with a container having helicopter spare parts, and plunged into a gully east of the runway, exploding in a fireball. The investigation also noted that the impact forces seemed to be survivable for some occupants. The fire trucks took unnecessarily long to reach the site even though it was inside the airport perimeter. The absence of an ICAO-standard runway strip, inadequate rescue drills, lack of training, and a blocked emergency service gate leading to the crash site were cited as other factors. &nbsp;&nbsp; <h2>Timestamp of a Disaster</h2>  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250731110724_39cdd04693994ce6e55a5b302905c0fa4884fe85bed21ff0779bb1439f3a5725.jpg" data-media-id="editor_0" data-image-id="20250731110724_39cdd04693994ce6e55a5b302905c0fa4884fe85bed21ff0779bb1439f3a5725" data-rendition-name="original" width="778" height="826" loading="lazy" alt="Flouting rules caused Saurya tragedy NT"> </figure>  11:10:34 - The Saurya Airlines CRJ200 on the takeoff roll from runway 02. It had a takeoff weight of about 18,300kg, but the pilot’s speedcard had a previously undetected mistake about the minimum takeoff speed. 11:10:55 -The plane with tail number 9N-AME goes into deep stall soon after takeoff because it does not have enough speed to lift its weight. The plane also has an abnormally steep nose-up attitude.&nbsp; 11:11:03 - Without enough speed to generate lift, the plane banks right, then left and right again in CCTV photos taken from the domestic apron (below). If it had not banked right, it could have hit the aprons and terminal buildings. Seen parked is Saurya’s other CRJ200 with tail number 9N-ANM.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20250731110732_608132f7225c649125cca2691dd6a6bf930984c5b359e888d7ad9e5eacce3afd.jpg" data-media-id="editor_1" data-image-id="20250731110732_608132f7225c649125cca2691dd6a6bf930984c5b359e888d7ad9e5eacce3afd" data-rendition-name="original" width="770" height="555" loading="lazy" alt="Flouting rules caused Saurya tragedy NT"> </figure>  11:11:08 - The plane scrapes the runway with its right wingtip, and falls into the gully. The captain is thrown off the left side of the cockpit and survives. 11:11:15: Plane explodes in a fireball inside the airport perimeter. Firefighters take time to reach the site because of lack of access road and a blocked gate. Read the full investigation report <a href="https://www.tourism.gov.np/files/9N-AME%20AIC%20Final%20Report.pdf">here</a>.

Flouting rules caused Saurya tragedy

American artist Peter Makela was in Nepal in 2022 on a Fulbright scholarship when he experienced the Matya festival in Patan in which devotees made the rounds of the city’s shrines.&nbsp;
He joined the procession, walking through 2,600 stupa and 140 bahal of the town. That immersion left a lasting impression.
As part of Gallery Mcube’s international residency program in Patan, he put his inspiration to canvas in the exhibition Yala Yatra: Walking, Working, Worshipping. The exhibition also coincides with this month’s Matya festival.&nbsp;
Makela has visited Nepal often in the past 11 years but he mostly stayed in and spent his time around Boudha. “This time I stayed in Patan, put the sites I wanted to visit on my map, and off I went,” he tells us. “Each of my artwork is inspired by the stupas and shrines in Patan that I visited.”
The stupa and Ganesh are recurring motifs in his watercolours, and the elephant gods are located in chaityas — reflecting the interplay and blending of the Hindu and Buddhist faiths in Kathmandu Valley.&nbsp;
The stupas and Ganesh are painted in vivid red, yellow, blue and green against abstract backgrounds meant to represent the sky.
“I use the sky as a backdrop because the sky has no border,” says Makela. “The four colours represent the four elements, the different Buddha families and also lights bouncing off of a rainbow.”
The use of just four colours for all the artwork stands out, and combined with the absence of heavy canvases, frames or stands render Makela’s art striking in its simplicity.&nbsp;
The Ganesh is always holding something and the art also portrays the elephant god’s sacred vehicle, the mouse.
While his vibrant stupas and Ganesh reflect the tangibility of Patan’s tradition and heritage, it is as if the backdrops with their shades of grey and red and yellow capture the soul of the city’s shrines.
“If you look closely, there is a sense of form and formlessness at the same time,” he says.&nbsp;
Makela walked 108 kora around the shrines during his exploration of the town, and in the process developed a spiritual connection with Patan’s heritage and traditions.&nbsp;
The exhibition connects with visitors on a deeper, more spiritual, level as well. And with it, they feel a sense of pride as well as the need to urgently preserve Patan’s heritage for future generations.
“Peter’s inclination and approach towards Nepali art and culture is fascinating, and it reflects in his work,” says Mcube curator Manish Lal Shrestha, whose international artist residency program promotes Nepal’s cultural heritage. &nbsp;&nbsp;
Yala Yatra: Walking, Working, Worshipping
1-5 August&nbsp;
10AM-7PM
Gallery Mcube, Patan