A year-and-a-half after the <a href="https://nepalitimes.com/banner/can-nepal-go-from-hydro-to-hydrogen">Nepal Green Hydrogen Summit</a>, Kathmandu University (KU) last week successfully tested a hydrogen fuel cell car for the first time in Nepal.&nbsp; KU’s Green Hydrogen Lab used 10kg of water and 45 units of electricity costing $5 to produce 1kg of hydrogen to give a Hyundai SUV a range of 100km. Using petrol to drive the same distance would cost Rs1,400 at the gas station.&nbsp; At present, running an EV is even cheaper, because a battery-powered car needs Rs106 of electricity to go 100km.&nbsp; The technology is not new—industries and factories have been using hydrogen for over 100 years to manufacture chemicals and fertilisers, refine oil, and process food, among others. But earlier processes used fossil energy for the electrolysis to separate hydrogen and oxygen in water molecules. Called Grey Hydrogen, it had a large carbon footprint. There was also Blue Hydrogen produced from methane in natural gas. Green Hydrogen from electrolysis of water uses renewable energy sources like hydropower or geothermal. Carbon dioxide is not released or involved at any stage, and the clean hydrogen in fuel cells can be used to heat homes and offices and power transportation. “We in Nepal have an opportunity to use our abundant hydroelectricity to produce hydrogen which can replace imported petroleum,” says Biraj Singh Thapa, who heads the university’s Green Hydrogen Lab. Nepal’s existing generation capacity is 2,800MW and the government’s target is to reach 30,000MW by 2035. Monsoon hydropower surplus is going waste because of lack of demand at present, while electricity production falls in the dry season. But with more hydropower plants coming online, Nepal will soon have a winter surplus and new demand has to be created so electricity does not go to waste. Export is one option but it is more beneficial to use the excess electricity within the country to replace petroleum.&nbsp; If diesel, petrol and gas consumption is reduced by even 10%, Nepal can slash Rs30 billion from its import bill. But even if we sell all of our electricity to India, we will earn just half that amount.&nbsp; Energy experts say hydrogen is the fuel of the future. Battery-powered cars are replacing petrol cars, and ultimately hydrogen will replace EVs. “Hydrogen will complement EVs,” says Thapa. “For short distances, electric vehicles are the ideal mode of transport, hydrogen is better suited for long-distance buses and trucks that carry heavy loads.&nbsp;  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240411110436_d3ecda1715bd55a3b3c7c33d9b868cdc2352f52c091f22d769057dab2db4dad5.jpg" data-media-id="editor_1" data-image-id="20240411110436_d3ecda1715bd55a3b3c7c33d9b868cdc2352f52c091f22d769057dab2db4dad5" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Fuel of the future is here Page 12-13 NT #1207"> <figcaption>Photo: GREEN HYDROGEN LAB</figcaption> </figure>  After the successful test, KU’s Green Hydrogen Lab is working on policies to operationalise and ultimately commercialise hydrogen fuel production. The government has a Green Hydrogen Policy, but it does not yet have working guidelines and directives to move things along. “There is still a lot to do. How do we tax hydrogen vehicles, number plates, blue plates, and then there is standardisation of refuelling stations,” explains Thapa. “We can have hydrogen refuelling stations ready in six months or less, but need policymakers and leaders to make the move.” This scenario seems too optimistic to some experts who see many hurdles before hydrogen can replace petrol and diesel — most important will be the cost.&nbsp; “Unless electricity tariffs come down to $0.4 cents and the electrolysis process down to $500/kW, it won’t be commercially viable to produce hydrogen in Nepal,” maintains Hitendra Dev Shakya, former Managing Director at Nepal Electricity Authority (NEA). He adds: “At current prices, hydrogen as transport fuel will be very expensive and does not make much sense. Maybe a couple of years down the line when the technology has further evolved. But not now.” Hydrogen has also been discussed as a way for Nepal to store spilled energy during monsoon for use in the dry season. But experts say there is too much efficiency loss, making it commercially not viable. Besides transportation, hydrogen from electrolysis of water may have other applications. It can be combined with nitrogen in the atmosphere to produce ammonia, which can be further combined with carbon dioxide to manufacture fertilisers like urea and Diammonium Phosphate (DAP). “The real application of hydrogen in Nepal is in the production of ammonia and fertilisers, so Nepal can be self-sufficient,” adds Shakya. “Furthermore, ammonia can be liquefied and stored for weeks whereas hydrogen can be stored just for a few days at most, and converting it back to electricity loses much of its efficiency.” Nepal suffers from a chronic shortage of chemical fertilisers every year, affecting agricultural production. Farmers across the country need at least 700,000 tonnes of urea worth Rs20 billion, which has to be imported and heavily subsidised. Ammonia production using hydrogen from water and nitrogen from the air is fairly energy-intensive, but using hydropower and channelling carbon dioxide from the cement industry can bring down costs. Capturing CO2 from cement factories would also reduce Nepal’s carbon footprint. Ammonia is also a refrigerant gas and can purify water. It can also be used in the manufacture of plastics, explosives, textiles, pesticides, dyes and other chemicals. The Nepal Army imports Rs13 billion worth of ammonia for explosives every year.

Sonia Awale

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News

Fuel of the future is here

On World Health Day on 7 April this week, the Air Quality Index (AQI) in Kathmandu exceeded 300 – one of the dirtiest in any city in the world. Breathing was literally <a href="https://nepalitimes.com/banner/breathing-is-hazardous-to-health">lethal</a>.
Although the main source of pollution this week was smoke from brushfires raging across the country, emissions from diesel and petrol vehicles are a bigger year-round source of hazardous suspended particles and toxic gases.&nbsp;
The good news is that the sale of electric four-wheelers is growing rapidly, and battery-powered vehicles now account for one-third of Nepal’s total car imports. Outside Kathmandu, vans, microbuses and three-wheelers are switching to electric as never before
All this has happened even though there is still a hefty <a href="https://nepalitimes.com/news/1-step-forward-2-steps-back-in-nepal">tax on battery-powered vehicles</a>. In last year’s budget ex-Finance Minister Prakash Mahat increased the tax on smaller EVs and electric vans while inexplicably reducing the tax on luxury SUVs.
This year, all eyes are on the new Finance Minister Barsha Man Pun, who is under pressure to raise government revenue that has fallen drastically due to a slowdown in imports. Instead of lowering taxes and even announcing subsidies on electric cars and appliances, he may actually increase them. He could also do it selectively to favour certain EV brands imported by cronies.
“The government should be more careful in how it taxes electric vehicles,” says air pollution activist Bhushan Tuladhar who is also the director of Sajha Yatayat, the public transport company that is operating 40 electric buses. “It should be consistent, predictable and guided by science, it can’t be a kneejerk reaction with no real planning.”
One large electric bus can replace at least 10 cars, easing road congestion, improving air pollution and reducing petroleum imports. But existing excise and import taxes make battery-powered buses up to five times more expensive than a diesel bus of similar capacity.&nbsp;
On Tuesday, <a href="https://nepalitimes.com/news/sajha-s-green-buses-go-greener">Sajha Yatayat inaugurated Nepal’s largest charging station</a> with 24 charging points where it will charge its 40 e-buses. Speaking at the event, Kulman Ghising of Nepal Electricity Authority (NEA) acknowledged that Nepal was undergoing a “massive transport transition”.&nbsp;
“We will soon have surplus power even in winter, and private EVs can only use so much of our electricity, what we really need is to electrify our mass transport,” he said. “On one hand, by increasing our consumption of electricity, it will reduce our petroleum imports and subsequently our trade deficit. It will also help us meet our net zero target. This is also very feasible as a business model.”
Petroleum imports account for one-fourth of Nepal’s total imports and is more than all of our exports combined. Reducing petroleum consumption by just 10% would save the country over Rs30 billion whereas even exporting all of our current power generation of 3,000MW would earn us just half that amount.
It is simple maths: prioritising <a href="https://nepalitimes.com/multimedia/missing-pieces-of-the-hydropower-jigsaw">domestic electricity consumption</a> is a win-win-win for the country. Electrification of industries, tourism and agriculture would also mean tens of thousands of new green jobs and help stem the mass exodus of youth.&nbsp;
A policy decision is also urgently needed for electric taxis. Bagmati Province does not register new battery-powered cabs, but they are still being imported as private cars which then buy number plates of the older taxis. This means the electric taxis have to pay higher road taxes, keeping their fares high.
A battery-powered taxi can be fully charged for just Rs106, and will have a range of 180km. A petrol taxi would need Rs3,500 worth of petrol to cover that distance.&nbsp;
Climate expert Manjeet Dhakal says that budget fluctuations make people and investors lose confidence, and this is especially important ahead of the Nepal Investment Summit later this month.
“At a time when the whole world is moving towards clean energy, Nepal’s contradictory policy regarding EV sends out the wrong message to the business community,” he adds. “But at the next &nbsp;budget, we must incentivise electric buses. Even within the EV bracket, this is the segment we have to hit had if we are to make a real difference.”
Without state subsidy and support, the private sector is unlikely to expand on electric facilities. Pollution tax can very well come in handy here if there is a political will.
Even then EVs are just a part of an ecosystem, we need charging infrastructure, skilled human resources for the new technology, and policies that promote them.
Similarly, two-wheelers make up nearly 80% of total vehicles in Nepal. But there are electric bikes and scooters, government and the private sector have much to do to increase consumer and market confidence in them.
Consecutive governments have been flip-flopping tax rates on electric vehicles in recent years. In 2020, <a href="https://nepalitimes.com/news/nepal-reduces-tax-on-electric-cars">the government reduced the taxes on battery-powered vehicles</a>. A year later, it re-imposed tax for electric SUVs while cheaper vehicles were still taxed less. Last year, the tax on smaller EVs and electric vans was increased while that on luxury SUVs was slashed.
Not long ago a former finance minister was caught questioning how the government would earn its revenue if it didn’t tax electric vehicles. Such is our policymaking that we rely on imports to generate income for the government when in fact revenue should be based on local industries and goods.
“Financial policy is based on politics and that is the sad reality, more so now with coalition governments,” says Tuladhar. “But even then, taxation should not be a long-term policy. But unfortunately, people who are making policies aren't riding buses &nbsp;so they have no interest in public transport or don’t even know what to do with it.”

EV year २०८१

Sajha Yatayat formally inducted 40 new electric buses to its fleet and inaugurated Nepal’s biggest simultaneous charging station for them in Patan on Tuesday. The 1.1 MW charging station shows that Nepal’s energy transition to renewables is not just environmentally beneficial but also economically viable. The green buses seen on Kathmandu Valley routes are now fully green — running on hydroelectricity that Nepal itself produces and not on imported diesel. The 40 new e-buses are made by CHTC company in Nanjing and the entire fleet can now be charged at the new charging station. Kulman Ghising of the Nepal Electricity Authority was on hand at the inauguration and extolled the virtues of going electric, mainly that it is 33 times cheaper to run. However, the capital cost for an electric bus is much higher than diesel and the outlay has to be recovered over a decade of operation. Government tax subsidies for electric public transport would help.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240410040436_57e25a3338995639178d953009e76d39c8fb0fc42714042eda77bf286bf9d33b.jpg" data-media-id="editor_0" data-image-id="20240410040436_57e25a3338995639178d953009e76d39c8fb0fc42714042eda77bf286bf9d33b" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Sajha Yatayat charging depot NT 1"> <figcaption>Nepal Electricity Authority Managing Director Kulman Ghising. Photo: SUMAN NEPALI</figcaption> </figure>  “Focusing on public transport yields a much bigger impact on reducing emissions,” Ghising said. “While the number of private vehicles may be higher, public vehicles run all day.” Kathmandu’s air quality further plummeted this week with AQI reading 300 and higher. While wildfire smoke was mostly responsible for this instance, petrol and diesel emissions make Kathmandu one of the most polluted cities in the world.&nbsp; Replacing them with battery-operated vehicles would help clean up the air. &nbsp;Electric vehicles are already saving Nepal Rs20 million a day with reduced petroleum consumption. Further reduction in petroleum use by 60-70% would help reduce Nepal’s trade deficit with India.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240410040436_5b761590e2fadebfac56ced0c780b71035dc635d13c6ade5f863c050b9c072e9.jpg" data-media-id="editor_1" data-image-id="20240410040436_5b761590e2fadebfac56ced0c780b71035dc635d13c6ade5f863c050b9c072e9" data-rendition-name="original" width="1500" height="1063" loading="lazy" alt="Sajha Yatayat charging depot NT 1"> <figcaption>Minister for Physical Infrastructure and Transport Raghubir Mahaseth inaugurated the new charging station at Sajha Yataya. Photo: GOPEN RAI</figcaption> </figure>  Electric buses, however, are expensive up front even though they are cheaper to operate over time. Sajha bought the 40 buses with Rs3 billion investment from the government. “The government must promote financial packages as it is too expensive for private companies to go electric at a massive scale on their own,” said Sajha Yatayat chair Kanak Mani Dixit at Tuesday’s event. “Buses charge at night when there is an electricity surplus. We are blessed with &nbsp;renewable hydro, while most countries have coal-powered electricity.”  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240410040436_8d3cb73fd6bdc47e5a6f811120d3098ae28984ae687b965905cf7adc5abaf854.jpg" data-media-id="editor_2" data-image-id="20240410040436_8d3cb73fd6bdc47e5a6f811120d3098ae28984ae687b965905cf7adc5abaf854" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Sajha Yatayat charging depot NT 1"> <figcaption>Sajha Yatayat Chair Kanak Mani Dixit. Photo: GOPEN RAI</figcaption> </figure>  Night routes and implementation of digital travel cards for commuters would spur Kathmandu’s economy. Electric buses may need to be charged for one hour on longer trips, but solutions exist: a relay system for passengers to swap buses at charging points.&nbsp; The inaugural event also showcased a Sajha diesel bus that has been converted to electric. For the moment, the model is only a prototype, made for research and learning purposes.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240410040436_4c2680b476cc141815b0b2fb61202333d173211bac7512c72541c98be5c3bf89.jpg" data-media-id="editor_3" data-image-id="20240410040436_4c2680b476cc141815b0b2fb61202333d173211bac7512c72541c98be5c3bf89" data-rendition-name="original" width="1500" height="1000" loading="lazy" alt="Sajha Yatayat charging depot NT 1"> <figcaption>A Sajha diesel bus that has been converted to electric. Photo: SUMAN NEPALI</figcaption> </figure>  “It is a lot more than just a straight engine swap -- we have also implemented a cooling system,” says engineer Janak Risal who workd on the conversion. “We ran simulations of digital models to see whether having the components in the back made the bus move around too much.” Sajha worked with the EU-supported SOLUTIONSplus which made prototypes of remodelled Safa-tempos for passengers and cargo. The building team and Sajha are holding a workshop on 25 April to discuss conversion, as well as the viability of manufacturing battery-powered cars in Nepal.

Vishad Onta

Sajha’s green buses go greener

Linda Sue Park is an American children’s book author of Korean heritage. Her book A Single Shard, about an orphaned boy in 12th century Korea who wants to become a potter, was awarded the John Newberry medal in 2002. She was recently in Kathmandu for <a href="https://archive.nepalitimes.com/article/Nepali-Times-Buzz/bal-sahitya-mahotsav-children-literature-festival,2034">Bal Sahitya Mahotsav</a> at Rato Bangala School, and spoke with Nepali Times about reading, writing, specifically for children, and learning English. Excerpts: 
Nepali Times: What are the things to keep in mind when writing children’s books, as opposed to books for adults? 
Linda Sue Park: This has changed and evolved over the years. Children’s books used to be instructive, like how to be a good little girl or boy. When I broke in more than twenty years ago, the emphasis was on stories. It was sort of very amorphous, we just want exciting stories, adventure stories, happy stories, sad stories. The current phase in the US is activism. Mostly how you’re going to save our planet. This is something that kids are going to have to deal with.
I have a book called A Single Shard. Young people come up to me and tell me that this book is about perseverance. Other people will say no, this is about family. Then there are those who say it is about how our lives would be a bleak misery without art. Am I going to say that any of those are wrong? No. So the message or the theme of the book is what that individual reader most needs at that time in their minds. 
If it's a really good book you can read it when you’re ten years old and get one message and then read it when you are fifteen and get another, and read it when you’re 50 and still get a third. 
Read also: <a href="https://nepalitimes.com/here-now/adventures-of-a-little-dumpling-named-momo-and-other-books">Adventures of a little dumpling named Momo (and other books)</a>, Sahina Shrestha
It has been said that all great literature is one of two stories; a man goes on a journey or a stranger comes to town.'A Single Shard has elements of both. Do you think that the journey Tree-ear goes through to learn pottery has parallels in learning how to write? 
Absolutely, and I was not conscious of that, it was a young reader who pointed that out to me. He heard me talk about revision. I’ve talked a lot about revising, and this little kid said to me, that’s just how Min makes a pot. 
Do you start with an outline and then flesh it in? 
My fiction is a character with an external and an internal quest. The character has something they want, that’s the external quest, or what other people call the plot. They also have an internal plot, the emotional growth they need to experience, sometimes that’s called the theme. Often the character does not know their internal quest. That’s how I start a story. 
I’d say the first month of thinking about the story, I write them each down on a post-it, and I stick them on either side of my trackpad, so that everything I write, it’s got to be this or that.
In writing A Single Shard, how much of it was first-hand personal experience that influenced the story, and how much of it was external research? 
I traveled to Korea and visited some of the sites that are in the story. When I would come across something in Korean that I thought was important, my parents would translate it. 
So how am I going to write this book because it is so much trouble to find out about 12th century Korea? Well, because Korean pottery at the time was so famous, pottery experts had done a lot of work on it. Every piece mentioned in the book is real. 
I am not an expert on Korea or Korean history, I grew up in America, I have done some research on Korean pottery of this era, just enough to write this story. 
One of your parents cut out the phonics of the English language into a notebook and another parent took you to the library. 
My son learned with phonics. My daughter had no patience for it. She learned what is called whole language, she would just hear the book over and over and read it. So their development as readers was quite different. He can figure out an unfamiliar word quicker and easier than she can. She comprehends a whole story much better than him. 
What you have to have is a wonderful teacher who is trained in many different systems, and that teacher says, “Okay, this child is a phonics kid. But this child maybe not so much.” It's so difficult for teachers. Where it really has to happen, is at home, which is also really difficult. 
Kids who have parents who support their reading at home, are far ahead by the time they get just to kindergarten. 
Read also: <a href="https://nepalitimes.com/opinion/angrezi/the-thappad">The Thappad</a>, Anbika Giri 
What is the importance of having diverse stories for kids? 
I do a lot of work around this as it pertains to children’s books. We need to see everyone in their full humanity. We need to realise that they are people just like we are, because if you don’t, that means that you feel you can treat them as lesser than you are. 
I grew up in an era of children’s books where there were very few Asians portrayals. I never saw one Korean character. It does terrible things to a child’s self-image. It is important for kids to see themselves or someone who looks like them in books. 
Those of us who do this sort of work are very fortunate to have that experience. Little girls running up to you and saying, “She looks like me!” It’s just really heartwarming. 
But to me, even more important, is the dominant culture, to say, “Oh, they want to do whatever it is just like I do. They’re like me.” And that second part especially is what still needs so much work.
Read also: <a href="https://nepalitimes.com/here-now/the-power-of-reading-aloud">The power of reading aloud</a>, Sanghamitra Subba
What advice do you have for budding writers out there who want to make it their career? 
As a writer just starting out you don’t make a living. Many people have a vision of either being a great novelist or biographer, or Hollywood screenwriter. That is a reality for a very few people. Many of us who do writing do other things that are less glamorous. A lot of writers teach writing. They teach in university programs and so forth. 
The rest of us do what we call writing-adjacent jobs, such as school visits. I’m one of the fortunate ones, I’m not J K Rowling, but I can live off what my books make. But I love to travel, so I do very, very few school visits now in the United States. I accept invitations from schools abroad, like now in Nepal, because I want to see the country.
What was your first impression of Nepal after coming out of the airport last week? 
I have only been in Kathmandu, and it's very lively, a lot of people, a lot of life, and Nepalis are very friendly, very helpful, smiling, they’ve got their own thing going on. We’ve really enjoyed it.

Writing for young minds

Till 4 April, there were only 7 expeditions with 86 mountaineers who have got permits to climb Mt Everest this spring climbing season, much lower than the 47 expeditions and nearly 478 foreign alpinists in spring 2023. It is not clear why the Department of Tourism starts processing applications for Everest climbs only in March when expeditions prepare for years before they plan to climb the world’s highest mountain. It also seems insensitive to include total royalties collected in its tables which suggests that it is only interested in cash and not mountaineering. &nbsp; The Department has been updating its list of expeditions almost every other day this week, and the latest one shows that besides the seven expeditions on Everest, there are three on Ama Dablam, and another three on Annapurna I. Smaller peaks like Himlung (7,126m), Jugal III (6,184m), Putha Hiunchuli (7,246m), and Khangri Shar (6,811m) have one permit each.&nbsp; Read also: <a href="https://nepalitimes.com/here-now/hurtling-through-the-himalaya">Hurtling through the Himalaya</a>, Vishad Onta “It is too early to speculate if there is a drop in numbers,” says Dawa Steven Sherpa of Asian Trekking. “Many expeditions sign up at the last moment, anyway.” Surprisingly, Manaslu (8,163m) which is usually the most popular mountain after Everest does not have a single expedition in the Department’s list. In 2023, there were 23 expeditions with 266 foreign climbers on Manaslu. Read also: <a href="https://nepalitimes.com/opinion/comment/dispelling-myths-about-climbing">Dispelling myths about climbing</a>, Edward Morgan  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240404120412_bb56c0680db45c35795b8d76a47c0e05798207c0d1c5095fa48fd9bd4fa3fb04.jpg" data-media-id="editor_2" data-image-id="20240404120412_bb56c0680db45c35795b8d76a47c0e05798207c0d1c5095fa48fd9bd4fa3fb04" data-rendition-name="original" width="775" height="754" loading="lazy" alt="Where have all the mountaineers gone? Nt #1206"> <figcaption>Source: DEPARTMENT OF TOURISM, HIMALAYAN DATABASE</figcaption> </figure>  The drastic drop this year also translates to a big decrease in the total number of climbers, and the amount of royalty the government collects from climbing fees. This spring's 19 expeditions total only 171 climbers, compared to last year's 61 expeditions bringing 512 foreign climbers. Despite this, the average number of members per expedition this year (9.00) to last year (8.14) is comparable. While the difference in number of expeditions and peaks is stark, mountaineering experts think there is no need for premature fretting.&nbsp; Read also: <a href="https://nepalitimes.com/news/mt-everest-pvt-ltd?amp=1">Mt Everest (Pvt) Ltd</a>, Vishad Onta Everest summiteer Alan Arnette, who has covered Himalayan climbing for 20 years, agrees that the numbers could pick up: “There is a trend for teams to arrive later and later for Everest. Some start with Annapurna, others just get their permits later. It will pick up.” Nepali mountaineering companies have become more efficient. Ten years ago, an Everest expedition used to be eight weeks long. Now, it takes three weeks and many expeditions climb Annapurna, Dhaulagiri or Cho Oyu early before moving on to Everest, trying to &nbsp;climb two eight-thousanders in one season. March-May is when most mountaineers try to climb Everest because of gentler winds and higher temperatures on the slopes. Sometimes weather windows are open in May for only a few days, leading to traffic jams near the summit. Read also: <a href="https://nepalitimes.com/news/without-sherpas-there-is-no-mountaineering">“Without Sherpas, there is no mountaineering”</a>, Bhadra Sharma

Where have all the mountaineers gone?

Earlier this week, as students studying in colleges affiliated with Tribhuvan University (TU) awaited results of last year’s exams, TU’s Office of the Controller of Examinations sent out a sheepish statement saying hundreds of answer papers of two courses had gone missing.&nbsp;
Students who had given the tests in May 2023 for the Bachelor’s Population Studies and Basics of Education course were given only a few days’ notice to sit for the exams again. Such incompetence and mediocrity has been the hallmark of Nepal’s education system which has been plagued by hyper-politicisation and patronage.&nbsp;
Postponed exams, leaked test questions, lost answer papers, and delays in publishing results are so common, they are treated as a given. The malaise contributes to the inability of universities to enrol students who prefer to pay recruiters to pursue higher education abroad.
“Nepal's educational institutions are crucial to political awareness, engagement, organisation, and mobilisation,” says veteran journalist and editor of Sikshak monthly magazine Rajendra Dahal. “But what has happened is that politics has taken over the education sector and made it entirely business driven.”
Read also: <a href="https://nepalitimes.com/editorial/lessons-not-learnt-homework-not-done">Lessons not learnt, homework not done</a>, Editorial
Education Minister Sumana Shrestha from the independent RSP has, in the month since she took office, determined to undo half-a-century of neglect, political interference and mismanagement. &nbsp;&nbsp;
Since everyone from university vice-chancellors to teachers in rural community schools are political appointees, Shrestha’s first order of business is to de-politicise colleges and universities.
“No amount of infrastructure or programs we introduce will yield results until the education sector… from school to university level…is freed from party politics,” Shrestha said in one of her social media monologues this week. “The law is clear … we just need to enforce it.”
Shrestha announced a probe into the missing TU answer sheets, decided to initiate proceedings to appoint independent experts as university chancellors and co-chancellors, and vowed to keep her Ministry free of nepotism and favouritism. She even urged complaints to be filed against teachers engaging in political activities, and sent a circular to all local governments to ensure that public schools do not charge any fees.
Read also: <a href="https://nepalitimes.com/here-now/nepal-s-hard-working-students-overseas">Nepal’s hard working students overseas</a>, Sonia Awale
Such radical proposals have raised hackles with politically-affiliated faculty, unions and politicians who have long milked the university system, and Shrestha is being heavily trolled on the social web. Many say making government schools absolutely free would force them to compromise on quality, or close altogether.
University vice-chancellors have historically been political appointees despite efforts to reform the system. There was a chance to do things differently this year but Prof Keshar Jung Baral was ultimately appointed vice-chancellor of TU largely due to his proximity to Prime Minister Pushpa Kamal Dahal, who ignored the first candidate on a shortlist by a search committee.&nbsp;
Nepal’s Political Party Act 2017 prohibits teachers from actively engaging in party politics and the Education Act stipulates that teachers must not hold executive political positions. That rule has been openly and widely flouted.
It is not only higher education that is politicised, public school employees are appointed based on party strength in local government. Most teachers are active members of party-affiliated unions such as the Unified All Nepal Teachers Association (Maoist Centre), the Nepal National Teachers Association (UML), or the Nepal Teachers Association (Nepali Congress).&nbsp;
Efforts to reform the system with the proposed Education Bill is itself problematic, educators say. The National Examination Board’s Chairman, for instance, is to be appointed by a committee comprised of Education Ministry officials, as opposed to the current system of selecting the candidate based on recommendation by a panel of Public Service Commission experts. &nbsp;
Read also: <a href="https://nepalitimes.com/here-now/inclusiveness-not-just-theory-in-this-school">Inclusiveness not just theory in this school</a>, Shamshad Ahmad
“It is necessary to recognise that de-politicising education will require not just administrative and legal decisions, but also political ones,” notes Dahal. “This is therefore also a political process.”
Policies are as much to blame as politics. The national school curriculum is full of holes and lacks diversity. Teachers are underpaid, undertrained and under-motivated, the government schools lack basic facilities.&nbsp;
There are many who want Education Minister Sumana Shrestha’s reforms to fail for rocking the boat in the education sector. They also want her to be a lightning rod for criticism of her RSP, which is aiming to show results and become at the second largest party in the 2027 elections.
However, charges against RSP leader and Home Minister Rabi Lamichhane and his wife as well as agains the RSP’s Labour Minister Dol Prasad Aryal in fraud cases involving cooperatives are distracting the party from pushing &nbsp;Shrestha’s reforms in education.
Read also: <a href="https://nepalitimes.com/opinion/angrezi/mai-commin-sir-qfdjg2uw">"Mai commin, Sir?"</a>, Anbika Giri
The NC may be the largest party in Parliament, but is in the opposition. It has used the cooperative scam as a battering ram against the coalition in general and Lamichhane in particular. However, the NC is restraining itself from going all out against Lamichhane just in case it needs the RSP’s numbers to return to government.&nbsp;
Labour Minister Aryal has also been on the defensive about reports that his office had resumed issuing labour permits for Russia, where many Nepalis have been killed fighting for the Russian Army. He clarified the ministry was reviewing permits for “safe places” in Russia. &nbsp;
It is not just the RSP that is an education reform spree. Kathmandu Mayor Balen Shah has stirred a hornet’s nest for his directive to all private schools in the capital to adopt names of Nepali deities, people and places within 35 days or face penalties. &nbsp;
Says Dahal: "The Education Minister's vow to take politics out of education can be taken as a positive step. But it will be worth noting if the ministry has decided to clean up the education sector for the benefit of a select few or for the benefit of society at large."
Read also: <a href="https://nepalitimes.com/multimedia/age-no-bar-to-go-to-school">Age no bar to go to school</a>, Sahina Shrestha

Shristi Karki

Class Act

Malaysia is slashing foreign worker intake from end-May, conflicts in West Asia <a href="https://nepalitimes.com/opinion/guest-editorial/the-international-order-is-dying-in-gaza">risk engulfing the region</a>, and fortress Europe is building higher walls for migrants. 
All this means that Nepal’s economy, <a href="https://nepalitimes.com/business/remittances-up-and-up">almost completely dependent on money its workers send home</a>, is as fragile as a house built on sand. Proof of that was the Covid pandemic, which impacted overseas jobs and remittance inflows. 
Malaysia has now capped foreign workers to only 15% of its 17 million strong workforce, and this will mean there will be much fewer jobs for Nepalis in its palm and rubber plantations, construction, manufacturing and service sectors.
Malaysia has instructed companies that no work visas will be issued after May. One saving grace is that the restrictions do not apply to foreign security guards, <a href="https://nepalitimes.com/here-now/close-encounter-with-death">most of whom are Nepalis</a>.
Malaysia’s curb on foreign workers appears to be related to domestic unemployment, as well as an EU decision to phase out the import of palm oil as a renewable biofuel because of rainforest destruction. Malaysia is the world’s second-largest producer of palm oil after Indonesia.
There are an estimated 500,000 Nepalis in Malaysia, some of them undocumented workers. Of the 771,000 Nepalis who got labour permits from the Department of Foreign Employment in the last fiscal year, 259,000 went to Malaysia. 
“The fact that a major labour destination country like Malaysia is reducing the number of Nepali workers is not good news,” says labour migration expert Ganesh Gurung. “It will seriously impact on remittance inflows and the economy. It does not seem like the Nepal government has any concrete plans to deal with this issue.”
Rajendra Bhandari, President of the Nepal Association of Foreign Employment Agencies (NAFEA) agrees that Malaysia’s decision is concerning, especially as the demand for foreign workers in Gulf countries is also decreasing. He adds that unless the Nepal government finds alternatives, the number of Nepalis going abroad illegally and ending up doing dangerous work will increase. This is evidenced by the increasing number of Nepalis<a href="https://nepalitimes.com/here-now/nepalis-play-russian-roulette-in-distant-war"> killed in action while fighting for the Russian Army</a> on the Ukrainian front.
Yet even as Foreign Minister Narayan Kaji Shrestha is demanding that Russia send Nepali soldiers home, Labour Minister Dol Prasad Aryal, <a href="https://nepalitimes.com/editorial/skeletons-in-the-cabinet-k5x6py1v">who is alleged to be involved in recruitment and remittance agencies</a>, reopened labour permits for Russia on Wednesday.
The value of Nepal’s exports is only one-tenth of its imports, and the country pays for imports with remittance income. Latest Nepal Rastra Bank figures show that the country earned $6.35 billion in the last six months of this fiscal year, and foreign exchange reserves hit a record $13.9 billion. 
Ganesh Gurung says that even though Malaysia’s decision might have seemed abrupt, such overwhelming dependence on remittances has always been a risky path for Nepal. Money the diaspora transfers to relatives in Nepal makes up an equivalent of 25% of Nepal’s GDP – one of the highest ratios in the world.
There are an estimated 2 million Nepalis in the Persian Gulf region, and a change in foreign labour policy or a regionwide conflict could jeopardise their jobs and in turn, impact the national economy. 
“This overwhelming reliance on foreign employment has meant that Nepal’s rulers have not been able to implement policy and incentives to create jobs domestically,” says Gurung. “It is inevitable that jobs overseas will dwindle eventually.”
With Malaysia closing, and earnings in the Gulf countries being less than what was promised by recruiters, Nepalis are increasingly <a href="https://nepalitimes.com/opinion/europe-now-favoured-destination-for-nepalis" target="_blank">looking to Europe</a> as an alternative. But while Europe needs cheap foreign labour, it is also becoming more restrictive.
Croatia was a favourite springboard for Nepalis seeking to go to Western Europe, but it joined the Schengen area last year. There are now an estimated 15,000 Nepalis in Romania, and more hope to make it there before the country also joins Schengen on 31 March. 
NAFEA’s Rajendra Bhandari says the hurdles are not just from Schengen states in Europe, but also from the Nepal government. Those seeking work in Europe need a work demand letter from a European country that is verified by a Nepal embassy in that country. But most European countries do not have resident embassies. 
“If the demand letters could be verified in Nepal itself, it would open the door for a lot of Nepali workers to go to Europe,” says Bhandari, adding that although the Labour Ministry is open to the idea, the Foreign Ministry does not think so.
Unlike migrant workers who go to other Asian countries to earn money, send remittance back home, and eventually return, Gurung says, most Nepalis who go to Europe more often than not settle there permanently. 
Overseas migration has been seen as a safety valve for Nepalis, but there are many thousands of domestic migrant workers at construction sites all over Kathmandu. 
Ensuring a basic minimum wage and labour protection for them would open up more <a href="https://nepalitimes.com/here-now/few-jobs-created-by-nepal-employment-drive">meaningful employment</a> within Nepal in semi-skilled jobs, many of which are being given to migrants from India.
Says Gurung: “Continuing to depend on other countries to give Nepalis jobs, instead of providing jobs in Nepal for Nepalis, will mean trouble for us down the line.”

People's Movement

Ten individuals from across the Himalayan region have issued an appeal for the life of Sonam Wangchuk, a Ladakh environmental activist, who is on the 22nd day of his hunger strike in Leh. Wangchuk is the winner of the right Livelihood Award, also called the Alternative Nobel Prize, and has been a strong advocate for climate friendly and energy saving school and building design. He has also been campaigning against climate breakdown as well as the exploitation of natural resources.&nbsp; Last year, he brought a piece of a melting glacier from Ladakh to the Dalai Lama in Dharmshala to draw attention to the impact of climate crisis in the trans-Himalayan regions of India, Nepal and the Tibetan Plateau. The petition reads: 'We, ten concerned individuals from the Himalayan region across national boundaries, are fearful for the life of Sonam Wangchuk, the educator and environmentalist who has been a steadfast voice for social justice and ecological sanity. Mr. Wangchuk has completed 21 days of protest fast, demanding political rights for his home region of Ladakh and nature friendly approaches to development in the Himalaya and elsewhere. Taking only salt and water, Mr. Wangchuk has become increasingly frail over the course of his hunger strike. We need his continued presence and leadership in the fight for the people and the planet. We call on the Government of India to heed his calls.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240326160340_22293773afd5da7a57cc0e7f7cf557f6952ba8a5a9d7331b8b6bbd86e5a01595.png" data-media-id="editor_0" data-image-id="20240326160340_22293773afd5da7a57cc0e7f7cf557f6952ba8a5a9d7331b8b6bbd86e5a01595" data-rendition-name="original" width="680" height="836" loading="lazy" alt="Sonam Wangchuk on Day 21 of his hunger strike about the impact of climate change in the Himalaya"> <figcaption>Sonam Wangchuk on day 21 of his hunger strike about the impact of climate change in the Himalaya. </figcaption> </figure>  Signatories: Chandi Prasad Bhatt, Bharat Bhushan, Kanak Mani Dixit, Ramachandra Guha, Sanjoy Hazarika, Pervez Hoodbhoy, NayanTara Gurung Kakshapati, Mrinal Pandey, Shekhar Pathak, Siddiq Wahid. 26 March 2024

Himalayan people appeal for Sonam Wangchuk

Guilherme Canela is Chief of the Freedom of Expression and Safety of Journalists Section of UNESCO in Paris. He recently visited Nepal to discuss <a href="https://nepalitimes.com/editorial/internet-in-everything">freedom of expression in the digital media</a>. Nepali Times spoke to him about new challenges to free media. Excerpts: Nepali Times: Can you tell us about how the discussions with Nepal’s lawmakers went? Guilherme Canela: My visit, in partnership with the Inter-Parliamentary Union, was to have an open discussion with them about international standards on freedom of expression. It was very enriching to learn the key concerns of Members of Parliament regarding the current challenges Nepal faces regarding the existing legal framework regulating the media and digital ecosystem, vis a vis the immense changes in this environment related to the technological revolution we all are experiencing, and how these challenges can be addressed in alignment with the International Human Rights Law. There is a fine balance between freedom of expression and that same freedom being used to spread intolerance and hatred. What are the main conclusions of UNESCO’s own study on the governance of digital platforms?&nbsp; Digital platforms have become a new front in the pursuit of peace. They have had a transformative role in advancing human rights. They have democratised access to knowledge and culture, enabled new voices to be heard, and fostered global connections, but, as you say, at the same time they have become <a href="https://nepalitimes.com/banner/press-for-people">ecosystems of misinformation, disinformation, ideological polarisation, and incitement to violence, discrimination, and hate</a>.&nbsp; Such features have undermined democratic values and threatened human rights across the world. Our job, therefore, is too foster the huge positive side of this equation and to counter the negative externalities it generates. Thus, whereas the digital companies don’t operate with transparency, accountability and due diligence, many countries have embarked on regulatory processes without keeping a human rights approach as a main principle thereby risking the shrink of the civic space and leading to different kinds of restriction not aligned with International Human Rights Law. UNESCO aims to ensure that everyone’s <a href="https://nepalitimes.com/here-now/no-freedom-after-expression">freedom of expression</a>, access to information and diverse cultural content are guaranteed, while various stakeholders, including governments, deal with the problems of dis- and misinformation and hate speech online. These problems will be better addressed, in a way that aligns with international human rights law, through implementing the UNESCO Guidelines in a comprehensive and coherent manner. In a nutshell, UNESCO’s proposal, which was debated worldwide for almost 2 years, and received 10,000 comments coming from actors from 134 countries, suggests a governance system that can improve the processes currently used by the tech companies, aiming to expand freedom of expression, while dealing with the negative externalities. But when can we deem the risks so high that governments can justify restricting freedom of expression through digital platforms under international standards? The rapidly evolving digital era has seen the rise of the imposition of restrictive measures on freedom of expression and the press such as infringement on right to privacy, censorship, and the prevention of general access to the dissemination of information, both online and offline, including internet shutdowns. However, the justification for governments to restrict such freedoms on digital platforms arises when there are identifiable and/or substantial risks to public safety, national security, or individual rights which cannot be sufficiently mitigated through other means. Read also: <a href="https://nepalitimes.com/news/nepal-should-be-open-for-south-asia">Nepal should be open for South Asia</a> In order for any restriction to be legitimate it must fulfil the criteria set out in international standards on freedom of expression, such as the Articles 19 (3) and 20 of the International Covenant on Civil and Political Rights or the Three-Part Test, which demands that any interference must be provided for by the law, pursue a legitimate aim, and be necessary and proportional to secure one of those aims.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240326090344_61e1f3e429a81b7cb025116ed038eadcd019e4a3dc0203af4e48abaa2c81fbe3.jpg" data-media-id="editor_4" data-image-id="20240326090344_61e1f3e429a81b7cb025116ed038eadcd019e4a3dc0203af4e48abaa2c81fbe3" data-rendition-name="original" width="853" height="1280" loading="lazy" alt="Guilherme Canela in Nepal "> <figcaption>Guilherme Canela(Photo: Sonia Awale)</figcaption> </figure>  In essence, any statutory restriction to freedom of expression must be subject to oversight and review mechanisms in order to uphold the principle of transparency, accountability and prevent abuse of power. While governments may be justified in <a href="https://nepalitimes.com/multimedia/gagging-the-press-in-installments">restricting freedom of expression</a> on digital platforms under certain circumstances, such restrictions must be carefully circumscribed to protect the fundamental rights of individuals and uphold the principles of democracy, pluralism, and open discourse in the digital age. Is there not a danger, then, that states can justify banning digital platforms using the excuse of maintaining “social harmony”? Measures applied by both companies and states should always be proportional to the harm that is intended to prevent. From companies, removal and blocking of content and account suspension should only be used as a last resort in the most serious cases. From the side of governments, <a href="https://nepalitimes.com/news/rattled-by-criticism-nepal-bans-tiktok">banning a digital platform</a> should be proportionate to the level of harm it causes and should be accompanied by transparent processes, due diligence, due process of law and consideration of alternative measures to mitigate risks while preserving the benefits of digital platforms for legitimate users. Additionally, regulatory actions should be based on evidence-based assessments and subject to judicial review to ensure they are fair, just, and consistent with principles of freedom of expression and the rule of law. <a href="https://nepalitimes.com/news/talking-about-tiktok">Banning digital platforms</a> can be considered proportionate in certain circumstances where their activities pose significant harm that outweighs the benefits they provide. Here are two scenarios where banning digital platforms might be considered proportionate. Systemic violation of international human rights standards: If a digital platform systemically violates international human rights standards despite warnings and sanctions. And second, Exploitative Practices: when platforms engage in exploitative practices such as facilitating illegal activities (such as child pornography) or enabling human trafficking. However, it is important to outline that our Guidelines do not call on the government to establish a department or organisation to moderate content. The Guidelines consider that digital platforms should not be held liable when they act in good faith and with due diligence, carry out voluntary investigations, or take other measures aimed at detecting, identifying, and removing or disabling access to content that is prohibited under article 20 of the ICCPR or that has been restricted in terms of article 19(3) of the ICCPR. How can journalists protect their freedoms when democracy itself is threatened? Journalists can protect their freedom by first keeping on doing their job and <a href="https://nepalitimes.com/editorial/censuring-censorship">hold all powers accountable</a>. But they cannot do it alone or in a vacuum, neither should they be left alone to deal with existential safety and viability challenges. As proclaimed by all UNESCO’s member states, journalism should be valued as a fundamental ‘public good’ with citizens putting their trust in it also through teaching and encouraging media and information literacy. It demands the State protect media viability, the rule of law institutions defending media freedom from all attacks, including by elected officials, and for politicians committing to respect the fundamentals of democracy, including the role of the press as a watchdog. There is an urgent need to further demonstrate to our societies the value of journalism (and all fundamental freedoms) not only to guarantee political and civil rights, but to guarantee all other rights. When someone is protesting to have better education or better health, ultimately what they want is to protect the rights of education and a healthy life, but they can’t do that if they don’t have freedom of expression in the first place and if watchdogs, like journalists, are being silenced. Your report also cites the critical need for digital platforms to protect electoral integrity. How can this be done?&nbsp; Firstly, in UNESCO Guidelines for the Governance of the Digital Platforms, we highlight the need for Digital platforms to recognise their role in supporting democratic institutions by preserving electoral integrity. Their acceptance of the role is not trivial as it implies an engagement regarding democracies. UNESCO also recommends establishing a comprehensive risk assessment process that focuses on the integrity of the electoral cycle leading up to and during major electoral events. These assessments should be conducted transparently and in consultation with all relevant stakeholders and should include a gender perspective to address the escalating online violence against women in electoral contexts. Proactive measures based on the identified risks are essential to prevent potential threats to the integrity of the electoral process. Read also: <a href="https://nepalitimes.com/editorial/dont-act-on-the-act">Don't act on the act</a>, Editorial Secondly, UNESCO urges digital platforms to ensure that users have access to a diverse range of information and ideas, in line with international human rights law. Attention should be given to automated tools to prevent any hindrances in accessing election-related content and diverse viewpoints. Additionally, digital platforms should review their products, policies, and practices related to political advertising to avoid arbitrary limitations on candidates' or parties' ability to disseminate their messages during the electoral cycle. The promotion of independent fact-checking, advertisement archives, and public alerts is highlighted as crucial measures to uphold electoral integrity in content dissemination.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240326090344_d2b0d4b66fb1632336f876e84b0e72004620937c79e36d9f94828bd8478ab937.jpg" data-media-id="editor_10" data-image-id="20240326090344_d2b0d4b66fb1632336f876e84b0e72004620937c79e36d9f94828bd8478ab937" data-rendition-name="original" width="730" height="1029" loading="lazy" alt="UNESCO guidelines for the governance of digital platforms"> </figure>  Finally, transparency is emphasised across various aspects, including the use and impact of automated tools, engagement with stakeholders and governance systems, and the identification of political advertisements. Digital platforms are responsible for disclosing funding details, applying equal content moderation rules, and tracking the monetisation of political posts. The retention of advertisements in a publicly accessible online library, along with information on funding and targeted demographics, contributes to an accountable and transparent digital environment during electoral cycles. If put in place by the platforms, these measures will collectively reinforce the commitment to preserving electoral integrity in the digital age. How can digital platforms be held more responsible when Big Tech is controlled from outside national jurisdictions whereas the impact of their content is domestic?&nbsp; The strategy for the implementation of the UNESCO Guidelines for the Governance of Digital Platforms aims to promote the enabling environment for freedom of expression and information and enhance the responsibility of digital platforms worldwide by Building a Network of Networks by fostering international collaboration and cooperation among regulatory authorities and civil society to develop common standards and regulations for digital platforms. This can help ensure that platforms adhere to responsible practices regardless of their location of ownership and may also reduce lawfare. Then there are Public-Private Partnerships to address regulatory challenges associated with digital platforms. Collaboration between governments, industry stakeholders, and civil society can facilitate the development of effective governance frameworks. Read also: <a href="https://nepalitimes.com/news/media-melee-in-the-age-of-ai">Media mêlée in the age of AI</a>, Kunda Dixit Promoting transparency and accountability of the governance system (independent regulatory authorities) and of the digital platforms policies and practices. Human rights due diligence and content moderation and curation based on international human rights standards must be upheld. The governance system itself must have independent oversight mechanisms to monitor the activities of digital platforms within national jurisdictions. We must also empower users by providing them with tools and resources to understand and manage their online experiences through media and information literacy. This includes features for content control, privacy protection, and mechanisms for reporting harmful content or behaviour. Lastly, there must be ethical guidelines for digital platforms that prioritise transparency, fairness, and respect for human rights. These guidelines can serve as a foundation for responsible platform governance.

Balancing free expression with fake news on social media

One in every three Nepalis carries the <a href="https://nepalitimes.com/editorial/tb-or-not-tb">tuberculosis</a> bacillus. There may be no active symptoms, but they can at any point progree into a full blown infection. TB kills up to 47 Nepalis daily. If so many people died every day in road traffic accidents, it would make headlines every day. But they do not because tuberculosis afflicts the poorest people in the poorest parts of Nepal.&nbsp; The annual 17,000 fatalities from <a href="https://nepalitimes.com/banner/for-nepal-a-game-changer-in-tb-control">tuberculosis in Nepal</a> are preventable with cost-effective treatment. A new pilot study in Chitwan and Piuthan in the past two years showed that of the 1,173 people given a Tuberculin Skin Test (Mantoux Test), 1,127 were positive. Following a Mantoux test and chest x-ray, 509 were diagnosed with latent TB of whom 95% were willing to take preventive therapy.&nbsp; Researchers were pleasantly surprised. As in other countries in the region, they were expecting very few to agree to take preventive therapy medicines because they did not have TB symptoms, so a 95% agreeing to the treatment was exceptionally high. “People in Chitwan and Piuthan who participated in the study were not sick, they were just carrying the TB bacteria, but they agreed to take the preventive drugs because they have all known of relatives who had died of TB,” explains Buddha Basnyat, a physician who advised the Birat Nepal Medical Trust (BNMT) that conducted the research.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240325030340_43b4bc93b22c3964ee021a9dc9df40f9da783917b2ebfbe798a03a82276421a7.jpg" data-media-id="editor_2" data-image-id="20240325030340_43b4bc93b22c3964ee021a9dc9df40f9da783917b2ebfbe798a03a82276421a7" data-rendition-name="original" width="1500" height="1125" loading="lazy" alt="Tuberculosis preventive therapy in Nepal"> <figcaption>Health care volunteers during an outreach screening program in Dhanusha as part of active case-finding for tuberculosis in local communities.</figcaption> </figure>  BNMT is now extending the study to Nawalparasi and Rupandehi with the National Tuberculosis Control Centre. Latent TB is more prevalent in the Tarai districts because of their higher population density. With Nepal suffering such an <a href="https://nepalitimes.com/here-now/nepal-tb-cases-grossly-underestimated">enormous disease burden from tuberculosis</a>, one would have thought World TB Day on Sunday 25 March would have got more attention. But it was overshadowed by Holi celebrations. It would have been interesting to see how many in the crowds attending the concert at Darbar Marg would test positive. Scientists worry that the World Health Organisation’s END TB strategy of reducing global tuberculosis incidence by 90% and deaths by 95% in the next ten years is too ambitious unless latent tuberculosis cases are also treated.&nbsp; What makes this failure all the more tragic is that tuberculosis is a completely preventable and treatable infection. Every $1 invested in TB gives a $39 return, yet there is little investment and advocacy to combat this biblical illness. South Asia accounts for some 40% of all TB cases and 38% of all TB deaths — most of them occurring in the thickly-populated states across the Nepal border in India. The region also has a high burden of multi-drug resistant TB, one-third of global cases. In the past, Directly Observed Therapy Short Course (DOTS) drug therapy in which patients were administered medicines at health posts was considered a cure-all for tuberculosis. <a href="https://archive.nepalitimes.com/news.php?id=294">Nepal had a high success rate for DOTS</a>, but there were loopholes in the program: latent cases remained hidden and only the cases that came to the health system were treated. DOTS also added to the pre-existing stigma so that patients travelling to the health posts would be identified as having tuberculosis. In one instance, a patient in Bardia chose to take a dangerous tiger-infested jungle route to reach the health post. &nbsp; Meanwhile, BNMT had been setting up a strong community network of health volunteers, and was <a href="https://nepalitimes.com/banner/nepal-tests-and-treats-tb-with-a-flying-pharmacy">tracking active TB cases</a>. Unlike DOTS, it involved meeting family and friends of patients, allowing more case detection and treatment. Even so, they were not looking for latent infections.  <figure> <img src="https://publisher-publish.s3.eu-central-1.amazonaws.com/pb-nepalitimes/swp/asv65r/media/20240325030340_39b79cbd0799bee83a8ae67fd8016d9c75b539d89679e5a4328a7b8540bbca01.jpg" data-media-id="editor_6" data-image-id="20240325030340_39b79cbd0799bee83a8ae67fd8016d9c75b539d89679e5a4328a7b8540bbca01" data-rendition-name="original" width="1687" height="1125" loading="lazy" alt="Tuberculosis preventive therapy in Nepal"> <figcaption>Female Community Health Volunteers (FCHVs) have played a significant role in active case finding.</figcaption> </figure>  Latent cases can progress to active tuberculosis especially when a patient's immune system is weak because of malnutrition, illnesses like HIV, or age. In fact, half of TB worldwide can be attributed to undernourishment. Latent TB can be confirmed in two simple steps: a Mantoux test with an above 10 score and a clear chest x-ray. If positive, the patient is given the 3HP preventive therapy — a once-weekly treatment with isoniazid-rifapentine for 12 weeks. This treatment can prevent reinfection for as long as six years, and is not to be confused with the one for active cases which requires daily treatment for six months. “On an individual level, you can still get reinfected if you are living in a house with active cases. But if you treat the community at large with preventive therapy, you drive down the prevalence of TB and in turn, people won't get reinfected,” explains Maxine Caws of BNMT. She adds: “If we can use preventive therapy to push down the reservoirs of infection then we extend the amount of time people are protected as is the case in Europe for example where people don't get TB anymore because they are not exposed to the bacteria at all. We have to eradicate that reservoir.” The traditional BCG vaccine given within 28 days of birth is effective against childhood tuberculous meningitis and miliary disease, but does not prevent TB in adults. Efforts are underway to develop a new effective vaccine but there are many challenges.&nbsp; TB vaccine development is difficult because exposure to the tuberculosis bacillus does not seem to induce sufficient protective immunity. A new viable vaccine could take a decade, but in that time 13 million more people would die.&nbsp; “We cannot wait and do nothing until a new effective vaccine is developed. Preventive therapy is a vaccine until we have one,” adds Basnyat. Indeed, the 3HP preventive therapy after diagnosis costs only $5 per regimen. So, Nepal’s strategy should be a simultaneous focus on 3HP preventive therapy and case finding.&nbsp; The problem has been a lack of priority for preventive therapy at national and international levels because it does not involve costly research and interventions, and the patients are poor. Explains Caws: “On paper, we have very strong policies but the commitment in terms of funding from the governments has not materialised, essentially because it is not affecting the rich unlike with Covid when we threw everything at it to have a vaccine developed in a year.” TB’s main problem, <a href="https://nepalitimes.com/opinion/comment/pandemic-eclipses-nepals-tb-epidemic">unlike Covid</a> and HIV/AIDS is that it is a disease of the poor.&nbsp;