<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

<a href="https://nepalitimes.com/here-now/waiting-for-bipin-joshi" target="_blank">Nepali student Bipin Joshi</a>, who was taken captive by Hamas on 7 October 2023, was not on the list of those freed following the end of the bombardment and fighting in Gaza.&nbsp; On Monday morning, the Israeli military notified Bipin's family and Nepal’s ambassador to Israel Dhan Prasad Pandit, that there is no evidence of him still being alive. However, Nepal's Foreign Ministry is yet to be notified by Israel's government of Bipin's status. The news came three days after a US-brokered ceasefire between Israel and Hamas came into effect, and hostage and prisoner exchanges by the two sides started Monday morning.&nbsp; Almost 2,000 Palestinians held in Israeli prisions are expected to be released by Israel in exchange for the hostages during the next phase of the peace deal between the two parties, and the bodies of deceased hostages remaining in Gaza are also expected to be returned.&nbsp; Bipin Joshi was among a group of Nepalis who had arrived in Israel in 2023 just weeks before 7 October 2023 as part of a ‘learn and earn’ program to work and earn in kibbutz farms there.&nbsp; Along with other students Joshi had been working on a farm in Kibbutz Alumim in southern Israel near Gaza. <a href="https://nepalitimes.com/here-now/war-in-israel-earthquake-and-grief-in-nepal">Ten Nepali students were killed </a>while taking cover in shelters near their farms in two separate attacks by Hamas fighters.&nbsp; Joshi’s colleagues, fellow Nepalis who survived the attack, recall gunmen lobbing two grenades into the bunker that they had taken cover in. Bipin hurled one of the grenades out, they say, but the other one exploded, killing and injuring Nepalis inside. &nbsp;&nbsp;&nbsp;&nbsp; Shortly after, Bipin was captured by Hamas along with a Thai national and led away into Gaza. CCTV footage showed Bipin alive and at a hospital in Gaza on the day of the attack itself after he was taken hostage.&nbsp; Thirty-one Thai citizens, who like Nepalis worked in farms in Israel, were taken hostage during the Hamas attack, the highest number of foreign captives in October 2023.&nbsp; <a href="https://nepalitimes.com/news/deft-diplomacy-freed-thai-hostages">Deft Thai diplomatic engagement</a> with officials from Iran, Egypt, and Qatar brought about the release of 23 of its nationals in 2023. Five more Thai nationals were released earlier this year.&nbsp; In August, Joshi’s family visited Israel at the invitation of the government and urged the international community to push for his return. Bipin’s mother Padma and sister Pushpa have been at the United Nations to lobby for his release.&nbsp; His family last week also released a video clip of Bipin briefly speaking on camera, reportedly obtained by Israel and said to be filmed in November 2023, around a month after he was taken captive. Joshi looks healthy in that video.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251013091028_d551c7f88204c52217152fb5db655bb5a5f8bf2cff1e6a055326ebf64453ff9f.png" data-media-id="editor_3" data-image-id="20251013091028_d551c7f88204c52217152fb5db655bb5a5f8bf2cff1e6a055326ebf64453ff9f" data-rendition-name="original" width="2848" height="1528" loading="lazy" alt="Bipin Joshi NT"> </figure>  More than 67,000 Palestinians have been killed during the last two years of the genocide in Gaza. About 1,200 people were killed during the Hamas attack on 7 October 2023, while more than 251, including Bipin Joshi, were taken as captives.&nbsp; This is the third ceasefire implemented in Gaza since 7 October 2023 after previous ones in November 2023 and January 2025. This 20-point deal facilitated by intermediaries US, Qatar, Turkey, and Egypt included terms for Hamas to give up its arms, and for a devastated Gaza to be governed by a Palestinian body of independent technocrats, while Israeli troops will withdraw in stages from Gaza.&nbsp; Hamas has agreed to relinquish control of Gaza, but has rejected the demand for disarmament, saying the group will demobilise but is prepared to resume fighting if Israel breaches the ceasefire.&nbsp; Following the ceasefire, Palestinians in Gaza have begun long journeys back to homes reduced to rubble by Israel’s two-year assault on the strip. The flow of humanitarian aid in the city has also increased following the peace deal.&nbsp; Israel's closure of humanitarian corridors in the past months had blocked the entry of food and medicine into Gaza, causing widespread famine. The United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) has said that the restriction of aid into the beseiged city has left as many as <a href="https://www.unrwa.org/newsroom/news-releases/gaza-unrwa%E2%80%99s-lancet-study-reveals-alarming-surge-child-malnutrition">54,600 children acutely malnourished</a>.&nbsp; Meanwhile, US president Donald Trump landed in Israel on Monday as hostages were being released, and world leaders are expected to head to Egypt for an international summit to discuss the next steps in Gaza, Israel, and West Asia.&nbsp;

Nepali hostage in Gaza not alive: Israel

Already trying to balance youth demands with legal provisions in the Constitution, Prime Minister Sushila Karki’s interim government faced yet another challenge over Dasain: a receding monsoon dumped unseasonal rain unleashing floods and landslides that killed at least 60, mostly in eastern Nepal.&nbsp; The government was rated positively for its early warning and the ‘visibility’ of its disaster response, with many comparing it to the inaction of the NC-UML coalition during last year’s floods.&nbsp; Government agencies and police proactively closed off hazardous sections of highways as Kathmandu was marooned from the rest of the country in the peak holiday season. Stranded passengers were taken care of, with police, army and local governments in Ilam coordinating rescue and relief efforts. Many of the problems were structural and inherited from decades of neglect and corruption in highway contracts. Shoddy bridges and encroachment of settlements along river banks have increased risk from more frequent extreme weather caused by climate breakdown. With Dasain over Tihar around the corner and the worst of the disaster behind, the Karki administration is trying to balance the separate demands of GenZ movers and shakers who installed her in office with constitutional provisions. It has not helped that the badly-mauled political parties are spoiling for a fight, and the three top leaders show little signs of stepping down. “Nepal’s movement did not happen in a democratic vacuum, so this government walks a very fine line in political legitimacy," says Bidushi Dhungel of the National Democratic Institute in Nepal. "In this fragile space, whatever the work done — or not done— by the interim government within its limited mandate, it may open up avenues for further dissent from old and new actors. They are &nbsp;caught between a rock and a hard place.” Civil society activists issued a statement on Wednesday calling on the main political parties to heed the writing on the wall and reform themselves. Signed by professor Krishna Khanal and former ambassador Keshab Mathema, the statement said: 'The main leaders of the main parties should say sorry, and voluntarily resign ... they must respect public sentiments and work to reform and transform their parties to be more accountable to the public, or risk being irrelevant.'&nbsp; Complicating matters further are the sometimes contradictory demands of various GenZ factions on punishing those responsible for the carnage and rampage of 8-9 September, Constitution and elections. Karki faces calls to immediately detain former PM KP Oli and Home Minister Ramesh Lekhak for their involvement in the massacre outside Parliament. Under pressure from GenZ delegates, Home Minister Om Aryal fired off a letter to the police to arrest Oli and Lekhak. But later at a confrontational midnight meeting at the prime minister’s residence in Baluwatar, all four security chiefs advised Karki that arresting the UML and NC ex-ministers could unleash violent confrontation on the streets. The interim government is in a bind. It has formed a committee headed by Gauri Bahadur Karki to investigate the killings last month as well as the arson and vandalism that followed. The question is: should it wait for the committee to submit its report before punishing perpetrators, or let police arrest those who can easily be identified in social media posts setting fire to Singha Darbar, the Supreme Court and other sites.&nbsp; GenZ’s Sudan Gurung faction has gone beyond its original demand to submit an 8-point ultimatum that includes the sacking of the Chief Justice and officials of the anti-corruption bureau.&nbsp; The Prime Minister is caught in the crossfire between managing the expectations of a movement that appointed her, and working within the framework of her interim government’s mandate and Constitution. But it is not just the government that faces challenges. The lack of clear consensus among youth factions and their outspoken collectives is surfacing.&nbsp; &nbsp;“This has been a leaderless and decentralised movement, and the traditional variables typically seen in a political revolt seem missing here," notes political scientist Sucheta Pyakuryal. “There is no organised structure, nor any ideological pull factor, therefore a big question is how much bargaining power does a movement like this have, and how sustainable will it be.” GenZ leaders seem to be in two main camps. Demands like the one for a directly elected prime minister, and the constitutional processes that can make for such an outcome, have emerged as a major point dividing the movement.&nbsp; Nepalis both within and outside the youth movement are watching Hami Nepal’s Sudan Gurung closely — especially after his recent interview with Al-Jazeera during which he expressed his interest to run for Prime Minister and seemed to not accept a win by political parties in the March elections.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251009201044_fcba7e92bb9a8812fd0ad4e9770d6f4d4189972de5229f91e9a832a26e388901.jpg" data-media-id="editor_0" data-image-id="20251009201044_fcba7e92bb9a8812fd0ad4e9770d6f4d4189972de5229f91e9a832a26e388901" data-rendition-name="original" width="2916" height="1000" loading="lazy" alt="One month on NT"> <figcaption>GROUND ZERO: The destroyed centre of Nepal's government with Singha Darbar (in green scaffolding), the Attorney General's Office, Supreme Court, and in the distance, Parliament building. Also seen are the nearly finished new Parliament Complex and the new Supreme Court buildings. Drone shot taken on Thursday morning. Photo: SUMAN NEPALI</figcaption> </figure>  Gurung’s participation in the NDRRMA’s disaster management meeting and manner of his interaction with officials at the event was met with both bouquets and brickbats. Interestingly, some of the criticism was youth activists themselves. &nbsp;“There's a lot of self-involvement and self-importance that seems to be guiding a fragmented young leadership, as opposed to constructively engaging in how to concretise reforms,” says Dhungel. “There seems to be very little stocktaking of what's happened in the past, and what's happened in other countries to try identify where lapses could be before they occur."&nbsp; In the absence of unified positions and level-headed leadership, the youth who spearheaded post-protest negotiations, as well as the GenZ movement in general, risk losing public goodwill already dented by the destruction of state property on 9 September. This also leaves an opening for political parties which are on the defensive and licking their wounds to capitalise on youth discord.&nbsp; Says Pyakuryal: “Post revolution, the political landscape becomes extremely unpredictable and therefore there is a risk of co-optation from several Machiavellian political actors including political parties, monarchists, as well as other forces, and that is concerning.” The immediate and visible transformation that Nepal’s youth expect will not manifest right away, and while there is a need for long-term political planning, the caretaker government must also undertake measures that have a palpable impact on the daily life of citizens. &nbsp;&nbsp; “While youth frustrations must be addressed urgently, statecraft isn’t just about fulfilling short-term goals,”says Pyakuryal. &nbsp; Many, including the youth themselves, now see the need for GenZ to have a more united stance and to move beyond making demands that the interim government cannot fulfil and start mobilising for elections — even by forming its own party.&nbsp; A strong showing in elections can enable them to enact the changes they want to strengthen Nepal’s democracy, and make future governments more accountable.&nbsp; This week, the Election Commission announced 16 November as the deadline to register new parties for the 5 March polls.&nbsp; Youth representatives have said that they want to be active participants in the political process, particularly in national-level politics. The Constitution defines ‘youth’ as being between the ages of 16-40. In the 2022 elections, the Election Commission stated that over 41% of locally-elected representatives were from ages 21-40 years.&nbsp; If young Nepalis are to contest the election outside the banner of mainstream parties, this leaves electoral aspirants little more than a month to decide whether to form a loose coalition with existing parties, a separate political party, or to contest elections independently. “This is first of a kind movement, where political language is digital, not ideological, where organising is done through online platforms and where there is no one leader spearheading the movement,”says Pyakuryal. “I don’t know if ‘anti-corruption’ or ‘political reform’ have a strong enough ideological pull to band people together in the long run.” Indeed, the RSP was formed only four months before the 2022 elections and cashed in on anti-incumbent and anti-corruption sentiments of voters — mainly driven by social media. But controversy and strife within their party means it has largely lost its public trust.&nbsp; Nepal’s September Uprising and its aftermath have shown that a majority of young people are entirely disillusioned with establishment parties and politicians, even using ‘ex-political parties’ as a phrase of reference. Any new young political figures that emerge from this movement and this election will have to work with mainstream parties in a multiparty democracy.&nbsp; &nbsp;“The reality of politics is that change is not possible without engaging with existing political institutions and actors,” says Dhungel. “To say that they do not want to engage, negotiate, or identify allies or proactively seek out input from at least the reform-minded individuals within each of those outfits is political naivety, and may lead to a lack of institutionalised reform.” However, Dhungel notes that the youth leadership would have more agency if they are clear not just on what they want to change, but about whether they are interested in active politics or civic engagement. “The window of opportunity that is fast closing is to really negotiate hard and push for internal reforms within political parties and across the electoral system,” she adds. Pyakurel also adds: “GenZ are smart and politically mature, I hope they see these loopholes. I am optimistic about the direction they take.”

One month on

Scenic Phortse in the lap of Mt Everest is called ‘the village of mountaineers’ because just about every household has someone who has summited the world’s highest mountain multiple times. However, while the international mountaineers they assist to make it to the top go on to fame and glory, their Sherpa guides from Phortse <a href="https://nepalitimes.com/news/without-sherpas-there-is-no-mountaineering" target="_blank">barely get a mention</a>. It is a risky occupation for Nepal’s high altitude guides, and every other family in this village has lost a member in Himalayan expeditions. Sherpa guides are <a href="https://nepalitimes.com/news/on-mt-everest-s-70th-records-and-fatalities" target="_blank">disproportionately more at risk </a>on Mt Everest because they have to traverse the Khumbu Icefall many times during an expedition. One third of the over 300 climbers who have died climbing Mt Everest are Nepali high altitude guides and porters. In 2014, <a href="https://archive.nepalitimes.com/article/nation/everest-dangerous-place-to-work,1316" target="_blank">16 guides were killed</a> when an avalanche fell on them while going up the treacherous Icefall carrying expedition gear. Then in 2015, the <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/big-drops-in-Everest-bookings-affect-livelihoods-of-Nepali-high-altitude-guides,2048" target="_blank">earthquake triggered a massive avalanche</a> that killed 22 climbers at Base Camp. Many of the fatalities in both years were Sherpa guides from Phortse. Despite the danger, Phortse honours and celebrates its climbers like heroes. One such is the late &nbsp;Nima Tshiring Sherpa, who was a porter and guide in the 1953 John Hunt expedition in which Edmund Hillary and Tenzing Norgay became the first to set foot on the world’s highest summit.&nbsp; Nima Tshiring and his eldest son Pasang Gyalzen both reached 8,000m carrying expedition gear for the Hunt expedition in 1953. Nima Tshiring had eight sons and a daughter and although he never submitted himself, most of them have climbed Mt Everest at least once. In fact, his children and grandchildren have been to the top of Mt Everest a total of 81 times — a record for any family in Nepal.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251011171048_a55e45bee2b5bbf38e4ee5bcea101edcc3041f40e331b8fee44e473457f42553.png" data-media-id="editor_4" data-image-id="20251011171048_a55e45bee2b5bbf38e4ee5bcea101edcc3041f40e331b8fee44e473457f42553" data-rendition-name="original" width="2144" height="1436" loading="lazy" alt="Sherpa climbers"> <figcaption>Nima Tshiring Sherpa with wife and children in Phortse. An unanmed Everest climber on right.</figcaption> </figure>  “We were born in Phortse which is in the lap of Everest, our identity is Chomolungma,” says one of his sons, Panuru, using the Sherpa name for the mountain. “In fact, I feel our entire family was born to climb Everest.”&nbsp; Phortse has a population of 350 people living in 95 households. Besides Nima Tshiring’s clan, more than 75 of the inhabitants have climbed Everest, many of them multiple times.&nbsp; Another one of Nima Tshiring’s sons, Ngawang climbed Everest 11 times, his brother Mingma Dorje has summited 14 times, and another brother Ngati not only got to the top seven times, but was the first climber to reach the peak from the Chinese side and descend down the Nepal part of Mt Everest. Ngati was killed in an avalanche on Annapurna while climbing with an American expedition in 1993.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251011171044_60693527b31aba22fe6f6c233cf367a3683b88be8dc2a53bfb5c2c02b2db1e5b.png" data-media-id="editor_5" data-image-id="20251011171044_60693527b31aba22fe6f6c233cf367a3683b88be8dc2a53bfb5c2c02b2db1e5b" data-rendition-name="original" width="2242" height="1660" loading="lazy" alt="Sherpa climbers"> <figcaption>Mingma Dorje has climbed Everest 14 times.</figcaption> </figure>  Panuru himself has reached the summit of Everest 16 times, and set up the<a href="https://www.khumbuclimbingcenter.com/" target="_blank"> Khumbu Climbing Centre</a> in 2003 to train others in climbing techniques. Following in his footsteps was another brother Mingma Tshiring, who has been up 15 times and <a href="https://nepalitimes.com/here-now/sherpaland-co-usa" target="_blank">now lives in Colorado</a>.&nbsp; Nima Tshiring’s only daughter Mingma Yanjin has also climbed Cho Oyu, Ama Dablam and other &nbsp;Himalayan mountains. Her husband Lhakpa Chiri Sherpa has climbed Everest 11 times. Counting him, the total summits for the family would be 92. This number also does not include other Himalayan eight-thousanders besides Mt Everest that the family from Phortse has summited. Nima Tsiring’s youngest son is Danuru who has climbed Everest 16 times, and has been on top of North American peaks from his base in Colorado. He is giving Everest yet another try.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251011171048_cd3e2961567ca507fc4110c97e01d85ee1c7e35f787276564ff59a4a76151fe2.png" data-media-id="editor_8" data-image-id="20251011171048_cd3e2961567ca507fc4110c97e01d85ee1c7e35f787276564ff59a4a76151fe2" data-rendition-name="original" width="1308" height="980" loading="lazy" alt="Sherpa climbers"> <figcaption>Nima Tshiring Sherpa and his son Danuru.</figcaption> </figure>  Even his grandchildren are following Nima Tshiring’s footsteps up Everest. Panuru’s son Lhakpa has climbed Everest from both sides and wants to break previous Everest records.&nbsp; “It is a dangerous occupation, but the rewards in terms of fame and money are substantial,” says Danuru. “One season’s income is enough for a Phortse climber to support his family for a year. And we have Chomolungma to be thankful for.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20251011171048_d1f16e3925890663cadf3e20d955a531f21c479708f662df371fad3fdb87cf7a.png" data-media-id="editor_9" data-image-id="20251011171048_d1f16e3925890663cadf3e20d955a531f21c479708f662df371fad3fdb87cf7a" data-rendition-name="original" width="760" height="1040" loading="lazy" alt="Sherpa climbers"> <figcaption>Mingma Chhiring Sherpa who has climbed the Everest 16 times with a client.</figcaption> </figure>

the-guardian

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

World media joins to cover climate

Nepal trekking industry in damage control mode

Nepali hostage in Gaza not alive: Israel

One month on

Nepal’s most prolific mountaineering clan

National interest vs community needs