Disaster preparedness in a complex urban system: the case of Kathmandu Valley, Nepal.

PubMed

Carpenter, Samuel; Grünewald, François

2016-07-01

The city is a growing centre of humanitarian concern. Yet, aid agencies, governments and donors are only beginning to comprehend the scale and, importantly, the complexity of the humanitarian challenge in urban areas. Using the case study of the Kathmandu Valley, Nepal, this paper examines the analytical utility of recent research on complex urban systems in strengthening scholarly understanding of urban disaster risk management, and outlines its operational relevance to disaster preparedness. Drawing on a literature review and 26 interviews with actors from across the Government of Nepal, the International Red Cross and Red Crescent Movement, non-governmental organisations, United Nations agencies, and at-risk communities, the study argues that complexity can be seen as a defining feature of urban systems and the risks that confront them. To manage risk in these systems effectively, preparedness efforts must be based on adaptive and agile approaches, incorporating the use of network analysis, partnerships, and new technologies. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

HIMALAYAN BORDER COUNTRIES PROJECT

DTIC Science & Technology

Nepali school children, and (2) an investigation of iconology on three important ecclesiastical architecture forms in Kathmandu Valley. Professor Gordon...study of political and social developments in Nagaland. Mr. Mahesh C. Regmi completed the 4th volume of his study of Land Tenure and Taxation in Nepal in the summer of 1967 and commenced research on economic history of Nepal.

Systematic Differences in HIV, Syphilis and Risk Behaviors among Street Based and Establishment Based Female Sex Workers in Kathmandu Valley of Nepal.

PubMed

Kakchapati, Sampurna; Paudel, Tarun; Maharjan, Manju; Lim, Apiradee

2016-12-01

Female Sex Workers (FSWs) are main drivers of the HIV epidemic in Nepal. The work environment of sex work in Nepal is differentiated into establishment based (e.g. massage parlors, dance restaurants, hotels and lodges) and street based (e.g. streets, parks and markets). The study compares HIV, syphilis and risk behaviours among establishment-based FSWs and street-based FSWs in Kathmandu Valley of Nepal. Cross-sectional bio-behavioral surveys in 2006, 2008, 2011 and 2015 aimed to sample 2093 FSWs using two stage cluster sampling in the Kathmandu valley. Statistical analysis used chi-squared tests and logistic regression models to assess differences of HIV, syphilis and risk behaviors among street-based FSWs and establishment-based FSWs. The study included 39.7% street-based FSWs and 60.3% establishment-based FSWs. The street-based FSWs had lower education levels, older age groups, separated, longer duration of sex work and inconsistent condom used with clients than establishment-based FSWs (p<0.05). Establishment-based FSWs were lower exposure to HIV intervention programs and pervasive alcohol consumption and use of drugs (p<0.05). The multivariate analysis showed that street-based FSWs were more likely of HIV test (aOR=1.25, 95%CI=1.04, 1.49), HIV (aOR=4.72, 95%CI=2.19, 10.15) and syphilis (aOR=7.96, 95%CI=3.49, 18.15) than establishment-based FSWs. Street-based FSWs possessed higher risk behaviour and have higher HIV and syphilis prevalence. HIV prevention interventions targeting FSWs should consider risks and vulnerability of street-based FSWs. .

Systematic Differences in HIV, Syphilis and Risk Behaviors among Street Based and Establishment Based Female Sex Workers in Kathmandu Valley of Nepal

PubMed Central

Paudel, Tarun; Maharjan, Manju; Lim, Apiradee

2016-01-01

Background: Female Sex Workers (FSWs) are main drivers of the HIV epidemic in Nepal. The work environment of sex work in Nepal is differentiated into establishment based (e.g. massage parlors, dance restaurants, hotels and lodges) and street based (e.g. streets, parks and markets). The study compares HIV, syphilis and risk behaviours among establishment-based FSWs and street-based FSWs in Kathmandu Valley of Nepal. Materials and Methods: Cross-sectional bio-behavioral surveys in 2006, 2008, 2011 and 2015 aimed to sample 2093 FSWs using two stage cluster sampling in the Kathmandu valley. Statistical analysis used chi-squared tests and logistic regression models to assess differences of HIV, syphilis and risk behaviors among street-based FSWs and establishment-based FSWs. Results: The study included 39.7% street-based FSWs and 60.3% establishment-based FSWs. The street-based FSWs had lower education levels, older age groups, separated, longer duration of sex work and inconsistent condom used with clients than establishment-based FSWs (p<0.05). Establishment-based FSWs were lower exposure to HIV intervention programs and pervasive alcohol consumption and use of drugs (p<0.05). The multivariate analysis showed that street-based FSWs were more likely of HIV test (aOR=1.25, 95%CI=1.04, 1.49), HIV (aOR=4.72, 95%CI=2.19, 10.15) and syphilis (aOR=7.96, 95%CI=3.49, 18.15) than establishment-based FSWs. Conclusion: Street-based FSWs possessed higher risk behaviour and have higher HIV and syphilis prevalence. HIV prevention interventions targeting FSWs should consider risks and vulnerability of street-based FSWs. . PMID:28804674

Assessment of climate change impact on water diversion strategies of Melamchi Water Supply Project in Nepal

NASA Astrophysics Data System (ADS)

Shrestha, Sangam; Shrestha, Manish; Babel, Mukand S.

2017-04-01

This paper analyzes the climate change impact on water diversion plan of Melamchi Water Supply Project (MWSP) in Nepal. The MWSP is an interbasin water transfer project aimed at diverting water from the Melamchi River of the Indrawati River basin to Kathmandu Valley for drinking water purpose. Future temperature and precipitation of the basin were predicted using the outputs of two regional climate models (RCMs) and two general circulation models (GCMs) under two representative concentration pathway (RCP) scenarios which were then used as inputs to Soil and Water Assessment Tool (SWAT) to predict the water availability and evaluate the water diversion strategies in the future. The average temperature of the basin is projected to increase by 2.35 to 4.25 °C under RCP 4.5 and RCP 8.5, respectively, by 2085s. The average precipitation in the basin is projected to increase by 6-18 % in the future. The annual water availability is projected to increase in the future; however, the variability is observed in monthly water availability in the basin. The water supply and demand scenarios of Kathmandu Valley was also examined by considering the population increase, unaccounted for water and water diversion from MWSP in the future. It is observed that even with the additional supply of water from MWSP and reduction of unaccounted for water, the Kathmandu Valley will be still under water scarcity in the future. The findings of this study can be helpful to formulate water supply and demand management strategies in Kathmandu Valley in the context of climate change in the future.

Promotion and prelacteal feeding of breastmilk substitutes among mothers in Kathmandu Valley, Nepal.

PubMed

Pries, Alissa M; Huffman, Sandra L; Adhikary, Indu; Upreti, Senendra Raj; Dhungel, Shrid; Champeny, Mary; Zehner, Elizabeth

2016-04-01

In 1992, Nepal passed the Mother's Milk Substitutes (Control of Sale and Distribution) Act in order to regulate the sale, distribution and promotion of substitutes for breastmilk within Nepal, in an effort to protect and promote breastfeeding. Helen Keller International, in collaboration with Nepal's Ministry of Health and Population's Child Health Division, implemented a study to assess mothers' exposure to promotions for and utilization of breastmilk substitutes in Kathmandu Valley, Nepal. A health facility-based, cross-sectional survey was conducted among 304 mothers being discharged after delivery. Prelacteal feeding of breastmilk substitutes is prevalent (55.9% of mothers, n = 170). Reported recommendations during antenatal checks and after delivery from health professionals to use breastmilk substitutes were prevalent, occurring among 47.4% (n = 144) of mothers; rates of these recommendations were significantly higher for mothers that delivered in private health facilities, as compared with public (67.7% vs. 38.0%, P < 0.001). Mothers that received a recommendation to use a breastmilk substitute from a health worker were 16.7 times more likely to provide a prelacteal feed of a breastmilk substitute, as compared with mothers that did not receive a recommendation (P < 0.001). Few mothers reported observation of commercial advertisements for breastmilk substitutes inside a health facility (reported by 3.6% of mothers). No mothers reported receiving a sample of a breastmilk substitute, bottle or teat from a health professional. More information is needed to determine why there is such a high rate of health worker recommendations for breastmilk substitute use in the first few days after delivery. While utilization of breastmilk substitutes is low among mothers of young children in Nepal, prelacteal feeding of breastmilk substitutes is highly prevalent in Kathmandu Valley. Reported recommendations from health professionals to use breastmilk substitutes are common (over 40%) and are associated with prelacteal feeding among Nepal mothers included in this study. Provision of lactation management training to health workers and monitoring their practices regularly could strengthen breastfeeding counselling, aid in reducing high rates of prelacteal feeding and contribute to improved infant feeding practices. © 2016 The Authors. Maternal & Child Nutrition published byJohn Wiley & Sons Ltd.

Overview of Nepal's energy sources and environment

NASA Astrophysics Data System (ADS)

Sharma, C. K.

In the Kathmandu Valley, Nepal faces environmental problems of most industrialized countries whereas it has problems similar to the least developed countries, in the hills. Types and quantity of energy use have a close link with the environmental degradation in Nepal Himalaya. Over dependence on the forest to meet the energy demand in the hills has aggravated the environmental problems. Lack of forest cover on the hills, the intense monsoon rain, the fragile geology and steep terrain are contributing to the acceleration of landslides, soil erosion and temperature rise. The rise of average minimum temperature is causing glaciers to retreat and thereby the development of large bodies of glacial lake. Glacial lake outbursts of 1981 in Kodari and of 1985 in Namche bazar area caused extensive damage on infrastructures down stream. Heavy use of commercial fuel (hydrocarbons) in the bowl shaped Kathmandu valley is causing air and water pollution and an increase in the average minimum temperature. Extensive development of hydropower, biogas plants and massive reforestation on naked hills and efficient use of imported hydrocarbons are the solution to existing energy and environmental problems.

Coping with unreliable public water supplies: Averting expenditures by households in Kathmandu, Nepal

NASA Astrophysics Data System (ADS)

Pattanayak, Subhrendu K.; Yang, Jui-Chen; Whittington, Dale; Bal Kumar, K. C.

2005-02-01

This paper investigates two complementary pieces of data on households' demand for improved water services, coping costs and willingness to pay (WTP), from a survey of 1500 randomly sampled households in Kathmandu, Nepal. We evaluate how coping costs and WTP vary across types of water users and income. We find that households in Kathmandu Valley engage in five main types of coping behaviors: collecting, pumping, treating, storing, and purchasing. These activities impose coping costs on an average household of as much as 3 U.S. dollars per month or about 1% of current incomes, representing hidden but real costs of poor infrastructure service. We find that these coping costs are almost twice as much as the current monthly bills paid to the water utility but are significantly lower than estimates of WTP for improved services. We find that coping costs are statistically correlated with WTP and several household characteristics.

Strong-motion observations of the M 7.8 Gorkha, Nepal, earthquake sequence and development of the N-shake strong-motion network

USGS Publications Warehouse

Dixit, Amod; Ringler, Adam; Sumy, Danielle F.; Cochran, Elizabeth S.; Hough, Susan E.; Martin, Stacey; Gibbons, Steven; Luetgert, James H.; Galetzka, John; Shrestha, Surya; Rajaure, Sudhir; McNamara, Daniel E.

2015-01-01

We present and describe strong-motion data observations from the 2015 M 7.8 Gorkha, Nepal, earthquake sequence collected using existing and new Quake-Catcher Network (QCN) and U.S. Geological Survey NetQuakes sensors located in the Kathmandu Valley. A comparison of QCN data with waveforms recorded by a conventional strong-motion (NetQuakes) instrument validates the QCN data. We present preliminary analysis of spectral accelerations, and peak ground acceleration and velocity for earthquakes up to M 7.3 from the QCN stations, as well as preliminary analysis of the mainshock recording from the NetQuakes station. We show that mainshock peak accelerations were lower than expected and conclude the Kathmandu Valley experienced a pervasively nonlinear response during the mainshock. Phase picks from the QCN and NetQuakes data are also used to improve aftershock locations. This study confirms the utility of QCN instruments to contribute to ground-motion investigations and aftershock response in regions where conventional instrumentation and open-access seismic data are limited. Initial pilot installations of QCN instruments in 2014 are now being expanded to create the Nepal–Shaking Hazard Assessment for Kathmandu and its Environment (N-SHAKE) network.

Accessibility of dog populations for rabies control in Kathmandu valley, Nepal.

PubMed Central

Bögel, K.; Joshi, D. D.

1990-01-01

The accessibility of dogs in urban areas of Kathmandu valley was measured using the following approaches: determination of the proportion of dogs that bore signs of having been the objects of religious worship and other signs of household association, supplemented by information obtained by interviewing people in the neighbourhood; and the vaccination coverage attained in a rabies control campaign that was preceded by intensive activities to encourage the community to participate. An accessibility rate of 90-95% was determined using the first of these approaches, whereas 75-80% of the total dog population was reached in the vaccination campaign. PMID:2289296

Observations of Air Quality at the Edge of Kathmandu, Nepal, and the Diurnal Cycle of Air Pollution In and Around the Kathmandu Valley

NASA Astrophysics Data System (ADS)

Panday, A. K.; Prinn, R. G.; Regmi, R. P.

2006-12-01

The Kathmandu Valley is a bowl-shaped basin in the Nepal Himalaya, with a rapidly growing city surrounded by rice fields and steep terraced and forested mountain slopes. The valley's air quality is influenced by urban and rural emissions, nocturnal pooling of cold air, slope winds, and a daily exchange of air through mountain passes. To understand these processes and to inform air pollution policy in Nepal, we have carried out the most comprehensive study of air pollution in Nepal to date. During the 9-month dry season of 2004-2005, we carried out continuous measurements every minute of carbon monoxide, ozone, PM10, wind speed, wind direction, solar radiation, temperature, and humidity on the eastern edge of Kathmandu city, at a site that daily received air from both the city and rural areas. We recorded the diurnal cycle of the vertical temperature structure and stability with temperature loggers on towers and mountains. A sodar measured the mixed layer height and upper-level winds. 24-hour simultaneous bag sampling campaigns on mountain peaks, passes, the rural valley, and within the city provided glimpses of the spatial patterns of the diurnal cycle of CO -- a useful tracer of anthropogenic emissions. We measured winds on mountain passes and ozone on mountain peaks. At our main measurement site we found a daily-recurring pattern of CO and PM10, with an afternoon low showing rural background levels, even though the arriving air had traversed the city. This was followed by an evening peak starting at sunset, a second low late at night, and a morning peak enhanced by re-circulation. Pollutants emitted in the valley only traveled out of the valley between the late morning and sunset. During winter months, rush hour was outside of this period, enhancing the morning and evening peaks. Within the city, ozone dropped to zero at night. At mid-day we observed an ozone peak enhanced by photochemical production when the air mass that had been stagnant over the city swept past our site at the edge of the city. At nights on surrounding mountains, ozone remained high, while CO dropped to regional background levels. Using the MM5 model, we simulated the Kathmandu Valley's meteorology for selected days in February and May 2005. The model successfully captured essential features of the valley's meteorology. We used it to understand the origin and pathways of air arriving at our sites, and to address specific questions. At night polluted air was found to be lifted off the ground but not removed from the valley; it was mixed down again in the morning. The break-up of the valley's nocturnal temperature inversion was dominated in February by up- slope flows along the valley rim mountains, plus subsidence over the fog-covered valley center. In May, when there was no fog, surface heating of the valley floor also contributed. During the mornings some pollutants were ventilated out of the valley by upslope flows. From late mornings through afternoons, strong westerly winds arriving through the valley's western passes brought rural background air into the city, while rapidly sweeping the night and morning's emissions out the eastern passes. Pollutants emitted into the afternoon westerly winds left the valley in less than 2 hours; pollutants emitted after the winds ceased at sunset lingered for up to 18 hours. The timing of emissions therefore has a bigger effect on air quality within the valley than the daily total emissions; this is important for policy considerations. More details can be found at http://web.mit.edu/cgcs/www/MIT_CGCS_Rpt75.html.

Predictors of incompletion of immunization among children residing in the slums of Kathmandu valley, Nepal: a case-control study.

PubMed

Shrestha, Sumina; Shrestha, Monika; Wagle, Rajendra Raj; Bhandari, Gita

2016-09-13

Immunization is one of the most effective health interventions averting an estimated 2-3 million deaths every year. In Nepal, as in most low-income countries, infants are immunized with standard WHO recommended vaccines. However, 16.4 % of children did not receive complete immunization by 12 months of age in Nepal in 2011. Studies from different parts of the world showed that incomplete immunization is even higher in slums. The objective of this study was to identify the predictors of incompletion of immunization among children aged 12-23 months living in the slums of Kathmandu Valley, Nepal. The unmatched case-control study was conducted in 22 randomly selected slums of Kathmandu Valley. The sampling frame was first identified by complete enumeration of entire households of the study area from which 59 incompletely immunized children as cases and 177 completely immunized children as controls were chosen randomly in 1:3 ratio. Data were collected from the primary caretakers of the children. Backward logistic regression with 95 % confidence interval and adjusted odds ratio (AOR) were applied to assess the factors independently associated with incomplete immunization. Twenty-six percent of the children were incompletely vaccinated. The coverage of BCG vaccine was 95.0 % while it was 80.5 % for measles vaccine. The significant predictors of incomplete immunization were the home delivery of a child, the family residing on rent, a primary caretaker with poor knowledge about the schedule of vaccination and negative perception towards vaccinating a sick child, conflicting priorities, and development of abscess following immunization. Reduction of abscess formation rate can be a potential way to improve immunization rates. Community health volunteers should increase their follow-up on children born at home and those living in rent. Health institutions and volunteers should be influential in creating awareness about immunization, its schedule, and post-vaccination side effects.

In situ measurement and source apportionment of aerosols in the Kathmandu valley, Nepal, April 2015.

NASA Astrophysics Data System (ADS)

DeCarlo, P. F.; Werden, B.; Goetz, J. D.; Giordano, M.; Bhave, P.; Jayarathne, T. S.; Stockwell, C.; Christian, T. J.; Nadler, W.; Panday, A. K.; Yokelson, R. J.; Stone, E. A.

2017-12-01

The Kathmandu Valley in Nepal is home to over 2.5 Million people, and is one of the fastest growing metropolitan areas in South Asia. It is subject to extreme pollution events due to numerous unregulated localized pollution sources and regional transport from the Indo-Gangetic Plain (IGP). Over 10% of Nepali fatalities are from lung disorders, making it the most common cause of death in the country. Previous field work has studied gas species, wintertime VOCs and PM in the valley. The Nepal Ambient Measurement and Site Testing Experiment [NAMaSTE] is the first deployment of a High-Resolution Time-of-Flight Aerosol Mass Spectrometer (HR-ToF-AMS) in Nepal and allows for a more comprehensive analysis of aerosol species and their source contributions. Ambient measurements for the NAMaSTE campaign were made in Bode, 8 km east of Kathmandu. Intensive measurements were made in April 2015, but cut short by the 2015 Gorka earthquake. HR-ToF-AMS measurements provided detailed chemical composition information on particulate matter in the valley. Ancillary measurements of chemical species CO, CO2, CH4, H2O, O3, NOx, BC and PM were carried out and compared to AMS data and meteorological parameters. AMS species show a clear diurnal pattern, with extremely elevated concentrations in the morning, with a wind shift to westerly in the afternoon. PMF was performed on the ambient data set, and mass spectral data was compared to source mass spectra generated from emission testing of various local sources measured during the campaign. The mean concentration of PM2.5 was 83 ± 45 µg/m3, which is above the 24 hour WHO exposure threshold of 25 µg/m3 and annual continous exposure limit of 10 µg/m3­­. Localized sources of anthropogenic emissions such as garbage burning, coal for brick kilns, dung and biomass burning for cooking and agriculture are likely sources of elevated pollutant emissions. Unmitigated burning of trash and biomass coupled with irregular fuels are a major source of pollutant species and aerosols in the undeveloped world.

Risk of HIV infection among men having sex with men in Kathmandu Valley, Nepal.

PubMed

Deuba, Keshab; Karki, Deepak Kumar; Shrestha, Rachana; Aryal, Umesh Raj; Bhatta, Laxmi; Rai, Krishna Kumar

2014-03-01

Despite extensive distribution of free condoms and lubricants to prevent HIV transmission among men having sex with men (MSM) in Nepal, the prevalence of HIV and risky sexual behaviors remain high. The influence of individual-level, social-capital, and social-structural factors on HIV risk has been insufficiently explored in MSM. The authors assessed association of these factors with HIV risk among 150 MSM enrolled using snowball sampling in the Kathmandu Valley. HIV risk was calculated on the basis of number and type of sexual partners and condom use during anal sex. Multivariate analysis showed a high risk of HIV infection was significantly associated with being involved in sex work, having no knowledge of male sexually transmitted infection (STI) symptoms, and having a history of STI symptoms. HIV prevention could be made more effective by targeting MSM who are involved in sex work and by improving their knowledge of male STI symptoms and early diagnosis and treatment.

Perceived family support and depression among people living with HIV/AIDS in the Kathmandu Valley, Nepal.

PubMed

Shrestha, Sadhana; Poudel, Krishna C; Poudel-Tandukar, Kalpana; Kobayashi, Jun; Pandey, Basu Dev; Yasuoka, Junko; Otsuka, Keiko; Jimba, Masamine

2014-01-01

Depression is emerging as a highly prevalent psychiatric condition among people living with HIV/AIDS (PLWHA). Perceived family support (PFS) buffers depression among chronic disease patients. However, a similar relationship among PLWHA is unexplored. To examine the relationship between PFS and depression among PLWHA in the Kathmandu Valley, Nepal. In this cross-sectional study, depression was measured by Beck Depression Inventory Ia. Perceived family support was measured by Nepali Family Support and Difficulties Scale. The status of depression was compared between 208 PLWHA and 208 HIV-negative participants. The relationship between PFS and depression was examined only among PLWHA. Among each of the 208 participants, the number of depressed PLWHA (n = 61,29.3%) was higher than that of HIV-negative participants (n = 13,6.2%; P < .001). Perceived family support had a negative association with depression in PLWHA (adjusted odds ratio [AOR] = 0.20, 95% confidence interval [CI] = 0.08-0.53). In Nepal, PLWHA display a higher level of depression than HIV-negative people, and a lower level of PFS is associated with depression among PLWHA. Improved family support might be helpful in reducing depression among Nepalese PLWHA.

The Efficacy of Low Vision Devices for Students in Specialized Schools for Students Who Are Blind in Kathmandu Valley, Nepal

ERIC Educational Resources Information Center

Joshi, Mahesh R.; Yamagata, Yoshitaka; Akura, Junsuke; Shakya, Suraj

2008-01-01

In Nepal, children with low vision attend specialized schools for students who are totally blind and are treated as if they were totally blind. This study identified children with low vision and provided low vision devices to them. Of the 22% of the students in the school who had low vision, 78.5% benefited from the devices. Proper devices and…

Real-Time Science on Social Media: The Example of Twitter in the Minutes, Hours, Days after the 2015 M7.8 Nepal Earthquake

NASA Astrophysics Data System (ADS)

Lomax, A.; Bossu, R.; Mazet-Roux, G.

2015-12-01

Scientific information on disasters such as earthquakes typically comes firstly from official organizations, news reports and interviews with experts, and later from scientific presentations and peer-reviewed articles. With the advent of the Internet and social media, this information is available in real-time from automated systems and within a dynamic, collaborative interaction between scientific experts, responders and the public. After the 2015 M7.8 Nepal earthquake, Twitter Tweets from earth scientists* included information, analysis, commentary and discussion on earthquake parameters (location, size, mechanism, rupture extent, high-frequency radiation, …), earthquake effects (distribution of felt shaking and damage, triggered seismicity, landslides, …), earthquake rumors (e.g. the imminence of a larger event) and other earthquake information and observations (aftershock forecasts, statistics and maps, source and regional tectonics, seismograms, GPS, InSAR, photos/videos, …).In the future (while taking into account security, false or erroneous information and identity verification), collaborative, real-time science on social media after a disaster will give earlier and better scientific understanding and dissemination of public information, and enable improved emergency response and disaster management.* A sample of scientific Tweets after the 2015 Nepal earthquake: In the first minutes: "mb5.9 Mwp7.4 earthquake Nepal 2015.04.25-06:11:25UTC", "Major earthquake shakes Nepal 8 min ago", "Epicenter between Pokhara and Kathmandu", "Major earthquake shakes Nepal 18 min ago. Effects derived from witnesses' reports". In the first hour: "shallow thrust faulting to North under Himalayas", "a very large and shallow event ... Mw7.6-7.7", "aftershocks extend east and south of Kathmandu, so likely ruptured beneath city", "Valley-blocking landslides must be a very real worry". In the first day: "M7.8 earthquake in Nepal 2hr ago: destructive in Kathmandu Valley and widely felt in India", "USGS pager v.3 contains initial fatality & economic loss estimates", "analysis of seismic waves … shows fault rupture lasted 80 sec, shaking longer", "aftershocks suggests rupture zone, directivity and shaking intensity".

Consumption of commercially produced snack foods and sugar-sweetened beverages during the complementary feeding period in four African and Asian urban contexts.

PubMed

Pries, Alissa M; Huffman, Sandra L; Champeny, Mary; Adhikary, Indu; Benjamin, Margaret; Coly, Aminata Ndeye; Diop, El Hadji Issakha; Mengkheang, Khin; Sy, Ndèye Yaga; Dhungel, Shrid; Feeley, Alison; Vitta, Bineti; Zehner, Elizabeth

2017-10-01

The availability and consumption of commercially produced foods and beverages have increased across low-income and middle-income countries. This cross-sectional survey assessed consumption of commercially produced foods and beverages among children 6-23 months of age, and mothers' exposure to promotions for these products. Health facility-based interviews were conducted among 218 randomly sampled mothers utilizing child health services in Dakar, Senegal; 229 in Dar es Salaam, Tanzania; 228 in Kathmandu Valley, Nepal; and 222 in Phnom Penh, Cambodia. In the day prior to the interview, 58.7% of 6-23-month-olds in Dakar, 23.1% in Dar es Salaam, 74.1% in Kathmandu Valley, and 55.0% in Phnom Penh had consumed a commercially produced snack food. In the previous week, the majority of children in Dakar (79.8%), Kathmandu Valley (91.2%), and Phnom Penh (80.6%) had consumed such products. Consumption of commercially produced sugar-sweetened beverages was noted among 32.0% of Phnom Penh, 29.8% of Dakar, 23.1% of Dar es Salaam, and 16.2% of Kathmandu Valley children. Maternal education was negatively associated with commercial snack food consumption in Dakar and Kathmandu Valley. Children of Phnom Penh mothers in the lowest wealth tercile were 1.5 times more likely to consume commercial snack food products, compared to wealthier mothers. These snack consumption patterns during the critical complementary feeding period demand attention; such products are often high in added sugars and salt, making them inappropriate for infants and young children. © 2017 John Wiley & Sons Ltd.

Radon emanation of heterogeneous basin deposits in Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Girault, Frédéric; Gajurel, Ananta Prasad; Perrier, Frédéric; Upreti, Bishal Nath; Richon, Patrick

2011-01-01

Effective radium-226 concentration ( EC Ra) has been measured in soil samples from seven horizontal and vertical profiles of terrace scarps in the northern part of Kathmandu Valley, Nepal. The samples belong to the Thimi, Gokarna, and Tokha Formations, dated from 50 to 14 ky BP, and represent a diverse fluvio-deltaic sedimentary facies mainly consisting of gravelly to coarse sands, black, orange and brown clays. EC Ra was measured in the laboratory by radon-222 emanation. The samples ( n = 177) are placed in air-tight glass containers, from which, after an accumulation time varying from 3 to 18 days, the concentration of radon-222, radioactive decay product of radium-226 and radioactive gas with a half-life of 3.8 days, is measured using scintillation flasks. The EC Ra values from the seven different profiles of the terrace deposits vary from 0.4 to 43 Bq kg -1, with profile averages ranging from 12 ± 1 to 27 ± 2 Bq kg -1. The values have a remarkable consistency along a particular horizon of sediment layers, clearly demonstrating that these values can be used for long distance correlations of the sediment horizons. Widely separated sediment profiles, representing similar stratigraphic positions, exhibit consistent EC Ra values in corresponding stratigraphic sediment layers. EC Ra measurements therefore appear particularly useful for lithologic and stratigraphic discriminations. For comparison, EC Ra values of soils from different localities having various sources of origin were also obtained: 9.2 ± 0.4 Bq kg -1 in soils of Syabru-Bensi (Central Nepal), 23 ± 1 Bq kg -1 in red residual soils of the Bhattar-Trisuli Bazar terrace (North of Kathmandu), 17.1 ± 0.3 Bq kg -1 in red residual soils of terrace of Kalikasthan (North of Trisuli Bazar) and 10 ± 1 Bq kg -1 in red residual soils of a site near Nagarkot (East of Kathmandu). The knowledge of EC Ra values for these various soils is important for modelling radon exhalation at the ground surface, in particular in the vicinity of active faults. Importantly, the study also reveals that, above numerous sediments of Kathmandu Valley, radon concentration in dwellings can potentially exceed the level of 300 Bq m -3 for residential areas; a fact that should be seriously taken into account by the governmental and non-governmental agencies as well as building authorities.

Spine surgery in Nepal: the 2015 earthquake

PubMed Central

2015-01-01

At noon on Saturday, 25 April 2015, a 7.8 magnitude earthquake struck Nepal. It was centered in the Himalaya northwest of Kathmandu, the capital of over 1 million people. The violent tremors were felt as far away as New Delhi, India 1,000 km from the epicenter, but the worst of its destructive force was experienced in the heavily populated Kathmandu valley and in the remote mountainous villages of the Himalaya. Ancient temples crumbled; poorly constructed buildings collapsed; men, women, and children were trapped and injured, sometimes fatally. Avalanches killed mountain climbers, Sherpa guides, and porters at Everest base camp (EBC). The death toll to date exceeds 8,600 with as many as 20,000 injured. Spinal Health International (SHI), a nonprofit volunteer organization, has been active in Nepal in past years and responded to requests by Nepali spine surgeons for assistance with traumatic spine injury victims following the earthquake. SHI volunteers were present during the 2nd major earthquake of magnitude 7.3 on 12 May 2015. Past and current experiences in Nepal will be presented. PMID:27683676

Near-road sampling of PM2. 5, BC, and fine-particle chemical components in Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Shakya, Kabindra M.; Rupakheti, Maheswar; Shahi, Anima; Maskey, Rejina; Pradhan, Bidya; Panday, Arnico; Puppala, Siva P.; Lawrence, Mark; Peltier, Richard E.

2017-06-01

Semicontinuous PM2. 5 and black carbon (BC) concentrations, and 24 h integrated PM2. 5 filter samples were collected near roadways in the Kathmandu Valley, Nepal. Instruments were carried by a group of volunteer traffic police officers in the vicinity of six major roadway intersections in the Kathmandu Valley across two sampling periods in 2014. Daily PM2. 5 filter samples were analyzed for water-soluble inorganic ions, elemental carbon (EC) and organic carbon (OC), and 24 elements. Mean PM2. 5 and BC concentrations were 124.76 µg m-3 and 16.74 µgC m-3 during the drier spring sampling period, and 45.92 µg m-3 and 13.46 µgC m-3 during monsoonal sampling. Despite the lower monsoonal PM2. 5 concentrations, BC and several elements were not significantly lower during the monsoon, which indicates an important contribution of vehicle-related emissions throughout both seasons in this region. During the monsoon, there was an enhanced contribution of chemical species (elements and water-soluble inorganic ions), except secondary inorganic ions, and BC to PM2. 5 (crustal elements: 19 %; heavy metals: 5 %; and BC: 39 %) compared to those in spring (crustal elements: 9 %; heavy metals: 1 %; and BC: 18 %). Silica, calcium, aluminum, and iron were the most abundant elements during both spring and the monsoon, with total concentrations of 12.13 and 8.85 µg m-3, respectively. PM2. 5 and BC showed less spatial variation compared to that for individual chemical species.

Quantifying the connections-linkages between land-use and water in the Kathmandu Valley, Nepal.

PubMed

Davids, Jeffrey C; Rutten, Martine M; Shah, Ram Devi T; Shah, Deep N; Devkota, Nischal; Izeboud, Petra; Pandey, Anusha; van de Giesen, Nick

2018-04-23

Land development without thoughtful water supply planning can lead to unsustainability. In practice, management of our lands and waters is often unintegrated. We present new land-use, ecological stream health, water quality, and streamflow data from nine perennial watersheds in the Kathmandu Valley, Nepal, in the 2016 monsoon (i.e., August and September) and 2017 pre-monsoon (i.e., April and May) periods. Our goal was to improve understanding of the longitudinal linkages between land-use and water. At a total of 38 locations, the Rapid Stream Assessment (RSA) protocol was used to characterize stream ecology, basic water quality parameters were collected with a handheld WTW multi-parameter meter, and stream flow was measured with a SonTek FlowTracker Acoustic Doppler Velocimeter. A pixel-based supervised classification method was used to create a 30-m gridded land use coverage from a Landsat 8 image scene captured in the fall of 2015. Our results indicated that land-use had a statistically significant impact on water quality, with built land-uses (high and low) having the greatest influence. Upstream locations of six of the nine watersheds investigated had near natural status (i.e., river quality class (RQC) 1) and water could be used for all purposes (after standard treatments as required). However, downstream RSA measurements for all nine watersheds had RQC 5 (i.e., most highly impaired). Generally, water quality deteriorated from monsoon 2016 to pre-monsoon 2017. Our findings reinforce the importance of integrated land and water management and highlight the urgency of addressing waste management issues in the Kathmandu Valley.

Point‐of‐sale promotion of breastmilk substitutes and commercially produced complementary foods in Cambodia, Nepal, Senegal and Tanzania

PubMed Central

Pereira, Catherine; Sweet, Lara; Khin, Mengkheang; Ndiaye Coly, Aminata; Sy Gueye, Ndeye Yaga; Adhikary, Indu; Dhungel, Shrid; Makafu, Cecilia; Zehner, Elizabeth; Huffman, Sandra L.

2016-01-01

Abstract In order to assess the prevalence of point‐of‐sale promotions of infant and young child feeding products in Phnom Penh, Cambodia; Kathmandu Valley, Nepal; Dakar Department, Senegal; and Dar es Salaam, Tanzania, approximately 30 retail stores per site, 121 in total, were visited. Promotional activity for breastmilk substitutes (BMS) and commercially produced complementary foods in each site were recorded. Point‐of‐sale promotion of BMS occurred in approximately one‐third of sampled stores in Phnom Penh and Dakar Department but in 3.2% and 6.7% of stores in Kathmandu Valley and Dar es Salaam, respectively. Promotion of commercially produced complementary foods was highly prevalent in Dakar Department with half of stores having at least one promotion, while promotions for these products occurred in 10% or less of stores in the other three sites. While promotion of BMS in stores is legal in Senegal, it is prohibited in Cambodia without prior permission of the Ministry of Health/Ministry of Information and prohibited in both Nepal and Tanzania. Strengthening legislation in Senegal and enforcing regulations in Cambodia could help to prevent such promotion that can negatively affect breastfeeding practices. Key messages Even in countries such as Cambodia, Nepal and Tanzania where point‐of‐sale promotion is restricted, promotions of BMS were observed (in nearly one‐third of stores in Phnom Penh and less than 10% in Dar es Salaam and Kathmandu).Limited promotion of commercially produced complementary foods was evident (less than 10% of stores had a promotion for such foods), except in Dakar Department, where promotions were found in half of stores.Efforts are needed to strengthen monitoring, regulation and enforcement of restrictions on the promotion of BMS.Manufacturers and distributors should take responsibility for compliance with national regulations and global policies pertaining to the promotion of breastmilk substitutes. PMID:27061961

Assessing the infection risk of enteropathogens from consumption of raw vegetables washed with contaminated water in Kathmandu Valley, Nepal.

PubMed

Shrestha, S; Haramoto, E; Shindo, J

2017-11-01

To assess diarrhoeal risks from enteropathogenic Escherichia coli, Giardia and Cryptosporidium from consuming raw spinach, cabbage, carrots and tomatoes in Kathmandu Valley, Nepal. The annual infection risk was quantified using the probabilistic Quantitative Microbial Risk Assessment approach, which considered 12 vegetable washing combinations. A new model was used to estimate dose of pathogens per exposure comprising parameters such as pathogen concentration in vegetable wash water before selling and eating, vegetable consumption rate, remaining pathogen ratio after washing, remaining water on vegetables after washing and water treatment removal efficiency. When all washing combinations were considered, high infection risks above the acceptable level of -4 log 10 infection per person per year were obtained, whereas the risk was reduced when other sources excluding river water were used. Assuming use of water treated with ceramic filters by all consumers, a 0-2 log 10 reduction in the estimated risks was obtained, which was insufficient to achieve the required risk level. High risk of diarrhoea prevails among raw vegetable consumers in the valley. It is needed to protect vegetable washing water sources and establish advanced water treatment methods to achieve the required level of public health risk. © 2017 The Society for Applied Microbiology.

WRF and WRF-Chem v3.5.1 simulations of meteorology and black carbon concentrations in the Kathmandu Valley

NASA Astrophysics Data System (ADS)

Mues, Andrea; Lauer, Axel; Lupascu, Aurelia; Rupakheti, Maheswar; Kuik, Friderike; Lawrence, Mark G.

2018-06-01

An evaluation of the meteorology simulated using the Weather Research and Forecast (WRF) model for the region of south Asia and Nepal with a focus on the Kathmandu Valley is presented. A particular focus of the model evaluation is placed on meteorological parameters that are highly relevant to air quality such as wind speed and direction, boundary layer height and precipitation. The same model setup is then used for simulations with WRF including chemistry and aerosols (WRF-Chem). A WRF-Chem simulation has been performed using the state-of-the-art emission database, EDGAR HTAP v2.2, which is the Emission Database for Global Atmospheric Research of the Joint Research Centre (JRC) of the European Commission, in cooperation with the Task Force on Hemispheric Transport of Air Pollution (TF HTAP) organized by the United Nations Economic Commission for Europe, along with a sensitivity simulation using observation-based black carbon emission fluxes for the Kathmandu Valley. The WRF-Chem simulations are analyzed in comparison to black carbon measurements in the valley and to each other. The evaluation of the WRF simulation with a horizontal resolution of 3×3 km2 shows that the model is often able to capture important meteorological parameters inside the Kathmandu Valley and the results for most meteorological parameters are well within the range of biases found in other WRF studies especially in mountain areas. But the evaluation results also clearly highlight the difficulties of capturing meteorological parameters in such complex terrain and reproducing subgrid-scale processes with a horizontal resolution of 3×3 km2. The measured black carbon concentrations are typically systematically and strongly underestimated by WRF-Chem. A sensitivity study with improved emissions in the Kathmandu Valley shows significantly reduced biases but also underlines several limitations of such corrections. Further improvements of the model and of the emission data are needed before being able to use the model to robustly assess air pollution mitigation scenarios in the Kathmandu region.

Using structural damage statistics to derive macroseismic intensity within the Kathmandu valley for the 2015 M7.8 Gorkha, Nepal earthquake

NASA Astrophysics Data System (ADS)

McGowan, S. M.; Jaiswal, K. S.; Wald, D. J.

2017-09-01

We make and analyze structural damage observations from within the Kathmandu valley following the 2015 M7.8 Gorkha, Nepal earthquake to derive macroseismic intensities at several locations including some located near ground motion recording sites. The macroseismic intensity estimates supplement the limited strong ground motion data in order to characterize the damage statistics. This augmentation allows for direct comparisons between ground motion amplitudes and structural damage characteristics and ultimately produces a more constrained ground shaking hazard map for the Gorkha earthquake. For systematic assessments, we focused on damage to three specific building categories: (a) low/mid-rise reinforced concrete frames with infill brick walls, (b) unreinforced brick masonry bearing walls with reinforced concrete slabs, and (c) unreinforced brick masonry bearing walls with partial timber framing. Evaluating dozens of photos of each construction type, assigning each building in the study sample to a European Macroseismic Scale (EMS)-98 Vulnerability Class based upon its structural characteristics, and then individually assigning an EMS-98 Damage Grade to each building allows a statistically derived estimate of macroseismic intensity for each of nine study areas in and around the Kathmandu valley. This analysis concludes that EMS-98 macroseismic intensities for the study areas from the Gorkha mainshock typically were in the VII-IX range. The intensity assignment process described is more rigorous than the informal approach of assigning intensities based upon anecdotal media or first-person accounts of felt-reports, shaking, and their interpretation of damage. Detailed EMS-98 macroseismic assessments in urban areas are critical for quantifying relations between shaking and damage as well as for calibrating loss estimates. We show that the macroseismic assignments made herein result in fatality estimates consistent with the overall and district-wide reported values.

Using structural damage statistics to derive macroseismic intensity within the Kathmandu valley for the 2015 M7.8 Gorkha, Nepal earthquake

USGS Publications Warehouse

McGowan, Sean; Jaiswal, Kishor; Wald, David J.

2017-01-01

We make and analyze structural damage observations from within the Kathmandu valley following the 2015 M7.8 Gorkha, Nepal earthquake to derive macroseismic intensities at several locations including some located near ground motion recording sites. The macroseismic intensity estimates supplement the limited strong ground motion data in order to characterize the damage statistics. This augmentation allows for direct comparisons between ground motion amplitudes and structural damage characteristics and ultimately produces a more constrained ground shaking hazard map for the Gorkha earthquake. For systematic assessments, we focused on damage to three specific building categories: (a) low/mid-rise reinforced concrete frames with infill brick walls, (b) unreinforced brick masonry bearing walls with reinforced concrete slabs, and (c) unreinforced brick masonry bearing walls with partial timber framing. Evaluating dozens of photos of each construction type, assigning each building in the study sample to a European Macroseismic Scale (EMS)-98 Vulnerability Class based upon its structural characteristics, and then individually assigning an EMS-98 Damage Grade to each building allows a statistically derived estimate of macroseismic intensity for each of nine study areas in and around the Kathmandu valley. This analysis concludes that EMS-98 macroseismic intensities for the study areas from the Gorkha mainshock typically were in the VII–IX range. The intensity assignment process described is more rigorous than the informal approach of assigning intensities based upon anecdotal media or first-person accounts of felt-reports, shaking, and their interpretation of damage. Detailed EMS-98 macroseismic assessments in urban areas are critical for quantifying relations between shaking and damage as well as for calibrating loss estimates. We show that the macroseismic assignments made herein result in fatality estimates consistent with the overall and district-wide reported values.

Next-generation sequencing identification of pathogenic bacterial genes and their relationship with fecal indicator bacteria in different water sources in the Kathmandu Valley, Nepal.

PubMed

Ghaju Shrestha, Rajani; Tanaka, Yasuhiro; Malla, Bikash; Bhandari, Dinesh; Tandukar, Sarmila; Inoue, Daisuke; Sei, Kazunari; Sherchand, Jeevan B; Haramoto, Eiji

2017-12-01

Bacteriological analysis of drinking water leads to detection of only conventional fecal indicator bacteria. This study aimed to explore and characterize bacterial diversity, to understand the extent of pathogenic bacterial contamination, and to examine the relationship between pathogenic bacteria and fecal indicator bacteria in different water sources in the Kathmandu Valley, Nepal. Sixteen water samples were collected from shallow dug wells (n=12), a deep tube well (n=1), a spring (n=1), and rivers (n=2) in September 2014 for 16S rRNA gene next-generation sequencing. A total of 525 genera were identified, of which 81 genera were classified as possible pathogenic bacteria. Acinetobacter, Arcobacter, and Clostridium were detected with a relatively higher abundance (>0.1% of total bacterial genes) in 16, 13, and 5 of the 16 samples, respectively, and the highest abundance ratio of Acinetobacter (85.14%) was obtained in the deep tube well sample. Furthermore, the bla OXA23-like genes of Acinetobacter were detected using SYBR Green-based quantitative PCR in 13 (35%) of 37 water samples, including the 16 samples that were analyzed for next-generation sequencing, with concentrations ranging 5.3-7.5logcopies/100mL. There was no sufficient correlation found between fecal indicator bacteria, such as Escherichia coli and total coliforms, and potential pathogenic bacteria, as well as the bla OXA23-like gene of Acinetobacter. These results suggest the limitation of using conventional fecal indicator bacteria in evaluating the pathogenic bacteria contamination of different water sources in the Kathmandu Valley. Copyright © 2017 Elsevier B.V. All rights reserved.

Access to improved water and its relationship with diarrhoea in Kathmandu Valley, Nepal: a cross-sectional study

PubMed Central

Shrestha, Salina; Aihara, Yoko; Yoden, Kanako; Yamagata, Zentaro; Nishida, Kei; Kondo, Naoki

2013-01-01

Objective To assess the associations between diarrhoea and types of water sources, total quantity of water consumed and the quantity of improved water consumed in rapidly growing, highly populated urban areas in developing countries. Design Cross-sectional analysis using population-representative secondary data obtained from an interview survey conducted by the Asian Development Bank for the 2009 Kathmandu Valley Water Distribution, Sewerage and Urban Development Project. Setting Kathmandu Valley, Nepal. Participants 2282 households. Methods A structured questionnaire was used to collect information from households on the quantity and sources of water consumed; health, socioeconomic and demographic status of households; drinking water treatment practices and toilet facilities. Results Family members of 179 households (7.8%) reported having developed diarrhoea during the previous month. For households in which family members consumed less than 100 L of water per capita per day (L/c/d), which is the minimum quantity recommended by WHO, the risk of contracting diarrhoea doubled (1.56-fold to 2.92-fold). In households that used alternative water sources (such as wells, stone spouts and springs) in addition to improved water (provided by a water management authority), the likelihood of contracting diarrhoea was 1.81-fold higher (95% CI 1.00 to 3.29) than in those that used only improved water. However, access to an improved water source was not associated with a lower risk of developing diarrhoea if optimal quantities of water were not consumed (ie, <100 L/c/d). These results were independent of socioeconomic and demographic variables, daily drinking water treatment practices, toilet facilities and residential areas. Conclusions Providing access to a sufficient quantity of water—regardless of the source—may be more important in preventing diarrhoea than supplying a limited quantity of improved water. PMID:23811169

Assessing the Factors Associated with Sexual Harassment among Young Female Migrant Workers in Nepal

ERIC Educational Resources Information Center

Puri, Mahesh; Cleland, John

2007-01-01

This article explores the extent of, and factors associated with, sexual harassment of young female migrant workers in the carpet and garment factories in Kathmandu Valley. Information is drawn from a survey of 550 female workers aged 14 to 19 and 12 in-depth case histories. Bivariate and multivariate techniques were applied to identify the…

Hazardous child labor in Nepal: The case of brick kilns.

PubMed

Larmar, Stephen; O'Leary, Patrick; Chui, Cheryl; Benfer, Katherine; Zug, Sebastian; Jordan, Lucy P

2017-10-01

Hazardous child labor in Nepal is a serious concern, particularly in the brick kiln industry. Although a range of interventions have been implemented in Nepal to address hazardous child labor, there is a lack of research to both measure success and shape further development in interventions that integrate sound child protection practices to ensure the wellbeing of all children. This paper provides a review of the literature outlining interventions for children working in brick kilns in Nepal, and presents preliminary case study findings of one current intervention in the Kathmandu Valley. The paper highlights the strength of applying foundational child protection principles and advocates for the development and implementation of future programs underpinned by broad civil society principles within a child rights and protection framework. Copyright © 2017. Published by Elsevier Ltd.

Characterization of microbial communities distributed in the groundwater pumped from deep tube wells in the Kathmandu Valley of Nepal.

PubMed

Tanaka, Yasuhiro; Nishida, Kei; Nakamura, Takashi; Chapagain, Saroj Kumar; Inoue, Daisuke; Sei, Kazunari; Mori, Kazuhiro; Sakamoto, Yasushi; Kazama, Futaba

2012-03-01

Although groundwater is a major water supply source in the Kathmandu Valley of Nepal, it is known that the groundwater has significant microbial contamination exceeding the drinking water quality standard recommended by the World Health Organization (WHO), and that this has been implicated in causing a variety of diseases among people living in the valley. However, little is known about the distribution of pathogenic microbes in the groundwater. Here, we analysed the microbial communities of the six water samples from deep tube wells by using the 16S rRNA gene sequences based culture-independent method. The analysis showed that the groundwater has been contaminated with various types of opportunistic microbes in addition to fecal microbes. Particularly, the clonal sequences related to the opportunistic microbes within the genus Acinetobacter were detected in all samples. As many strains of Acinetobacter are known as multi-drug resistant microbes that are currently spreading in the world, we conducted a molecular-based survey for detection of the gene encoding carbapenem-hydrolysing β-lactamase (bla(oxa-23-like) gene), which is a key enzyme responsible for multi-drug resistance, in the groundwater samples. Nested polymerase chain reaction (PCR) using two specific primer sets for amplifying bla(oxa-23-like) gene indicated that two of six groundwater samples contain multi-drug resistant Acinetobacter.

Counting women's work in the agricultural census of Nepal: a report.

PubMed

Joshi, S

2000-01-01

Like many national statistical surveys, the Agricultural Census of Nepal does not reflect the actual contribution of women's work in agriculture. Inadequacies in conceptualization, definition of terms and data gathering methods result in undervaluation and underrepresentation of women's work. This study of 124 Newar households in the Lubhu Village Development Committee, Kathmandu Valley, provides a statistical representation of women's roles in agricultural operations and household activities by assessing the actual extent of their work. After analyzing the gender division of labor, the study concludes that women's work in agriculture and household activities is significantly higher than men's work.

The role of inspection and maintenance in controlling vehicular emissions in Kathmandu valley, Nepal

NASA Astrophysics Data System (ADS)

Faiz, Asif; Bahadur Ale, Bhakta; Nagarkoti, Ram Kumar

Motor vehicles are a major source of air pollutant emissions in Kathmandu valley, Nepal. In-use vehicle emission limits were first introduced in Nepal in 1998 and updated in 2000. The emission regulations for gasoline vehicles limit CO emissions to 3-4.5% by volume and HC emissions to 1000 ppm for four-wheeled vehicles, and 7800 ppm for two- and three- wheelers. Emission limits for LPG/CNG vehicles are 3% for CO and 1000 ppm for HC. For diesel vehicles, smoke density must not exceed 65-75 HSU depending on the age of the vehicle. The Government operates a rudimentary inspection and maintenance (I/M) program based on an idle engine test, utilizing an exhaust gas analyzer (for gasoline/LPG/CNG vehicles) and an opacimeter for diesel vehicles. The I/M program is confined to four-wheeled vehicles and occasional three-wheelers. The inspections are required at least once a year and are conducted at designated vehicle testing stations. The I/M program is supplemented by roadside checks. This paper is based on the findings of an analysis of vehicle emissions test data for the period June 2000 to July 2002, covering some 45,000 data sets. Each data set includes information on vehicle type and ownership, the model year, and CO/HC test emission values. The analysis reported in this paper covers the characteristics and statistical distribution of emissions from gasoline-fuelled vehicles, including the impact of gross emitters. The effects of vehicle age, model year (with or without catalysts), usage, and ownership (private vs. public) on emissions of gasoline-fuelled vehicles are discussed. The findings for diesel vehicles have been reported earlier by Ale and Nagarkoti (2003b. Evaluation of Kathmandu valley inspection and maintenance program on diesel vehicles. Journal of the Institute of Engineering 3(1)). This study identifies the limitations of the current I/M program, given that it does not include 70% of the fleet consisting of two-wheelers and concludes with proposed changes to the I/M program to make it more effective.

Digital Recording and Non-Destructive Techniques for the Understanding of Structural Performance for Rehabilitating Historic Structures at the Kathmandu Valley after Gorkha Earthquake 2015

NASA Astrophysics Data System (ADS)

Shrestha, S.; Reina Ortiz, M.; Gutland, M.; Napolitano, R.; Morris, I. M.; Santana Quintero, M.; Erochko, J.; Kawan, S.; Shrestha, R. G.; Awal, P.; Suwal, S.; Duwal, S.; Maharjan, D. K.

2017-08-01

On 25 April 2015, the Gorkha earthquake of magnitude 7.8, severely damaged the cultural heritage sites of Nepal. In particular, the seven monument zones of the Kathmandu Valley World Heritage Site suffered extensive damage. Out of 195 surveyed monuments, 38 have completely collapsed and 157 partially damaged (DoA, 2015). In particular, the world historic city of Bhaktapur was heavily affected by the earthquake. There is, in general, a lack of knowledge regarding the traditional construction technology used in many of the most important temple monuments in Bhaktapur. To address this limitation and to assist in reconstruction and rehabilitation of the area, this study documents the existing condition of different historic structures in the Kathmandu Valley. In particular, the Nyatapola Temple is studied in detail. To record and document the condition of this temple, a combination of laser scanning and terrestrial and aerial photogrammetry are used. By also including evaluation of the temple and its supporting plinth structure using non-destructive evaluation techniques like geo-radar and micro-tremor dynamic analysis, this study will form the basis of a structural analysis study to assess the anticipated future seismic performance of the Nyatapola Temple.

Epidemic meningococcal disease: recommendations for travelers to Nepal.

PubMed

1985-03-08

In the Kathmandu Valley of Nepal, an epidemic of serogroup A meningococcal meningitis resulted in 875 cases and 95 deaths during the 1st 6 months of 1983. The overall annual attack rate was 103 cases/100,000 population; the case fatality ratio was 11%. The highest age-specific attack rate (223/100,000) occurred among children under age 1 year. 3 times as many cases occurred in Kathmandu during December 1983 and January 1984 as in the same period a year previously. A mass vaccination campaign was initiated on February 8, 1984, and 330,000 doses of bivalent A/C meningococcal vaccine were administered, achieving approximately 65% coverage of the target population. A marked decline in the number of meningitis cases occurred coincident with the initiation of the mass campaign. In 1985 meningococcal meningitis is occurring at a much lower rate than in 1984, but meningococcal disease among hikers now is being recognized. Over the January 1984-January 1985 period, 2 culture-confirmed and 4 clinically suspected cases of meningococcal disease were documented among tourists from western countries traveling in Nepal. Patients ranged in age from 16-40 years. 5 patients had evidence of meningococcemia; the other had meningitis alone. 2 patients died, and all became ill during or shortly after hiking outside kathmandu. 3 patients were from the US, 2 from Australia, and 1 from Switzerland. Tables present data on cases of specified notifiable diseases in the US.

Foreign Assistance and Its Impact on Civil-Military Relations: A Case Study of Federal Democratic Republic of Nepal

DTIC Science & Technology

2014-03-01

China activities and keeping Nepal away from being too dependent in India. While assisting Kathmandu, Beijing is consciously making strategic inroads...112 Campbell, “Nepal Case Study,” 5. 113 M Humagain, “Aid Quantum : China the Rising Sun on Nepal Economic...military/library/congress/2006_hr/060407- hillen.pdf. Humagain, M. “Aid Quantum : China the Rising Sun on Nepal Economic Horizon.” Kathmandu Post

Accelerating risk reduction in Kathmandu Valley, Nepal: Theory-based mass-media intervention proven to increase knowledge of, belief in, and intent to support earthquake-resistant construction.

NASA Astrophysics Data System (ADS)

Sanquini, A.; Thapaliya, S. M.; Wood, M. M.; Hilley, G. E.

2015-12-01

Motivating people in rapidly urbanizing areas to take protective actions against natural disasters faces the challenge that these people often do not know what actions to take, do not believe that such actions are effective, and/or believe that the disaster will not happen to them within their lifetimes. Thus, finding demonstrated ways of motivating people to take protective action likely constitutes a grand challenge for natural disaster risk reduction and resiliency, because it may be one of the largest, lowest-cost sources of potential risk reduction in these situations. We developed a theory-based documentary film (hereafter, intervention) targeted at motivating retrofits of local school buildings, and tested its effectiveness in Kathmandu, Nepal, using a matched-pair clustered randomized controlled trial. The intervention features Nepalese who have strengthened their school buildings as role models to others at schools still in need of seismic work. It was tested at 16 Kathmandu Valley schools from November 2014 through March 2015. Schools were matched into 8 pairs, then randomly assigned to see either the intervention film or an attention placebo control film on an unrelated topic. Testing was completed just five weeks before the M 7.8 Gorkha earthquake struck central Nepal. When compared to the control schools, the schools whose community members saw the retrofit intervention film increased their knowledge of specific actions to take in support of earthquake-resistant construction, belief in the feasibility of making buildings earthquake-resistant, willingness to support seismic strengthening of the local school building, and likelihood to recommend to others that they build earthquake-resistant homes, which have all been shown to be precursors to taking self-protective action. This suggests that employing a mass-media intervention featuring community members who have already taken the desired action increases factors that may accelerate adoption of risk reduction actions by others who are similar to them.

Modeling the intraurban variation in nitrogen dioxide in urban areas in Kathmandu Valley, Nepal.

PubMed

Gurung, Anobha; Levy, Jonathan I; Bell, Michelle L

2017-05-01

With growing urbanization, traffic has become one of the main sources of air pollution in Nepal. Understanding the impact of air pollution on health requires estimation of exposure. Land use regression (LUR) modeling is widely used to investigate intraurban variation in air pollution for Western cities, but LUR models are relatively scarce in developing countries. In this study, we developed LUR models to characterize intraurban variation of nitrogen dioxide (NO 2 ) in urban areas of Kathmandu Valley, Nepal, one of the fastest urbanizing areas in South Asia. Over the study area, 135 monitoring sites were selected using stratified random sampling based on building density and road density along with purposeful sampling. In 2014, four sampling campaigns were performed, one per season, for two weeks each. NO 2 was measured using duplicate Palmes tubes at 135 sites, with additional information on nitric oxide (NO), NO 2 , and nitrogen oxide (NOx) concentrations derived from Ogawa badges at 28 sites. Geographical variables (e.g., road network, land use, built area) were used as predictor variables in LUR modeling, considering buffers 25-400m around each monitoring site. Annual average NO 2 by site ranged from 5.7 to 120ppb for the study area, with higher concentrations in the Village Development Committees (VDCs) of Kathmandu and Lalitpur than in Kirtipur, Thimi, and Bhaktapur, and with variability present within each VDC. In the final LUR model, length of major road, built area, and industrial area were positively associated with NO 2 concentration while normalized difference vegetation index (NDVI) was negatively associated with NO 2 concentration (R 2 =0.51). Cross-validation of the results confirmed the reliability of the model. The combination of passive NO 2 sampling and LUR modeling techniques allowed for characterization of nitrogen dioxide patterns in a developing country setting, demonstrating spatial variability and high pollution levels. Copyright © 2017 Elsevier Inc. All rights reserved.

Presence of faecal indicator bacteria in groundwaters in Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Nishida, K.; Shrestha, S.; Tanaka, Y.; Haramoto, E.; Nakamura, T.; Osaka, K.; Chapagain, S.

2010-12-01

Groundwater quality is a critical problem in Kathmandu Valley, Nepal. The population of the city increased 6 times in the last six decades and more than half of water demand depends on groundwater resource. Nevertheless, few data of microorganism presence have been reported qualitatively in the central area of the valley. We investigated distribution of faecal indicator bacteria (Total coliforms and Escherichia coli) detected in wells and analyzed the variations of the concentrations. Groundwater samples were collected from 12 deep tube wells (170-300m depths) and 36 shallow tube wells and dug wells (3-20m depths) in Aug 2008, Jan 2009, Aug 2009 and Aug 2010. River waters were also collected for analyzing effect on groundwater quality. E. coli was detected from most of all wells; the concentrations were within 1 log cfu/100mL in deep tube wells and shallow tube wells while those in dug wells ranged from 1 to 3 log cfu/100mL. E. coli was detected at extremely high level in river water, from 5 to 7 log cfu/100mL, however, no clear relation was observed between E. coli concentrations in any types of groundwaters and distance of wells from adjacent rivers. These results indicate that both types of tube wells were rather protected and dug wells were most vulnerable for faecal contamination at very local scale. Genetic analysis of bacterial communities for deep well samples showed the existence of Enterobacter, Acinetobacter as well as Methane-metabolizing groups which provide information of possible indicators other than total coliforms or E. coli for groundwater management in the valley.

Detection of Waterborne Protozoa, Viruses, and Bacteria in Groundwater and Other Water Samples in the Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Haramoto, E.

2018-03-01

In this study, the prevalence of various waterborne pathogens in water samples collected in the Kathmandu Valley, Nepal, and the applicability of Escherichia coli as an indicator of pathogen contamination in groundwater were assessed. Fifty-three water samples, including shallow groundwater and river water, were analyzed to examine the presence of protozoan (oo)cysts via fluorescence microscopy and that of viral and bacterial genomes via quantitative PCR. At least one of the seven types of pathogens tested (i.e., Cryptosporidium, Giardia, human adenoviruses, noroviruses of genogroups I and II, group A rotaviruses, and Vibrio cholerae) was detected in 68% (15/22) of the shallow dug well water samples; groundwater in the shallow dug wells was more contaminated compared with that in shallow tube wells (8/15, 53%). River water and sewage samples were contaminated with extremely high concentrations of multiple pathogens, whereas a tap water sample supplied by a water tanker tested positive for human adenoviruses and V. cholerae. The detection of host-specific Bacteroidales genetic markers revealed the effects of human and animal feces on groundwater contamination. The tested pathogens were sometimes detected even in E. coli-negative groundwater samples, indicative of the limitations of using E. coli as an indicator for waterborne pathogens in groundwater.

Seasonal and diurnal variations of methane and carbon dioxide in the highly polluted Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Mahata, Khadak; Panday, Arnico; Rupakheti, Maheswar; Lawrence, Mark

2016-04-01

Anthropogenic emissions of carbon dioxide and methane - key greenhouse gases (GHGs) - are primary causes of global warming and resultant impacts. The atmospheric warming is more pronounced and likely to cause more serious damage in vulnerable areas such as the Hindukush-Karakorum-Himalayan region (HKH). The HKH region is a data gap region according to the 5th Assessment report of the intergovernmental panel on climate change (IPCC). In order to understand the mixing ratios and variability of the key GHGs in the foothills of the Central Himalaya, we carried out continuous measurements of CO2, CH4, CO, and water vapor at Bode (an urban site in the Kathmandu valley, Nepal) for a year (March 2013 - Feb 2014), and again at Bode and at Chanban (a background outside the Valley) for 3 months (July 15 - Oct 3, 2015), with two state-of-the-art cavity ring-down instruments (Picarro G2401). The measurements were carried out as a part of the international air pollution measurement campaign: SusKat- ABC (Sustainable atmosphere for the Kathmandu Valley - Atmospheric Brown Clouds). The annual average CO2 and CH4 concentrations at Bode were 419 ± 24 and 2.192 ± 0.224 ppm, respectively, which are notably higher than those observed at the background site at Mauna Loa Observatory in the same period. The CO2concentration at Bode was high during the pre-monsoon period and low during the monsoon, while CH4 was high in winter and lower during the pre-monsoon period. The monthly CO2concentration was highest in April. Forest fires and agro-waste burning in the region, and the local emissions in the Kathmandu valley were the main sources of the high CO2 in the pre-monsoon period. CH4 showed a maximum in September due to additional emissions from paddy fields. Seasonally, winter has the highest CH4 concentration which is due to brick production, which is a seasonal activity, and other local sources combined with the shallow mixing layer height in winter. The diurnal pattern of CO2 and CH4 showed a high morning peak (7:00-8:00 local time), a daytime low and a nighttime high in all seasons. CO showed similar diurnal patterns in the pre-monsoon and winter. The high concentrations of CO2 and CH4 from January to April were primarily due to emissions from brick industries located in the south-east and eastern side of the valley. The concentrations of CO2, CH4 and CO at the rural site outside the valley (Chanban) were 3.8%, 12% and 64% lower than corresponding concentrations at Bode (urban site) during 3 months of observations. The difference in CO2, CH4 and CO concentrations between urban and rural sites indicates that the the Kathmandu Valley is highly affected by local emission sources, which, if addressed with appropriate mitigation measures, can bring substantial benefits to both local air quality and GHG reduction.

Prevalence of protozoa, viruses, coliphages and indicator bacteria in groundwater and river water in the Kathmandu Valley, Nepal.

PubMed

Haramoto, Eiji; Yamada, Kaoru; Nishida, Kei

2011-12-01

Limited information is available on the prevalence of waterborne pathogens in aquatic environments in developing countries. In this study, water samples were collected from nine shallow wells and a river in the Kathmandu Valley, Nepal, during the rainy season in 2009 and were subjected to detection of waterborne protozoa, viruses and coliphages using a recently developed method for simultaneous concentration of protozoa and viruses in water. Escherichia coli and total coliforms were also tested as indicator bacteria. At least one type of the five pathogens tested (Cryptosporidium, Giardia, human adenoviruses, and noroviruses of genogroups I and II) was detected in five groundwater samples (56%) (1000 ml each) from shallow wells. Compared with groundwater samples, the pathogens were more abundant in the river water sample (100ml); the concentrations of Cryptosporidium and Giardia were 140 oocysts/l and 8500 cysts/l, respectively, and the mean threshold cycle (Ct) values in real-time RT-PCR were 34.3, 36.8 and 34.0 for human adenoviruses and noroviruses of genogroups I and II, respectively. Genotyping of F-RNA coliphages by real-time RT-PCR was successfully used to differentiate human and animal faecal contamination in the samples. Moreover, for the groundwater samples, protozoa and viruses were detected only in E. coli-positive samples, suggesting that E. coli may be an appropriate indicator of pathogen contamination of valley groundwater. Copyright © 2011 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

HIV decline associated with changes in risk behaviours among young key populations in Nepal: analysis of population-based HIV prevalence surveys between 2001 and 2012.

PubMed

Deuba, Keshab; Ekström, Anna Mia; Tomson, Göran; Shrestha, Rachana; Marrone, Gaetano

2017-08-01

We assessed changes in HIV prevalence and risk behaviours among young key populations in Nepal. A total of 7505 participants (aged 16-24 years) from key populations who were at increased risk of HIV infection (2767 people who inject drugs (PWID); 852 men who have sex with men/transgender (MSM/TG); 2851 female sex workers (FSW) and 1035 male labour migrants) were recruited randomly over a 12-year period, 2001-2012. Local epidemic zones of Nepal (Kathmandu valley, Pokhara valley, Terai Highway and West to Far West hills) were analysed separately. We found a very strong and consistent decline in HIV prevalence over the past decade in different epidemic zones among PWID and MSM/TG in Kathmandu, the capital city, most likely due to a parallel increase in safe needle and syringe use and increased condom use. A decrease in HIV prevalence in 22 Terai highway districts, sharing an open border with India, was also consistent with increased condom use among FSW. Among male labour migrants, HIV prevalence was low throughout the period in the West to Far West hilly regions. Condom use by migrant workers involved with FSW abroad increased while their condom use with Nepalese FSW declined. Other risk determinants such as mean age at starting first injection, injection frequency, place of commercial sex solicitation, their mean age when leaving to work abroad did not change consistently across epidemic zones among the young key populations under study. In Nepal, the decline in HIV prevalence over the past decade was remarkably significant and consistent with an increase in condom use and safer use of clean needles and syringes. However, diverging trends in risk behaviours across local epidemic zones of Nepal suggest a varying degree of implementation of national HIV prevention policies. This calls for continued preventive efforts as well as surveillance to sustain the observed downward trend.

Challenges constraining insulin access in Nepal-a country with no local insulin production.

PubMed

Sharma, Abhishek; Bhandari, Parash Mani; Neupane, Dipika; Kaplan, Warren A; Mishra, Shiva Raj

2018-05-01

Nepal is facing an increasing burden of diabetes and relies almost entirely on insulin imported through India. We employed a modified version of the WHO/Health Action International standard survey to assess insulin availability and prices, along with qualitative interviews with insulin retailers (pharmacists) and wholesalers in the Kathmandu Valley, Nepal. The mean availability of the two human insulins listed on the 2011 Nepal Essential Medicine List were 14.3% and 42.85% in the surveyed private- and public-sector pharmacies, respectively, compared with the WHO target of 80% availability. The median consumer price of human insulin cartridges, analogue insulin cartridges and pens was, respectively, 2.1, 4.6 and 5.3 times that of human insulin vials (US$5.54). The insulin cartridges made in India were less expensive (p<0.001) than those made elsewhere. The lowest-paid worker would need to spend between 3 and 17 days' wages to purchase a monthly insulin supply out of pocket. Insulin access is limited in Kathmandu owing to low availability and the highly unaffordable price. Insulin access could improve with the government exploring additional suppliers, pooling insulin tenders, auditing insulin utilization and developing independent prescribing guidelines. Furthermore, there is a need to educate physicians and develop a consensus statement on insulin initiation to curb the growing analogue use and promote rational use.

Introduction to the focus section on the 2015 Gorkha, Nepal, earthquake

USGS Publications Warehouse

Hough, Susan E.

2015-01-01

It has long been recognized that Nepal faces high earthquake hazard, with the most recent large (Mw>7.5) events in 1833 and 1934. When the 25 April 2015Mw 7.8 Gorkha earthquake struck, it appeared initially to be a realization of worst fears. In spite of its large magnitude and proximity to the densely populated Kathmandu valley, however, the level of damage was lower than anticipated, with most vernacular structures within the valley experiencing little or no structural damage. Outside the valley, catastrophic damage did occur in some villages, associated with the high vulnerability of stone masonry construction and, in many cases, landsliding. The unexpected observations from this expected earthquake provide an urgent impetus to understand the event itself and to better characterize hazard from future large Himalayan earthquakes. Toward this end, articles in this special focus section present and describe available data sets and initial results that better illuminate and interpret the earthquake and its effects.

Self-perception of stigma and discrimination among men having sex with men.

PubMed

Oli, N; Onta, S R

2012-09-01

Men having sex with men are hidden population in Nepal due to existing of stigma and discrimination in social, economic and others aspects. Due to present stigma and discrimination majority of men having sex with men do not have access to HIV/AIDS prevention programs that lead to unsafe sexual behavior.The objective of the study was to explore self-perception of stigma and discrimination among men having sex with men in Kathmandu valley. This is a qualitative study. Study was carried out between July 2010 and December 2010 in Kathmandu Valley, Nepal. During study 3 focus group discussions were conducted to explore stigma and discrimination of the respondents in their families, work place, health facilities, from law reinforcement body, and to explore methods of adaptation of men who have sex with men to stigma and discrimination in different areas of their life. A focus group discussions guideline was used for the discussion. Majority of the respondents who reported about discrimination from family members, in work place, in health care facilities and from law reinforcement body were Transgender (Meti). Many of respondents noticed that in some aspects discrimination seems to be decreasing due to rising awareness of homosexual relationship in the society. In spite on rising awareness among society regarding homosexual relationship there is still lots of stigma and discrimination faced by MSMs in all aspects of their life.

Development of Earthquake Emergency Response Plan for Tribhuvan International Airport, Kathmandu, Nepal

DTIC Science & Technology

2013-02-01

Kathmandu, Nepal 5a. CONTRACT NUMBER W911NF-12-1-0282 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER ...In the past, big earthquakes in Nepal (see Figure 1.1) have caused a huge number of casualties and damage to structures. The Great Nepal -Bihar...UBC Earthquake Engineering Research Facility 2235 East Mall, Vancouver, BC, Canada V6T 1Z4 Phone : 604 822-6203 Fax: 604 822-6901 E-mail

Catastrophic household expenditure on health in Nepal: a cross-sectional survey.

PubMed

Saito, Eiko; Gilmour, Stuart; Rahman, Md Mizanur; Gautam, Ghan Shyam; Shrestha, Pradeep Krishna; Shibuya, Kenji

2014-10-01

To determine the incidence of - and illnesses commonly associated with - catastrophic household expenditure on health in Nepal. We did a cross-sectional population-based survey in five municipalities of Kathmandu Valley between November 2011 and January 2012. For each household surveyed, out-of-pocket spending on health in the previous 30 days that exceeded 10% of the household's total expenditure over the same period was considered to be catastrophic. We estimated the incidence and intensity of catastrophic health expenditure. We identified the illnesses most commonly associated with such expenditure using a Poisson regression model and assessed the distribution of expenditure by economic quintile of households using the concentration index. Overall, 284 of the 1997 households studied in Kathmandu, i.e. 13.8% after adjustment by sampling weight, reported catastrophic health expenditure in the 30 days before the survey. After adjusting for confounders, this expenditure was found to be associated with injuries, particularly those resulting from road traffic accidents. Catastrophic expenditure by households in the poorest quintile were associated with at least one episode of diabetes, asthma or heart disease. In an urban area of Nepal, catastrophic household expenditure on health was mostly associated with injuries and noncommunicable diseases such as diabetes and asthma. Throughout Nepal, interventions for the control and management of noncommunicable diseases and the prevention of road traffic accidents should be promoted. A phased introduction of health insurance should also reduce the incidence of catastrophic household expenditure.

Analysis of the vehicle fleet in the Kathmandu Valley for estimation of environment and climate co-benefits of technology intrusions

NASA Astrophysics Data System (ADS)

Shrestha, Shreejan Ram; Kim Oanh, Nguyen Thi; Xu, Quishi; Rupakheti, Maheswar; Lawrence, Mark G.

2013-12-01

Technologies and activities of the on-road traffic fleets, including bus, van, 3-wheeler, taxi and motorcycle (MC) in the Kathmandu Valley, Nepal, during 2010, were investigated with the aim to produce emission estimates, using the International Vehicle Emission (IVE) model, for the base year and for an optimistic technology scenario. The parking lot survey, GPS monitoring and video camera monitoring were conducted over four typical road types (arterial, highway, residential and outskirt roads). The average age of vehicles in the bus, van, 3-wheeler, taxi and MC fleet was 9, 8.7, 11, 9.5 and 4 years, respectively. There were some extremely old buses (over 40 years old) which had extremely high emission factors. Except for MCs that had a large share of Euro III technology (75%), other types of surveyed vehicles were at most Euro II or lower. The average vehicle kilometers traveled (VKT) for each vehicle type was estimated based on odometer readings which showed comparable results with the GPS survey. The emission factors (EFs) produced by the IVE model for the driving and meteorological conditions in Kathmandu were used to estimate emissions for the base case of 2010. EFs in Kathmandu were higher than other developing cities, especially for PM and NOx from the bus fleet. Diurnal variations of the emissions were consistent with the diurnal vehicle density. From the fleet in 2010, total emissions of the major pollutants, i.e., CO, VOC, NOx, PM, BC, and CO2, were 31, 7.7, 16, 4.7, 2.1, and 1554 Gg, respectively. If the entire fleet in the Kathmandu Valley would comply with Euro III then the emission would decrease, as compared to the base case, by 44% for toxic air pollutants (excluding CO2) and 31% for climate-forcers in terms of the 20-year horizon CO2-equivalent. Future surveys should include other vehicle types such as trucks, personal cars, and non-road vehicles. The EFs obtained for the Euro III scenario in Kathmandu were well above those in other parts of the World, hence strongly suggesting influences of the driving conditions, especially the low vehicle speeds, on the vehicle emission in the valley.

DOC and DON Dynamics along the Bagmati Drainage Network in Kathmandu Valley

NASA Astrophysics Data System (ADS)

Bhatt, M. P.; McDowell, W. H.

2005-05-01

We studied organic matter dynamics and inorganic chemistry of the Bagmati River in Kathmandu valley, Nepal, to understand the influence of human and geochemical processes on chemical loads along the drainage system. Population density appears to be the most fundamental control on the chemistry of surface waters within the Bagmati drainage system. DOC concentration increases 10-fold with distance downstream (from 2.38 to 23.95 mg/L) and shows a strong relationship with human population density. The composition of river water (nutrients, Cl) suggests that sewage effluent to the river has a major effect on water quality. Concentrations were highest during summer, and lowest during the winter monsoon season. In contrast to DOC, DON concentration shows surprisingly little variation, and tends to decrease in concentration with distance downstream. Ammonium contributes almost all nitrogen in the total dissolved nitrogen fraction and the concentration of nitrate is negligible, probably due to rapid denitrification within the stream channel under relatively low-oxygen conditions. Decreases in sulfate along the stream channel may also be due to the reduction of sulfate to sulfide due to the heavy organic matter loading. Water quality is unacceptable for any use and the whole ecosystem is severely affected within the urban areas. Based on a comparison of downstream and upstream water quality, it appears that human activities along the Bagmati, principally inputs of human sewage, are largely responsible for the changes in surface water chemistry within Kathmandu valley.

High blood levels of lead in children aged 6-36 months in Kathmandu Valley, Nepal: A cross-sectional study of associated factors

PubMed Central

Karki, Khem Bahadur; Aryal, Krishna Kumar; Dhimal, Bimala; Joshi, Hari Datt; Puri, Sajan; Pandey, Achyut Raj; Dhakal, Purushotam; Sharma, Arun Kumar; Raya, Ganendra Bhakta; Ansari, Imran; Groneberg, David A.; Müller, Ruth; Kuch, Ulrich

2017-01-01

Young children are at greatest risk of exposure to lead and its effects. Although lead is one of the most widely used elements with known health hazard, there is little data on the blood lead level (BLL) of children in the Kathmandu Valley. Thus, this study aimed to assess factors associated with high BLL in children who were 6–36 months of age and resided in the Kathmandu Valley. In this hospital-based cross-sectional study 6–36 month-old children visiting the Paediatrics Outpatient Department of Tribhuvan University Teaching Hospital, Patan Hospital, and Siddhi Memorial Hospital were enrolled. All three hospitals are located in different areas inside the Kathmandu Valley. Written informed consent was obtained from the parents, and exposure data were collected using a structured questionnaire. Portable Anodic Stripping Voltammetry (ASV) was used to determine BLLs in children. Data were analyzed using SPSS version 16. Of 312 children enrolled in the study, 64.4% had BLLs ≥5μg/dl. A significant association was found between BLL and exposure to enamel paints in the household in the form of painting materials used in different parts of the house like walls, windows and doors (p = 0.001). Furthermore, multivariate analyses showed that BLLs were 4.5 times higher in children playing with dirt and dust (p = 0.006) and that children belonging to the community of lower caste/ethnicity groups had significantly higher BLLs compared to those from the upper caste groups (p = 0.02). Our study demonstrated that children living in households that have used enamel paints, children belonging to lower caste/ethnic groups, and children frequently playing with dirt and dust had significantly higher BLLs. The results of this study highlight the importance of policy decisions to limit environmental lead contamination, and to roll out awareness building measures designed to limit lead exposure and break the poverty cycle associated with chronic lead poisoning. PMID:28604801

Communicating awareness of light pollution with the schools in Nepal

NASA Astrophysics Data System (ADS)

Acharya, Jayanta

2015-08-01

Nepal is also highly polluted by the lights and other dusts partials, but lacks the formal education of light pollutions and effect of light for astronomy observations. When we get Sky Quality Meter (SQM) last year (2014) we have installed it in Kathmandu.This paper will highlight about installation SQM in Nepal, measurement of brightness of the night sky in magnitudes per square arc second. Research work of light pollution of Kathmandu will be more in focus. Highlight of the Astronomy programs by different Schools in Nepal along with the background of coverage of Astronomy education in the syllables of different education level. The various procedure , technique and idea used in providing the space education through different activities and program to school studentsThe paper will also deal with the Importance of light and use of artificial light. Beside it will also highlight the possibility of development of various observatories in Nepal because of its tremendous topography increasing the Astro tourism in Nepal.Hence the paper would focus on the light pollution of the city like Kathmandu and light system in Nepal and Astronomy education to its implementation along with its outreach to Nepalese society.

Corporal Punishment in Private Schools: The Case of Kathmandu, Nepal

ERIC Educational Resources Information Center

Khanal, Jeevan; Park, Sae-Hoon

2016-01-01

The purpose of this study was to elaborate the situation of corporal punishment which is being practiced in Nepalese schools going against new policies that promote the non-violence teaching. It was based on original qualitative study of one private school of Kathmandu (the capital city of Nepal) having more than 2000 students and 100 teachers.…

Prevalence of Entamoeba nuttalli infection in wild rhesus macaques in Nepal and characterization of the parasite isolates.

PubMed

Tachibana, Hiroshi; Yanagi, Tetsuo; Lama, Chamala; Pandey, Kishor; Feng, Meng; Kobayashi, Seiki; Sherchand, Jeevan B

2013-04-01

We have recently resurrected the name Entamoeba nuttalli Castellani, 1908 for a potentially virulent ameba isolate, P19-061405, obtained from a rhesus macaque in Kathmandu, Nepal. The ameba was morphologically indistinguishable from Entamoeba histolytica/Entamoeba dispar/Entamoeba moshkovskii, but located phylogenetically between E. histolytica and E. dispar. To evaluate the prevalence of E. nuttalli infection in wild rhesus macaques, 112 fecal samples were collected in four locations of the Kathmandu Valley. PCR analysis of DNA extracted from the feces showed positive rates of E. nuttalli, E. dispar, E. histolytica and E. moshkovskii of 51%, 12%, 0% and 0%, respectively. A total of 14 E. nuttalli isolates were obtained from four locations, of which 6 were established as axenic cultures. The sequences of the serine-rich protein gene of E. nuttalli isolates differed among four locations although no differences were found in the composition of sequence motifs. Isoenzyme pattern was analyzed in 8 isolates obtained from three locations. In hexokinase, the mobility of the slower migrating band was located between E. histolytica and E. dispar regardless of the culture conditions. These results demonstrate that E. nuttalli is highly prevalent in wild rhesus macaques in Nepal. Rhesus macaques appear to be one of the natural hosts and heterogeneity of the serine-rich protein gene might be useful for geographical typing of isolates. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

The seasonal cycle of the mixing layer height and its impact on black carbon concentrations in the Kathmandu Valley (Nepal)

NASA Astrophysics Data System (ADS)

Mues, Andrea; Rupakheti, Maheswar; Hoor, Peter; Bozem, Heiko; Münkel, Christoph; Lauer, Axel; Butler, Tim

2016-04-01

The properties and the vertical structure of the mixing layer as part of the planetary boundary layer are of key importance for local air quality. They have a substantial impact on the vertical dispersion of pollutants in the lower atmosphere and thus on their concentrations near the surface. In this study, ceilometer measurements taken within the framework of the SusKat project (Sustainable Atmosphere for the Kathmandu Valley) are used to investigate the mixing layer height in the Kathmandu Valley, Nepal. The applied method is based on the assumption that the aerosol concentration is nearly constant in the vertical and distinctly higher within the mixing layer than in the air above. Thus, the height with the steepest gradient within the ceilometer backscatter profile marks the top of the mixing layer. Ceilometer and black carbon (BC) measurements conducted from March 2013 through February 2014 provide a unique and important dataset for the analysis of the meteorological and air quality conditions in the Kathmandu Valley. In this study the mean diurnal cycle of the mixing layer height in the Kathmandu Valley for each season (pre-monsoon, monsoon, post-monsoon and winter season) and its dependency on the meteorological situation is investigated. In addition, the impact of the mixing layer height on the BC concentration is analyzed and compared to the relevance of other important processes such as emissions, horizontal advection and deposition. In all seasons the diurnal cycle is typically characterized by low mixing heights during the night, gradually increasing after sun rise reaching to maximum values in the afternoon before decreasing again. Seasonal differences can be seen particularly in the height of the mixing layer, e.g. from on average 153/1200 m (pre-monsoon) to 241/755 m (monsoon season) during the night/day, and the duration of enhanced mixing layer heights during daytime (around 12 hours (pre-monsoon season) to 8 hours (winter)). During the monsoon season, the observed diurnal cycle typically shows the lowest amplitude and the lowest mixing height during the day and the highest in the night and morning hours of all seasons. These characteristics can mainly be explained with frequently present clouds and the associated lack of incoming solar radiation and outgoing longwave radiation. In general there is a clear anti-correlation of the BC concentration and the mixing layer height although this relation is less pronounced in the monsoon season. The shape and magnitude of the BC diurnal cycle differs between the seasons (e.g., daily maximum concentration from around 6 to 50 μg/m3 depending on the season). This is partly due to the different meteorological conditions including the mixing layer height but also caused by the different (seasonal and diurnal) time profiles of the main emission sources. From late December to April, for instance, brick kilns are major emitters of black carbon. The brick kilns emit continuously throughout the day whereas in the other months sources with more pronounced diurnal cycles, such as traffic and cooking activities, are dominating the total emissions.

Overview of VOC emissions and chemistry from PTR-TOF-MS measurements during the SusKat-ABC campaign: high acetaldehyde, isoprene and isocyanic acid in wintertime air of the Kathmandu Valley

NASA Astrophysics Data System (ADS)

Sarkar, C.; Sinha, V.; Kumar, V.; Rupakheti, M.; Panday, A.; Mahata, K. S.; Rupakheti, D.; Kathayat, B.; Lawrence, M. G.

2015-09-01

The Kathmandu Valley in Nepal suffers from severe wintertime air pollution. Volatile organic compounds (VOCs) are key constituents of air pollution, though their specific role in the Valley is poorly understood due to insufficient data. During the SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley-Atmospheric Brown Clouds) field campaign conducted in Nepal in the winter of 2012-2013, a comprehensive study was carried out to characterize the chemical composition of ambient Kathmandu air, including the determination of speciated VOCs by deploying a Proton Transfer Reaction Time of Flight Mass Spectrometer (PTR-TOF-MS)-the first such deployment in South Asia. 71 ion peaks (for which measured ambient concentrations exceeded the 2 σ detection limit) were detected in the PTR-TOF-MS mass scan data, highlighting the chemical complexity of ambient air in the Valley. Of the 71 species, 37 were found to have campaign average concentrations greater than 200 ppt and were identified based on their spectral characteristics, ambient diel profiles and correlation with specific emission tracers as a result of the high mass resolution (m/Δm > 4200) and temporal resolution (1 min) of the PTR-TOF-MS. The highest average VOC mixing ratios during the measurement period were (in rank order): acetaldehyde (8.8 ppb), methanol (7.4 ppb), acetone (4.2 ppb), benzene (2.7 ppb), toluene (1.5 ppb), isoprene (1.1 ppb), acetonitrile (1.1 ppb), C8-aromatics (~ 1 ppb), furan (~ 0.5 ppb), and C9-aromatics (0.4 ppb). Distinct diel profiles were observed for the nominal isobaric compounds isoprene (m/z = 69.070) and furan (m/z = 69.033). Comparison with wintertime measurements from several locations elsewhere in the world showed mixing ratios of acetaldehyde (~ 9 ppb), acetonitrile (~ 1 ppb) and isoprene (~ 1 ppb) to be among the highest reported till date. Two "new" ambient compounds namely, formamide (m/z = 46.029) and acetamide (m/z = 60.051), which can photochemically produce isocyanic acid in the atmosphere, are reported in this study along with nitromethane (a tracer for diesel exhaust) which has only recently been detected in ambient studies. Two distinct periods were selected during the campaign for detailed analysis: the first was associated with high wintertime emissions of biogenic isoprene, and the second with elevated levels of ambient acetonitrile, benzene and isocyanic acid from biomass burning activities. Emissions from biomass burning and biomass co-fired brick kilns were found to be the dominant sources for compounds such as propyne, propene, benzene and propanenitrile which correlated strongly with acetonitrile (r2 > 0.7), a chemical tracer for biomass burning. The calculated total VOC OH reactivity was dominated by acetaldehyde (24.0 %), isoprene (20.2 %) and propene (18.7 %), while oxygenated VOCs and isoprene collectively contributed to more than 68 % of the total ozone production potential. Based on known SOA yields and measured ambient concentrations in the Kathmandu Valley, the relative SOA production potential of VOCs were: benzene > naphthalene > toluene > xylenes > monoterpenes > trimethyl-benzenes > styrene > isoprene. The first ambient measurements from any site in South Asia of compounds with significant health effects such as isocyanic acid, formamide, acetamide, naphthalene and nitromethane have been reported in this study. Our results suggest that mitigation of intense wintertime biomass burning activities, in particular point sources such biomass co-fired brick kilns, would be important to reduce the emission and formation of toxic VOCs (such as benzene and isocyanic acid) in the Kathmandu Valley and improve its air quality.

Overview of VOC emissions and chemistry from PTR-TOF-MS measurements during the SusKat-ABC campaign: high acetaldehyde, isoprene and isocyanic acid in wintertime air of the Kathmandu Valley

NASA Astrophysics Data System (ADS)

Sarkar, Chinmoy; Sinha, Vinayak; Kumar, Vinod; Rupakheti, Maheswar; Panday, Arnico; Mahata, Khadak S.; Rupakheti, Dipesh; Kathayat, Bhogendra; Lawrence, Mark G.

2016-03-01

The Kathmandu Valley in Nepal suffers from severe wintertime air pollution. Volatile organic compounds (VOCs) are key constituents of air pollution, though their specific role in the valley is poorly understood due to insufficient data. During the SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley-Atmospheric Brown Clouds) field campaign conducted in Nepal in the winter of 2012-2013, a comprehensive study was carried out to characterise the chemical composition of ambient Kathmandu air, including the determination of speciated VOCs, by deploying a proton transfer reaction time-of-flight mass spectrometer (PTR-TOF-MS) - the first such deployment in South Asia. In the study, 71 ion peaks (for which measured ambient concentrations exceeded the 2σ detection limit) were detected in the PTR-TOF-MS mass scan data, highlighting the chemical complexity of ambient air in the valley. Of the 71 species, 37 were found to have campaign average concentrations greater than 200 ppt and were identified based on their spectral characteristics, ambient diel profiles and correlation with specific emission tracers as a result of the high mass resolution (m / Δm > 4200) and temporal resolution (1 min) of the PTR-TOF-MS. The concentration ranking in the average VOC mixing ratios during our wintertime deployment was acetaldehyde (8.8 ppb) > methanol (7.4 ppb) > acetone + propanal (4.2 ppb) > benzene (2.7 ppb) > toluene (1.5 ppb) > isoprene (1.1 ppb) > acetonitrile (1.1 ppb) > C8-aromatics ( ˜ 1 ppb) > furan ( ˜ 0.5 ppb) > C9-aromatics (0.4 ppb). Distinct diel profiles were observed for the nominal isobaric compounds isoprene (m / z = 69.070) and furan (m / z = 69.033). Comparison with wintertime measurements from several locations elsewhere in the world showed mixing ratios of acetaldehyde ( ˜ 9 ppb), acetonitrile ( ˜ 1 ppb) and isoprene ( ˜ 1 ppb) to be among the highest reported to date. Two "new" ambient compounds, namely formamide (m / z = 46.029) and acetamide (m / z = 60.051), which can photochemically produce isocyanic acid in the atmosphere, are reported in this study along with nitromethane (a tracer for diesel exhaust), which has only recently been detected in ambient studies. Two distinct periods were selected during the campaign for detailed analysis: the first was associated with high wintertime emissions of biogenic isoprene and the second with elevated levels of ambient acetonitrile, benzene and isocyanic acid from biomass burning activities. Emissions from biomass burning and biomass co-fired brick kilns were found to be the dominant sources for compounds such as propyne, propene, benzene and propanenitrile, which correlated strongly with acetonitrile (r2 > 0.7), a chemical tracer for biomass burning. The calculated total VOC OH reactivity was dominated by acetaldehyde (24.0 %), isoprene (20.2 %) and propene (18.7 %), while oxygenated VOCs and isoprene collectively contributed to more than 68 % of the total ozone production potential. Based on known secondary organic aerosol (SOA) yields and measured ambient concentrations in the Kathmandu Valley, the relative SOA production potential of VOCs were benzene > naphthalene > toluene > xylenes > monoterpenes > trimethylbenzenes > styrene > isoprene. The first ambient measurements from any site in South Asia of compounds with significant health effects such as isocyanic acid, formamide, acetamide, naphthalene and nitromethane have been reported in this study. Our results suggest that mitigation of intense wintertime biomass burning activities, in particular point sources such biomass co-fired brick kilns, would be important to reduce the emission and formation of toxic VOCs (such as benzene and isocyanic acid) in the Kathmandu Valley.

Sustainable urban housing in Kathmandu, Nepal: Proposals and evaluations

NASA Astrophysics Data System (ADS)

Shrestha, Vikas

Kathmandu Valley represents one of the oldest cultural hubs in the Himalayas. The historic towns in the valley consist of densely built traditional Chowk and Bahal houses with enclosed courtyards. With exposure to the outside world since 1951, the western style single-family detached house has become an image of the modern home and a status symbol. In the context of the exploding population, the prevailing trend of these free standing houses have exacerbated urban sprawl and led to inefficient use of the limited agricultural land in the valley. Devoid of shared open spaces, the new settlements lack play areas for children, places for social gathering and a sense of community. Building materials that are not manufactured locally must be trucked from India over the mountains. So is coal for the production of brick and cement, and diesel for transportation. Minimizing the amount of imported materials and energy used by these modern houses will reduce the environmental impact and also benefit the national economy. Kathmandu enjoys clear sky conditions during winter that makes passive solar design a potential strategy to achieve thermal comfort and eliminate kerosene heaters with their harmful effects. The abundance of rainfall during monsoon season makes rainwater collection a viable supplement to the unreliable municipal water supply. This dissertation creates three new housing prototypes that address all these issues. These prototypes are modern interpretations of the vernacular Chowk and Bahal, which create communal open space by grouping rowhouses around a common courtyard. Combining vernacular wisdom with the principles of sustainable design, these prototypes reduce land consumption; reduce resource consumption; create community open space; minimize imported materials; increase energy efficiency and thermal comfort; make homes and neighborhoods self sustainable for water supply and wastewater treatment; and altogether improve the quality of life. This dissertation quantifies the embodied energy of basic building materials that are used in Nepal; proposes new types of locally-produced insulation; and develops a sustainable design evaluation system based on LEED. This integrated system of sustainable materials database, evaluation system, and vernacular-based housing prototypes developed in this dissertation lays out an example for other third world countries.

Experience of intimate partner violence among young pregnant women in urban slums of Kathmandu Valley, Nepal: a qualitative study.

PubMed

Deuba, Keshab; Mainali, Anustha; Alvesson, Helle M; Karki, Deepak K

2016-03-05

Intimate partner violence (IPV) is an urgent public health priority. It is a neglected issue in women's health, especially in urban slums in Nepal and globally. This study was designed to better understand the IPV experienced by young pregnant women in urban slums of the Kathmandu Valley, as well as to identify their coping strategies, care and support seeking behaviours. Womens' views on ways to prevent IPV were also addressed. 20 young pregnant women from 13 urban slums in the Kathmandu valley were recruited purposively for this qualitative study, based on pre-defined criteria. In-depth interviews were conducted and transcribed, with qualitative content analysis used to analyse the transcripts. 14 respondents were survivors of violence in urban slums. Their intimate partner(s) committed most of the violent acts. These young pregnant women were more likely to experience different forms of violence (psychological, physical and sexual) if they refused to have sex, gave birth to a girl, or if their husband had alcohol use disorder. The identification of foetal gender also increased the experience of physical violence at the prenatal stage. Interference from in-laws prevented further escalation of physical abuse. The most common coping strategy adopted to avoid violence among these women was to tolerate and accept the husbands' abuse because of economic dependence. Violence survivors sought informal support from their close family members. Women suggested multiple short and long term actions to reduce intimate partner violence such as female education, economic independence of young women, banning identification of foetal gender during pregnancy and establishing separate institutions within their community to handle violence against young pregnant women. Diversity in the design and implementation of culturally and socially acceptable interventions might be effective in addressing violence against young pregnant women in humanitarian settings such as urban slums. These include, but are not limited to, treatment of alcohol use disorder, raising men's awareness about pregnancy, addressing young women's economic vulnerability, emphasising the role of health care professionals in preventing adverse consequences resulting from gender selection technologies and working with family members of violence survivors.

Estimation of 1-D velocity models beneath strong-motion observation sites in the Kathmandu Valley using strong-motion records from moderate-sized earthquakes

NASA Astrophysics Data System (ADS)

Bijukchhen, Subeg M.; Takai, Nobuo; Shigefuji, Michiko; Ichiyanagi, Masayoshi; Sasatani, Tsutomu; Sugimura, Yokito

2017-07-01

The Himalayan collision zone experiences many seismic activities with large earthquakes occurring at certain time intervals. The damming of the proto-Bagmati River as a result of rapid mountain-building processes created a lake in the Kathmandu Valley that eventually dried out, leaving thick unconsolidated lacustrine deposits. Previous studies have shown that the sediments are 600 m thick in the center. A location in a seismically active region, and the possible amplification of seismic waves due to thick sediments, have made Kathmandu Valley seismically vulnerable. It has suffered devastation due to earthquakes several times in the past. The development of the Kathmandu Valley into the largest urban agglomerate in Nepal has exposed a large population to seismic hazards. This vulnerability was apparent during the Gorkha Earthquake (Mw7.8) on April 25, 2015, when the main shock and ensuing aftershocks claimed more than 1700 lives and nearly 13% of buildings inside the valley were completely damaged. Preparing safe and up-to-date building codes to reduce seismic risk requires a thorough study of ground motion amplification. Characterizing subsurface velocity structure is a step toward achieving that goal. We used the records from an array of strong-motion accelerometers installed by Hokkaido University and Tribhuvan University to construct 1-D velocity models of station sites by forward modeling of low-frequency S-waves. Filtered records (0.1-0.5 Hz) from one of the accelerometers installed at a rock site during a moderate-sized (mb4.9) earthquake on August 30, 2013, and three moderate-sized (Mw5.1, Mw5.1, and Mw5.5) aftershocks of the 2015 Gorkha Earthquake were used as input motion for modeling of low-frequency S-waves. We consulted available geological maps, cross-sections, and borehole data as the basis for initial models for the sediment sites. This study shows that the basin has an undulating topography and sediment sites have deposits of varying thicknesses, from 155 to 440 m. These models also show high velocity contrast at the bedrock depth which results in significant wave amplification.[Figure not available: see fulltext.

Survey on the availability, price and affordability of selected essential medicines for non-communicable diseases in community pharmacies of Kathmandu valley.

PubMed

Shrestha, Rajeev; Ghale, Anish; Chapagain, Bijay Raj; Gyawali, Mahasagar; Acharya, Trishna

2017-01-01

The access to essential medicines for non-communicable disease treatment is unacceptably low worldwide. The fundamental right to health cannot be fulfilled without equitable access to essential medicines. A cross-sectional study was carried out in 94 community pharmacies of Kathmandu valley. Non-probability quota sampling method was adopted for the purpose. Village Development Committees with more than 5000 populations were included in the study. The availability of the selected essential medicines, their price and producer identity were observed. Data entry and analysis were carried out in Microsoft Excel and Statistical package for social science. The availability of the essential medicines was not 100% in Kathmandu valley. High competition and high price variation were seen in metformin 500 mg (254.6%) and atorvastatin 10 mg (327.6%). The study showed that maximum (54.7%) brands were manufactured in Nepal. Furthermore, atorvastatin 10 mg (0.6 day wage) was found to be quite expensive, and glibenclamide 5 mg (0.1 day wage) was the cheapest one for diabetes mellitus treatment for 1 month of treatment period compared to daily wages of other essential medicines. The availability of the selected essential medicines was found to be ununiform and insufficient in the entire region. High competition was observed in the products with high price variation, and the access to cost-effective brand was poor. Furthermore, it was found that government salary is affordable to treat non-communicable disease with the help of the essential medicines.

Seasonal and diurnal variations in methane and carbon dioxide in the Kathmandu Valley in the foothills of the central Himalayas

NASA Astrophysics Data System (ADS)

Singh Mahata, Khadak; Panday, Arnico Kumar; Rupakheti, Maheswar; Singh, Ashish; Naja, Manish; Lawrence, Mark G.

2017-10-01

The SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley-Atmospheric Brown Clouds) international air pollution measurement campaign was carried out from December 2012 to June 2013 in the Kathmandu Valley and surrounding regions in Nepal. The Kathmandu Valley is a bowl-shaped basin with a severe air pollution problem. This paper reports measurements of two major greenhouse gases (GHGs), methane (CH4) and carbon dioxide (CO2), along with the pollutant CO, that began during the campaign and were extended for 1 year at the SusKat-ABC supersite in Bode, a semi-urban location in the Kathmandu Valley. Simultaneous measurements were also made during 2015 in Bode and a nearby rural site (Chanban) ˜ 25 km (aerial distance) to the southwest of Bode on the other side of a tall ridge. The ambient mixing ratios of methane (CH4), carbon dioxide (CO2), water vapor, and carbon monoxide (CO) were measured with a cavity ring-down spectrometer (G2401; Picarro, USA) along with meteorological parameters for 1 year (March 2013-March 2014). These measurements are the first of their kind in the central Himalayan foothills. At Bode, the annual average mixing ratios of CO2 and CH4 were 419.3 (±6.0) ppm and 2.192 (±0.066) ppm, respectively. These values are higher than the levels observed at background sites such as Mauna Loa, USA (CO2: 396.8 ± 2.0 ppm, CH4: 1.831 ± 0.110 ppm) and Waliguan, China (CO2: 397.7 ± 3.6 ppm, CH4: 1.879 ± 0.009 ppm) during the same period and at other urban and semi-urban sites in the region, such as Ahmedabad and Shadnagar (India). They varied slightly across the seasons at Bode, with seasonal average CH4 mixing ratios of 2.157 (±0.230) ppm in the pre-monsoon season, 2.199 (±0.241) ppm in the monsoon, 2.210 (±0.200) ppm in the post-monsoon, and 2.214 (±0.209) ppm in the winter season. The average CO2 mixing ratios were 426.2 (±25.5) ppm in the pre-monsoon, 413.5 (±24.2) ppm in the monsoon, 417.3 (±23.1) ppm in the post-monsoon, and 421.9 (±20.3) ppm in the winter season. The maximum seasonal mean mixing ratio of CH4 in winter was only 0.057 ppm or 2.6 % higher than the seasonal minimum during the pre-monsoon period, while CO2 was 12.8 ppm or 3.1 % higher during the pre-monsoon period (seasonal maximum) than during the monsoon (seasonal minimum). On the other hand, the CO mixing ratio at Bode was 191 % higher during the winter than during the monsoon season. The enhancement in CO2 mixing ratios during the pre-monsoon season is associated with additional CO2 emissions from forest fires and agro-residue burning in northern South Asia in addition to local emissions in the Kathmandu Valley. Published CO/CO2 ratios of different emission sources in Nepal and India were compared with the observed CO/CO2 ratios in this study. This comparison suggested that the major sources in the Kathmandu Valley were residential cooking and vehicle exhaust in all seasons except winter. In winter, brick kiln emissions were a major source. Simultaneous measurements in Bode and Chanban (15 July-3 October 2015) revealed that the mixing ratios of CO2, CH4, and CO were 3.8, 12, and 64 % higher in Bode than Chanban. The Kathmandu Valley thus has significant emissions from local sources, which can also be attributed to its bowl-shaped geography that is conducive to pollution build-up. At Bode, all three gas species (CO2, CH4, and CO) showed strong diurnal patterns in their mixing ratios with a pronounced morning peak (ca. 08:00), a dip in the afternoon, and a gradual increase again through the night until the next morning. CH4 and CO at Chanban, however, did not show any noticeable diurnal variations. These measurements provide the first insights into the diurnal and seasonal variation in key greenhouse gases and air pollutants and their local and regional sources, which is important information for atmospheric research in the region.

Integrated Earthquake Risk Assessment in the Kathmandu Valley - A Case Study

NASA Astrophysics Data System (ADS)

Schaper, Julia; Anhorn, Johannes; Khazai, Bijan; Nüsser, Marcus

2013-04-01

Rapid urban growth is a process which can be observed in cities worldwide. Managing these growing urban areas has become a major challenge for both governing bodies and citizens. Situated not only in a highly earthquake and landslide-prone area, but comprising also the cultural and political capital of Nepal, the fast expanding Kathmandu Valley in the Himalayan region is of particular interest. Vulnerability assessment has been an important tool for spatial planning in this already densely populated area. The magnitude 8.4 earthquake of Bihar in 1934 cost 8600 Nepalis their lives, destroyed 20% of the Kathmandu building stock and heavily damaged another 40%. Since then, Kathmandu has grown into a hub with over a million inhabitants. Rapid infrastructure and population growth aggravate the vulnerability conditions, particularly in the core area of Metropolitan Kathmandu. We propose an integrative framework for vulnerability and risk in Kathmandu Valley. In order to move towards a more systemic and integrated approach, we focus on interactions between natural hazards, physically engineered systems and society. High resolution satellite images are used to identify structural vulnerability of the building stock within the study area. Using object-based image analysis, the spatial dynamics of urban growth are assessed and validated using field data. Complementing this is the analysis of socio-economic attributes gained from databases and field surveys. An indicator-based vulnerability and resilience index will be operationalized using multi-attribute value theory and statistical methods such as principal component analysis. The results allow for a socio-economic comparison of places and their relative potential for harm and loss. The objective in this task is to better understand the interactions between nature and society, engineered systems and built environments through the development of an interdisciplinary framework on systemic seismic risk and vulnerability. Data from incidences of large-scale Himalayan earthquake disasters will form the basis for a multi-temporal analysis. By analyzing different time slots we identify development paths and building integrity shifts in the light of dynamic urbanization processes. Hereby, future trends and spatial scenarios can be developed. We suggest a goal oriented indicator evaluation process to compare different development scenarios. This serves as an orientation for spatial planning strategies for local and international stakeholders.

Assessment of environmental policy implementation in solid waste management in Kathmandu, Nepal.

PubMed

Dangi, Mohan B; Schoenberger, Erica; Boland, John J

2017-06-01

In Nepal, full-fledged environmental legislation was rare before the democratic constitution of 1990. The first law covering the environment and sustainability was the Environment Protection Act 1997. While the Solid Waste Act was introduced in 1987, the problem of solid waste management still surfaces in Kathmandu. In order to understand the bedrock of this unrelenting failure in solid waste management, the manuscript digs deeper into policy implementation by dissecting solid waste rules, environmental legislations, relevant local laws, and solid waste management practices in Kathmandu, Nepal. A very rich field study that included surveys, interviews, site visits, and literature review provided the basis for the article. The study shows that volumes of new Nepalese rules are crafted without effective enforcement of their predecessors and there is a frequent power struggle between local government bodies and central authority in implementing the codes and allocating resources in solid waste management. The study concludes that Kathmandu does not require any new instrument to address solid waste problems; instead, it needs creation of local resources, execution of local codes, and commitment from central government to allow free exercise of these policies.

Perceived Family Support, Depression, and Suicidal Ideation among People Living with HIV/AIDS: A Cross-Sectional Study in the Kathmandu Valley, Nepal

PubMed Central

Amiya, Rachel M.; Poudel, Krishna C.; Poudel-Tandukar, Kalpana; Pandey, Basu D.; Jimba, Masamine

2014-01-01

Background Depression and suicidal thinking occur frequently alongside HIV/AIDS, triggering profound detrimental impacts on quality of life, treatment adherence, disease progression, and mortality. Yet the psychosocial factors contributing to these psychiatric comorbidities remain underexplored, particularly in the developing country context. This study thus examined different dimensions of perceived family support in relation to depression and suicidal ideation among people living with HIV/AIDS (PLWHA) in Nepal. Methods A cross-sectional survey of 322 adult PLWHA residing in the Kathmandu Valley, Nepal was conducted. Data were analyzed using multiple logistic regressions for correlates of Beck Depression Inventory (BDI)-Ia-defined depressive symptoms and suicidal ideation in the past 2 weeks. Perceived family support, measured using the 10-item Nepali Family Support and Difficulty Scale, was entered into separate models, in turn, as a composite score, for each sub-scale (emotional, instrumental, and negative support), and for each individual item. Results Overall, 25.5% of participants registered BDI-Ia-defined depression, with significantly lower rates among those with perceived family support scores in the highest (AOR = 0.19; 95% CI = 0.07, 0.55) and middle (AOR = 0.38; 95% CI = 0.17, 0.86) tertiles relative to those with lowest-tertile scores. Meanwhile, 14.0% reported suicidal thinking, with significantly lower rates among those in the highest perceived family support tertile relative to the lowest (AOR = 0.25; 95% CI = 0.07, 0.91). Broken down by support sub-scale, only negative support (i.e. family difficulty) was significant in its correlations with both outcomes – a trend similarly reflected in the item-wise analyses. Conclusions Our findings highlight an important role for family support in determining experiences of depression and suicidality among PLWHA. Incorporating family counseling and support services – with special focus on ameliorating negative interaction and bolstering emotional support – into HIV care and treatment services may help to improve mental health along with overall wellness and treatment outcomes for HIV-positive populations in Nepal and similar settings. PMID:24603886

Perceived family support, depression, and suicidal ideation among people living with HIV/AIDS: a cross-sectional study in the Kathmandu Valley, Nepal.

PubMed

Amiya, Rachel M; Poudel, Krishna C; Poudel-Tandukar, Kalpana; Pandey, Basu D; Jimba, Masamine

2014-01-01

Depression and suicidal thinking occur frequently alongside HIV/AIDS, triggering profound detrimental impacts on quality of life, treatment adherence, disease progression, and mortality. Yet the psychosocial factors contributing to these psychiatric comorbidities remain underexplored, particularly in the developing country context. This study thus examined different dimensions of perceived family support in relation to depression and suicidal ideation among people living with HIV/AIDS (PLWHA) in Nepal. A cross-sectional survey of 322 adult PLWHA residing in the Kathmandu Valley, Nepal was conducted. Data were analyzed using multiple logistic regressions for correlates of Beck Depression Inventory (BDI)-Ia-defined depressive symptoms and suicidal ideation in the past 2 weeks. Perceived family support, measured using the 10-item Nepali Family Support and Difficulty Scale, was entered into separate models, in turn, as a composite score, for each sub-scale (emotional, instrumental, and negative support), and for each individual item. Overall, 25.5% of participants registered BDI-Ia-defined depression, with significantly lower rates among those with perceived family support scores in the highest (AOR = 0.19; 95% CI = 0.07, 0.55) and middle (AOR = 0.38; 95% CI = 0.17, 0.86) tertiles relative to those with lowest-tertile scores. Meanwhile, 14.0% reported suicidal thinking, with significantly lower rates among those in the highest perceived family support tertile relative to the lowest (AOR = 0.25; 95% CI = 0.07, 0.91). Broken down by support sub-scale, only negative support (i.e. family difficulty) was significant in its correlations with both outcomes - a trend similarly reflected in the item-wise analyses. Our findings highlight an important role for family support in determining experiences of depression and suicidality among PLWHA. Incorporating family counseling and support services - with special focus on ameliorating negative interaction and bolstering emotional support - into HIV care and treatment services may help to improve mental health along with overall wellness and treatment outcomes for HIV-positive populations in Nepal and similar settings.

Effects of inequality of supply hours on consumers' coping strategies and perceptions of intermittent water supply in Kathmandu Valley, Nepal.

PubMed

Guragai, B; Takizawa, S; Hashimoto, T; Oguma, K

2017-12-01

To investigate the effects of unequal supply hours on consumers' coping strategies and perceptions of the intermittent water supply (IWS) in the Kathmandu Valley (KV), Nepal we conducted a randomized household survey (n=369) and on-site water quality tests. Half of the households received piped water for 6 or fewer hours per week. To augment or cope with the inadequate supply, 28% of the households used highly contaminated and expensive tanker-delivered water. Half of the piped water samples (n=13) were contaminated with Escherichia coli. Free chlorine concentration in all piped water samples was below the national standards (0.1-0.2mg/L), but combined chlorine was detected at an average of 0.24mg/L, indicating ingression of contaminants in the network. Point-of-use devices could increase access to safe water in the KV from 42% to 80%. The use of Lorenz curves and Gini coefficients revealed inequality of piped water supply hours per week both between and within service areas in the KV, due mainly to a small percentage of households who receive longer supply hours. To cope with reduced supply hours, home owners pay more to get water from alternative sources, while tenants compromise their water consumption. Under IWS, expectations for improvements in piped water quality and supply regularity are higher than those for supply volume. Consumers' perceptions of the piped water services worsen with the reduction in supply hours, but perceptions of piped water tariff are independent of supply hours. Copyright © 2017 Elsevier B.V. All rights reserved.

Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu, Nepal

PubMed Central

Pandey, Achyut Raj; Devkota, Surya

2016-01-01

Objective. This study aimed to assess the prevalence and associated factors of hypertension in newly declared municipalities of Kathmandu, Nepal. Design, Settings, and Participants. This was a community-based cross-sectional study conducted in the municipalities of Kathmandu District, Nepal, between January and July 2015. Study participants were aged 18 to 70 years, residing permanently in the study sites. Municipalities, Wards, households, and respondents were selected randomly. Results. Of the 587 participants, 58.8% were females, mean (SD) age was 42.3 (13.5) years, 29.3% had no formal education, 35.1% were Brahmins, and 41.2% were homemakers. Prevalence of hypertension was 32.5% (95% CI: 28.7–36.3). Age, gender, education, ethnicity, occupation, smoking, alcohol consumption, physical activity, diabetes, menopausal history, and family history of cardiovascular disease (CVD) and hypertension were significantly associated with hypertension. In multivariable analysis, smoking, alcohol consumption, physical activity, body mass index, and diabetes were identified as significant explanatory variables for hypertension. Conclusion. This study demonstrated that the people living in newly established municipalities of Kathmandu, Nepal, have a high burden of hypertension as well as its associated factors. Therefore, community-based preventive approaches like lifestyle modification and early detection and treatment of hypertension might bring a substantial change in tackling the burden effectively. PMID:27293880

Medical students’ characteristics as predictors of career practice location: retrospective cohort study tracking graduates of Nepal’s first medical college

PubMed Central

Shakya, Rabina; Pokhrel, Bharat M; Eyal, Nir; Rijal, Basista P; Shrestha, Ratindra N; Sayami, Arun

2012-01-01

Objective To determine, in one low income country (Nepal), which characteristics of medical students are associated with graduate doctors staying to practise in the country or in its rural areas. Design Observational cohort study. Setting Medical college registry, with internet, phone, and personal follow-up of graduates. Participants 710 graduate doctors from the first 22 classes (1983-2004) of Nepal’s first medical college, the Institute of Medicine. Main outcome measures Career practice location (foreign or in Nepal; in or outside of the capital city Kathmandu) compared with certain pre-graduation characteristics of medical student. Results 710 (97.7%) of the 727 graduates were located: 193 (27.2%) were working in Nepal in districts outside the capital city Kathmandu, 261 (36.8%) were working in Kathmandu, and 256 (36.1%) were working in foreign countries. Of 256 working abroad, 188 (73%) were in the United States. Students from later graduating classes were more likely to be working in foreign countries. Those with pre-medical education as paramedics were twice as likely to be working in Nepal and 3.5 times as likely to be in rural Nepal, compared with students with a college science background. Students who were academically in the lower third of their medical school class were twice as likely to be working in rural Nepal as those from the upper third. In a regression analysis adjusting for all variables, paramedical background (odds ratio 4.4, 95% confidence interval 1.7 to 11.6) was independently associated with a doctor remaining in Nepal. Rural birthplace (odds ratio 3.8, 1.3 to 11.5) and older age at matriculation (1.1, 1.0 to 1.2) were each independently associated with a doctor working in rural Nepal. Conclusions A cluster of medical students’ characteristics, including paramedical background, rural birthplace, and lower academic rank, was associated with a doctor remaining in Nepal and with working outside the capital city of Kathmandu. Policy makers in medical education who are committed to producing doctors for underserved areas of their country could use this evidence to revise their entrance criteria for medical school. PMID:22893566

Improving SLCF Science in the Himalayan Region: ICIMOD's Atmosphere Initiative

NASA Astrophysics Data System (ADS)

Panday, A. K.; Pradhan, B. B.; Surapipith, V.

2013-12-01

What fraction of the black carbon arriving on Yala Glacier in Langtang, Nepal, is from cooking fires in the houses in the valley below? What fraction is from elsewhere in rural Nepal? What fraction is from industrial and transport sources in Kathmandu? What fraction is from northern India and beyond? What fraction is from the high altitude forest fires that take place during March or April? Effectively mitigating the impacts of black carbon and other short-lived climate forcers requires detailed understanding not just of emissions and impacts, but also of the atmospheric transport pathways that connect the two. In mountainous areas of the Hindu-Kush Himalaya detailed quantitative knowledge about emissions, atmospheric processes, and impacts is still largely missing. The International Centre for Integrated Mountain Development (ICIMOD) is an intergovernmental organization covering Afghanistan, Pakistan, India, Nepal, China, Bhutan, Bangladesh, and Myanmar. ICIMOD's recently established Atmosphere Initiative not only assesses mitigation options and contributes to policy and capacity building in the region, but also works actively to promote collaboration among researchers in the region, while building up an in-house team whose research will address key questions about SLCF. In Spring 2013 ICIMOD's Atmosphere Initiative, in collaboration with the Institute for Advanced Sustainability Studies (IASS) in Potsdam, Germany, carried out the largest field campaign to date in Nepal, hosting instruments belonging to dozens of institutions around the world, at nine field site within and upwind of the Kathmandu Valley, Nepal. The dataset that has been collected gives unprecedented insights into the emissions and atmospheric processes taking place downwind of and within the largest urban agglomeration in the Himalaya region. Meanwhile, in collaboration with national partner institutions, ICIMOD is in the process of setting up one atmospheric observatory each in Bhutan and in Nepal. Each will be on a mountain peak overlooking the Indo-Gangetic Plains. A building will house laboratories and visitor space, and will have a small tower. Each site will be equipped with a Picarro G2401 analyzer for CO, CO¬2, methane and water vapor, aerosol filter samplers, as well as instruments to measure black carbon, ozone, aerosol size distribution, aerosol scattering, cloud condensation nuclei, solar radiation, aerosol optical depth, and meteorology. Together with output from ICIMOD's new atmospheric modeling centre, the data from the sites will allow quantifying the flux of pollutants from the Indo-Gangetic Plains towards the high Himalaya, and to estimate emissions of SLCFs within the Himalayan foothills region. The infrastructure at both observatory sites is designed to accommodate training and future expansion as well as to host visiting instruments.

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal

PubMed Central

Huffman, Sandra L.; Adhikary, Indu; Upreti, Senendra Raj; Dhungel, Shrid; Champeny, Mary; Zehner, Elizabeth

2016-01-01

Abstract Commercially produced complementary foods can help improve nutritional status of young children if they are appropriately fortified and of optimal nutrient composition. However, other commercially produced snack food products may be nutritionally detrimental, potentially increasing consumption of foods high in salt or sugar and displacing consumption of other more nutritious options. Helen Keller International, in collaboration with the Nepal government, implemented a study to assess mothers' utilization of commercial food products for child feeding and exposure to commercial promotions for these products. A cross‐sectional survey was conducted among 309 mothers of children less than 24 months of age across 15 health facilities. Utilization of breastmilk substitutes was low, having been consumed by 6.2% of children 0–5 months of age and 7.5% of children 6–23 months of age. Approximately one‐fourth (24.6%) of children 6–23 months age had consumed a commercially produced complementary food in the prior day. Twenty‐eight percent of mothers reported observing a promotion for breastmilk substitutes, and 20.1% reported promotions for commercially produced complementary foods. Consumption of commercially produced snack food products was high at 74.1% of children 6–23 months. Promotions for these same commercially produced snack food products were highly prevalent in Kathmandu Valley, reported by 85.4% of mothers. In order to improve diets during the complementary feeding period, development of national standards for complementary food products is recommended. Nutritious snack options should be promoted for the complementary feeding period; consumption of commercially produced snack food products high in sugar and salt and low in nutrients should be discouraged. PMID:27061954

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal.

PubMed

Pries, Alissa M; Huffman, Sandra L; Adhikary, Indu; Upreti, Senendra Raj; Dhungel, Shrid; Champeny, Mary; Zehner, Elizabeth

2016-04-01

Commercially produced complementary foods can help improve nutritional status of young children if they are appropriately fortified and of optimal nutrient composition. However, other commercially produced snack food products may be nutritionally detrimental, potentially increasing consumption of foods high in salt or sugar and displacing consumption of other more nutritious options. Helen Keller International, in collaboration with the Nepal government, implemented a study to assess mothers' utilization of commercial food products for child feeding and exposure to commercial promotions for these products. A cross-sectional survey was conducted among 309 mothers of children less than 24 months of age across 15 health facilities. Utilization of breastmilk substitutes was low, having been consumed by 6.2% of children 0-5 months of age and 7.5% of children 6-23 months of age. Approximately one-fourth (24.6%) of children 6-23 months age had consumed a commercially produced complementary food in the prior day. Twenty-eight percent of mothers reported observing a promotion for breastmilk substitutes, and 20.1% reported promotions for commercially produced complementary foods. Consumption of commercially produced snack food products was high at 74.1% of children 6-23 months. Promotions for these same commercially produced snack food products were highly prevalent in Kathmandu Valley, reported by 85.4% of mothers. In order to improve diets during the complementary feeding period, development of national standards for complementary food products is recommended. Nutritious snack options should be promoted for the complementary feeding period; consumption of commercially produced snack food products high in sugar and salt and low in nutrients should be discouraged. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

The 2015 Gorkha (Nepal) earthquake sequence: I. Source modeling and deterministic 3D ground shaking

NASA Astrophysics Data System (ADS)

Wei, Shengji; Chen, Meng; Wang, Xin; Graves, Robert; Lindsey, Eric; Wang, Teng; Karakaş, Çağıl; Helmberger, Don

2018-01-01

To better quantify the relatively long period (< 0.3 Hz) shaking experienced during the 2015 Gorkha (Nepal) earthquake sequence, we study the finite rupture processes and the associated 3D ground motion of the Mw7.8 mainshock and the Mw7.2 aftershock. The 3D synthetics are then used in the broadband ground shaking in Kathmandu with a hybrid approach, summarized in a companion paper (Chen and Wei, 2017, submitted together). We determined the coseismic rupture process of the mainshock by joint inversion of InSAR/SAR, GPS (static and high-rate), strong motion and teleseismic waveforms. Our inversion for the mainshock indicates unilateral rupture towards the ESE, with an average rupture speed of 3.0 km/s and a total duration of 60 s. Additionally, we find that the beginning part of the rupture (5-18 s) has about 40% longer rise time than the rest of the rupture, as well as slower rupture velocity. Our model shows two strong asperities occurring 24 s and 36 s after the origin and located 30 km to the northwest and northeast of the Kathmandu valley, respectively. In contrast, the Mw7.2 aftershock is more compact both in time and space, as revealed by joint inversion of teleseismic body waves and InSAR data. The different rupture features between the mainshock and the aftershock could be related to difference in fault zone structure. The mainshock and aftershock ground motions in the Kathmandu valley, recorded by both strong motion and high-rate GPS stations, exhibited strong amplification around 0.2 Hz. A simplified 3D basin model, calibrated by an Mw5.2 aftershock, can match the observed waveforms reasonably well at 0.3 Hz and lower frequency. The 3D simulations indicate that the basin structure trapped the wavefield and produced an extensive ground vibration. Our study suggests that the combination of rupture characteristics and propagational complexity are required to understand the ground shaking produced by hazardous earthquakes such as the Gorkha event.

The Ecological Dynamics of Fecal Contamination and Salmonella Typhi and Salmonella Paratyphi A in Municipal Kathmandu Drinking Water

PubMed Central

Walker, Alan W.; Thompson, Corinne N.; Torres, Andres; Dongol, Sabina; Tran Vu Thieu, Nga; Pham Thanh, Duy; Tran Thi Ngoc, Dung; Voong Vinh, Phat; Singer, Andrew C.; Parkhill, Julian; Thwaites, Guy; Basnyat, Buddha; Ferguson, Neil; Baker, Stephen

2016-01-01

One of the UN sustainable development goals is to achieve universal access to safe and affordable drinking water by 2030. It is locations like Kathmandu, Nepal, a densely populated city in South Asia with endemic typhoid fever, where this goal is most pertinent. Aiming to understand the public health implications of water quality in Kathmandu we subjected weekly water samples from 10 sources for one year to a range of chemical and bacteriological analyses. We additionally aimed to detect the etiological agents of typhoid fever and longitudinally assess microbial diversity by 16S rRNA gene surveying. We found that the majority of water sources exhibited chemical and bacterial contamination exceeding WHO guidelines. Further analysis of the chemical and bacterial data indicated site-specific pollution, symptomatic of highly localized fecal contamination. Rainfall was found to be a key driver of this fecal contamination, correlating with nitrates and evidence of S. Typhi and S. Paratyphi A, for which DNA was detectable in 333 (77%) and 303 (70%) of 432 water samples, respectively. 16S rRNA gene surveying outlined a spectrum of fecal bacteria in the contaminated water, forming complex communities again displaying location-specific temporal signatures. Our data signify that the municipal water in Kathmandu is a predominant vehicle for the transmission of S. Typhi and S. Paratyphi A. This study represents the first extensive spatiotemporal investigation of water pollution in an endemic typhoid fever setting and implicates highly localized human waste as the major contributor to poor water quality in the Kathmandu Valley. PMID:26735696

The Ecological Dynamics of Fecal Contamination and Salmonella Typhi and Salmonella Paratyphi A in Municipal Kathmandu Drinking Water.

PubMed

Karkey, Abhilasha; Jombart, Thibaut; Walker, Alan W; Thompson, Corinne N; Torres, Andres; Dongol, Sabina; Tran Vu Thieu, Nga; Pham Thanh, Duy; Tran Thi Ngoc, Dung; Voong Vinh, Phat; Singer, Andrew C; Parkhill, Julian; Thwaites, Guy; Basnyat, Buddha; Ferguson, Neil; Baker, Stephen

2016-01-01

One of the UN sustainable development goals is to achieve universal access to safe and affordable drinking water by 2030. It is locations like Kathmandu, Nepal, a densely populated city in South Asia with endemic typhoid fever, where this goal is most pertinent. Aiming to understand the public health implications of water quality in Kathmandu we subjected weekly water samples from 10 sources for one year to a range of chemical and bacteriological analyses. We additionally aimed to detect the etiological agents of typhoid fever and longitudinally assess microbial diversity by 16S rRNA gene surveying. We found that the majority of water sources exhibited chemical and bacterial contamination exceeding WHO guidelines. Further analysis of the chemical and bacterial data indicated site-specific pollution, symptomatic of highly localized fecal contamination. Rainfall was found to be a key driver of this fecal contamination, correlating with nitrates and evidence of S. Typhi and S. Paratyphi A, for which DNA was detectable in 333 (77%) and 303 (70%) of 432 water samples, respectively. 16S rRNA gene surveying outlined a spectrum of fecal bacteria in the contaminated water, forming complex communities again displaying location-specific temporal signatures. Our data signify that the municipal water in Kathmandu is a predominant vehicle for the transmission of S. Typhi and S. Paratyphi A. This study represents the first extensive spatiotemporal investigation of water pollution in an endemic typhoid fever setting and implicates highly localized human waste as the major contributor to poor water quality in the Kathmandu Valley.

Black carbon concentrations in the highly polluted Kathmandu Valley, Nepal: a three year monitoring with a dual-spot Aethalometer

NASA Astrophysics Data System (ADS)

Rupakheti, Maheswar; Drinovec, Luka; Puppala, SivaPraveen; Mahata, Khadak; Rupakheti, Dipesh; Kathayat, Bhogendra; Singdan, Pratik; Panday, Arnico; Lawrence, Mark

2016-04-01

Our knowledge about ambient black carbon (BC) in the vast Himalayan region, a region vulnerable to impacts of global warming, is very limited due to unavailability of a long-term ambient monitoring. Here we present results from a continuous monitoring of ambient BC concentrations, with a new generation Aethalometer (AE33), over a three year period (January 2013- January 2016) at a semi-urban site in the highly polluted Kathmandu Valley in the foothills of the central Himalaya, one of the most polluted cities in the world. This is the longest time series of BC concentrations that have been monitored with AE33 (which uses the dual-spot technique for a real-time filter loading compensation) in highly polluted ambient environment. The measurements were carried out under the framework of project SusKat (Sustainable Atmosphere for the Kathmandu Valley). BC concentrations were found to be extremely high, especially in winter and the pre-monsoon period, with the hourly-averaged values often exceeding 50 μg/m3. BC concentrations showed a clear diurnal cycle with a prominent peak around 8-9 am and a second peak around 8-9 pm local time in all four seasons. Night-time BC was also fairly high. The diurnal cycle was driven by a combination of increased emissions from traffic, cooking activities, garbage burning, and lower mixing heights (˜200 m) and reduced horizontal ventilation in the mornings and evenings. BC concentrations showed significant seasonal variations - a maximum in winter season and minimum during the monsoon (rainy) season, with monthly average values in the range 5-30 μg/m3. An increase in emissions from the operation of over 100 brick kilns in winter and spring, and an increase in the use of small but numerous diesel power generators during hours with power cuts contributed significantly to ambient BC concentrations in the valley. Fractional contributions of biomass burning and fossil fuel combustion to BC was estimated based on a real-time method for loading effect compensation (using compensation parameter, k) implemented in the algorithm of the new dual-spot Aethalometer. This technique indicated that fossil fuel combustion (FF) and biomass burning (BB) contribute on average 70% and 30%, respectively, to ambient BC in the Kathmandu Valley. Relative contributions changed from season to season, e.g., BB fraction increased during November-December and March-April due to the seasonal increase in agro-residue burning and forest fires in the region, while FF fraction increased in winter due to increase in use of FF in brick factories and diesel generators. These measurements provided important information for understanding the properties of ambient BC and its impacts, especially on human health and climate, in the Kathmandu Valley and the surrounding foothills of the Himalayas.

Teaching Field Geology in the Nepal Himalaya with a Geohazards and Intercultural Emphasis

NASA Astrophysics Data System (ADS)

Pratt-Sitaula, B. A.; Upreti, B. N.; Gajurel, A.

2017-12-01

SIT Study Abroad (School of International Training), in collaboration with Nepal's national university - Tribhuvan University, runs a seven-week summer field education called "Nepal: Geoscience in the Himalaya". The program is designed to teach core geoscience field skills as well as geohazard analysis and intercultural science collaboration. Approximately 70% of the students come from colleges across the USA and 30% come from Tribhuvan University. A key element of the learning is how to work effectively with colleagues from a different educational system and culture. The program starts with a four-day orientation in Kathmandu and then travels to the Kali Gandaki Valley of western Nepal. Everyone treks on foot while completing a geologic transect map from south to north across the main Himalayan range. More traditional field skills are learned during a detailed stratigraphic exercise. On the way back down the valley, the emphasis changes to surface processes and students complete an air photo analysis and small research project on human-earth system interactions. Once back on the road system, the students conduct both a landslide hazard analyses and an earthquake damage assessment. Throughout this time, students maintain a research ideas journal from which they develop an independent study project, which they carry out during the last two weeks of the program. The program particularly emphasizes affordable, sustainable solutions to geohazards that are appropriate for a developing country such as Nepal—a very eye-opening approach for students from the USA. The overall program mission is to promote geoscience field skill development in a societal context and more globally informed scientists, citizens, and leaders.

Human rights violations among sexual and gender minorities in Kathmandu, Nepal: a qualitative investigation.

PubMed

Singh, Sonal; Pant, Sunil Babu; Dhakal, Suben; Pokhrel, Subash; Mullany, Luke C

2012-05-16

Nepal has experienced sporadic reports of human rights violations among sexual and gender minorities. Our objective was to identify a range of human rights that are enshrined in international law and/or are commonly reported by sexual and gender minority participants in Kathmandu, to be nonprotected or violated. In September 2009 three focus group discussions were conducted by trained interviewers among a convenience sample of sexual and gender minority participants in Kathmandu Nepal. The modified Delphi technique was utilized to elicit and rank participant-generated definitions of human rights and their subsequent violations. Data was analyzed independently and cross checked by another investigator. Participants (n = 29) reported experiencing a range of human rights violations at home, work, educational, health care settings and in public places. Lack of adequate legal protection, physical and mental abuse and torture were commonly reported. Access to adequate legal protection and improvements in the family and healthcare environment were ranked as the most important priority areas. Sexual and gender minorities in Nepal experienced a range of human rights violations. Future efforts should enroll a larger and more systematic sample of participants to determine frequency, timing, and/or intensity of exposure to rights violations, and estimate the population-based impact of these rights violations on specific health outcomes.

Light-absorbing Aerosol Properties in the Kathmandu Valley during SusKat-ABC Field Campaign

NASA Astrophysics Data System (ADS)

Kim, S.; Yoon, S.; Kim, J.; Cho, C.; Jung, J.

2013-12-01

Light-absorbing aerosols, such as black carbon (BC), are major contributors to the atmospheric heating and the reduction of solar radiation reaching at the earth's surface. In this study, we investigate light-absorption and scattering properties of aerosols (i.e., BC mass concentration, aerosol solar-absorption/scattering efficiency) in the Kathmandu valley during Sustainable atmosphere for the Kathmandu valley (SusKat)-ABC campaign, from December 2012 to February 2013. Kathmandu City is among the most polluted cities in the world. However, there are only few past studies that provide basic understanding of air pollution in the Kathmandu Valley, which is not sufficient for designing effective mitigation measures (e.g., technological, financial, regulatory, legal and political measures, planning strategies). A distinct diurnal variation of BC mass concentration with two high peaks observed during wintertime dry monsoon period. BC mass concentration was found to be maximum around 09:00 and 20:00 local standard time (LST). Increased cars and cooking activities including substantial burning of wood and other biomass in the morning and in the evening contributed to high BC concentration. Low BC concentrations during the daytime can be explain by reduced vehicular movement and cooking activities. Also, the developmements of the boundary layer height and mountain-valley winds in the Kathmandu Valley paly a crucial role in the temproal variation of BC mass concentrations. Detailed radiative effects of light-absorbing aerosols will be presented.

Creation of Nepal's First Skin Bank: Challenges and Outcomes.

PubMed

Cai, Lawrence; Long, Chao; Karki, Bishal; Nakarmi, Kiran; Iqbal, Adnan; Casertano, Michele; Anderson, Sara; Patell, James; Chang, James; Rai, Shankar Man

2017-11-01

In Nepal, burn trauma causes more than 55,000 injuries each year. Burn-related mortality is high in Nepal, in part due to lack of allograft, leading to high infection rates. To address this challenge, our collaboration between Kirtipur Hospital, America Nepal Medical Foundation, Stanford University, and ReSurge International established Nepal's first skin bank. We identified 3 major tasks to create a sustainable skin banking program: 1) identify and acquire the equipment and personnel needed to collect, process, store, and graft cadaveric skin for burn injuries; 2) develop safe donation protocols and documentation tools that remain feasible for low-resource settings; and 3) develop a long-term awareness program to educate the Nepali people on skin donation, a previously foreign concept. Kirtipur Hospital acquired the necessary equipment and materials for the skin bank through a combination of local and international fundraising efforts. Existing U.S. skin banking protocols were adapted for the Nepali setting and piloted on potential patients, donors, and physicians. For the first time in the hospital's history, patients with > 40% total body surface area burns were successfully treated with extensive allografts. It is feasible to create a skin bank in a country with no tradition of allograft skin use. Long-term sustainability now depends on spreading awareness and education in the Kathmandu Valley to overcome religious and cultural barriers that have hindered donor recruitment. Our low-cost and high-impact skin bank provides a model to expand this system to other hospitals both within Nepal and beyond.

Concepts of mental deficiency among the Tamang of Nepal.

PubMed

Peters, L G

1980-01-01

The Tamang of the Kathmandu Valley have an agrarian society with little demand for literacy and schooling, yet they recognize and label mental retardation. The criteria for labeling are based partially upon insufficiency of intelligence and behavioral adaptation but primarily upon speech incompetence. There is stigma attached to the label, and it has a limiting effect upon social status and role. While the Western conception of mental deficiency is not primarily contingent upon verbal ability, speech function is a consideration in the evaluation of intelligence, as is the case in other parts of the world. In fact, verbal skill is one useful referent for future cross-cultural research on mental deficiency.

Human rights violations among sexual and gender minorities in Kathmandu, Nepal: a qualitative investigation

PubMed Central

2012-01-01

Background Nepal has experienced sporadic reports of human rights violations among sexual and gender minorities. Our objective was to identify a range of human rights that are enshrined in international law and/or are commonly reported by sexual and gender minority participants in Kathmandu, to be nonprotected or violated. Methods In September 2009 three focus group discussions were conducted by trained interviewers among a convenience sample of sexual and gender minority participants in Kathmandu Nepal. The modified Delphi technique was utilized to elicit and rank participant-generated definitions of human rights and their subsequent violations. Data was analyzed independently and cross checked by another investigator. Results Participants (n = 29) reported experiencing a range of human rights violations at home, work, educational, health care settings and in public places. Lack of adequate legal protection, physical and mental abuse and torture were commonly reported. Access to adequate legal protection and improvements in the family and healthcare environment were ranked as the most important priority areas. Conclusions Sexual and gender minorities in Nepal experienced a range of human rights violations. Future efforts should enroll a larger and more systematic sample of participants to determine frequency, timing, and/or intensity of exposure to rights violations, and estimate the population-based impact of these rights violations on specific health outcomes PMID:22591775

Willingness to pay for cataract surgery in Kathmandu valley.

PubMed

Shrestha, M K; Thakur, J; Gurung, C K; Joshi, A B; Pokhrel, S; Ruit, S

2004-03-01

A cross sectional study was carried out on 78 screened cataract patients of two screening camps in Kathmandu valley, Nepal, to assess the willingness to pay for cataract surgery. A non-probability sampling technique with open ended and close ended questionnaires was used. The average age of patients was 68.8 years. The ratio of men and women was 0.9:1. 42.3% (33) of patients were willing to pay for cataract surgery. Among them 48.5% (16) of people were willing to pay less than dollars 13 and 51.5% (17) were willing to pay more than dollars 13. The mean was dollars 2.3 (SD dollars 15.5) per case. Patients with bilateral cataract were more willing to pay than unilateral cases. Poverty (44.4%, 20) was the main barrier for unwillingness to pay for cataract surgery. Other reasons were the lack of family support (28.9%, 13), lack of knowledge of surgery and belief that it was an unnecessary procedure (15.6%, seven), and waiting for a free surgical service (11.1%, five). This study clearly indicates that although there was awareness of the availability of treatment and services provided within the reach, people are not willing to pay for the surgery and use the facility primarily because of poverty. Hence, to change patients' attitudes, a more holistic approach is needed, keeping in view the cultural, social, and economic background of the society.

The impact of migration and antimicrobial resistance on the transmission dynamics of typhoid fever in Kathmandu, Nepal: A mathematical modelling study

PubMed Central

Bowles, Cayley C.; Grenfell, Bryan T.; Basnyat, Buddha; Arjyal, Amit; Dongol, Sabina; Karkey, Abhilasha; Baker, Stephen; Pitzer, Virginia E.

2017-01-01

Background A substantial proportion of the global burden of typhoid fever occurs in South Asia. Kathmandu, Nepal experienced a substantial increase in the number of typhoid fever cases (caused by Salmonella Typhi) between 2000 and 2003, which subsequently declined but to a higher endemic level than in 2000. This epidemic of S. Typhi coincided with an increase in organisms with reduced susceptibility against fluoroquinolones, the emergence of S. Typhi H58, and an increase in the migratory population in Kathmandu. Methods We devised a mathematical model to investigate the potential epidemic drivers of typhoid in Kathmandu and fit this model to weekly data of S. Typhi cases between April 1997 and June 2011 and the age distribution of S. Typhi cases. We used this model to determine if the typhoid epidemic in Kathmandu was driven by heightened migration, the emergence of organisms with reduced susceptibility against fluoroquinolones or a combination of these factors. Results Models allowing for the migration of susceptible individuals into Kathmandu alone or in combination with the emergence of S. Typhi with reduced susceptibility against fluoroquinolones provided a good fit for the data. The emergence of organisms with reduced susceptibility against fluoroquinolones organisms alone, either through an increase in disease duration or increased transmission, did not fully explain the pattern of S. Typhi infections. Conclusions Our analysis is consistent with the hypothesis that the increase in typhoid fever in Kathmandu was associated with the migration of susceptible individuals into the city and aided by the emergence of reduced susceptibility against fluoroquinolones. These data support identifying and targeting migrant populations with typhoid immunization programmes to prevent transmission and disease. PMID:28475605

The impact of migration and antimicrobial resistance on the transmission dynamics of typhoid fever in Kathmandu, Nepal: A mathematical modelling study.

PubMed

Saad, Neil J; Bowles, Cayley C; Grenfell, Bryan T; Basnyat, Buddha; Arjyal, Amit; Dongol, Sabina; Karkey, Abhilasha; Baker, Stephen; Pitzer, Virginia E

2017-05-01

A substantial proportion of the global burden of typhoid fever occurs in South Asia. Kathmandu, Nepal experienced a substantial increase in the number of typhoid fever cases (caused by Salmonella Typhi) between 2000 and 2003, which subsequently declined but to a higher endemic level than in 2000. This epidemic of S. Typhi coincided with an increase in organisms with reduced susceptibility against fluoroquinolones, the emergence of S. Typhi H58, and an increase in the migratory population in Kathmandu. We devised a mathematical model to investigate the potential epidemic drivers of typhoid in Kathmandu and fit this model to weekly data of S. Typhi cases between April 1997 and June 2011 and the age distribution of S. Typhi cases. We used this model to determine if the typhoid epidemic in Kathmandu was driven by heightened migration, the emergence of organisms with reduced susceptibility against fluoroquinolones or a combination of these factors. Models allowing for the migration of susceptible individuals into Kathmandu alone or in combination with the emergence of S. Typhi with reduced susceptibility against fluoroquinolones provided a good fit for the data. The emergence of organisms with reduced susceptibility against fluoroquinolones organisms alone, either through an increase in disease duration or increased transmission, did not fully explain the pattern of S. Typhi infections. Our analysis is consistent with the hypothesis that the increase in typhoid fever in Kathmandu was associated with the migration of susceptible individuals into the city and aided by the emergence of reduced susceptibility against fluoroquinolones. These data support identifying and targeting migrant populations with typhoid immunization programmes to prevent transmission and disease.

Fatality rates of the M w ~8.2, 1934, Bihar-Nepal earthquake and comparison with the April 2015 Gorkha earthquake

NASA Astrophysics Data System (ADS)

Sapkota, Soma Nath; Bollinger, Laurent; Perrier, Frédéric

2016-03-01

Large Himalayan earthquakes expose rapidly growing populations of millions of people to high levels of seismic hazards, in particular in northeast India and Nepal. Calibrating vulnerability models specific to this region of the world is therefore crucial to the development of reliable mitigation measures. Here, we reevaluate the >15,700 casualties (8500 in Nepal and 7200 in India) from the M w ~8.2, 1934, Bihar-Nepal earthquake and calculate the fatality rates for this earthquake using an estimation of the population derived from two census held in 1921 and 1942. Values reach 0.7-1 % in the epicentral region, located in eastern Nepal, and 2-5 % in the urban areas of the Kathmandu valley. Assuming a constant vulnerability, we obtain, if the same earthquake would have repeated in 2011, fatalities of 33,000 in Nepal and 50,000 in India. Fast-growing population in India indeed must unavoidably lead to increased levels of casualty compared with Nepal, where the population growth is smaller. Aside from that probably robust fact, extrapolations have to be taken with great caution. Among other effects, building and life vulnerability could depend on population concentration and evolution of construction methods. Indeed, fatalities of the April 25, 2015, M w 7.8 Gorkha earthquake indicated on average a reduction in building vulnerability in urban areas, while rural areas remained highly vulnerable. While effective scaling laws, function of the building stock, seem to describe these differences adequately, vulnerability in the case of an M w >8.2 earthquake remains largely unknown. Further research should be carried out urgently so that better prevention strategies can be implemented and building codes reevaluated on, adequately combining detailed ancient and modern data.

Intimate Partner Violence among General and Urban Poor Populations in Kathmandu, Nepal

ERIC Educational Resources Information Center

Oshiro, Azusa; Poudyal, Amod K.; Poudel, Krishna C.; Jimba, Masamine; Hokama, Tomiko

2011-01-01

Comparative studies are lacking on intimate partner violence (IPV) between urban poor and general populations. The objective of this study is to identify the prevalence and risk factors of physical IPV among the general and poor populations in urban Nepal. A cross-sectional study was conducted by structured questionnaire interview. Participants…

Haemophilus influenzae Type b Carriage and Novel Bacterial Population Structure among Children in Urban Kathmandu, Nepal▿

PubMed Central

Williams, E. J.; Lewis, J.; John, T.; Hoe, J. C.; Yu, L.; Dongol, S.; Kelly, D. F.; Griffiths, D. T.; Shah, A.; Limbu, B.; Pradhan, R.; Mawas, F.; Shrestha, S.; Thorson, S.; Werno, A. M.; Murdoch, D. R.; Adhikari, N.; Pollard, A. J.

2011-01-01

Haemophilus influenzae type b (Hib) is a major cause of invasive bacterial infection in children that can be prevented by a vaccine, but there is still uncertainty about its relative importance in Asia. This study investigated the age-specific prevalence of Hib carriage and its molecular epidemiology in carriage and disease in Nepal. Oropharyngeal swabs were collected from children in Kathmandu, Nepal, from 3 different settings: a hospital outpatient department (OPD), schools, and children's homes. Hib was isolated using Hib antiserum agar plates, and serotyping was performed with latex agglutination. Hib isolates from children with invasive disease were obtained during active microbiological surveillance at Patan Hospital, Kathmandu, Nepal. Genotyping of disease and carriage isolates was undertaken using multilocus sequence typing (MLST). Swabs were taken from 2,195 children, including 1,311 children at an OPD, 647 children attending schools, and 237 children in homes. Overall, Hib was identified in 5.0% (110/2,195; 95% confidence interval [95% CI], 3.9% to 6.4%). MLST was performed on 108 Hib isolates from children carrying Hib isolates and 15 isolates from children with invasive disease. Thirty-one sequence types (STs) were identified, and 20 of these were novel STs. The most common ST isolates were sequence type 6 (ST6) and the novel ST722. There was marked heterogeneity among the STs from children with disease and children carrying Hib. STs identified from invasive infections were those commonly identified in carriage. This study provides evidence of Hib carriage among children in urban Nepal with genetically diverse strains prior to introduction of universal vaccination. The Hib carriage rate in Nepal was similar to the rates observed in other populations with documented high disease rates prior to vaccination, supporting implementation of Hib vaccine in Nepal in 2009. PMID:21270225

Postnatal hypothermia and cold stress among newborn infants in Nepal monitored by continuous ambulatory recording.

PubMed

Ellis, M; Manandhar, N; Shakya, U; Manandhar, D S; Fawdry, A; Costello, A M

1996-07-01

To describe the pattern of hypothermia and cold stress after delivery among a normal neonatal population in Nepal; to provide practical advice for improving thermal care in a resource limited maternity hospital. The principal government funded maternity hospital in Kathmandu, Nepal, with an annual delivery rate of 15,000 (constituting 40% of all Kathmandu Valley deliveries), severe resource limitations (annual budget Pounds 250,000), and a cold winter climate provided the setting. Thirty five healthy term neonates not requiring special care were enrolled for study within 90 minutes of birth. Continuous ambulatory temperature monitoring, using microthermistor skin probes for forehead and axilla, a flexible rectal probe, and a black ball probe placed next to the infant for ambient temperature, was carried out. All probes were connected to a compact battery powered Squirrel Memory Logger, giving a temperature reading to 0.2 degree C at five minute intervals for 24 hours. Severity and duration of hypothermia, using cutoff values of core temperature less than 36 degrees C, 34 degrees C, and 32 degrees C; and cold stress, using cutoff values of skin-core (forehead-axilla) temperature difference greater than 3 degrees C and 4 degrees C were the main outcome measures. Twenty four hour mean ambient temperatures were generally lower than the WHO recommended level of 25 degrees C (median 22.3 degrees C, range 15.1-27.5 degrees C). Postnatal hypothermia was prolonged, with axillary core temperatures only reaching 36 degrees C after a mean of 6.4 hours (range 0-21.1; SD 4.6). There was persistent and increasing cold stress over the first 24 hours with the core-skin (axillary-forehead) temperature gap exceeding 3 degrees C for more than half of the first 24 hours. Continuous ambulatory recording identifies weak links in the "warm chain" for neonates. The severity and duration of thermal problems was greater than expected even in a hospital setting where some of the WHO recommendations had already been implemented.

(De)Valuing Higher Education: Educated Youth, Generational Differences and a Changing Educational Landscape in Kathmandu, Nepal

ERIC Educational Resources Information Center

Kölbel, Andrea

2013-01-01

Within a single generation Nepal has seen a tremendous increase in higher education opportunities. This rapid growth has encouraged the participation of many young people from social groups previously unrepresented at university. A more questionable consequence however has been the growing divergence and complexity of the educational landscape…

Discovery of Neopanorpa chillcotti Byers (Mecoptera: Panorpidae) from Tibet, China, with discussion of its generic status.

PubMed

Wang, Meng; Hua, Bao-Zhen

2017-02-15

Neopanorpa chillcotti Byers, 1971 was originally described from Kathmandu in Nepal and is now found to be distributed in Gyirong, Tibet in China. The species is redescribed and illustrated based on new material from China and Nepal. The generic status of this species is briefly discussed.

Unusual lightning electric field waveforms observed in Kathmandu, Nepal, and Uppsala, Sweden

NASA Astrophysics Data System (ADS)

Adhikari, Pitri Bhakta; Sharma, Shriram; Baral, Kedarnath; Rakov, Vladimir A.

2017-11-01

Unusual lightning events have been observed in Uppsala, Sweden, and Kathmandu, Nepal, using essentially the same electric field measuring system developed at Uppsala University. They occurred in the storms that also generated ;normal; lightning events. The unusual events recorded in Uppsala occurred on one thunderstorm day. Similar events were observed in Kathmandu on multiple thunderstorm days. The unusual events were analyzed in this study assuming them to be positive ground flashes (+CGs), although we cannot rule out the possibility that some or most of them were actually cloud discharges (ICs). The unusual events were each characterized by a relatively slow, negative (atmospheric electricity sign convention) electric field waveform preceded by a pronounced opposite-polarity pulse whose duration was some tens of microseconds. To the best of our knowledge, such unusual events have not been reported in the literature. The average amplitudes of the opposite-polarity pulses with respect to those of the following main waveform were found to be about 33% in Uppsala (N = 31) and about 38% in Kathmandu (N = 327). The average durations of the main waveform and the preceding opposite-polarity pulse in Uppsala were 8.24 ms and 57.1 μs, respectively, and their counterparts in Kathmandu were 421 μs and 39.7 μs. Electric field waveforms characteristic of negative ground flashes (-CGs) were also observed, and none of them exhibited an opposite-polarity pulse prior to the main waveform. Possible origins of the unusual field waveforms are discussed.

Awareness of Occupational Hazards and Associated Factors among Automobile Repair Artisans in Kathmandu Metropolitan City, Nepal

PubMed Central

Marahatta, Sujan B.; Gautam, Sanju; Paudel, Grish; Yadav, Uday N.

2018-01-01

Background: An occupational hazard contributes to severe health problems among workers due to unhygienic conditions and lack of safety at the workplace. Economic growth and productivity can be well achieved by promoting health, safety, and improved quality workplace. Aims: To assess the knowledge of occupational hazards, use of Personal Protective Equipment (PPE) and the factors associated with awareness on occupational hazards among automobile repair artisans in Kathmandu, Nepal. Settings and Design: A quantitative descriptive cross-sectional study with 400 automobile repair artisans from Kathmandu metropolitan city was conducted between March and September, 2015. Materials and Methods: Simple random sampling was adopted for recruiting study participants. Pre-tested, validated semi-structured questionnaire was used in line with study objectives to collect the data. Statistical Analysis: Logistic regression analysis was employed to identify factors associated with the awareness of occupational hazard and PPE use. Results: Of total, 56% had awareness on occupational hazard and 44.3% of artisans were using the personal protective equipments. Being educated, having job duration ≥6 years and having pre-service training for work were significantly associated with the awareness of occupational hazards. Notably, we found that those who were aware of occupational hazard (OR = 3.01, 95% CI: 1.98–4.57) were three times more likely to use the safety measures when compared to those who were unaware. Conclusions: Awareness on occupational hazard and use of PPE is very low among automobile repair artisans in Kathmandu, Nepal. Therefore, interventions on awareness raising on areas, like provision of pre-service training, promotion of safety advocacy, and enforcement of appropriate regulations for work place. PMID:29743786

Cross-sectional serosurvey of avian influenza antibodies presence in domestic ducks of Kathmandu, Nepal.

PubMed

Karki, S; Lupiani, B; Budke, C M; Manandhar, S; Ivanek, R

2014-09-01

Kathmandu, Nepal has been classified as a high-risk area for highly pathogenic avian influenza (HPAI) by the Nepali Government. While ducks have an important role in the transmission of avian influenza viruses (AIV), including HPAI, seroprevalence of antibodies to AIV in domestic ducks of Kathmandu has never been assessed. The objectives of this study were (i) to estimate the prevalence of seroconversion to AIV in domestic ducks in major duck-raising areas of Kathmandu and (ii) to assess the effect of age, sex, presence of swine and the number of ducks on the farm on the carriage of antibodies to AIV in these ducks. From April through July of 2011, a cross-sectional study was conducted and a total of 310 ducks in the major duck-raising areas of Kathmandu were sampled. The estimated prevalence of AIV antibodies was 27.2% [95% confidence interval (CI): 24.6-29.5]. Of 62 enrolled farms, 42% had at least one seropositive duck. Half of the enrolled farms also kept pigs of which 52% had at least one seropositive duck. Bivariate analysis indicated association between ducks' seroconversion to AIV and their age, sex and farm size. However, the final multivariable model, after controlling for clustering of ducks within farms, identified age as the only significant risk factor. Based on this model, ducks older than 1 year of age were more likely to be seropositive compared to ducks <6 months of age [odds ratio = 2.17 (1.07-4.39)]. These results provide baseline information about the AIV seroprevalence in domestic ducks in the major duck-raising areas of Kathmandu and identify a high-risk group that can be targeted in surveillance activities. Future studies should be conducted to differentiate the subtypes of AIV present among domestic ducks in Kathmandu, with particular interest in the presence of HPAI viruses. © 2014 Blackwell Verlag GmbH.

Association between socioeconomic status of mothers, food security, food safety practices and the double burden of malnutrition in the Lalitpur district, Nepal.

PubMed

Sarki, Mahesh; Robertson, Aileen; Parlesak, Alexandr

2016-01-01

The prevalence of childhood overweight and obesity is increasing in low-and middle income countries such as Nepal. At the same time, high prevalence of chronic undernutrition persists leading to a double burden of malnutrition. To identify associations between the socioeconomic status of mothers, food security, the food safety environment within the household, and prevalence of stunting and overweight of the children. Statistical analysis of socioeconomic, food safety-related and anthropometric data from 289 mother-child dyads in an urban area of the Kathmandu Valley, Nepal. According to WHO standards, 26 % of the children, aged 0-59 months, were stunted, 10 % were underweight, and 6.6 % were either overweight or obese. Significantly more boys than girls were underweight (p = 0.004) and stunted (p < 0.001). The higher education level of mothers was associated with a higher height-for-age (HAZ) score in girls, but not with HAZ in boys. Irrespective of sex, children of mothers with highest education level had significantly lower BMI-for-age scores (BAZ) than those of mothers with low education levels. None of the food safety indicators were associated with either HAZ or the BAZ. The education level of mothers seems to be relevant to help reduce the double burden of malnutrition at least in some regions of Nepal. This should be taken into consideration when designing programmes to prevent both chronic undernutrition and non-communicable diseases.

Vacant hospitals and under-employed nurses: a qualitative study of the nursing workforce management situation in Nepal.

PubMed

Adhikari, Radha

2015-04-01

It is vital for all healthcare systems to have a sufficient number of suitably trained health professionals including nurses at all levels of health services to deliver effective healthcare. An ethnographic, qualitative method was chosen for this study, which included open-ended, in-depth interviews with a range of stakeholders including student nurses, qualified nurses, nurse managers and lecturers, and the human resource co-ordinator in the Ministry of Health and Population. Available records and policy documents were also analysed. Study findings suggest that there is a severe mal-distribution of the nursing workforce in rural and urban healthcare centres in Nepal. Although there is an oversupply of newly qualified nurses in hospitals in Kathmandu, the staffing situation outside the valley is undesirable. Additionally, the turnover of junior nursing staff remains high in major urban hospitals. Most qualified nurses aspire to work in developed countries, such as the UK, North America, Australia and New Zealand. Between 2000 and 2008, as many as 3000 nurses have left Nepal for jobs in the developed west. There is no effective management strategy in place to retain a nursing workforce, particularly in rural Nepal. This article concludes by proposing some suggestions for a nursing workforce retention policy to address this critical issue. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

Factors Related to Intention to Undergo Female Sterilization Among Married Women in Rural Kathmandu, Nepal

PubMed Central

Nanthamongkolchai, Sutham; Pitikultang, Supachai

2016-01-01

Background: Sterilization is most widely used fertility regulation method in Nepal. However, prevalence of uptake of female sterilization in central hilly region is less than the national average. The objective of the study was to explore the number and factors related to intention of married women to undergo female sterilization in rural Kathmandu which lies within central hilly region. Materials and Methods: This is a community based cross-sectional survey research conducted in rural area of Kathmandu valley. Two hundred and forty currently married women with at least one child of any age were interviewed using a structured pre-tested questionnaire. Results: More than four-fifth of the respondents intended to undergo sterilization. Almost two-third of them wanted to limit their family size by taking this option. More than one-third of women not-intending to undergo sterilization feared weakness after sterilization. Age of the respondents, duration of marriage, and number of living children were significantly associated with intention to undergo sterilization. 15-24 years age group were six times more likely to have the intention for sterilization (OR 6.79, CI 2.28-20.19) compared to age 35 years and above group. Mothers with less than 3 living children are about three times more likely to have the intention to undergo sterilization (OR 2.87, CI 1.3-6.33) compared to women with more than 2 living children. Women married for 6 to 10 years were three times more likely to have the intention (OR 3.0, CI 1.09-8.27). However, gender of the living children was not associated with intention to undergo sterilization. Conclusion: There were significant numbers of women intending to undergo sterilization. Age of the mother, number of living children and the duration of marriage were found to be significantly influencing the intention to undergo sterilization. However, as intention refers to future plan, the respondents’ intention may change over time. The national family planning program also needs to identify the key factors in accepting the sterilization and target these women to increase utilization. PMID:27152235

[Nepal earthquake: nursing missions in Paris and Kathmandu].

PubMed

Poux, Chrystel; Sergent, Jean-Louis

2016-01-01

A violent earthquake hit Nepal on 25th April 2015, injuring and killing thousands. A nurse manager and a nurse, both working in anaesthesia and reservists in the French Health Emergency Preparedness and Response Organisation, describe their mission: one working in the crisis centre in Paris, the other on the ground, providing assistance to French victims. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

The need for a national urbanization policy in Nepal.

PubMed

Ertur, O

1994-09-01

There is a need for a national urbanization policy in Nepal as a means of redressing regional disparities in development between the hills, the Kathmandu Valley, and the Terai versus rural and urban areas. A settlement system would complement urban and rural development and reduce dependency on India. An urbanization policy would be both systematic and guided by public and private investment in existing urban and rural settlements. Regional investment in development would contribute to commercialization and agricultural industrialization (development and linkage of market towns and service centers, strengthening of basic infrastructure and land use patterns, strengthening of urban areas around transportation centers, promoting nonfarm employment opportunities, establishing strong financial and technical institutions in middle-sized cities, and strengthening municipalities' mobilization of local resources and financing). Nepal has been one of the least developed countries in its region. The agricultural economy provides economic support for 80% of total population. In 1991, density was 130 person per sq. km. 9% of the total population live in urban areas, but the rate of urban growth is the highest among South Asian Regional Cooperation countries (7.3% in Nepal compared to 6.1% in Bangladesh and 3.7% in India). Rural markets and towns are rapidly becoming urbanized but without basic infrastructure. The spatial component of urbanization must be emphasized. Total population increased in the Terai from 37% in 1971 to 47% in 1991, which increased population density by 31% but not cultivation. Harsh physical conditions in mountainous regions and lack of cultivable land are push factors. Pull factors are employment opportunities in emerging urban centers and the availability of agricultural employment in the Terai. Movement to lowlands is enhanced by the eradication of malaria. 53% of the urban population is in the Terai in 1991, which also has 65% of cultivable land, 35% of roads, and 63% of industry. Urban settlements increased from 10 in 1951 to 33 in 1987 and 36 in 1991. In the Terai, the increases are from five to 21 urban centers. The central and eastern region have experienced faster urban growth than the other three regions. Kathmandu is the most populated urban center followed by Biratnagar, Pokhara, and Birganj. Government ministries are ill-equipped to handle the technical and manpower needs in the process of urbanization.

Risk Factors for the Presence of Chikungunya and Dengue Vectors (Aedes aegypti and Aedes albopictus), Their Altitudinal Distribution and Climatic Determinants of Their Abundance in Central Nepal

PubMed Central

Dhimal, Meghnath; Gautam, Ishan; Joshi, Hari Datt; O’Hara, Robert B.; Ahrens, Bodo; Kuch, Ulrich

2015-01-01

Background The presence of the recently introduced primary dengue virus vector mosquito Aedes aegypti in Nepal, in association with the likely indigenous secondary vector Aedes albopictus, raises public health concerns. Chikungunya fever cases have also been reported in Nepal, and the virus causing this disease is also transmitted by these mosquito species. Here we report the results of a study on the risk factors for the presence of chikungunya and dengue virus vectors, their elevational ceiling of distribution, and climatic determinants of their abundance in central Nepal. Methodology/Principal Findings We collected immature stages of mosquitoes during six monthly cross-sectional surveys covering six administrative districts along an altitudinal transect in central Nepal that extended from Birgunj (80 m above sea level [asl]) to Dhunche (highest altitude sampled: 2,100 m asl). The dengue vectors Ae. aegypti and Ae. albopictus were commonly found up to 1,350 m asl in Kathmandu valley and were present but rarely found from 1,750 to 2,100 m asl in Dhunche. The lymphatic filariasis vector Culex quinquefasciatus was commonly found throughout the study transect. Physiographic region, month of collection, collection station and container type were significant predictors of the occurrence and co-occurrence of Ae. aegypti and Ae. albopictus. The climatic variables rainfall, temperature, and relative humidity were significant predictors of chikungunya and dengue virus vectors abundance. Conclusions/Significance We conclude that chikungunya and dengue virus vectors have already established their populations up to the High Mountain region of Nepal and that this may be attributed to the environmental and climate change that has been observed over the decades in Nepal. The rapid expansion of the distribution of these important disease vectors in the High Mountain region, previously considered to be non-endemic for dengue and chikungunya fever, calls for urgent actions to protect the health of local people and tourists travelling in the central Himalayas. PMID:25774518

Detection of the 2015 Gorkha earthquake-induced landslide surface deformation in Kathmandu using InSAR images from PALSAR-2 data

NASA Astrophysics Data System (ADS)

Sato, Hiroshi P.; Une, Hiroshi

2016-03-01

Previous studies reported that the 2015 Gorkha earthquake (Mw 7.8), which occurred in Nepal, triggered landslides in mountainous areas. In Kathmandu, earthquake-induced land subsidence was identified by interpreting local phase changes in interferograms produced from Advanced Land Observing Satellite-2/Phased Array type L-band Synthetic Aperture Radar-2 data. However, the associated ground deformation was not discussed in detail. We studied line-of-sight (LoS) changes from InSAR images in the SE area of Tribhuvan International Airport, Kathmandu. To obtain the change in LoS caused only by local, short-wavelength surface deformation, we subtracted the change in LoS attributed to coseismic deformation from the original change in LoS. The resulting change in LoS showed that the river terrace was driven to the bottom of the river valley. We also studied the changes in LoS in both ascending and descending InSAR images of the area along the Bishnumati River and performed 2.5D analysis. Removing the effect of coseismic deformation revealed east-west and up-down components of local surface deformation, indicating that the river terrace deformed eastward and subsided on the western riverbank of the river. On the east riverbank, the river terrace deformed westward and subsided. However, in the southern part of the river basin, the river terrace deformed westward and was uplifted. The deformation data and field survey results indicate that local surface deformation in these two areas was not caused by land subsidence but by a landslide (specifically, lateral spread).

Creation of Nepal’s First Skin Bank: Challenges and Outcomes

PubMed Central

Long, Chao; Karki, Bishal; Nakarmi, Kiran; Iqbal, Adnan; Casertano, Michele; Anderson, Sara; Patell, James; Chang, James; Rai, Shankar Man

2017-01-01

Background: In Nepal, burn trauma causes more than 55,000 injuries each year. Burn-related mortality is high in Nepal, in part due to lack of allograft, leading to high infection rates. To address this challenge, our collaboration between Kirtipur Hospital, America Nepal Medical Foundation, Stanford University, and ReSurge International established Nepal’s first skin bank. Methods: We identified 3 major tasks to create a sustainable skin banking program: 1) identify and acquire the equipment and personnel needed to collect, process, store, and graft cadaveric skin for burn injuries; 2) develop safe donation protocols and documentation tools that remain feasible for low-resource settings; and 3) develop a long-term awareness program to educate the Nepali people on skin donation, a previously foreign concept. Results: Kirtipur Hospital acquired the necessary equipment and materials for the skin bank through a combination of local and international fundraising efforts. Existing U.S. skin banking protocols were adapted for the Nepali setting and piloted on potential patients, donors, and physicians. For the first time in the hospital’s history, patients with > 40% total body surface area burns were successfully treated with extensive allografts. Conclusions: It is feasible to create a skin bank in a country with no tradition of allograft skin use. Long-term sustainability now depends on spreading awareness and education in the Kathmandu Valley to overcome religious and cultural barriers that have hindered donor recruitment. Our low-cost and high-impact skin bank provides a model to expand this system to other hospitals both within Nepal and beyond. PMID:29263946

The costs of delay in infrastructure investments: A comparison of 2001 and 2014 household water supply coping costs in the Kathmandu Valley, Nepal

NASA Astrophysics Data System (ADS)

Gurung, Yogendra; Zhao, Jane; Kumar KC, Bal; Wu, Xun; Suwal, Bhim; Whittington, Dale

2017-08-01

In 2001, we conducted a survey of 1500 randomly sampled households in Kathmandu to determine the costs people were incurring to cope with Kathmandu's poor quality, unreliable piped water supply system. From 2001 until 2014, there was little additional public investment in the municipal water supply system. In the summer of 2014, we attempted to reinterview all 1500 households in our 2001 sample to determine how they had managed to deal with the growing water shortage and the deteriorating condition of the piped water infrastructure in Kathmandu and to compare their coping costs in 2014 with those we first estimated in 2001. Average household coping costs more than doubled in real terms over the period from 2001 to 2014, from US5 to US12 per month (measured in 2014 prices). The composition of household coping costs changed from 2001 to 2014, as households responded to the deteriorating condition of the piped water infrastructure by drilling more private wells, purchasing water from both tanker truck and bottled water vendors, and installing more storage tanks. These investments and expenditures resulted in a decline in the time households spend collecting water from outside the home. Our analysis suggests that the significant increase in coping costs between 2001 and 2014 may provide an opportunity for the municipal water utility to substantially increase water tariffs if the quantity and quality of piped services can be improved. However, the capital investments made by some households in private wells, pumping and treatment systems, and storage tanks in response to the delay in infrastructure investment may lock them into current patterns of water use, at least in the short run, and thus make it difficult to predict how they would respond to tariff increases for improved piped water services.

A landslide susceptibility prediction on a sample slope in Kathmandu Nepal associated with the 2015's Gorkha Earthquake

NASA Astrophysics Data System (ADS)

Kubota, Tetsuya; Prasad Paudel, Prem

2016-04-01

In 2013, some landslides induced by heavy rainfalls occurred in southern part of Kathmandu, Nepal which is located southern suburb of Kathmandu, the capital. These landslide slopes hit by the strong Gorkha Earthquake in April 2015 and seemed to destabilize again. Hereby, to clarify their susceptibility of landslide in the earthquake, one of these landslide slopes was analyzed its slope stability by CSSDP (Critical Slip Surface analysis by Dynamic Programming based on limit equilibrium method, especially Janbu method) against slope failure with various seismic acceleration observed around Kathmandu in the Gorkha Earthquake. The CSSDP can detect the landslide slip surface which has minimum Fs (factor of safety) automatically using dynamic programming theory. The geology in this area mainly consists of fragile schist and it is prone to landslide occurrence. Field survey was conducted to obtain topological data such as ground surface and slip surface cross section. Soil parameters obtained by geotechnical tests with field sampling were applied. Consequently, the slope has distinctive characteristics followings in terms of slope stability: (1) With heavy rainfall, it collapsed and had a factor of safety Fs <1.0 (0.654 or more). (2) With seismic acceleration of 0.15G (147gal) observed around Kathmandu, it has Fs=1.34. (3) With possible local seismic acceleration of 0.35G (343gal) estimated at Kathmandu, it has Fs=0.989. If it were very shallow landslide and covered with cedars, it could have Fs =1.055 due to root reinforcement effect to the soil strength. (4) Without seismic acceleration and with no rainfall condition, it has Fs=1.75. These results can explain the real landslide occurrence in this area with the maximum seismic acceleration estimated as 0.15G in the vicinity of Kathmandu by the Gorkha Earthquake. Therefore, these results indicate landslide susceptibility of the slopes in this area with strong earthquake. In this situation, it is possible to predict efficiently the landslide susceptibility in earthquakes in this area by this method.

Slip pulse and resonance of Kathmandu basin during the 2015 Mw 7.8 Gorkha earthquake, Nepal imaged with space geodesy

USGS Publications Warehouse

Galetzka, John; Melgar, D.; Genrich, J.F.; Geng, J.; Owen, S.; Lindsey, E. O.; Xu, X.; Bock, Y.; Avouac, J.-P.; Adhikari, L. B.; Upreti, B. N.; Pratt-Sitaula, B.; Bhattarai, T. N.; Sitaula, B. P.; Moore, A.; Hudnut, Kenneth W.; Szeliga, W.; Normandeau, J.; Fend, M.; Flouzat, M; Bollinger, L.; Shrestha, P.; Koirala, B.; Gautam, U.; Bhatterai, M.; Gupta, R.; Kandel, T.; Timsina, C.; Sapkota, S.N.; Rajaure, S.; Maharjan, N.

2015-01-01

Detailed geodetic imaging of earthquake rupture enhances our understanding of earthquake physics and induced ground shaking. The April 25, 2015 Mw 7.8 Gorkha, Nepal earthquake is the first example of a large continental megathrust rupture beneath a high-rate (5 Hz) GPS network. We use GPS and InSAR data to model the earthquake rupture as a slip pulse of ~20 km width, ~6 s duration, and with peak sliding velocity of 1.1 m/s that propagated toward Kathmandu basin at ~3.3 km/s over ~140 km. The smooth slip onset, indicating a large ~5 m slip-weakening distance, caused moderate ground shaking at high >1Hz frequencies (~16% g) and limited damage to regular dwellings. Whole basin resonance at 4-5 s period caused collapse of tall structures, including cultural artifacts.

Polycyclic aromatic hydrocarbons in the urban atmosphere of Nepal: Distribution, sources, seasonal trends, and cancer risk.

PubMed

Pokhrel, Balram; Gong, Ping; Wang, Xiaoping; Wang, Chuanfei; Gao, Shaoping

2018-03-15

Atmospheric polycyclic aromatic hydrocarbons (PAHs) in urban areas have always been a global concern, as these areas are considered to be the source region. Despite studies on the concentrations of PAHs in water, soils and sediments, knowledge of the distribution patterns, seasonality and sources of PAHs in urban areas of Nepal remains limited. In this study, polyurethane foam passive air samplers were used to measure gas-phase PAH concentrations over different land types in three major cities of Nepal-namely, Kathmandu (the capital) and Pokhara (both densely populated cities), and Hetauda (an agricultural city). The average concentrations of ∑15PAHs in ng/m 3 were 16.1±7.0 (6.4-28.6), 14.1±6.2 (6.8-29.4) and 11.1±9.0 (4.1-38.0) in Kathmandu, Pokhara and Hetauda, respectively. Molecular diagnostic ratio analysis suggested that fossil fuel combustion was a common PAH source for all three cities. In addition to this, coal combustion in Kathmandu, vehicle emissions in Pokhara, and grass/wood combustion in Hetauda were also possible sources of PAHs. In terms of cancer risk from PAH inhalation, a religious site with intense incense burning, a brick production area where extensive coal combustion is common, and a market place with heavy traffic emission, were associated with a higher risk than other areas. There were no clear seasonal trends in atmospheric PAHs. The estimated cancer risk due to inhalation of gas-phase PAHs exceeded the USEPA standard at >90% of the sites. Copyright © 2017 Elsevier B.V. All rights reserved.

The Himalayas as a directional barrier to gene flow.

PubMed

Gayden, Tenzin; Cadenas, Alicia M; Regueiro, Maria; Singh, Nanda B; Zhivotovsky, Lev A; Underhill, Peter A; Cavalli-Sforza, Luigi L; Herrera, Rene J

2007-05-01

High-resolution Y-chromosome haplogroup analyses coupled with Y-short tandem repeat (STR) haplotypes were used to (1) investigate the genetic affinities of three populations from Nepal--including Newar, Tamang, and people from cosmopolitan Kathmandu (referred to as "Kathmandu" subsequently)--as well as a collection from Tibet and (2) evaluate whether the Himalayan mountain range represents a geographic barrier for gene flow between the Tibetan plateau and the South Asian subcontinent. The results suggest that the Tibetans and Nepalese are in part descendants of Tibeto-Burman-speaking groups originating from Northeast Asia. All four populations are represented predominantly by haplogroup O3a5-M134-derived chromosomes, whose Y-STR-based age (+/-SE) was estimated at 8.1+/-2.9 thousand years ago (KYA), more recent than its Southeast Asian counterpart. The most pronounced difference between the two regions is reflected in the opposing high-frequency distributions of haplogroups D in Tibet and R in Nepal. With the exception of Tamang, both Newar and Kathmandu exhibit considerable similarities to the Indian Y-haplogroup distribution, particularly in their haplogroup R and H composition. These results indicate gene flow from the Indian subcontinent and, in the case of haplogroup R, from Eurasia as well, a conclusion that is also supported by the admixture analysis. In contrast, whereas haplogroup D is completely absent in Nepal, it accounts for 50.6% of the Tibetan Y-chromosome gene pool. Coalescent analyses suggest that the expansion of haplogroup D derivatives--namely, D1-M15 and D3-P47 in Tibet--involved two different demographic events (5.1+/-1.8 and 11.3+/-3.7 KYA, respectively) that are more recent than those of D2-M55 representatives common in Japan. Low frequencies, relative to Nepal, of haplogroup J and R lineages in Tibet are also consistent with restricted gene flow from the subcontinent. Yet the presence of haplogroup O3a5-M134 representatives in Nepal indicates that the Himalayas have been permeable to dispersals from the east. These genetic patterns suggest that this cordillera has been a biased bidirectional barrier.

Assessing the factors associated with sexual harassment among young female migrant workers in Nepal.

PubMed

Puri, Mahesh; Cleland, John

2007-11-01

This article explores the extent of, and factors associated with, sexual harassment of young female migrant workers in the carpet and garment factories in Kathmandu Valley. Information is drawn from a survey of 550 female workers aged 14 to 19 and 12 in-depth case histories. Bivariate and multivariate techniques were applied to identify the factors associated with harassment. The survey found that 1 in 10 young women had experienced sexual harassment or coercion. Those who were exposed to pornographic movies were more likely than those with no exposure to any kind of movies to report sexual harassment. Perpetrators included coworkers, boyfriends, employers, and relatives. Case histories revealed that the inability of young women to communicate effectively with their peers and sex partners, lack of self-esteem, job insecurity, and other socioeconomic problems made them vulnerable to these abuses. The results suggest the need for advocacy and a range of factory-based interventions.

Color vision defects in school going children.

PubMed

Shrestha, R K; Joshi, M R; Shakya, S; Ghising, R

2010-01-01

Color vision defect can be observed in various diseases of optic nerve and retina and also a significant number of people suffer from the inherited condition of red and green color defect. A cross-sectional descriptive study was designed with purposive sampling of students from various schools of Kathmandu Valley. All children were subjected to color vision evaluation using Ishihara Isochromatic color plates along with other examination to rule out any other causes for color deficiency. A total of 2001 students were examined, 1050 male students and 951 females with mean age of 10.35 (+/- 2.75) and 10.54 (+/- 2.72) respectively. Among the total students examined, 2.1% had some form of color vision defects. Of the male population, 3.9% had color vision defects while none of the female was found with the deficiency. The prevalence of color vision defect in Nepal is significant and comparable with the prevalence quoted in studies from different countries.

Sexual behavior and perceived risk of HIV/AIDS among young migrant factory workers in Nepal.

PubMed

Puri, M; Cleland, J

2006-03-01

To analyze the sexual behavior, perceived risk of contracting STIs and HIV/AIDS, and protective behaviors of migrant workers aged 14-19 years in carpet and garment factories in the Kathmandu Valley, Nepal. A common assumption in Nepal is that young migrant workers experience an increase in vulnerability. Moving away from the social controls of family and community, they become exposed to a mixed-gender environment and therefore might initiate sex earlier or have more casual encounters than might otherwise be the case. The analysis is based on a representative sample survey of 1050 factory workers. Information was also obtained from 23 in-depth case histories. Both bivarite and multivariate techniques were applied to identify the factors associated with involvement in risky sexual behavior. Despite religious and cultural restrictions, one in five boys and one in eight unmarried girls reported experience of sexual intercourse. Early sexual experimentation, multiple partners, and low and irregular use of condoms are not uncommon. Instances of sexual exploitation by factory owners or managers were documented but were rare. Most nonregular sex partners were described as friends from the same factory or community. Despite high-risk behavior, relatively few young people considered themselves to be at risk of getting STIs or HIV/AIDS. Information on the possible consequences of unsafe sex is inadequate. Programs aimed at promotion of safer sex practices and life skill training that facilitates communication and utilization of sexual health services should target vulnerable migrant young people.

Resilience of refugees displaced in the developing world: a qualitative analysis of strengths and struggles of urban refugees in Nepal

PubMed Central

2011-01-01

Background Mental health and psychosocial wellbeing are key concerns in displaced populations. Despite urban refugees constituting more than half of the world's refugees, minimal attention has been paid to their psychosocial wellbeing. The purpose of this study was to assess coping behaviour and aspects of resilience amongst refugees in Kathmandu, Nepal. Methods This study examined the experiences of 16 Pakistani and 8 Somali urban refugees in Kathmandu, Nepal through in-depth individual interviews, focus groups, and Photovoice methodology. Such qualitative approaches enabled us to broadly discuss themes such as personal experiences of being a refugee in Kathmandu, perceived causes of psychosocial distress, and strategies and resources for coping. Thematic network analysis was used in this study to systematically interpret and code the data. Results Our findings highlight that urban refugees' active coping efforts, notwithstanding significant adversity and resulting distress, are most frequently through primary relationships. Informed by Axel Honneth's theory on the struggle for recognition, findings suggest that coping is a function beyond the individual and involves the ability to negotiate recognition. This negotiation involves not only primary relationships, but also the legal order and other social networks such as family and friends. Honneth's work was used because of its emphasis on the importance of legal recognition and larger structural factors in facilitating daily coping. Conclusions Understanding how urban refugees cope by negotiating access to various forms of recognition in the absence of legal-recognition will enable organisations working with them to leverage such strengths and develop relevant programmes. In particular, building on these existing resources will lead to culturally compelling and sustainable care for these populations. PMID:21943401

Health care workers' knowledge, attitudes and practices on tuberculosis infection control, Nepal.

PubMed

Shrestha, Anita; Bhattarai, Dipesh; Thapa, Barsha; Basel, Prem; Wagle, Rajendra Raj

2017-11-17

Infection control remains a key challenge for Tuberculosis (TB) control program with an increased risk of TB transmission among health care workers (HCWs), especially in settings with inadequate TB infection control measures. Poor knowledge among HCWs and inadequate infection control practices may lead to the increased risk of nosocomial TB transmission. An institution-based cross-sectional survey was conducted in 28 health facilities providing TB services in the Kathmandu Valley, Nepal. A total of 190 HCWs were assessed for the knowledge, attitudes and practices on TB infection control using a structured questionnaire. The level of knowledge on TB infection control among almost half (45.8%) of the HCWs was poor, and was much poorer among administration and lower level staff. The knowledge level was significantly associated with educational status, and TB training and/or orientation received. The majority (73.2%) of HCWs had positive attitude towards TB infection control. Sixty-five percent of HCWs were found to be concerned about being infected with TB. Use of respirators among the HCWs was limited and triage of TB suspects was also lacking. Overall knowledge and practices of HCWs on TB infection control were not satisfactory. Effective infection control measures including regular skill-based training and/or orientation for all categories of HCWs can improve infection control practices in health facilities.

Surface water pollution in three urban territories of Nepal, India, and Bangladesh.

PubMed

Karn, S K; Harada, H

2001-10-01

In South Asian countries such as Nepal, India, and Bangladesh, pollution of rivers is more severe and critical near urban stretches due to huge amounts of pollution load discharged by urban activities. The Bagmati River in the Kathmandu valley, the Yamuna River at Delhi, and peripheral rivers (mainly Buriganga River) of Dhaka suffer from severe pollution these days. The observed dry season average of biochemical oxygen demand (BOD) in all these rivers is in the range of 20-30 mg/liter and total coliform are as high as 104-105 MPN/100 ml. Per capita pollution load discharge of urban areas has been estimated to be about 31, 19, and 25 g BOD/capita/day in Bagmati, Yamuna, and the rivers of Dhaka, respectively. Regression analysis reveals pollution loads steadily increasing nearly in step with the trend in urbanization. The dissolved oxygen (DO) level of the Bagmati and Buriganga rivers is declining at an average annual rate of nearly 0.3 mg/liter/year. Unplanned urbanization and industrialization occurring in these cities may be largely responsible for this grave situation. Inadequate sewerage, on-site sanitation, and wastewater treatment facilities in one hand, and lack of effective pollution control measures and their strict enforcement on the other are the major causes of rampant discharge of pollutants in the aquatic systems.

Slip pulse and resonance of the Kathmandu basin during the 2015 Gorkha earthquake, Nepal

NASA Astrophysics Data System (ADS)

Galetzka, J.; Melgar, D.; Genrich, J. F.; Geng, J.; Owen, S.; Lindsey, E. O.; Xu, X.; Bock, Y.; Avouac, J.-P.; Adhikari, L. B.; Upreti, B. N.; Pratt-Sitaula, B.; Bhattarai, T. N.; Sitaula, B. P.; Moore, A.; Hudnut, K. W.; Szeliga, W.; Normandeau, J.; Fend, M.; Flouzat, M.; Bollinger, L.; Shrestha, P.; Koirala, B.; Gautam, U.; Bhatterai, M.; Gupta, R.; Kandel, T.; Timsina, C.; Sapkota, S. N.; Rajaure, S.; Maharjan, N.

2015-09-01

Detailed geodetic imaging of earthquake ruptures enhances our understanding of earthquake physics and associated ground shaking. The 25 April 2015 moment magnitude 7.8 earthquake in Gorkha, Nepal was the first large continental megathrust rupture to have occurred beneath a high-rate (5-hertz) Global Positioning System (GPS) network. We used GPS and interferometric synthetic aperture radar data to model the earthquake rupture as a slip pulse ~20 kilometers in width, ~6 seconds in duration, and with a peak sliding velocity of 1.1 meters per second, which propagated toward the Kathmandu basin at ~3.3 kilometers per second over ~140 kilometers. The smooth slip onset, indicating a large (~5-meter) slip-weakening distance, caused moderate ground shaking at high frequencies (>1 hertz; peak ground acceleration, ~16% of Earth’s gravity) and minimized damage to vernacular dwellings. Whole-basin resonance at a period of 4 to 5 seconds caused the collapse of tall structures, including cultural artifacts.

Slip pulse and resonance of the Kathmandu basin during the 2015 Gorkha earthquake, Nepal.

PubMed

Galetzka, J; Melgar, D; Genrich, J F; Geng, J; Owen, S; Lindsey, E O; Xu, X; Bock, Y; Avouac, J-P; Adhikari, L B; Upreti, B N; Pratt-Sitaula, B; Bhattarai, T N; Sitaula, B P; Moore, A; Hudnut, K W; Szeliga, W; Normandeau, J; Fend, M; Flouzat, M; Bollinger, L; Shrestha, P; Koirala, B; Gautam, U; Bhatterai, M; Gupta, R; Kandel, T; Timsina, C; Sapkota, S N; Rajaure, S; Maharjan, N

2015-09-04

Detailed geodetic imaging of earthquake ruptures enhances our understanding of earthquake physics and associated ground shaking. The 25 April 2015 moment magnitude 7.8 earthquake in Gorkha, Nepal was the first large continental megathrust rupture to have occurred beneath a high-rate (5-hertz) Global Positioning System (GPS) network. We used GPS and interferometric synthetic aperture radar data to model the earthquake rupture as a slip pulse ~20 kilometers in width, ~6 seconds in duration, and with a peak sliding velocity of 1.1 meters per second, which propagated toward the Kathmandu basin at ~3.3 kilometers per second over ~140 kilometers. The smooth slip onset, indicating a large (~5-meter) slip-weakening distance, caused moderate ground shaking at high frequencies (>1 hertz; peak ground acceleration, ~16% of Earth's gravity) and minimized damage to vernacular dwellings. Whole-basin resonance at a period of 4 to 5 seconds caused the collapse of tall structures, including cultural artifacts. Copyright © 2015, American Association for the Advancement of Science.

Characterization of rotavirus causing acute diarrhoea in children in Kathmandu, Nepal, showing the dominance of serotype G12.

PubMed

Ansari, Shamshul; Sherchand, Jeevan Bahadur; Rijal, Basista Prasad; Parajuli, Keshab; Mishra, Shyam Kumar; Dahal, Rajan Kumar; Shrestha, Shovita; Tandukar, Sarmila; Chaudhary, Raina; Kattel, Hari Prasad; Basnet, Amul; Pokhrel, Bharat Mani

2013-01-01

Diarrhoeal diseases are a major problem in developing countries. Though precise data on childhood mortality associated with diarrhoeal diseases in Nepal are not available, it has been estimated that approximately 25 % of child deaths are associated with diarrhoeal disease, particularly acute diarrhoea. The purpose of this study was to assess the incidence of rotavirus causing acute diarrhoea in children less than 5 years of age. A total of 525 children with acute diarrhoea in a children's hospital of Kathmandu, Nepal, were enrolled between April and September 2011. The incidence of acute diarrhoea due to rotavirus was 25.9 % (136/525) as determined by ELISA. The percentage of rotavirus-infected males was higher (64.5 %) than females (35.5 %). The frequency of rotavirus cases was higher in children less than 2 years of age, among which the majority of cases (80.2 %) were in children between 6 and 24 months old (P<0.01). Genotypic characterization by RT-PCR revealed that the serotype G12 represented 55.9 % of cases in this study associated with P-types of either P[6], P[4] or P[8]. Further to this, a total of eight G/P combinations were identified, G12P[6] being the most common strain type of rotavirus in Nepal, with a prevalence rate of 46.4 %. The aim of this study was to find out the major genotypes of rotavirus causing acute diarrhoea in children.

The impact of ocular trauma during the Nepal earthquake in 2015.

PubMed

Pradhan, E; Limbu, B; Thakali, S; Jain, N S; Gurung, R; Ruit, S

2017-03-28

Nepal was struck by a massive earthquake on the 25th April 2015 and major aftershock on the 12th of May 2015, resulting in widespread devastation with a death toll in the thousands. The burden of ocular trauma resulting from the recent earthquakes in Nepal has not been described thus far. The aim of this study was to determine the types of ocular injuries sustained in the earthquake in Nepal and its management in Tilganga Institute of Ophthalmology (TIO) in Gaushala, Kathmandu. This is a hospital-based retrospective study of patients presenting to TIO following repeated earthquake. Variables that were recorded included patients' presenting symptoms and time to presentation, visual acuities at presentation and at follow-up, diagnosis of ocular injury and surgery performed. There were 59 cases of earthquake victims visiting TIO, Gaushala, Kathmandu from April 2015 to July 2015, with 64 affected eyes due to 5 cases of bilateral involvement. The majority of patients were from the district Sindhupalchowk (14 cases, 23.7%), which was the epicenter of the main earthquake. The average duration between the earthquake and presentation was 13 · 9 days (range 1-120 days). Closed globe injury was most frequent (23 cases), followed by open globe injuries (8 cases). While 24 patients (38%) initially presented with a visual acuity <3/60 in their affected eye, 15 patients (23%) had a visual acuity of <3/60 on follow-up. A variety of surgical treatments were required including anterior and posterior segment repair. Immediate management of ocular trauma is critical in order to prevent blindness. Characterizing the burden of earthquake-related ocular trauma will facilitate planning for service provision in the event of a future earthquake in Nepal, or in countries, which are similarly at risk of having natural disasters.

The Effect of the 2015 Earthquake on the Bacterial Community Compositions in Water in Nepal

PubMed Central

Uprety, Sital; Hong, Pei-Ying; Sadik, Nora; Dangol, Bipin; Adhikari, Rameswor; Jutla, Antarpreet; Shisler, Joanna L.; Degnan, Patrick; Nguyen, Thanh H.

2017-01-01

We conducted a study to examine the effect of seasonal variations and the disruptive effects of the 2015 Nepal earthquake on microbial communities associated with drinking water sources. We first characterized the microbial communities of water samples in two Nepali regions (Kathmandu and Jhapa) to understand the stability of microbial communities in water samples collected in 2014. We analyzed additional water samples from the same sources collected from May to August 2015, allowing the comparison of samples from dry-to-dry season and from dry-to-monsoon seasons. Emphasis was placed on microbes responsible for maintaining the geobiochemical characteristics of water (e.g., ammonia-oxidizing and nitrite-oxidizing bacteria and archaea and sulfate-reducing bacteria) and opportunistic pathogens often found in water (Acinetobacter). When examining samples from Jhapa, we identified that most geobiochemical microbe populations remained similar. When examining samples from Kathmandu, the abundance of microbial genera responsible for maintaining the geobiochemical characteristics of water increased immediately after the earthquake and decreased 8 months later (December 2015). In addition, microbial source tracking was used to monitor human fecal contamination and revealed deteriorated water quality in some specific sampling sites in Kathmandu post-earthquake. This study highlights a disruption of the environmental microbiome after an earthquake and the restoration of these microbial communities as a function of time and sanitation practices. PMID:29270153

Sex-selective abortion in Nepal: a qualitative study of health workers' perspectives.

PubMed

Lamichhane, Prabhat; Harken, Tabetha; Puri, Mahesh; Darney, Philip D; Blum, Maya; Harper, Cynthia C; Henderson, Jillian T

2011-01-01

Sex-selective abortion is expressly prohibited in Nepal, but limited evidence suggests that it occurs nevertheless. Providers' perspectives on sex-selective abortion were examined as part of a larger study on legal abortion in the public sector in Nepal. In-depth interviews were conducted with health care providers and administrators providing abortion services at four major hospitals (n = 35), two in the Kathmandu Valley and two in outlying rural areas. A grounded theory approach was used to code interview transcripts and to identify themes in the data. Most providers were aware of the ban on sex-selective abortion and, despite overall positive views of abortion legalization, saw sex selection as an increasing problem. Greater availability of abortion and ultrasonography, along with the high value placed on sons, were seen as contributing factors. Providers wanted to perform abortions for legal indications, but described challenges identifying sex-selection cases. Providers also believed that illegal sex-selective procedures contribute to serious abortion complications. Sex-selective abortion complicates the provision of legal abortion services. In addition to the difficulty of determining which patients are seeking abortion for sex selection, health workers are aware of the pressures women face to bear sons and know they may seek unsafe services elsewhere when unable to obtain abortions in public hospitals. Legislative, advocacy, and social efforts aimed at promoting gender equality and women's human rights are needed to reduce the cultural and economic pressures for sex-selective abortion, because providers alone cannot prevent the practice. Copyright © 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

MTV's "Staying Alive" Global Campaign Promoted Interpersonal Communication about HIV and Positive Beliefs about HIV Prevention

ERIC Educational Resources Information Center

Geary, Cynthia Waszak; Burke; Holly McClain; Castelnau, Laure; Neupane; Shailes; Sall, Yacine Ba; Wong, Emily; Tucker, Heidi Toms

2007-01-01

In 2002 MTV launched a global multicomponent HIV prevention campaign, "Staying Alive," reaching over 166 countries worldwide. An evaluation of this campaign focused on three diverse sites: Kathmandu, Nepal; Sao Paulo, Brazil; and Dakar, Senegal. Data were collected before and after campaign implementation through population-based…

Molecular characterization of Blastocystis isolates from children and rhesus monkeys in Kathmandu, Nepal.

PubMed

Yoshikawa, Hisao; Wu, Zhiliang; Pandey, Kishor; Pandey, Basu Dev; Sherchand, Jeevan Bahadur; Yanagi, Tetsuo; Kanbara, Hiroji

2009-03-23

To investigate the possible transmission of Blastocystis organisms between local rhesus monkeys and children in Kathmandu, Nepal, we compared the subtype (ST) and sequence of Blastocystis isolates from children with gastrointestinal symptoms and local rhesus monkeys. Twenty and 10 Blastocystis isolates were established from 82 and 10 fecal samples obtained from children and monkeys, respectively. Subtype analysis with seven sequence-tagged site (STS) primers indicated that the prevalence of Blastocystis sp. ST1, ST2 and ST3 was 20%, 20% and 60% in the child isolates, respectively. In contrast to human isolates, ST3 was not found in monkey isolates and the prevalence of ST1 and ST2 was 50% and 70%, respectively, including three mixed STs1 and 2 and one isolate not amplified by any STS primers, respectively. Since Blastocystis sp. ST2 has been reported as the most dominant genotype in the survey of Blastocystis infection among the various monkey species, sequence comparison of the 150bp variable region of the small subunit rRNA (SSU rRNA) gene was conducted among ST2 isolates of humans and monkeys. Sequence alignment of 24 clones developed from ST2 isolates of 4 humans and 4 monkeys showed three distinct subgroups, defined as ST2A, ST2B and ST2C. These three subgroups were shared between the child and monkey isolates. These results suggest that the local rhesus monkeys are a possible source of Blastocystis sp. ST2 infection of humans in Kathmandu.

Dentists in Nepal: A Situation Analysis.

PubMed

Shrestha, Rabindra Man; Shrestha, Sujita Shrestha; Kunwar, Nischal

2017-09-08

Human resource data is essential for planning and implementation of health care delivery system. However, very few information is available on dental health human resource in the country. The aim of study was to assess the number of dentists in the country and to explore their distribution according to demographic and professional characteristics. A census was performed during July 2015 to July 2016 about the Nepali dentists. The study assessed demographic and professional characteristics of dentists including age, gender, ethnicity, education attainment, university, country/year of graduation, and work place using data collection sheet by trained data collectors. For those not accessible for direct contact, the information was obtained through secondary data. Data entry was done in CSPro software application and was analyzed in SPSS 20. The total number of registered Nepali dentists was 1803 with 419 specialists until June 2015. The male to female ratio was 1:1.46. Among all; 1318 (73%) were present in the country, 1047 (58%) were professionally active, and 1366 (76%) were below the age of 35 years. Among the professionals; 831 (79%) were employed in private sector and 601 (57%) worked in Kathmandu valley. The dentist-population ratio is decreasing exponentially in capital and major cities of Nepal however it remains very high in rural areas. Compared to other provinces,Province 6 and Province 7 lack service of dentists.

Analysis of strong ground motions and site effects at Kantipath, Kathmandu, from 2015 Mw 7.8 Gorkha, Nepal, earthquake and its aftershocks

NASA Astrophysics Data System (ADS)

Dhakal, Yadab P.; Kubo, Hisahiko; Suzuki, Wataru; Kunugi, Takashi; Aoi, Shin; Fujiwara, Hiroyuki

2016-04-01

Strong ground motions from the 2015 Mw 7.8 Gorkha, Nepal, earthquake and its eight aftershocks recorded by a strong-motion seismograph at Kantipath (KATNP), Kathmandu, were analyzed to assess the ground-motion characteristics and site effects at this location. Remarkably large elastic pseudo-velocity responses exceeding 300 cm/s at 5 % critical damping were calculated for the horizontal components of the mainshock recordings at peak periods of 4-5 s. Conversely, the short-period ground motions of the mainshock were relatively weak despite the proximity of the site to the source fault. The horizontal components of all large-magnitude (Mw ≥ 6.3) aftershock recordings showed peak pseudo-velocity responses at periods of 3-4 s. Ground-motion prediction equations (GMPEs) describing the Nepal Himalaya region have not yet been developed. A comparison of the observational data with GMPEs for Japan showed that with the exception of the peak ground acceleration (PGA) of the mainshock, the observed PGAs and peak ground velocities at the KATNP site are generally well described by the GMPEs for crustal and plate interface events. A comparison of the horizontal-to-vertical ( H/ V) spectral ratios for the S-waves of the mainshock and aftershock recordings suggested that the KATNP site experienced a considerable nonlinear site response, which resulted in the reduced amplitudes of short-period ground motions. The GMPEs were found to underestimate the response values at the peak periods (approximately 4-5 s) of the large-magnitude events. The deep subsurface velocity model of the Kathmandu basin has not been well investigated. Therefore, a one-dimensional velocity model was constructed for the deep sediments beneath the recording station based on an analysis of the H/ V spectral ratios for S-wave coda from aftershock recordings, and it was revealed that the basin sediments strongly amplified the long-period components of the ground motions of the mainshock and large-magnitude aftershocks.

Molecular and Clinical Epidemiology of Salmonella Paratyphi A Isolated from Patients with Bacteremia in Nepal.

PubMed

Sherchan, Jatan Bahadur; Morita, Masatomo; Matono, Takashi; Izumiya, Hidemasa; Ohnishi, Makoto; Sherchand, Jeevan B; Tandukar, Sarmila; Laghu, Ujjwal; Nagamatsu, Maki; Kato, Yasuyuki; Ohmagari, Norio; Hayakawa, Kayoko

2017-12-01

Little is known about the epidemiology of typhoid and paratyphoid fever in Nepal. We aimed to elucidate the molecular and clinical epidemiology of Salmonella Paratyphi A in Nepal. Isolates were collected from 23 cases of bacteremia due to S. Paratyphi A between December 2014 and October 2015. Thirteen patients (57%) were male, and the median age was 21 years. None of the patients had an underlying chronic disease. All S. Paratyphi A isolates were sensitive to ampicillin, trimethoprim/sulfamethoxazole, ceftriaxone, and chloramphenicol. All isolates were resistant to nalidixic acid and were categorized as intermediately susceptible to levofloxacin. Phylogenetic analysis revealed close relatedness among the isolates, including several clonal groups, suggesting local spread. Patients with bacteremia due to S. Paratyphi A in Kathmandu, Nepal, were relatively young and nondebilitated. Improving control of S . Paratyphi infections should focus on effective infection control measures and selection of empirical therapy based on current resistance patterns.

Medicolegal aspects of the Thai Airbus crash near Kathmandu, Nepal: findings of the investigating pathologists.

PubMed

Fernando, R; Vanezis, P

1998-06-01

A Thai Airbus, carrying 99 passengers and 14 crew members, traveling from Bangkok to Kathmandu, hit a mountain and crashed several minutes before landing. There were no survivors. Recovered human remains, none of which was easily identifiable, varied in size from a small piece of muscle to mutilated bodies. Of the 97 fragments, only 15 were sufficiently intact (albeit, only partially) to be designated as "bodies." Of the fragments and "bodies," only 11 were positively identified. Causes of death, although all traumatic, could not be stated accurately due to the degree of disintegration. Identification of human remains in these circumstances is a major problem for the pathologist.

Segmentation of the Himalayan megathrust around the Gorkha earthquake (25 April 2015) in Nepal

NASA Astrophysics Data System (ADS)

Mugnier, Jean-Louis; Jouanne, François; Bhattarai, Roshan; Cortes-Aranda, Joaquim; Gajurel, Ananta; Leturmy, Pascale; Robert, Xavier; Upreti, Bishal; Vassallo, Riccardo

2017-06-01

We put the 25 April 2015 earthquake of Nepal (Mw 7.9) into its structural geological context in order to specify the role of the segmentation of the Himalayan megathrust. The rupture is mainly located NW of Kathmandu, at a depth of 13-15 km on a flat portion of the Main Himalayan Thrust (MHT) that dips towards the N-NE by 7-10°. The northern bound of the main rupture corresponds to the transition towards a steeper crustal ramp. This ramp, which is partly coupled during the interseismic period, is only locally affected by the earthquake. The southern bound of the rupture was near the leading edge of the Lesser Himalaya antiformal duplex and near the frontal footwall ramp of the upper Nawakot duplex. The rupture has been affected by transversal structures: on the western side, the Judi lineament separates the main rupture zone from the nucleation area; on the eastern side, the Gaurishankar lineament separates the 25 April 2015 rupture from the 12 May 2015 (Mw 7.2) rupture. The origin of these lineaments is very complex: they are probably linked to pre-Himalayan faults that extend into the Indian shield beneath the MHT. These inherited faults induce transverse warping of the upper lithosphere beneath the MHT, control the location of lateral ramps of the thrust system and concentrate the hanging wall deformation at the lateral edge of the ruptures. The MHT is therefore segmented by stable barriers that define at least five patches in Central Nepal. These barriers influence the extent of the earthquake ruptures. For the last two centuries: the 1833 (Mw 7.6) earthquake was rather similar in extent to the 2015 event but its rupture propagated south-westwards from an epicentre located NE of Kathmandu; the patch south of Kathmandu was probably affected by at least three earthquakes of Mw ⩾ 7 that followed the 1833 event a few days later or 33 years (1866 event, Mw 7.2) later; the 1934 earthquake (Mw 8.4) had an epicentre ∼170 km east of Kathmandu, may have propagated as far as Kathmandu and jumped the Gaurishankar lineament. This combined structural approach and earthquake study allows us to propose that the MHT in the central/eastern Himalaya is segmented by stable barriers that define barrier-type earthquake families. However for each individual earthquake within a family, the rupture histories could be different. Furthermore, the greatest earthquakes could have broken the barriers and affected the patches of several families. The concept of a regular recurrence of characteristic earthquakes is therefore misleading to describe the succession of Himalayan earthquakes.

Rapid and Near Real-Time Assessments of Population Displacement Using Mobile Phone Data Following Disasters: The 2015 Nepal Earthquake.

PubMed

Wilson, Robin; Zu Erbach-Schoenberg, Elisabeth; Albert, Maximilian; Power, Daniel; Tudge, Simon; Gonzalez, Miguel; Guthrie, Sam; Chamberlain, Heather; Brooks, Christopher; Hughes, Christopher; Pitonakova, Lenka; Buckee, Caroline; Lu, Xin; Wetter, Erik; Tatem, Andrew; Bengtsson, Linus

2016-02-24

Sudden impact disasters often result in the displacement of large numbers of people. These movements can occur prior to events, due to early warning messages, or take place post-event due to damages to shelters and livelihoods as well as a result of long-term reconstruction efforts. Displaced populations are especially vulnerable and often in need of support. However, timely and accurate data on the numbers and destinations of displaced populations are extremely challenging to collect across temporal and spatial scales, especially in the aftermath of disasters. Mobile phone call detail records were shown to be a valid data source for estimates of population movements after the 2010 Haiti earthquake, but their potential to provide near real-time ongoing measurements of population displacements immediately after a natural disaster has not been demonstrated. A computational architecture and analytical capacity were rapidly deployed within nine days of the Nepal earthquake of 25th April 2015, to provide spatiotemporally detailed estimates of population displacements from call detail records based on movements of 12 million de-identified mobile phones users. Analysis shows the evolution of population mobility patterns after the earthquake and the patterns of return to affected areas, at a high level of detail. Particularly notable is the movement of an estimated 390,000 people above normal from the Kathmandu valley after the earthquake, with most people moving to surrounding areas and the highly-populated areas in the central southern area of Nepal. This analysis provides an unprecedented level of information about human movement after a natural disaster, provided within a very short timeframe after the earthquake occurred. The patterns revealed using this method are almost impossible to find through other methods, and are of great interest to humanitarian agencies.

Distribution, sources, and air-soil exchange of OCPs, PCBs and PAHs in urban soils of Nepal.

PubMed

Pokhrel, Balram; Gong, Ping; Wang, Xiaoping; Chen, Mengke; Wang, Chuanfei; Gao, Shaopeng

2018-06-01

Due to the high temperature and extensive use of organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs) and polycyclic aromatic hydrocarbons (PAHs), tropical cities could act as secondary sources of these pollutants and therefore received global concern. As compared with other tropical cities, studies on the air-soil exchange of OCPs, PCBs and PAHs in tropical Nepali cities remained limited. In the present study, 39 soil samples from Kathmandu (capital of Nepal) and 21 soil samples from Pokhara (second largest city in Nepal) were collected The soil concentrations of the sum of endosulfans (α- and β-endosulfans) ranged from 0.01 to 16.4 ng/g dw. Meanwhile, ∑dichlorodiphenyltrichloroethane (DDTs) ranged from 0.01 to 6.5 ng/g dw; ∑6PCBs from 0.01 to 9.7 ng/g dw; and ∑15PAHs from 17.1 to 6219 ng/g dw. High concentrations of OCPs were found in the soil of commercial land, while, high soil PAH concentrations were found on tourist/religious and commercial land. Combined the published air concentrations, and the soil data of this study, the directions and fluxes of air-soil exchange were estimated using a fugacity model. It is clear that Nepal is a country contributing prominently to secondary emissions of endosulfans, hexachlorobenzene (HCB), and low molecular weight (LMW) PCBs and PAHs. The flux for all the pollutants in Kathmandu, with ∑endosulfans up to 3553; HCB up to 5263; and ∑LMW-PAHs up to 24378 ng m -2  h -1 , were higher than those in Pokhara. These high flux values indicated the high strength of Nepali soils to act as a source. Copyright © 2018 Elsevier Ltd. All rights reserved.

The Advanced Rapid Imaging and Analysis (ARIA) Project's Response to the April 25, 2015 M7.8 Nepal Earthquake: Rapid Measurements and Models for Science and Situational Awareness

NASA Astrophysics Data System (ADS)

Owen, S. E.; Fielding, E. J.; Yun, S. H.; Yue, H.; Polet, J.; Riel, B. V.; Liang, C.; Huang, M. H.; Webb, F.; Simons, M.; Moore, A. W.; Agram, P. S.; Barnhart, W. D.; Hua, H.; Liu, Z.; Milillo, P.; Sacco, G. F.; Rosen, P. A.; Manipon, G.

2015-12-01

On April 25, 2015, the M7.8 Gorkha earthquake struck Nepal and the city of Kathmandu. The quake caused a significant humanitarian crisis and killed more than 8,000 due to widespread building damage and triggered landslides throughout the region. This was the strongest earthquake to occur in the region since the 1934 Nepal-Bihar magnitude 8.0 quake caused more than 10,000 fatalities. In the days following the earthquake, the JPL/Caltech ARIA project produced coseismic GPS and SAR displacements, fault slip models, and damage assessments from SAR coherence change that were helpful in both understanding the event and in the response efforts. The ARIA project produced InSAR observations from two new SAR missions - JAXA's ALOS-2 and ESA's Sentinel 1a. The GPS coseismic displacements showed ~1.8 meters of southward motion and ~1.3 meters of uplift in Kathmandu. InSAR images of the displacement field and fault models show that the rupture extended 135 km southeast of the epicenter. The SAR imagery also confirmed that the fault slip did not extend to the surface, though localized offsets formed due to liquefaction. The GPS and SAR analysis has continued to image the large M7.3 aftershock and postseismic deformation. The damage assessments from coherence change were used by several organizations guiding the response effort, including the NGA, the World Bank, and OFDA/USAID. We will present imaging, modeling, and damage assessment results from the recent April 25, 2015 M7.8 earthquake in Nepal, and its largest aftershock, a M7.3 event on May 12, 2015. We also discuss how these data were used for understanding the event, guiding the response, and for educational outreach.

April 25, 2015, Gorkha Earthquake, Nepal and Sequence of Aftershocks: Key Lessons

NASA Astrophysics Data System (ADS)

Guragain, R.; Dixit, A. M.; Shrestha, S. N.

2015-12-01

The Gorkha Earthquake of M7.8 hit Nepal on April 25, 2015 at 11:56 am local time. The epicenter of this earthquake was Barpak, Gorkha, 80 km northwest of Kathmandu Valley. The main shock was followed by hundreds of aftershocks including M6.6 and M6.7 within 48 hours and M7.3 on May 12, 2015. According to the Government of Nepal, a total of 8,686 people lost their lives, 16,808 people injured, over 500,000 buildings completely collapsed and more than 250,000 building partially damaged. The National Society for Earthquake Technology - Nepal (NSET), a not-for-profit civil society organization that has been focused on earthquake risk reduction in Nepal for past 21 years, conducted various activities to support people and the government in responding to the earthquake disaster. The activities included: i) assisting people and critical facility institutions to conduct rapid visual building damage assessment including the training; ii) information campaign to provide proper information regarding earthquake safety; iii) support rescue organizations on search and rescue operations; and iv) provide technical support to common people on repair, retrofit of damaged houses. NSET is also involved in carrying out studies related to earthquake damage, geotechnical problems, and causes of building damages. Additionally, NSET has done post-earthquake detail damage assessment of buildings throughout the affected areas. Prior to the earthquake, NSET has been working with several institutions to improve seismic performance of school buildings, private residential houses, and other critical structures. Such activities implemented during the past decade have shown the effectiveness of risk reduction. Retrofitted school buildings performed very well during the earthquake. Preparedness activities implemented at community levels have helped communities to respond immediately and save lives. Higher level of earthquake awareness achieved including safe behavior, better understanding of building code, and improvement of skills towards safer construction, helped in saving lives and assets, and also helped to understand better the gaps and shortcomings for better defining the future course of action. This paper will discuss key achievements, lessons learned and optimal directions for future activities.

The Himalayas of Nepal, a natural laboratory for the search and measurement of CO2 discharge

NASA Astrophysics Data System (ADS)

Girault, Frédéric; Koirala, Bharat P.; Bhattarai, Mukunda; Rajaure, Sudhir; Richon, Patrick; Perrier, Frédéric

2010-05-01

Large CO2 flux has been found in the Trisuli Valley, North of Kathmandu, Central Nepal, in 2005. This leakage zone is located in the vicinity of the Syabru-Bensi hot springs, and is characterized by an average flux of CO2 of 6500±1100 g m-2 day-1 over an area of 15 m × 15 m (Perrier et al., Earth and Planetary Science Letters, 2009). The site is also located close to the Main Central Thrust Zone (MCT Zone), one of the large Himalayan thrust, connected at depth to the Main Himalayan Thrust, the main thrust currently accommodating the India-Tibet collision (Bollinger et al., Journal of Geophysical Research, 2004). Isotopic carbon ratios (δ13C) indicate that this CO2 may come from metamorphic reactions at about 15 km of depth (Becker et al., Earth and Planetary Science Letters, 2008; Evans et al., Geochemistry Geophysics Geosystems, 2008). Actually, this zone was originally found because of the large δ13C found in the water of the hot springs suggesting degassing (Evans et al., Geochemistry Geophysics Geosystems, 2008). In 2007, another zone of CO2 discharge was discovered 250 m away from the main Syabru-Bensi hot springs. This new zone, located next to the road and easy to access all over the year, was intensely studied, from the end of 2007 to the beginning of 2009. In this zone, an average value of CO2 flux of 1700±300 g m-2 d-1 was obtained over an area of about 40 m × 10 m. Using CO2 flux data from repeated measurements, similar flux values were observed during the dry winter season and the wet summer period (monsoon) (Girault et al., Journal of Environmental Radioactivity, 2009). Thus, in addition to fundamental issues related to global CO2 balance in orogenic belts and tectonically active zones, these small scale (100-meter) CO2 discharge sites emerge as a potentially useful laboratory for detailed methodological studies of diffusive and advective gas transport. Recently, the search for further gas discharge zones has been carried out using various clues: the presence of a hot spring with high δ13C, of H2S smell, of hot spots in thermal images, of a geological contact, of self-potential anomalies (Byrdina et al., Journal of Geophysical Research, 2009) or of large radon-222 flux. Preliminary results about the failures or successes of the various methods will be given in the Trisuli and Langtang valleys (Central Nepal), in the Kali Gandaki valley (Western Nepal) and in the Thuli Bheri valley (Lower Dolpo, Far Western Nepal). These various sites also offer an opportunity to test the optimal estimation of total CO2 flux, using the least amount of experimental measurements. Preliminary results complemented by simulations will also be given on the total CO2 flux. In parallel, monitoring methods are being studied in the Syabru-Bensi pilot site. First, CO2 flux has been studied as a function of time using repeated measurements. Furthermore, the high radon content of the geological CO2 allows cost-effective monitoring using BARASOL probes. More than two years of data are already available and give hints on the use of radon to follow CO2 discharge as a function of time. These first results show how experimental studies carried out in natural discharge zones provide a rich laboratory to test the methodological approaches useful for CO2 leakage and monitoring.

Manual on Cost-Effectiveness of Training Modalities in Population Education. Population Education Programme Service Series.

ERIC Educational Resources Information Center

United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

This manual is the result of a regional training workshop on the cost-effectiveness of different training strategies in population education by Unesco in Kathmandu, Nepal, June 1-8, 1987. The purpose of the manual is to enable project staff to initiate studies to determine cost-effective training strategies in population growth control education.…

Dangerous journey: documenting the experience of Tibetan refugees.

PubMed

Dolma, Sonam; Singh, Sonal; Lohfeld, Lynne; Orbinski, James J; Mills, Edward J

2006-11-01

Since the 1950 invasion of Tibet by China, Tibetan refugees have attempted to flee into Nepal over the Himalayan mountains. We documented the experiences of a group of refugees making this journey. We conducted semistructured interviews with 50 recent refugees at the Tibetan Refugee Transit Centre in Kathmandu, Nepal. Participants ranged in age from 8 to 56 years, and 21 were female. The average length of their journey from Tibet to Nepal was 34 days. During their journey, a majority of the refugees encountered authorities or became involved in altercations with Nepali Maoist groups. Most of these interactions resulted in extortion and threats of expulsion. Several Tibetans were tortured, beaten with weapons, threatened with being shot, and robbed. Three women were sexually assaulted at gunpoint. The refugees who took part in this study experienced physical and mental hardships and, often, human rights abuses on their journey to Nepal. International pressure is needed to prevent human rights violations and reduce potential long-term physical and mental health effects associated with this dangerous crossing.

Inequality and inequity in healthcare utilization in urban Nepal: a cross-sectional observational study

PubMed Central

Saito, Eiko; Gilmour, Stuart; Yoneoka, Daisuke; Gautam, Ghan Shyam; Rahman, Md Mizanur; Shrestha, Pradeep Krishna; Shibuya, Kenji

2016-01-01

Inequality in access to quality healthcare is a major health policy challenge in many low- and middle-income countries. This study aimed to identify the major sources of inequity in healthcare utilization using a population-based household survey from urban Nepal. A cross-sectional survey was conducted covering 9177 individuals residing in 1997 households in five municipalities of Kathmandu valley between 2011 and 2012. The concentration index was calculated and a decomposition method was used to measure inequality in healthcare utilization, along with a horizontal inequity index (HI) to estimate socioeconomic inequalities in healthcare utilization. Results showed a significant pro-rich distribution of general healthcare utilization in all service providers (Concentration Index: 0.062, P < 0.001; HI: 0.029, P < 0.05) and private service providers (Concentration Index: 0.070, P < 0.001; HI: 0.030, P < 0.05). The pro-rich distribution of probability in general healthcare utilization was attributable to inequalities in the level of household economic status (percentage contribution: 67.8%) and in the self-reported prevalence of non-communicable diseases such as hypertension (36.7%) and diabetes (14.4%). Despite the provision of free services by public healthcare providers, our analysis found no evidence of the poor making more use of public health services (Concentration Index: 0.041, P = 0.094). Interventions to reduce the household economic burden of major illnesses, coupled with improvement in the management of public health facilities, warrant further attention by policy-makers. PMID:26856362

Exposure to MTV's Global HIV Prevention Campaign in Kathmandu, Nepal; Sao Paulo, Brazil; and Dakar, Senegal

ERIC Educational Resources Information Center

Geary, Cynthia Waszak; Burke, Holly McClain; Castelnau, Laure; Neupane, Shailes; Sall, Yacine Ba; Wong, Emily

2007-01-01

In 2002 MTV aired a global media campaign, "Staying Alive," to promote HIV prevention among 16- to 25-year-olds. Skeptics believed that a global MTV campaign would reach only a small group of elite young people. MTV increased access to its campaign, however, by making all materials "rights free" to third-party (non-MTV)…

Exposure to MTV's global HIV prevention campaign in Kathmandu, Nepal; São Paulo, Brazil; and Dakar, Senegal.

PubMed

Geary, Cynthia Waszak; Burke, Holly McClain; Castelnau, Laure; Neupane, Shailes; Sall, Yacine Ba; Wong, Emily

2007-02-01

In 2002 MTV aired a global media campaign, "Staying Alive," to promote HIV prevention among 16- to 25-year-olds. Skeptics believed that a global MTV campaign would reach only a small group of elite young people. MTV increased access to its campaign, however, by making all materials "rights free" to third-party (non-MTV) broadcasters. Over 789 million households in over 166 countries had access to some or all of the campaign. To understand the level of actual exposure and the types of young people exposed, data were analyzed from population-based household surveys in three diverse urban areas where a campaign evaluation was conducted: Kathmandu, Nepal; São Paulo, Brazil and Dakar, Senegal. Exposure rates ranged from 12% in Kathmandu, 23% in São Paulo, and 82% in Dakar, reaching an estimated 32,000, 400,000, 220,000 16- to 25-year-olds in each city, respectively. A number of personal, social and economic characteristics found to predict campaign exposure were identified in each site; in general, these were related to economic status and use of "new" media technologies. Though this skew toward more exposure by those with greater resources existed, we found that the campaign audience was in no way composed only of "elite" young people. (For example, although more of those exposed to the campaign had used the Internet compared with those not exposed, this was not the majority of those exposed in most countries.) The possibility of reaching millions of young people through global networks with minimal marginal costs after production, creates a new paradigm for reaching an important segment of young people.

Municipal solid waste generation in Kathmandu, Nepal.

PubMed

Dangi, Mohan B; Pretz, Christopher R; Urynowicz, Michael A; Gerow, Kenneth G; Reddy, J M

2011-01-01

Waste stream characteristics must be understood to tackle waste management problems in Kathmandu Metropolitan City (KMC), Nepal. Three-stage stratified cluster sampling was used to evaluate solid waste data collected from 336 households in KMC. This information was combined with data collected regarding waste from restaurants, hotels, schools and streets. The study found that 497.3 g capita(-1) day(-1) of solid waste was generated from households and 48.5, 113.3 and 26.1 kg facility(-1) day(-1) of waste was generated from restaurants, hotels and schools, respectively. Street litter measured 69.3 metric tons day(-1). The average municipal solid waste generation rate was 523.8 metric tons day(-1) or 0.66 kg capita(-1) day(-1) as compared to the 320 metric tons day(-1) reported by the city. The coefficient of correlation between the number of people and the amount of waste produced was 0.94. Key household waste constituents included 71% organic wastes, 12% plastics, 7.5% paper and paper products, 5% dirt and construction debris and 1% hazardous wastes. Although the waste composition varied depending on the source, the composition analysis of waste from restaurants, hotels, schools and streets showed a high percentage of organic wastes. These numbers suggest a greater potential for recovery of organic wastes via composting and there is an opportunity for recycling. Because there is no previous inquiry of this scale in reporting comprehensive municipal solid waste generation in Nepal, this study can be treated as a baseline for other Nepalese municipalities. Copyright © 2010 Elsevier Ltd. All rights reserved.

Heterogeneous Landscapes on Steep Slopes at Low Altitudes as Hotspots of Bird Diversity in a Hilly Region of Nepal in the Central Himalayas.

PubMed

Basnet, Tej B; Rokaya, Maan B; Bhattarai, Bishnu P; Münzbergová, Zuzana

2016-01-01

Understanding factors determining the distribution of species is a key requirement for protecting diversity in a specific area. The aim of this study was to explore the factors affecting diversity and distribution of species of birds on different forested hills in central Nepal. The area is rich in species of birds. Because the area is characterized by steep gradients, we were also interested in the importance of altitude in determining the diversity and species composition of the bird communities. We assessed bird diversity and species composition based on point observations along a gradient of increasing altitude in two valleys (Kathmandu and Palung) in central Nepal. Data on environmental variables were also collected in order to identify the main determinants of bird diversity and species composition of the bird communities. We recorded 6522 individual birds belonging to 146 species, 77 genera and 23 families. Resident birds made up 80% (117 species) of the total dataset. The study supported the original expectation that altitude is a major determinant of species richness and composition of bird communities in the area. More diverse bird communities were found also in areas with steeper slopes. This together with the positive effect of greater heterogeneity suggests that forests on steep slopes intermixed with patches of open habitats on shallow soil at large spatial scales are more important for diverse bird communities than more disturbed habitats on shallow slopes. In addition, we demonstrated that while different habitat characteristics such as presence of forests edges and shrubs play an important role in driving species composition, but they do not affect species richness. This indicates that while habitat conditions are important determinants of the distribution of specific species, the number of niches is determined by large scale characteristics, such as landscape level habitat heterogeneity and altitude. Thus, to protect bird diversity in the mid-hills of central Nepal, we should maintain diverse local habitats (viz. forest, shrubs, open land, etc.) but also make sure the natural habitats on steeper slopes with large scale heterogeneity are maintained.

A High Resolution Technology-based Emissions Inventory for Nepal: Present and Future Scenario

NASA Astrophysics Data System (ADS)

Sadavarte, P.; Das, B.; Rupakheti, M.; Byanju, R.; Bhave, P.

2016-12-01

A comprehensive regional assessment of emission sources is a major hindrance for a complete understanding of the air quality and for designing appropriate mitigation solutions in Nepal, a landlocked country in foothills of the Himalaya. This study attempts, for the first time, to develop a fine resolution (1km × 1km) present day emission inventory of Nepal with a higher tier approach using our understanding of the currently used technologies, energy consumption used in various energy sectors and its resultant emissions. We estimate present-day emissions of aerosols (BC, OC and PM2.5), trace gases (SO2, CO, NOX and VOC) and greenhouse gases (CO2, N2O and CH4) from non-open burning sources (residential, industry, transport, commercial) and open-burning sources (agriculture and municipal solid waste burning) for the base year 2013. We used methodologies published in literatures, and both primary and secondary data to estimate energy production and consumption in each sector and its sub-sector and associated emissions. Local practices and activity rates are explicitly accounted for energy consumption and dispersed often under-documented emission sources like brick manufacturing, diesel generator sets, mining, stone crushing, solid waste burning and diesel use in farms are considered. Apart from pyrogenic source of CH4 emissions, methanogenic and enteric fermentation sources are also accounted. Region-specific and newly measured country-specific emission factors are used for emission estimates. Activity based proxies are used for spatial and temporal distribution of emissions. Preliminary results suggest that 80% of national energy consumption is in residential sector followed by industry (8%) and transport (7%). More than 90% of the residential energy is supplied by biofuel which needs immediate attention to reduce emissions. Further, the emissions would be compared with other contemporary studies, regional and global datasets and used in the model simulations to understand impacts of air pollution on health and climate in Kathmandu Valley and Nepal. Future emissions are being developed based on different possible growth scenarios and policy interventions to mitigate emissions.

Heterogeneous Landscapes on Steep Slopes at Low Altitudes as Hotspots of Bird Diversity in a Hilly Region of Nepal in the Central Himalayas

PubMed Central

Basnet, Tej B.; Rokaya, Maan B.; Bhattarai, Bishnu P.; Münzbergová, Zuzana

2016-01-01

Understanding factors determining the distribution of species is a key requirement for protecting diversity in a specific area. The aim of this study was to explore the factors affecting diversity and distribution of species of birds on different forested hills in central Nepal. The area is rich in species of birds. Because the area is characterized by steep gradients, we were also interested in the importance of altitude in determining the diversity and species composition of the bird communities. We assessed bird diversity and species composition based on point observations along a gradient of increasing altitude in two valleys (Kathmandu and Palung) in central Nepal. Data on environmental variables were also collected in order to identify the main determinants of bird diversity and species composition of the bird communities. We recorded 6522 individual birds belonging to 146 species, 77 genera and 23 families. Resident birds made up 80% (117 species) of the total dataset. The study supported the original expectation that altitude is a major determinant of species richness and composition of bird communities in the area. More diverse bird communities were found also in areas with steeper slopes. This together with the positive effect of greater heterogeneity suggests that forests on steep slopes intermixed with patches of open habitats on shallow soil at large spatial scales are more important for diverse bird communities than more disturbed habitats on shallow slopes. In addition, we demonstrated that while different habitat characteristics such as presence of forests edges and shrubs play an important role in driving species composition, but they do not affect species richness. This indicates that while habitat conditions are important determinants of the distribution of specific species, the number of niches is determined by large scale characteristics, such as landscape level habitat heterogeneity and altitude. Thus, to protect bird diversity in the mid-hills of central Nepal, we should maintain diverse local habitats (viz. forest, shrubs, open land, etc.) but also make sure the natural habitats on steeper slopes with large scale heterogeneity are maintained. PMID:26938616

Stigma and HIV risk among Metis in Nepal

PubMed Central

Wilson, Erin; Pant, Sunil Babu; Comfort, Megan; Ekstrand, Maria

2011-01-01

Similar to other parts of Asia, the HIV epidemic in Nepal is concentrated among a small number of groups, including transgender people, or Metis. This study was conducted to explore the social context of stigma among Metis in Nepal to better understand their risk for HIV. Fourteen in-depth interviews were conducted with Metis in Kathmandu, Nepal. We found that stigma from families leading to rural-urban migration exposed Metis to discrimination from law enforcement, employers and sexual partners, which influenced their risk for HIV. Specific HIV-related risks identified were rape by law enforcement officers, inconsistent condom use and high reported numbers of sexual partners. These data point to an immediate need to work with law enforcement to reduce violence targeting Metis. HIV prevention, housing and employment outreach to Metis in rural areas and those who migrate to urban areas is also needed. Finally, there is a need for more research to determine the prevalence of HIV among Metis, to explore risk within sexual networks and to better understand of the relationship between Metis and their families in order to develop future programmes and interventions. PMID:21058085

Trade in medicines and the public's health: a time series analysis of import disruptions during the 2015 India-Nepal border blockade.

PubMed

Sharma, Abhishek; Mishra, Shiva Raj; Kaplan, Warren A

2017-08-22

Nepal was struck by devastating earthquakes in April-May 2015, followed by the India-Nepal border blockade later that year. We used the United Nations Commodity Trade Statistics (UN Comtrade) database to analyse exports of various health commodities from India to Nepal from January 2011-September 2016. We used time-series regressions of trading volume vs. unit price to ask how well Nepal's trading history with India prior to the earthquake and blockade was able to predict unit prices of health commodities imported into Nepal during and after the earthquake and the blockade. Regression residuals were used to quantify the extent to which the blockade impacted the price of healthcare commodities crossing into Nepal. During the blockade period (September 2015-early February 2016), the volume of all retail medicines traded across the India-Nepal border was reduced by 46.5% compared to same months in 2014-2015. For medical dressings, large volumes were exported from India to Nepal during and shortly after the earthquakes (May-June 2015), but decreased soon thereafter. During the earthquake, the difference between observed and predicted values of unit price (residuals) for all commodities show no statistical outliers. However, during the border blockade, Nepal paid USD 22.3 million more for retail medicines than one would have predicted based on its prior trading history with India, enough to provide healthcare to nearly half of Kathmandu's citizens for 1 year. The India-Nepal blockade was a geopolitical natural experiment demonstrating how a land-locked country is vulnerable to the vagaries of its primary trading partner. Although short-lived, the blockade had an immediate impact on traded medicine volumes and prices, and provided a large opportunity cost with implications for public health.

Analysis of the ground motions from the MW 7.8 Gorkha and MW 7.3 Dolakha earthquakes in Nepal in 2015

NASA Astrophysics Data System (ADS)

Martin, S. S.; Hough, S. E.; Gahalaut, V. K.; Joshi, A.; Landes, M.; Bossu, R.

2016-12-01

While the 25 April 2015 MW7.8 Gorkha, Nepal, earthquake took a heavy toll in Nepal, damage and fatalities were lower than expected. There is thus an urgent need to understand ground motions from the mainshock and largest aftershock. We collected 3,831 accounts of macroseismic effects that include sufficient information to assign intensities. To assess intensities reliably, we apply EMS guidelines with an appreciation for issues associated with macroseismic effects of earthquakes in the Indian subcontinent. We as also analyze 21 available strong motion recordings. Available data are consistent with the peak ground acceleration (PGA) versus intensity relationship of Worden et al. (2012). We use this relationship to estimate peak ground acceleration (PGAEMS) from all intensities. For nearest-fault distances (RRUP<200km), PGAEMS is consistent with the Atkinson and Boore (2003) (AB03) subduction zone ground motion prediction equation (GMPE); at greater distances, instrumental PGA values are consistent with AB03, while PGAEMS is systematically higher. We use PGAEMS values within 200 km to investigate the variability of ground motions using the AB03 GMPE as a baseline. Across the near-field region, PGAEMS is higher by a factor of 2.0-2.5 towards the northern edge of the rupture compared to the near-field region nearer to the southern, up-dip edge of the rupture. Inferred de-amplification in the deepest part of the Kathmandu valley supports the conclusion that former lake-bed sediments experienced a pervasive non-linear response during the mainshock (Dixit et al., 2015). Ground motions were amplified in the southern Gangetic basin, but were relatively low in the northern basin. The overall distribution of ground motions and damage during the Gorkha earthquake thus reflects a combination of complex source, path, and site effects. We also analyze ground motions for the 12 May 2015 Dolakha aftershock, which we conclude was likely a high stress-drop event.

Study on the refractive errors of school going children of Pokhara city in Nepal.

PubMed

Niroula, D R; Saha, C G

Refractive errors are the one of the most common visual disorders found worldwide in school going children and also it is one of the causes of blindness. It can easily be prevented, if timely proper measures are taken. In Kathmandu valley and Mechi Zone of Nepal, the distribution of refractive errors was found to be very high. No records are available from the Western part of Nepal. Considering the importance of the refractive errors the present study had been undertaken in Pokhara city. 964 subjects (474 boys, 490 girls) were selected between age groups 10 to 19 years from 6 schools representing different region of Pokhara. After Preliminary examination: on acuity of vision with Snellen's and Jaeger's charts, the subjects were referred to the Manipal Teaching Hospital, Pokhara for confirmation of the refractive errors. Sixty two schools children (6.43%), out of 964 had refractive errors. The myopia was found to be most common (4.05%). The refractive errors were found more in Private school children (9.29%) than Government school children (4.23%), which is statistically significant (P < 0.05). More boys (7.59%) were found to have suffered from refractive errors than girls (5.31%). Further, children with vegetarian diet (10.52%) had greater number of refractive errors than non-vegetarian diet children (6.17%). In the present study, percentage distribution of myopia was found to be higher (4.05%) than the hyperopia (1.24%) and astigmatism (1.14%). Interestingly, in the present study the refractive errors were found significantly higher in Private schools children than Government schools because the children who read in Private schools have higher socioeconomic status; spend more time in home work, watching Television and Computer as compared to government schools children. These near activities of the eyes causes stress on eyes of the children and might be one of the causes of developing myopia.

Inequality and inequity in healthcare utilization in urban Nepal: a cross-sectional observational study.

PubMed

Saito, Eiko; Gilmour, Stuart; Yoneoka, Daisuke; Gautam, Ghan Shyam; Rahman, Md Mizanur; Shrestha, Pradeep Krishna; Shibuya, Kenji

2016-09-01

Inequality in access to quality healthcare is a major health policy challenge in many low- and middle-income countries. This study aimed to identify the major sources of inequity in healthcare utilization using a population-based household survey from urban Nepal. A cross-sectional survey was conducted covering 9177 individuals residing in 1997 households in five municipalities of Kathmandu valley between 2011 and 2012. The concentration index was calculated and a decomposition method was used to measure inequality in healthcare utilization, along with a horizontal inequity index (HI) to estimate socioeconomic inequalities in healthcare utilization. Results showed a significant pro-rich distribution of general healthcare utilization in all service providers (Concentration Index: 0.062, P < 0.001; HI: 0.029, P < 0.05) and private service providers (Concentration Index: 0.070, P < 0.001; HI: 0.030, P < 0.05). The pro-rich distribution of probability in general healthcare utilization was attributable to inequalities in the level of household economic status (percentage contribution: 67.8%) and in the self-reported prevalence of non-communicable diseases such as hypertension (36.7%) and diabetes (14.4%). Despite the provision of free services by public healthcare providers, our analysis found no evidence of the poor making more use of public health services (Concentration Index: 0.041, P = 0.094). Interventions to reduce the household economic burden of major illnesses, coupled with improvement in the management of public health facilities, warrant further attention by policy-makers. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Assessment of existing and potential landslide hazards resulting from the April 25, 2015 Gorkha, Nepal earthquake sequence

USGS Publications Warehouse

Collins, Brian D.; Jibson, Randall W.

2015-07-28

This report provides a detailed account of assessments performed in May and June 2015 and focuses on valley-blocking landslides because they have the potential to pose considerable hazard to many villages in Nepal. First, we provide a seismological background of Nepal and then detail the methods used for both external and in-country data collection and interpretation. Our results consist of an overview of landsliding extent, a characterization of all valley-blocking landslides identified during our work, and a description of video resources that provide high resolution coverage of approximately 1,000 kilometers (km) of river valleys and surrounding terrain affected by the Gorkha earthquake sequence. This is followed by a description of site-specific landslide-hazard assessments conducted while in Nepal and includes detailed descriptions of five noteworthy case studies. Finally, we assess the expectation for additional landslide hazards during the 2015 summer monsoon season.

Studies on potential emission of hazardous gases due to uncontrolled open-air burning of waste vehicle tyres and their possible impacts on the environment

NASA Astrophysics Data System (ADS)

Shakya, Pawan R.; Shrestha, Pratima; Tamrakar, Chirika S.; Bhattarai, Pradeep K.

Uncontrolled open-air burning of waste vehicle tyres causing environmental pollution has become a popular practice in Nepal despite official ban considering the environment and public health hazards. In this study, an experimental model was set up in a laboratory scale in an attempt to understand the potential emission of hazardous gases such as CO, SO 2 and NO 2 due to such activities in Kathmandu Valley and their possible impacts on the environment. For this purpose, four types of tyre were collected representing two from passenger car and two from motorbike category. The emission level of CO in the tyre smoke was measured with a CO gas detector tube while SO 2 and NO 2 were determined by UV-visible spectrophotometer. Among the three types of the gases analyzed, SO 2 was emitted in significantly high levels by all the representative tyre samples. The emission levels of CO, SO 2 and NO 2 ranged from 21to 49, 102to 820 and 3to 9 μg g -1, respectively. Results revealed that the emission levels also varied with the tyre types and qualities. The potential emission of the hazardous gases per representative scrap tyre mass was also estimated. Results indicate that the gaseous pollutants due to the tyre fires could make a significant contribution for deterioration of the environmental condition of the Valley or elsewhere.

Coulomb Failure Stress Accumulation in Nepal After the 2015 Mw 7.8 Gorkha Earthquake: Testing Earthquake Triggering Hypothesis and Evaluating Seismic Hazards

NASA Astrophysics Data System (ADS)

Xiong, N.; Niu, F.

2017-12-01

A Mw 7.8 earthquake struck Gorkha, Nepal, on April 5, 2015, resulting in more than 8000 deaths and 3.5 million homeless. The earthquake initiated 70km west of Kathmandu and propagated eastward, rupturing an area of approximately 150km by 60km in size. However, the earthquake failed to fully rupture the locked fault beneath the Himalaya, suggesting that the region south of Kathmandu and west of the current rupture are still locked and a much more powerful earthquake might occur in future. Therefore, the seismic hazard of the unruptured region is of great concern. In this study, we investigated the Coulomb failure stress (CFS) accumulation on the unruptured fault transferred by the Gorkha earthquake and some nearby historical great earthquakes. First, we calculated the co-seismic CFS changes of the Gorkha earthquake on the nodal planes of 16 large aftershocks to quantitatively examine whether they were brought closer to failure by the mainshock. It is shown that at least 12 of the 16 aftershocks were encouraged by an increase of CFS of 0.1-3 MPa. The correspondence between the distribution of off-fault aftershocks and the increased CFS pattern also validates the applicability of the earthquake triggering hypothesis in the thrust regime of Nepal. With the validation as confidence, we calculated the co-seismic CFS change on the locked region imparted by the Gorkha earthquake and historical great earthquakes. A newly proposed ramp-flat-ramp-flat fault geometry model was employed, and the source parameters of historical earthquakes were computed with the empirical scaling relationship. A broad region south of the Kathmandu and west of the current rupture were shown to be positively stressed with CFS change roughly ranging between 0.01 and 0.5 MPa. The maximum of CFS increase (>1MPa) was found in the updip segment south of the current rupture, implying a high seismic hazard. Since the locked region may be additionally stressed by the post-seismic relaxation of the lower crust and upper mantle due to the historical great earthquakes, further researches incorporating post-seismic CFS change are expected if the rheological constraint of the studied region is available.

Evidence of West Nile virus infection in Nepal.

PubMed

Rutvisuttinunt, Wiriya; Chinnawirotpisan, Piyawan; Klungthong, Chonticha; Shrestha, Sanjaya Kumar; Thapa, Amod Bahadur; Pant, Arjun; Yingst, Samuel L; Yoon, In-Kyu; Fernandez, Stefan; Pavlin, Julie A

2014-11-27

Acute febrile illness is common among those seeking medical care and is frequently treated empirically with the underlying illness remaining undiagnosed in resource-poor countries. A febrile illness study was conducted 2009-2010 to identify known and unknown pathogens circulating in Nepal. Study methods included diagnostic testing and preliminary ELISA screening of acute and convalescent samples for diseases both known and unknown to be circulating in Nepal, including West Nile virus (WNV). The molecular assays including Polymerase Chain Reaction (PCR), Sanger sequencing and ultra deep sequencing on MiSeq Illumina Platform were conducted to further confirm the presence of WNV. The study enrolled 2,046 patients presenting undifferentiated febrile illness with unknown etiology. Sera from 14 out of 2,046 patients were tested positive for west nile virus (WNV) by nested Reverse Transcription-Polymerase Chain Reaction (RT-PCR). Only two out of 14 cases were confirmed for the presence of WNV by sequencing and identified as WNV lineage 1 phylogentically. The two patients were adult males with fever and no neurological symptoms from Kathmandu and Bharatpur, Nepal. Two out of 2,046 serum samples contained fragments of WNV genome resembling WNV lineage 1, which is evidence of the continued spread of WNV which should be considered a possible illness cause in Nepal.

Structural Violence in Health Care: Lived Experience of Street-Based Female Commercial Sex Workers in Kathmandu.

PubMed

Basnyat, Iccha

2017-01-01

Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers' lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization. © The Author(s) 2015.

Options for developing modernized geodetic datum for Nepal following the April 25, 2015 Mw7.8 Gorkha earthquake

NASA Astrophysics Data System (ADS)

Pearson, Chris; Manandhar, Niraj; Denys, Paul

2017-09-01

Along with the damage to buildings and infrastructure, the April 25, 2015 Mw7.8 Gorkha earthquake caused significant deformation over a large area of eastern Nepal with displacements of over 2 m recorded in the vicinity of Kathmandu. Nepal currently uses a classical datum developed in 1984 by the Royal (UK) Engineers in collaboration with the Nepal Survey Department. It has served Nepal well; however, the recent earthquakes have provided an impetus for developing a semi-dynamic datum that will be based on ITRF2014 and have the capacity to correct for tectonic deformation. In the scenario we present here, the datum would be based on ITRF2014 with a reference epoch set some time after the end of the current sequence of earthquakes. The deformation model contains a grid of the secular velocity field combined with models of the Gorkha Earthquake and the May 12 Mw7.3 aftershock. We have developed a preliminary velocity field by collating GPS derived crustal velocities from four previous studies for Nepal and adjacent parts of China and India and aligning them to the ITRF. Patches for the co-seismic part of the deformation for the Gorkha earthquake and the May 12, 2015 Mw 7.2 aftershock are based on published dislocation models. High order control would be a CORS network based around the existing Nepal GPS Array. Coordinates for existing lower order control would be determined by readjusting existing survey measurements and these would be combined with a series of new control stations spread throughout Nepal.

Volatile analysis and antimicrobial screening of the parasitic plant Cuscuta reflexa Roxb. from Nepal.

PubMed

Paudel, Prajwal; Satyal, Prabodh; Maharjan, Samjhana; Shrestha, Nawal; Setzer, William N

2014-01-01

The essential oil from the parasitic vine Cuscuta reflexa Roxb., collected from Kirtipur, Kathmandu, Nepal, was obtained by hydrodistillation and analysed by gas chromatography-mass spectrometry. From a total of 62 peaks, 61 compounds were identified in the oil, accounting for 99.6% of the oil. The majority of the essential oil was dominated by the relatively rare component cis-3-butyl-4-vinylcyclopentane (26.4%). The oil also contained substantial amounts of limonene (5.1%) and (E)-nerolidol (9.5%). Biological screening for antimicrobial activities did not show appreciable activity against either Gram-positive (Bacillus cereus and Staphylococcus aureus) or Gram-negative (Escherichia coli and Pseudomonas aeruginosa) bacteria. However, marginal activity against Aspergillus niger was observed (minimum inhibitory concentration = 313 μg/mL).

Cholera outbreaks (2012) in three districts of Nepal reveal clonal transmission of multi-drug resistant Vibrio cholerae O1

PubMed Central

2014-01-01

Background Although endemic cholera causes significant morbidity and mortality each year in Nepal, lack of information about the causal bacterium often hinders cholera intervention and prevention. In 2012, diarrheal outbreaks affected three districts of Nepal with confirmed cases of mortality. This study was designed to understand the drug response patterns, source, and transmission of Vibrio cholerae associated with 2012 cholera outbreaks in Nepal. Methods V. cholerae (n = 28) isolated from 2012 diarrhea outbreaks {n = 22; Kathmandu (n = 12), Doti (n = 9), Bajhang (n = 1)}, and surface water (n = 6; Kathmandu) were tested for antimicrobial response. Virulence properties and DNA fingerprinting of the strains were determined by multi-locus genetic screening employing polymerase chain reaction, DNA sequencing, and pulsed-field gel electrophoresis (PFGE). Results All V. cholerae strains isolated from patients and surface water were confirmed to be toxigenic, belonging to serogroup O1, Ogawa serotype, biotype El Tor, and possessed classical biotype cholera toxin (CTX). Double-mismatch amplification mutation assay (DMAMA)-PCR revealed the V. cholerae strains to possess the B-7 allele of ctx subunit B. DNA sequencing of tcpA revealed a point mutation at amino acid position 64 (N → S) while the ctxAB promoter revealed four copies of the tandem heptamer repeat sequence 5'-TTTTGAT-3'. V. cholerae possessed all the ORFs of the Vibrio seventh pandemic island (VSP)-I but lacked the ORFs 498–511 of VSP-II. All strains were multidrug resistant with resistance to trimethoprim-sulfamethoxazole (SXT), nalidixic acid (NA), and streptomycin (S); all carried the SXT genetic element. DNA sequencing and deduced amino acid sequence of gyrA and parC of the NAR strains (n = 4) revealed point mutations at amino acid positions 83 (S → I), and 85 (S → L), respectively. Similar PFGE (NotI) pattern revealed the Nepalese V. cholerae to be clonal, and related closely with V. cholerae associated with cholera in Bangladesh and Haiti. Conclusions In 2012, diarrhea outbreaks in three districts of Nepal were due to transmission of multidrug resistant V. cholerae El Tor possessing cholera toxin (ctx) B-7 allele, which is clonal and related closely with V. cholerae associated with cholera in Bangladesh and Haiti. PMID:25022982

Nepal Ambient Monitoring and Source Testing Experiment (NAMaSTE): Emissions of particulate matter from wood and dung cooking fires, brick kilns, generators, trash and crop residue burning

NASA Astrophysics Data System (ADS)

Stone, Elizabeth; Jayarathne, Thilina; Stockwell, Chelsea; Christian, Ted; Bhave, Prakash; Siva Praveen, Puppala; Panday, Arnico; Adhikari, Sagar; Maharjan, Rashmi; Goetz, Doug; DeCarlo, Peter; Saikawa, Eri; Yokelson, Robert

2016-04-01

The Nepal Ambient Monitoring and Source Testing Experiment (NAMASTE) field campaign targeted the in situ characterization of widespread and under-sampled combustion sources. In Kathmandu and the Terai, southern Nepal's flat plains, samples of fine particulate matter (PM2.5) were collected from wood and dung cooking fires (n = 22), generators (n = 2), groundwater pumps (n = 2), clamp kilns (n = 3), zig-zag kilns (n = 3), trash burning (n = 4), one heating fire, and one crop residue fire. Co-located measurements of carbon dioxide, carbon monoxide, and volatile organic compounds allowed for the application of the carbon mass balance approach to estimate emission factors for PM2.5, elemental carbon, organic carbon, and water-soluble inorganic ions. Organic matter was chemically speciated using gas chromatography - mass spectrometry for polycyclic aromatic hydrocarbons, sterols, n-alkanes, hopanes, steranes, and levoglucosan, which accounted for 2-8% of the measured organic carbon. These data were used to develop molecular-marker based profiles for use in source apportionment modeling. This study provides quantitative emission factors for particulate matter and its constituents for many important combustion sources in Nepal and South Asia.

Preparation of Literacy Materials for Women in Rural Areas: Final Report of a Regional Workshop on the Preparation of Literacy Follow-Up Materials in Asia and the Pacific (7th, Kathmandu, Nepal, October 17-26, 1989).

ERIC Educational Resources Information Center

Asian Cultural Centre for UNESCO, Tokyo (Japan).

The main objective of the seventh regional workshop was to provide training experience to participants from Unesco member states in the development of instructional neo-literate materials and the expansion of participation in literacy activities to the needs of the rural people, particularly women. The final report begins with an account of the…

Rapid field-based landslide hazard assessment in response to post-earthquake emergency

NASA Astrophysics Data System (ADS)

Frattini, Paolo; Gambini, Stefano; Cancelliere, Giorgio

2016-04-01

On April 25, 2015 a Mw 7.8 earthquake occurred 80 km to the northwest of Kathmandu (Nepal). The largest aftershock, occurred on May 12, 2015, was the Mw 7.3 Nepal earthquake (SE of Zham, China), 80 km to the east of Kathmandu. . The earthquakes killed ~9000 people and severely damaged a 10,000 sqkm region in Nepal and neighboring countries. Several thousands of landslides have been triggered during the event, causing widespread damages to mountain villages and the evacuation of thousands of people. Rasuwa was one of the most damaged districts. This contribution describes landslide hazard analysis of the Saramthali, Yarsa and Bhorle VDCs (122 km2, Rasuwa district). Hazard is expressed in terms of qualitative classes (low, medium, high), through a simple matrix approach that combines frequency classes and magnitude classes. The hazard analysis is based primarily on the experience gained during a field survey conducted in September 2014. During the survey, local knowledge has been systematically exploited through interviews with local people that have experienced the earthquake and the coseismic landslides. People helped us to recognize fractures and active deformations, and allowed to reconstruct a correct chronicle of landslide events, in order to assign the landslide events to the first shock, the second shock, or the post-earthquake 2015 monsoon. The field experience was complemented with a standard analysis of the relationship between potential controlling factors and the distribution of landslides reported in Kargel et al (2016). This analysis allowed recognizing the most important controlling factor. This information was integrated with the field observations to verify the mapped units and to complete the mapping in area not accessible for field activity. Finally, the work was completed with the analysis and the use of a detailed landslide inventory produced by the University of Milano Bicocca that covers most of the area affected by coseismic landslides in Nepal (Valagussa et al, 2016). As a result, a 1:10.000 hazard map was produced. About 47% of the area is classified at high hazard, almost 19 % at medium level and 34% at low risk. In addition, the hazard map reports 262 polygons of active coseismic or postseismic landslides.

Farming Systems and Rural Out-Migration in Nang Rong, Thailand, and Chitwan Valley, Nepal

ERIC Educational Resources Information Center

Piotrowski, Martin; Ghimire, Dirgha; Rindfuss, Ronald

2013-01-01

Using data from two postfrontier rural settings, Nang Rong, Thailand (N = 2,538), and Chitwan Valley, Nepal (N = 876), this article examines agricultural push factors determining the out-migration of young people age 15 to 19. We focus on different dimensions of migration, including distance and duration. Our study examines a wide array of…

Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania.

PubMed

Sweet, Lara; Pereira, Catherine; Ford, Rosalyn; Feeley, Alison B; Badham, Jane; Mengkheang, Khin; Adhikary, Indu; Sy Gueye, Ndèye Yaga; Coly, Aminata Ndiaye; Makafu, Cecilia; Zehner, Elizabeth

2016-04-01

National legislation and global guidance address labelling of complementary foods to ensure that labels support optimal infant and young child feeding practices. This cross-sectional study assessed the labels of commercially produced complementary foods (CPCF) sold in Phnom Penh (n = 70), Cambodia; Kathmandu Valley (n = 22), Nepal; Dakar Department (n = 84), Senegal; and Dar es Salaam (n = 26), Tanzania. Between 3.6% and 30% of products did not provide any age recommendation and 8.6-20.2% of products, from all sites, recommended an age of introduction of <6 months. Few CPCF products provided a daily ration (0.0-8.6%) and 14.5-55.6% of those that did exceeded the daily energy recommendation for complementary foods for a breastfed child from 6 to 8.9 months of age. Only 3.6-27.3% of labels provided accurate and complete messages in the required language encouraging exclusive breastfeeding, and almost none (0.0-2.9%) provided accurate and complete messages regarding the appropriate introduction of complementary foods together with continued breastfeeding. Between 34.3% and 70.2% of CPCF manufacturers also produced breastmilk substitutes and 41.7-78.0% of relevant CPCF products cross-promoted their breastmilk substitutes products. Labelling practices of CPCF included in this study do not fully comply with international guidance on their promotion and selected aspects of national legislation, and there is a need for more detailed normative guidance on certain promotion practices in order to protect and promote optimal infant and young child feeding. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania

PubMed Central

Sweet, Lara; Pereira, Catherine; Ford, Rosalyn; Feeley, Alison B; Mengkheang, Khin; Adhikary, Indu; Gueye, Ndèye Yaga Sy; Coly, Aminata Ndiaye; Makafu, Cecilia; Zehner, Elizabeth

2016-01-01

Abstract National legislation and global guidance address labelling of complementary foods to ensure that labels support optimal infant and young child feeding practices. This cross‐sectional study assessed the labels of commercially produced complementary foods (CPCF) sold in Phnom Penh (n = 70), Cambodia; Kathmandu Valley (n = 22), Nepal; Dakar Department (n = 84), Senegal; and Dar es Salaam (n = 26), Tanzania. Between 3.6% and 30% of products did not provide any age recommendation and 8.6−20.2% of products, from all sites, recommended an age of introduction of <6 months. Few CPCF products provided a daily ration (0.0−8.6%) and 14.5−55.6% of those that did exceeded the daily energy recommendation for complementary foods for a breastfed child from 6 to 8.9 months of age. Only 3.6−27.3% of labels provided accurate and complete messages in the required language encouraging exclusive breastfeeding, and almost none (0.0−2.9%) provided accurate and complete messages regarding the appropriate introduction of complementary foods together with continued breastfeeding. Between 34.3% and 70.2% of CPCF manufacturers also produced breastmilk substitutes and 41.7−78.0% of relevant CPCF products cross‐promoted their breastmilk substitutes products. Labelling practices of CPCF included in this study do not fully comply with international guidance on their promotion and selected aspects of national legislation, and there is a need for more detailed normative guidance on certain promotion practices in order to protect and promote optimal infant and young child feeding. PMID:27061960

An Overture for eCAM: Science, Technology and Innovation Initiation for Prosperous, Healthy Nepal.

PubMed

Kaphle, Krishna; Bhuju, Dinesh Raj; Jha, Pramod Kr; Bhattarai, Hom Nath

2011-01-01

Nepal the "Shangri-La" in the lap of the Himalayas is gearing up for modern times as it starts rebuilding after a decade of senseless violence and destruction. The nation one of the poorest in the global development index is rich in natural resources and biodiversity. Reports of medicinal plants far exceeding those recorded and reported so far are encouraging and at the same time concerns for medicinal plants under threat as a result of overexploitation are emerging from Nepal. The harsh mountain terrains, lack of industrialization and harnessing potentiality of its areas of strength; water; natural resources and tourism make it poor in per capita income which averages ~ 300 US$, with half the population living under >1$ a day. Nepal is beginning to realize that the way ahead is only possible through the path of Science and Technology (ST). Nepal Academy of Science and Technology formerly known as Royal Academy of Science and Technology organized the fifth national conference held every 4 years that took place in the capital Kathmandu during November 10-12, 2008. The ST initiation event saw the participation of ~ 1400 people representing over 150 organizations from the country and experts from abroad. The theme for the fifth national meet was "Science, Technology and Innovation for Prosperous Nepal". Complementary and Alternative Medicine (CAM) was an important theme in the event as the realization for the need of ST research focused in CAM for harnessing the chemo diversity potential was univocally approved.

Modeling of the strong ground motion of 25th April 2015 Nepal earthquake using modified semi-empirical technique

NASA Astrophysics Data System (ADS)

Lal, Sohan; Joshi, A.; Sandeep; Tomer, Monu; Kumar, Parveen; Kuo, Chun-Hsiang; Lin, Che-Min; Wen, Kuo-Liang; Sharma, M. L.

2018-05-01

On 25th April, 2015 a hazardous earthquake of moment magnitude 7.9 occurred in Nepal. Accelerographs were used to record the Nepal earthquake which is installed in the Kumaon region in the Himalayan state of Uttrakhand. The distance of the recorded stations in the Kumaon region from the epicenter of the earthquake is about 420-515 km. Modified semi-empirical technique of modeling finite faults has been used in this paper to simulate strong earthquake at these stations. Source parameters of the Nepal aftershock have been also calculated using the Brune model in the present study which are used in the modeling of the Nepal main shock. The obtained value of the seismic moment and stress drop is 8.26 × 1025 dyn cm and 10.48 bar, respectively, for the aftershock from the Brune model .The simulated earthquake time series were compared with the observed records of the earthquake. The comparison of full waveform and its response spectra has been made to finalize the rupture parameters and its location. The rupture of the earthquake was propagated in the NE-SW direction from the hypocenter with the rupture velocity 3.0 km/s from a distance of 80 km from Kathmandu in NW direction at a depth of 12 km as per compared results.

Sunkoshi landslide in Nepal and its possible impact in India: A remote sensing based appraisal

NASA Astrophysics Data System (ADS)

Champati ray, P. K.; Chattoraj, S. L.

2014-12-01

A devastating landslide that killed at least 156 people occurred on the right bank of Sunkoshi river at village Jure, 70 km northeast of Kathmandu in Nepal. It not only affected hydroelectric projects in the near vicinity but also had potential to flood large tracts of downstream area in Nepal and north Bihar. Timely action by Nepal Army and Indian authorities have averted a major disaster but satellite data analysis (using IRS Resourcesat-2 LISS IV, WorldView-2, RISAT-1, Radarsat-2 etc.) reveal that the site was easily identifiable on satellite image as a potential landslide zone that has been affected by landslide related mass wasting in the past. It was reactivated and intermittently slided during 2000-2012 and finally when the whole mass came down on 2nd August 2014 pushing materials up to the opposite slope, a landslide dammed lake was formed on Sunkoshi river which extended up to a distance of 2.5-3 km as observed on 5-6th August on satellite images and the volume was estimated to be around 8.26-10.5 MCM, which needs to be released safely to avert any further disaster. Attempt is made to simulate the event to assess the run out and debris thickness using process based model. Satellite observation (using IRS Resourcesat-2 LISS IV, WorldView-2, RISAT-1, Radarsat-2 etc.), aided by hydrological data obtained through telemetry immensely helped to assess the landslide dimension, lake extent, volume, discharge, water level and travel time of water in Sunkoshi river. But the question remains how to manage the large amount of debris that Sunkoshi brings to its downstream areas causing river aggradations that eventually increases the flood risk. In such situations, the most immediate landslide remedial measures are four fold: monitoring of landslide, dam and reservoir using remote sensing and hydrological observations, controlled release of water, water discharge management at Kosi barrage and mechanism/preparedness for evacuation. The Sunkoshi landslide has brought to forefront the core issue of analysing mass wasting in all major river valleys outside Indian territory that can pose risk to Indian population. In this regard, it is needless to say that remotely sensed images through Indian Remote Sensing satellites and many other satellites can provide most crucial information in short time.

Development of piggy-back basins in the Sub-Himalaya: structure of the Triyuga Valley in eastern Nepal from seismic reflection profiles

NASA Astrophysics Data System (ADS)

Lee, Y. S.; Almeida, R. V.; Hubbard, J.; Liberty, L. M.; Foster, A. E.; Sapkota, S. N.

2017-12-01

The foreland fold and thrust belt in the Nepal Himalaya has developed over the last 2 My (Mugnier et al., 2004; Van der Beek et al., 2006), and is generally referred to as the Main Frontal Thrust system (MFT; Gansser, 1964). The thrust faults there are spaced 5-30 km apart. Where the faults are furthest from each other, they create piggy-back basins, known as "dun" valleys in the Himalaya. The easternmost of these basins in Nepal is the Triyuga river valley, a 35 km wide basin where the range front abruptly steps 15 km to the south. This dun valley is thought to be the youngest of Nepal, initiating in the Late Pleistocene (Kimura, 1999). In order to understand the sub-surface structure and development of the Triyuga Valley, we analyse high resolution seismic reflection profiles across the three basin-surrounding structures, as well as a north-south profile across the basin proper, in combination with field observations. These datasets reveal that the edges of the forward step are defined by three orthogonal thrust fronts, with abrupt changes in vergence direction. Sharp geometric changes along the range front may have implications for the propagation of earthquakes along the MFT. The surface rupture of the Nepal-Bihar 1934 earthquake was inferred to go around this thrust front (Sapkota et al., 2013), however field observations suggest that although past earthquakes have likely ruptured the surface here, these faults did not slip in 1934. Further, analogue models suggest that the filling of the basin with sediments may affect the activation of out of sequence thrusts (Toscani et al., 2014). This is consistent with field evidence of Quaternary reactivation of the Main Boundary Thrust north of the Triyuga Valley. We also compare these seismic profiles to one across the Jalthal anticline, an incipient structure forming 50 km south of the range front in easternmost Nepal (a section thought to have ruptured in 125; Nakata et al., 1998). We suggest that this may be an incipient break forward of the MFT, and represent a window into the earliest stage of dun valley formation. These observations indicate a complex MFT system, where out-of-sequence thrusting is more common than presently inferred, which in turn complicates the estimation of seismic hazard.

The human clone ST22 SCCmec IV methicillin-resistant Staphylococcus aureus isolated from swine herds and wild primates in Nepal: is man the common source?

PubMed

Roberts, Marilyn C; Joshi, Prabhu Raj; Greninger, Alexander L; Melendez, Daira; Paudel, Saroj; Acharya, Mahesh; Bimali, Nabin Kishor; Koju, Narayan P; No, David; Chalise, Mukesh; Kyes, Randall C

2018-05-01

Swine nasal samples [n = 282] were collected from 12 randomly selected farms around Kathmandu, Nepal, from healthy animals. In addition, wild monkey (Macaca mulatta) saliva samples [n = 59] were collected near temples areas in Kathmandu using a non-invasive sampling technique. All samples were processed for MRSA using standardized selective media and conventional biochemical tests. MRSA verification was done and isolates characterized by SCCmec, multilocus sequence typing, whole genome sequencing [WGS] and antibiotic susceptibilities. Six (2.1%) swine MRSA were isolated from five of the different swine herds tested, five were ST22 type IV and one ST88 type V. Four (6.8%) macaques MRSA were isolated, with three ST22 SCCmec type IV and one ST239 type III. WGS sequencing showed that the eight ciprofloxacin resistant ST22 isolates carried gyrA mutation [S84L]. Six isolates carried the erm(C) genes, five isolates carried aacC-aphD genes and four isolates carried blaZ genes. The swine linezolid resistant ST22 did not carry any known acquired linezolid resistance genes but had a mutation in ribosomal protein L22 [A29V] and an insertion in L4 [68KG69], both previously associated with linezolid resistance. Multiple virulence factors were also identified. This is the first time MRSA ST22 SCCmec IV has been isolated from livestock or primates.

Abortion law in Nepal: the road to reform.

PubMed

Thapa, Shyam

2004-11-01

In 2002 Nepal's parliament passed a liberal abortion law, after nearly three decades of reform efforts. This paper reviews the history of the movement for reform and the combination of factors that contributed to its success. These include sustained advocacy for reform; the dissemination of knowledge, information and evidence; adoption of the reform agenda by the public sector and its leadership in involving other stakeholders; the existence of work for safe motherhood as the context in which the initiative could gain support; an active women's rights movement and support from international and multilateral organisations; sustained involvement of local NGOs, civil society and professional organisations; the involvement of journalists and the media; the absence of significant opposition; courageous government officials and an enabling democratic political system. The overriding rationale for reforming the abortion law in Nepal has been to ensure safe motherhood and women's rights. The first government abortion services officially began in March 2004 at the Maternity Hospital in Kathmandu; services will be expanded gradually to other public and private hospitals and private clinics in the coming years.

Knowledge, experience, and utilisation of sexual and reproductive health services amongst Nepalese youth living in the Kathmandu Valley.

PubMed

Tamang, Laxmi; Raynes-Greenow, Camille; McGeechan, Kevin; Black, Kirsten I

2017-03-01

Youth have the right to utilise sexual and reproductive health (SRH) services and information to protect themselves from negative SRH outcomes. This study aimed to assess knowledge, experience and use of SRH services amongst youth living in urban areas of the Kathmandu Valley. We conducted a two stage cluster sampling cross-sectional household survey of young men and women aged 15-24 living in the Kathmandu Valley using a structured questionnaire. Amongst the 680 young men and 720 young women participants, less than two-thirds had knowledge about the fertile period and less than a half about pregnancy risk at first sex. Over three quarters of young men and women had knowledge of condoms, and pills but less than half knew about implants or intrauterine devices. Age at first sex was similar for men and women but women were significantly less likely to have participated willingly in their first sexual encounter and were less likely to have used any contraception (for both p < 0.001). Almost all men and women (97.9%) had heard of sexually transmitted infections (STIs) but only 8% had heard about the most common STI, Chlamydia. Over 90% of youth reported feelings of shame as the major barrier to accessing SRH services. Gaps exist between youth SRH knowledge and practices which leave them vulnerable to sexual ill health. This may indicate a lack of confidence in SRH services but also likely reflects the cultural and religious environment that hampers open expression of sexual and reproductive issues, particularly for young women. Copyright © 2016. Published by Elsevier B.V.

Hepatitis E virus seroepidemiology: a post-earthquake study among blood donors in Nepal.

PubMed

Shrestha, Ashish C; Flower, Robert L P; Seed, Clive R; Rajkarnikar, Manita; Shrestha, Shrawan K; Thapa, Uru; Hoad, Veronica C; Faddy, Helen M

2016-11-25

As one of the causative agents of viral hepatitis, hepatitis E virus (HEV) has gained public health attention globally. HEV epidemics occur in developing countries, associated with faecal contamination of water and poor sanitation. In industrialised nations, HEV infections are associated with travel to countries endemic for HEV, however, autochthonous infections, mainly through zoonotic transmission, are increasingly being reported. HEV can also be transmitted by blood transfusion. Nepal has experienced a number of HEV outbreaks, and recent earthquakes resulted in predictions raising the risk of an HEV outbreak to very high. This study aimed to measure HEV exposure in Nepalese blood donors after large earthquakes. Samples (n = 1,845) were collected from blood donors from Kathmandu, Chitwan, Bhaktapur and Kavre. Demographic details, including age and sex along with possible risk factors associated with HEV exposure were collected via a study-specific questionnaire. Samples were tested for HEV IgM, IgG and antigen. The proportion of donors positive for HEV IgM or IgG was calculated overall, and for each of the variables studied. Chi square and regression analyses were performed to identify factors associated with HEV exposure. Of the donors residing in earthquake affected regions (Kathmandu, Bhaktapur and Kavre), 3.2% (54/1,686; 95% CI 2.7-4.0%) were HEV IgM positive and two donors were positive for HEV antigen. Overall, 41.9% (773/1,845; 95% CI 39.7-44.2%) of donors were HEV IgG positive, with regional variation observed. Higher HEV IgG and IgM prevalence was observed in donors who reported eating pork, likely an indicator of zoonotic transmission. Previous exposure to HEV in Nepalese blood donors is relatively high. Detection of recent markers of HEV infection in healthy donors suggests recent asymptomatic HEV infection and therefore transfusion-transmission in vulnerable patients is a risk in Nepal. Surprisingly, this study did not provide evidence of a large HEV outbreak following the devastating earthquakes in 2015.

South Asia transboundary water quality monitoring workshop summary report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Betsill, Jeffrey David; Littlefield, Adriane C.; Luetters, Frederick O.

2003-04-01

The Cooperative Monitoring Center (CMC) promotes collaborations among scientists and researchers in several regions as a means of achieving common regional security objectives. To promote cooperation in South Asia on environmental research, an international working group made up of participants from Bangladesh, India, Nepal, Pakistan, and the United States convened in Kathmandu, Nepal, from February 17-23,2002. The workshop was held to further develop the South Asia Transboundary Water Quality Monitoring (SATWQM) project. The project is sponsored in part by the CMC located at Sandia National Laboratories in Albuquerque, New Mexico through funding provided by the US. Department of State, Regionalmore » Environmental Affairs Office, American Embassy, Kathmandu, Nepal, and the National Nuclear Security Administration's (NNSA) Office of Nonproliferation and National Security. This report summarizes the SATWQM project, the workshop objectives, process and results. The long-term interests of the participants are to develop systems for sharing regional environmental information as a means of building confidence and improving relations among South Asian countries. The more immediate interests of the group are focused on activities that foster regional sharing of water quality data in the Ganges and Indus River basins. Issues of concern to the SATWQM network participants include studying the impacts from untreated sewage and industrial effluents, agricultural run-off, salinity increases in fresh waters, the siltation and shifting of river channels, and the environmental degradation of critical habitats such as wetlands, protected forests, and endangered aquatic species conservation areas. The workshop focused on five objectives: (1) a deepened understanding of the partner organizations involved; (2) garnering the support of additional regional and national government and non-government organizations in South Asia involved in river water quality monitoring; (3) identification of sites within the region at which water quality data are to be collected; (4) instituting a data and information collection and sharing process; and, (5) training of partners in the use of water quality monitoring equipment.« less

Inducible clindamycin and methicillin resistant Staphylococcus aureus in a tertiary care hospital, Kathmandu, Nepal.

PubMed

Adhikari, R P; Shrestha, S; Barakoti, A; Amatya, R

2017-07-11

Staphylococcus aureus, an important nosocomial pathogen, is frequently associated with infections in human. The management of the infections by it especially methicillin resistant ones is often difficult because methicillin resistant S. aureus is usually resistant to multiple antibiotics. Macrolide-lincosamide streptogramin B family of antibiotics is commonly used to treat such infections as an alternative to vancomycin. This study was conducted over the period of one and half year from November 2013-April 2015 in Microbiology laboratory of Nepal Medical College and Teaching Hospital, Kathmandu, Nepal to find the incidence of different phenotypes of MLS B resistance among S. aureus from clinical samples and their association with methicillin resistance. Two hundred seventy isolates of S. aureus were included in the study. Methicillin resistance was detected by cefoxitin disc diffusion method and inducible clindamycin resistance by erythromycin and clindamycin disc approximation test (D-test). Of the 270 clinical isolates of S. aureus, 25.1% (68/270) were MRSA. Erythromycin and clindamycin resistance was seen in 54.4% (147/270) and 41.8% (113/270) isolates respectively. Resistance to erythromycin and clindamycin were higher in MRSA as compared to MSSA (erythromycin-resistance: 88.2% Vs 39.1% and clindamycin-resistance: 79.4% Vs 41.8%). The overall prevalence of i MLS B and c MLS B phenotype was 11.48% (31/270) and 29.25% (79/270) respectively. Both i MLS B and c MLS B phenotypes predominated in MRSA strains. Detection rate of MRSA in our study shows the necessity to improve in healthcare practices and to formulate new policy for the control of MRSA infections. Clindamycin resistance in the form of i MLS B and c MLS B especially among MRSA emphasizes the need of D-test to be performed routinely in our set up while using clindamycin as an alternative choice to anti-staphylococcal antibiotics like vancomycin and linezolid in the treatment of staphylococcal infections.

Screening retreatment tuberculosis patients for drug resistance in mid-west Nepal: how well are we doing?

PubMed Central

Harries, A. D.; Goel, S.; Srivastava, S.; Kumar, A. M. V.; Adhikari, M.; Shrestha, B.; Maharjan, B.; Khadka, H.

2014-01-01

Setting: Multidrug-resistant tuberculosis (MDR-TB, defined as resistance to isoniazid and rifampicin) is poorly detected in Nepal; one reason may be poor functioning of culture and drug susceptibility testing (CDST) services for retreatment tuberculosis (TB) patients. Objectives: To determine, among retreatment TB patients in mid-west Nepal, 1) the number of patients registered for treatment between July 2011 and July 2012; 2) the number submitting sputum specimens for CDST to the Central Reference Laboratory (CRL), Kathmandu, along with the results; and 3) the length of time for submission and receipt of specimens. Design: Retrospective cohort study involving the review of treatment and laboratory registers from the Nepalgunj TB Referral Centre and the CRL. Results: Of 431 retreatment patients, 66 (15%) submitted sputum samples, of which 63 reached the CRL. Of these, 39 (62%) were culture-positive; 13 (33%) patients had MDR-TB. The CDST results of 19 patients were received back at the TB Referral Centre. The median turnaround time from sending specimens to receipt of results at the TB Referral Centre was 119 days. Conclusion: Less than 10% of retreatment TB patients in mid-West Nepal had CDST results recorded, leading to the underdiagnosis of MDR-TB in the region. Urgent solutions are needed to rectify this problem. PMID:26423764

Land Clearing on the Himalayan Lower Slopes, Nepal

NASA Technical Reports Server (NTRS)

1989-01-01

This view of the Himalayan Mountain Range, Nepal (28.5N, 82.5E) shows a portion of the mountains and lower valleys filled with smoke from fires set among the subtropical temperate rainforests and alpine slope forests. Some valleys are entirely filled with smoke palls and over fifty individual point sources of burning can be delineated in this scene. These pristine forests are threatened by intensive agriculture and land clearing processes.

Processes of Internal and International Migration from Chitwan, Nepal.

PubMed

Bohra, Pratikshya; Massey, Douglas S

2009-01-01

In this study we examine which factors predict internal and international migration from Chitwan, a flat valley located in the South-Central region of Nepal, seeking to measure the effect of theoretically specified variables such as human capital, social capital, physical capital, and neighborhood socioeconomic conditions while controlling for demographic variables. We use data from the Chitwan Valley Family Study (CVFS) to estimate a series of discrete time event history models of first and repeat migration to three competing destinations: other locations within Chitwan, other districts within Nepal, and places outside of Nepal. Results support hypotheses derived from neoclassical economics, the theory of new economics of migration, social capital theory, and cumulative causation theory. Our results underscore the need for a synthetic theoretical model that incorporates factors operating at the individual, household, and community levels. The use of multiple explanatory models yields a clearer picture of the forces driving internal and international migration from rural districts in developing nations such as Nepal.

Processes of Internal and International Migration from Chitwan, Nepal

PubMed Central

Bohra, Pratikshya; Massey, Douglas S.

2011-01-01

In this study we examine which factors predict internal and international migration from Chitwan, a flat valley located in the South-Central region of Nepal, seeking to measure the effect of theoretically specified variables such as human capital, social capital, physical capital, and neighborhood socioeconomic conditions while controlling for demographic variables. We use data from the Chitwan Valley Family Study (CVFS) to estimate a series of discrete time event history models of first and repeat migration to three competing destinations: other locations within Chitwan, other districts within Nepal, and places outside of Nepal. Results support hypotheses derived from neoclassical economics, the theory of new economics of migration, social capital theory, and cumulative causation theory. Our results underscore the need for a synthetic theoretical model that incorporates factors operating at the individual, household, and community levels. The use of multiple explanatory models yields a clearer picture of the forces driving internal and international migration from rural districts in developing nations such as Nepal. PMID:21423821

Repeated catastrophic valley infill following medieval earthquakes in the Nepal Himalaya.

PubMed

Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Hoelzmann, Philipp; Adhikari, Basanta R; Andermann, Christoff; Tofelde, Stefanie; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver

2016-01-08

Geomorphic footprints of past large Himalayan earthquakes are elusive, although they are urgently needed for gauging and predicting recovery times of seismically perturbed mountain landscapes. We present evidence of catastrophic valley infill following at least three medieval earthquakes in the Nepal Himalaya. Radiocarbon dates from peat beds, plant macrofossils, and humic silts in fine-grained tributary sediments near Pokhara, Nepal's second-largest city, match the timing of nearby M > 8 earthquakes in ~1100, 1255, and 1344 C.E. The upstream dip of tributary valley fills and x-ray fluorescence spectrometry of their provenance rule out local sources. Instead, geomorphic and sedimentary evidence is consistent with catastrophic fluvial aggradation and debris flows that had plugged several tributaries with tens of meters of calcareous sediment from a Higher Himalayan source >60 kilometers away. Copyright © 2016, American Association for the Advancement of Science.

Dengue virus infection in a French traveller to the hilly region of Nepal in 2015: a case report.

PubMed

Gupta, Birendra Prasad; Adhikari, Anurag; Rauniyar, Ramanuj; Kurmi, Roshan; Upadhya, Bishnu Prasad; Jha, Bimlesh Kumar; Pandey, Basudev; Das Manandhar, Krishna

2016-03-21

Dengue viral infections are known to pose a significant risk during travel to tropical regions, but it is surprising to find dengue transmission in the hilly region of Nepal, which is over 1800mtr above sea level. A 43-year-old Caucasian female traveler from France presented with fever and abdominal pain following a diarrheal illness while visiting the central hilly region of Nepal. Over the course of 9 days, she developed fever, body aches, and joint pain, with hemorrhagic manifestation. She was hospitalized in India and treated with supportive care, with daily monitoring of her platelets. An assessment by enzyme-linked immunosorbent assay showed that she was positive for dengue non-structural protein 1. Upon her return to France, dengue virus was confirmed by reverse transcriptase-polymerase chain reaction. The district where this dengue case was reported is in the hilly region of Nepal, neighboring the capital city Kathmandu. To the best of our knowledge, there has previously been no dengue cases reported from the district. This study is important because it aims to establish a potential region of dengue virus circulation not only in the tropics, but also in the subtropics as well, which in Nepal may exceed elevations of 1800mtr. This recent case report has raised alarm among concerned health personnel, researchers, and organizations that this infectious disease is now on the way to becoming established in a temperate climate.

The prevalence of visual impairment in school children of upper-middle socioeconomic status in Kathmandu.

PubMed

Sapkota, Yuddha D; Adhikari, Bishwa Nath; Pokharel, Gopal P; Poudyal, Bimal K; Ellwein, Leon B

2008-01-01

Assess visual impairment in school children of upper-middle socioeconomic status in Kathmandu for comparison with rural Jhapa District. Random selection of classes from secondary private schools in Kathmandu was used to identify the study sample. Children in 130 classes at 43 schools were enumerated using school records and examined between January-May 2006. Examinations included visual acuity testing, ocular motility evaluation, cycloplegic refraction, and examination of the external eye, anterior segment, media, and fundus. The principal cause was determined for eyes with uncorrected visual acuity < or = 20/40. A total of 4,501 children in grades 5-9 were enumerated; 4282 (95.1%) were examined. The prevalence of uncorrected, presenting, and best-corrected visual impairment (< or = 20/40) in the better eye was 18.6%, 9.1%, and 0.86%, respectively. Refractive error was a cause in 93.3% of children with uncorrected visual impairment, amblyopia 1.8%, retinal disorders 1.3%, other causes 0.3%, and unexplained causes 4.4%. Among children correctable in at least one eye, 46.3% presented without the necessary spectacles. Visual impairment with myopia (-0.50 diopters) ranged from 10.9% in 10 year-olds to 27.3% in 15 year-olds, compared to 0.5%-3.0% in rural Jhapa District. Myopic visual impairment was associated with grade level, female gender, parental education, parental spectacle usage, and Mongol ethnicity. Visual impairment with myopia among upper-middle socioeconomic school children in Kathmandu is higher than that in rural Nepal, and a public health problem because nearly half are without corrective spectacles. Effective strategies are needed to eliminate this easily treatable cause of visual impairment.

Social determinants that lead to poor knowledge about, and inappropriate precautionary practices towards, avian influenza among butchers in Kathmandu, Nepal

PubMed Central

2013-01-01

Background Avian influenza (AI) is a global public health threat. Understanding the knowledge that butchers have about it and the precautionary practices they take against it is crucial for designing future preparedness programs. This study aimed to identify the social determinants of knowledge and precautionary measures of AI among butchers in the Kathmandu district in Nepal. Methods The study was based on a cross-sectional study design using structured interview questionnaires and checklists to observe social determinants and the precautionary measures of 120 butchers aged 15 years and above from the Kathmandu district. Results The majority of the respondents were male (69.2%) and more than half (53.3%) were from the age group of 25–39 years (mean: 31.08, SD: ±9.82). Nearly two-thirds (61.3%) of the respondents had a ‘poor knowledge’, and the remaining had ‘some knowledge’, about AI. More than half (55.4%) of the respondents were in the category of displaying ‘poor practice’ towards AI and the remaining half were in the ‘satisfactory practice’ category. None of the respondents had ‘adequate knowledge’ or displayed ‘good practice’. The respondents in the >25 years of age group were less likely [OR 0.169; 95% CI (0.056-0.512)] compared to those in the <25 years age group to have a poor knowledge about AI; and the respondents with ‘primary education’ were more likely [OR 3.265; 95% CI (1.326-8.189)] to have a poor knowledge about AI as compared to those who had a secondary or above level of education. Respondents who did not know the correct definition of AI were more likely to follow poor practices [OR 4.265; 95% CI (1.193-15.242)]; and the respondents who did not know the risk groups associated with AI were also more likely to follow poor practices [OR 3.103; 95% CI (1.191-8.083)]. Conclusion This study points out the need to address butchers to improve their knowledge of, and more importantly their compliance with, the precautionary measures to prevent avian influenza. PMID:23849460

Salient Features of the 2015 Gorkha, Nepal Earthquake in Relation to Earthquake Cycle and Dynamic Rupture Models

NASA Astrophysics Data System (ADS)

Ampuero, J. P.; Meng, L.; Hough, S. E.; Martin, S. S.; Asimaki, D.

2015-12-01

Two salient features of the 2015 Gorkha, Nepal, earthquake provide new opportunities to evaluate models of earthquake cycle and dynamic rupture. The Gorkha earthquake broke only partially across the seismogenic depth of the Main Himalayan Thrust: its slip was confined in a narrow depth range near the bottom of the locked zone. As indicated by the belt of background seismicity and decades of geodetic monitoring, this is an area of stress concentration induced by deep fault creep. Previous conceptual models attribute such intermediate-size events to rheological segmentation along-dip, including a fault segment with intermediate rheology in between the stable and unstable slip segments. We will present results from earthquake cycle models that, in contrast, highlight the role of stress loading concentration, rather than frictional segmentation. These models produce "super-cycles" comprising recurrent characteristic events interspersed by deep, smaller non-characteristic events of overall increasing magnitude. Because the non-characteristic events are an intrinsic component of the earthquake super-cycle, the notion of Coulomb triggering or time-advance of the "big one" is ill-defined. The high-frequency (HF) ground motions produced in Kathmandu by the Gorkha earthquake were weaker than expected for such a magnitude and such close distance to the rupture, as attested by strong motion recordings and by macroseismic data. Static slip reached close to Kathmandu but had a long rise time, consistent with control by the along-dip extent of the rupture. Moreover, the HF (1 Hz) radiation sources, imaged by teleseismic back-projection of multiple dense arrays calibrated by aftershock data, was deep and far from Kathmandu. We argue that HF rupture imaging provided a better predictor of shaking intensity than finite source inversion. The deep location of HF radiation can be attributed to rupture over heterogeneous initial stresses left by the background seismic activity. Earthquake cycle and dynamic rupture models containing deep asperities reproduce the slower spectral decay found in teleseismic spectra of the Gorkha earthquake and in subduction events in the deeper edge of the seismogenic zone.

Geographical heterogeneity and inequality of access to improved drinking water supply and sanitation in Nepal.

PubMed

He, Wen-Jun; Lai, Ying-Si; Karmacharya, Biraj M; Dai, Bo-Feng; Hao, Yuan-Tao; Xu, Dong Roman

2018-04-02

Per United Nations' Sustainable Development Goals, Nepal is aspiring to achieve universal and equitable access to safe and affordable drinking water and provide access to adequate and equitable sanitation for all by 2030. For these goals to be accomplished, it is important to understand the country's geographical heterogeneity and inequality of access to its drinking-water supply and sanitation (WSS) so that resource allocation and disease control can be optimized. We aimed 1) to estimate spatial heterogeneity of access to improved WSS among the overall Nepalese population at a high resolution; 2) to explore inequality within and between relevant Nepalese administrative levels; and 3) to identify the specific administrative areas in greatest need of policy attention. We extracted cluster-sample data on the use of the water supply and sanitation that included 10,826 surveyed households from the 2011 Nepal Demographic and Health Survey, then used a Gaussian kernel density estimation with adaptive bandwidths to estimate the distribution of access to improved WSS conditions over a grid at 1 × 1 km. The Gini coefficient was calculated for the measurement of inequality in the distribution of improved WSS; the Theil L measure and Theil T index were applied to account for the decomposition of inequality. 57% of Nepalese had access to improved sanitation (range: 18.1% in Mahottari to 100% in Kathmandu) and 92% to drinking-water (range: 41.7% in Doti to 100% in Bara). The most unequal districts in Gini coefficient among improved sanitation were Saptari, Sindhuli, Banke, Bajura and Achham (range: 0.276 to 0.316); and Sankhuwasabha, Arghakhanchi, Gulmi, Bhojpur, Kathmandu (range: 0.110 to 0.137) among improved drinking-water. Both the Theil L and Theil T showed that within-province inequality was substantially greater than between-province inequality; while within-district inequality was less than between-district inequality. The inequality of several districts was higher than what is calculated by regression of the Gini coefficient and our estimates. This study showed considerable geographical heterogeneity and inequality not evidenced in previous national statistics. Our findings may be useful in prioritizing resources to reduce inequality and expand the coverage of improved water supply and sanitation in Nepal.

Depth varying rupture properties during the 2015 Mw 7.8 Gorkha (Nepal) earthquake

NASA Astrophysics Data System (ADS)

Yue, Han; Simons, Mark; Duputel, Zacharie; Jiang, Junle; Fielding, Eric; Liang, Cunren; Owen, Susan; Moore, Angelyn; Riel, Bryan; Ampuero, Jean Paul; Samsonov, Sergey V.

2017-09-01

On April 25th 2015, the Mw 7.8 Gorkha (Nepal) earthquake ruptured a portion of the Main Himalayan Thrust underlying Kathmandu and surrounding regions. We develop kinematic slip models of the Gorkha earthquake using both a regularized multi-time-window (MTW) approach and an unsmoothed Bayesian formulation, constrained by static and high rate GPS observations, synthetic aperture radar (SAR) offset images, interferometric SAR (InSAR), and teleseismic body wave records. These models indicate that Kathmandu is located near the updip limit of fault slip and approximately 20 km south of the centroid of fault slip. Fault slip propagated unilaterally along-strike in an ESE direction for approximately 140 km with a 60 km cross-strike extent. The deeper portions of the fault are characterized by a larger ratio of high frequency (0.03-0.2 Hz) to low frequency slip than the shallower portions. From both the MTW and Bayesian results, we can resolve depth variations in slip characteristics, with higher slip roughness, higher rupture velocity, longer rise time and higher complexity of subfault source time functions in the deeper extents of the rupture. The depth varying nature of rupture characteristics suggests that the up-dip portions are characterized by relatively continuous rupture, while the down-dip portions may be better characterized by a cascaded rupture. The rupture behavior and the tectonic setting indicate that the earthquake may have ruptured both fully seismically locked and a deeper transitional portions of the collision interface, analogous to what has been seen in major subduction zone earthquakes.

Evaluation of OMNIgene®•SPUTUM-stabilised sputum for long-term transport and Xpert® MTB/RIF testing in Nepal.

PubMed

Maharjan, B; Kelly-Cirino, C D; Weirich, A; Curry, P S; Hoffman, H; Avsar, K; Shrestha, B

2016-12-01

German Nepal TB Project, National Tuberculosis Reference Laboratory, Kathmandu, Nepal. To evaluate whether transporting samples in OMNIgene®•SPUTUM (OM-S) reagent from a peripheral collection site to a central laboratory in Nepal can improve tuberculosis (TB) detection and increase the sensitivity of Xpert® MTB/RIF testing. One hundred sputum samples were split manually. Each portion was assigned to the OM-S group (OM-S added at collection, airline-couriered without cold chain, no other processing required) or the standard-of-care (SOC) group (samples airline-couriered on ice, sodium hydroxide + N-acetyl-L-cysteine processing required at the laboratory). Smear microscopy and Xpert testing were performed. Transport time was 2-13 days. Overall smear results were comparable (respectively 58% and 56% smear-negative results in the OM-S and SOC groups). The rate of smear-positive, Mycobacterium tuberculosis-positive (MTB+) sample detection was identical for both treatment groups, at 95%. More smear-negative MTB+ samples were detected in the OM-S group (17% vs. 13%, P = 0.0655). Sputum samples treated with OM-S can undergo multiday ambient-temperature transport and yield comparable smear and Xpert results to those of SOC samples. Further investigation with larger sample sizes is required to assess whether treating sputum samples with OM-S could increase the sensitivity of Xpert testing in smear-negative samples.

Phenotypic and genetic characterization of Vibrio cholerae O1 clinical isolates collected through national antimicrobial resistance surveillance network in Nepal.

PubMed

Shakya, Geeta; Kim, Dong Wook; Clemens, John D; Malla, Sarala; Upadhyaya, Bishnu Prasad; Dumre, Shyam Prakash; Shrestha, Sirjana Devi; Adhikari, Shailaja; Sharma, Supriya; Rijal, Nisha; Shrestha, Sanjaya K; Mason, Carl; Kansakar, Palpasa

2012-08-01

Cholera occurs in sporadic cases and outbreaks in Nepal each year. Vibrio cholerae O1 (n = 522) isolated during 2007-2010 from diarrheal patients at 10 different hospital laboratories in Nepal were characterized. Biochemical and serologic identifications showed that all the isolates belonged to serogroup O1, El Tor biotype. Except 72 isolates of Inaba serotype isolated in the year 2007, all the remaining isolates were of Ogawa serotype. All isolates were resistant to nalidixic acid and furazolidone. Resistance to tetracycline, ciprofloxacin, erythromycin and co-trimoxazole were 21, 4, 16 and 90 % respectively. Seventy-seven of these isolates were selected for further characterization for ctxB gene and MLVA typing. Two different variants of classical type cholera toxin were observed. Ogawa strains from 2007 and 2010-Western Nepal outbreak harbored CTX-3 type cholera toxin, whereas Inaba serotypes in 2007 and the remaining Ogawa serotypes in 2008-2010 harbored CTX 3b-type toxin. MLVA analysis showed circulation of four different groups of altered V. cholerae O1 El Tor strains. Two different profiles were seen among 2007 Inaba (9, 3, 6, x, x) and Ogawa (10, 7, 6, x, x) isolates. The MLVA profile of 2008 and 2009 Ogawa isolates were similar to those of Inaba strains of 2007. Isolates from 2010 also showed three different MLVA profiles; profile 9, 3, 6, x, x in 3 isolates, 11, 7, 6, x, x among 2010 Western Nepal outbreak strains and profile 8, 3, 6, x, x among isolates from Butwal and Kathmandu.

Perceived Family Support and Antiretroviral Adherence in HIV-Positive Individuals: Results from a Community-Based Positive Living With HIV Study.

PubMed

Poudel, Krishna C; Buchanan, David R; Amiya, Rachel M; Poudel-Tandukar, Kalpana

2015-01-01

The purpose of this study was to examine the association between perceived family support, either positive or negative, and adherence to antiretroviral medication regimens among HIV-positive individuals in the Kathmandu Valley, Nepal. We measured past 3-month antiretroviral adherence among 233 HIV-positive individuals, in relation to perceived family support, both positive (in terms of emotional and instrumental support) and negative (in the form of negative interactions), using the 10-item Nepali Family Support and Difficulty Scale. Medium and high levels of perceived emotional support from family were associated with reduced risk of antiretroviral nonadherence, compared with low levels of perceived emotional support (adjusted odds ratio [AOR]  = 0.37, 95% confidence interval [CI] [0.16, 0.88], and AOR  = 0.23, 95% CI [0.08, 0.64], respectively). Conversely, higher levels of felt emotional distance (AOR  = 1.46, 95% CI [1.00, 2.14]) and experienced physical harm (AOR  = 2.04, 95% CI [1.07, 3.91]) were associated with increased risk of nonadherence. The results support the recommendation that service providers need to be aware of the significant role of family support in shaping antiretroviral adherence and to consider ways to strengthen positive family support while minimizing negative family interactions to increase adherence rates. © The Author(s) 2015.

The spatial heterogeneity between Japanese encephalitis incidence distribution and environmental variables in Nepal.

PubMed

Impoinvil, Daniel E; Solomon, Tom; Schluter, W William; Rayamajhi, Ajit; Bichha, Ram Padarath; Shakya, Geeta; Caminade, Cyril; Baylis, Matthew

2011-01-01

To identify potential environmental drivers of Japanese Encephalitis virus (JE) transmission in Nepal, we conducted an ecological study to determine the spatial association between 2005 Nepal JE incidence, and climate, agricultural, and land-cover variables at district level. District-level data on JE cases were examined using Local Indicators of Spatial Association (LISA) analysis to identify spatial clusters from 2004 to 2008 and 2005 data was used to fit a spatial lag regression model with climate, agriculture and land-cover variables. Prior to 2006, there was a single large cluster of JE cases located in the Far-West and Mid-West terai regions of Nepal. After 2005, the distribution of JE cases in Nepal shifted with clusters found in the central hill areas. JE incidence during the 2005 epidemic had a stronger association with May mean monthly temperature and April mean monthly total precipitation compared to mean annual temperature and precipitation. A parsimonious spatial lag regression model revealed, 1) a significant negative relationship between JE incidence and April precipitation, 2) a significant positive relationship between JE incidence and percentage of irrigated land 3) a non-significant negative relationship between JE incidence and percentage of grassland cover, and 4) a unimodal non-significant relationship between JE Incidence and pig-to-human ratio. JE cases clustered in the terai prior to 2006 where it seemed to shift to the Kathmandu region in subsequent years. The spatial pattern of JE cases during the 2005 epidemic in Nepal was significantly associated with low precipitation and the percentage of irrigated land. Despite the availability of an effective vaccine, it is still important to understand environmental drivers of JEV transmission since the enzootic cycle of JEV transmission is not likely to be totally interrupted. Understanding the spatial dynamics of JE risk factors may be useful in providing important information to the Nepal immunization program.

Population Mobility and Spread of HIV Across the Indo-Nepal Border

PubMed Central

Nepal, Binod

2007-01-01

The article reviews information on the epidemiology of HIV/AIDS and behavioural networking to examine the role of population mobility in spreading HIV across the Indo-Nepal border. Documents were collected through a systematic search of electronic databases and web-based information resources, and the review focuses on studies about types of the virus, prevalence of HIV, and sexual and injecting networking. HIV-1 (subtype C) and HIV-2 were identified in Nepal. The prevalence of HIV was higher among male labour migrants and female sex workers (FSWs) who returned from India, especially from Mumbai, than in similar non-migrant groups. In the early 2000s, about 6–10% of Mumbai returnee men, compared to up to 4% of India returnee men and up to 3% of non-migrant men in the far-west Nepal, were identified with HIV. Likewise, when the prevalence of HIV among sex workers in Kathmandu was found to be 17% in 1999–2000, up to 44% of India returnee and 73% of Mumbai returnee FSWs were identified with the virus. These data are, however, based on small samples with questionable representativeness of the target populations and need to be interpreted cautiously. They also generate a biased impression that HIV was coming into Nepal from India. Recently, the possibility of a two-way flow of HIV across the Indo-Nepal border through injecting and sexual networking have been indicated by serological and behavioural data from a south-eastern cluster of Nepal and a north-eastern district of India. Although similar behavioural networks exist along other segments of the border, serological data are unavailable to assess whether and how extensively this phenomenon has caused the spread of HIV. Collaborative research and interventions covering both sides of the border are desirable to fully understand and address the prospect of HIV epidemics associated with cross-border population mixing. PMID:18330059

Revisiting the 1993 historical extreme precipitation and damaging flood event in Central Nepal

NASA Astrophysics Data System (ADS)

Marahatta, S.; Adhikari, L.; Pokharel, B.

2017-12-01

Nepal is ranked the fourth most climate-vulnerable country in the world and it is prone to different weather-related hazards including droughts, floods, and landslides [Wang et al., 2013; Gillies et al., 2013]. Although extremely vulnerable to extreme weather events, there are no extreme weather warning system established to inform public in Nepal. Nepal has witnessed frequent drought and flood events, however, the extreme precipitation that occurred on 19-20 July 1993 created a devastating flood and landslide making it the worst weather disaster in the history of Nepal. During the second week of July, Nepal and northern India experienced abnormal dry condition due to the shifting of the monsoon trough to central India. The dry weather changed to wet when monsoon trough moved northward towards foothills of the Himalayas. Around the same period, a low pressure center was located over the south-central Nepal. The surface low was supported by the mid-, upper-level shortwave and cyclonic vorticity. A meso-scale convective system created record breaking one day rainfall (540 mm) in the region. The torrential rain impacted the major hydropower reservoir, Bagmati barrage in Karmaiya and triggered many landslides and flash floods. The region had the largest hydropower (Kulekhani hydropower, 92 MW) of the country at that time and the storm event deposited extremely large amount of sediments that reduced one-fourth (4.8 million m3) of reservoir dead storage (12 million m3). The 1-in-1000 years flood damaged the newly constructed barrage and took more than 700 lives. Major highways were damaged cutting off supply of daily needed goods, including food and gas, in the capital city, Kathmandu, for more than a month. In this presentation, the meteorological conditions of the extreme event will be diagnosed and the impact of the sedimentation due to the flood on Kulekhani reservoir and hydropower generation will be discussed.

The Spatial Heterogeneity between Japanese Encephalitis Incidence Distribution and Environmental Variables in Nepal

PubMed Central

Impoinvil, Daniel E.; Solomon, Tom; Schluter, W. William; Rayamajhi, Ajit; Bichha, Ram Padarath; Shakya, Geeta; Caminade, Cyril; Baylis, Matthew

2011-01-01

Background To identify potential environmental drivers of Japanese Encephalitis virus (JE) transmission in Nepal, we conducted an ecological study to determine the spatial association between 2005 Nepal JE incidence, and climate, agricultural, and land-cover variables at district level. Methods District-level data on JE cases were examined using Local Indicators of Spatial Association (LISA) analysis to identify spatial clusters from 2004 to 2008 and 2005 data was used to fit a spatial lag regression model with climate, agriculture and land-cover variables. Results Prior to 2006, there was a single large cluster of JE cases located in the Far-West and Mid-West terai regions of Nepal. After 2005, the distribution of JE cases in Nepal shifted with clusters found in the central hill areas. JE incidence during the 2005 epidemic had a stronger association with May mean monthly temperature and April mean monthly total precipitation compared to mean annual temperature and precipitation. A parsimonious spatial lag regression model revealed, 1) a significant negative relationship between JE incidence and April precipitation, 2) a significant positive relationship between JE incidence and percentage of irrigated land 3) a non-significant negative relationship between JE incidence and percentage of grassland cover, and 4) a unimodal non-significant relationship between JE Incidence and pig-to-human ratio. Conclusion JE cases clustered in the terai prior to 2006 where it seemed to shift to the Kathmandu region in subsequent years. The spatial pattern of JE cases during the 2005 epidemic in Nepal was significantly associated with low precipitation and the percentage of irrigated land. Despite the availability of an effective vaccine, it is still important to understand environmental drivers of JEV transmission since the enzootic cycle of JEV transmission is not likely to be totally interrupted. Understanding the spatial dynamics of JE risk factors may be useful in providing important information to the Nepal immunization program. PMID:21811573

Who seeks treatment for alcohol problems? Demography and alcohol-use characteristics of patients in taboo and non-taboo drinking groups attending professional alcohol services in Nepal.

PubMed

Neupane, Sudan Prasad; Bramness, Jørgen G

2014-12-01

Only few individuals with alcohol problems seek help; those who do have not been described adequately. Here, we summarize the demographic and alcohol-related features of inpatients attending professional alcohol services in Nepal and examine differences between patients with and without social taboos about drinking. Fully structured interviews including the Composite International Diagnostic Interview and the Alcohol Use Disorder Identification Test were administered to 177 men and 21 women consecutively admitted to eight alcohol treatment centres in Kathmandu. Altogether, 164 patients (83%) had alcohol dependence and 24 patients (12%) had alcohol abuse. The sample had a mean age of 35.3 years (SD 10.1) with a time lag of 16.8 years (SD 9.8) from start of habitual drinking to first entry into treatment. Most (62%) were married, lived in urban areas (72%), had above-average income (57%), received adequate social support (71%), and belonged to social groups in which drinking is taboo (57%). Individuals in non-taboo group more often lived in urban areas, had lower socioeconomic status, more often reported parental problem drinking and started drinking at a younger age, whereas individuals in the taboo group more often had late onset, risky drinking, and waited longer before seeking treatment (P<0.05). Traditionally alcohol non-using castes and people with higher socioeconomic status over-represent professional alcohol services in Kathmandu. This, and high levels of hazardous and harmful alcohol use, indicate changing trends concerning social tolerance towards alcohol in Nepalese society in recent times and a heavy burden associated with alcohol disorders. Copyright © 2014 Elsevier B.V. All rights reserved.

Ugly bugs in healthy guts! Carriage of multidrug-resistant and ESBL-producing commensal Enterobacteriaceae in the intestine of healthy Nepalese adults.

PubMed

Maharjan, Anjila; Bhetwal, Anjeela; Shakya, Shreena; Satyal, Deepa; Shah, Shashikala; Joshi, Govardhan; Khanal, Puspa Raj; Parajuli, Narayan Prasad

2018-01-01

Fecal carriage of multidrug-resistant and extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae is one of the important risk factors for infection with antibiotic-resistant bacteria. In this report, we examined the prevalence of multidrug-resistant and ESBL-producing common enterobacterial strains colonizing the intestinal tract of apparently healthy adults in Kathmandu, Nepal. During a 6-month period (February-July 2016), a total of 510 stool specimens were obtained from apparently healthy students of Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal. Stool specimens were cultured, and the most common enterobacterial isolates ( Escherichia coli and Klebsiella species) were subjected to antimicrobial susceptibility tests according to the standard microbiologic guidelines. Multidrug-resistant isolates were selected for ESBL confirmation by combined disk test and E-test methods. Molecular characterization of plasmid-borne ESBL genes was performed by using specific primers of cefotaximase Munich (CTX-M), sulfhydryl variant (SHV), and temoniera (TEM) by polymerase chain reaction. Among 510 bacterial strains, E. coli (432, 84.71%) was the predominant organism followed by Klebsiella oxytoca (48, 9.41%) and K. pneumoniae (30, 5.88%). ESBLs were isolated in 9.8% of the total isolates including K. oxytoca (29.17%), E. coli (7.87%), and K. pneumoniae (6.67%). Among ESBLs, bla -TEM was the predominant type (92%) followed by bla -CTX-M (60%) and bla -SHV (4%). Multidrug-resistant and ESBL-producing enterobacterial commensal strains among healthy individuals are of serious concern. Persistent carriage of ESBL organisms in healthy individuals suggests the possibility of sustained ESBL carriage among the diseased and hospitalized patients. We recommend similar types of epidemiologic surveys in larger communities and in hospital settings to ascertain the extent of ESBL resistance.

Differential Epidemiology of Salmonella Typhi and Paratyphi A in Kathmandu, Nepal: A Matched Case Control Investigation in a Highly Endemic Enteric Fever Setting

PubMed Central

Tran Vu Thieu, Nga; Dongol, Sabina; Le Thi Phuong, Tu; Voong Vinh, Phat; Arjyal, Amit; Martin, Laura B.; Rondini, Simona; Farrar, Jeremy J.; Dolecek, Christiane; Basnyat, Buddha; Baker, Stephen

2013-01-01

Background Enteric fever, a systemic infection caused by the bacteria Salmonella Typhi and Salmonella Paratyphi A, is endemic in Kathmandu, Nepal. Previous work identified proximity to poor quality water sources as a community-level risk for infection. Here, we sought to examine individual-level risk factors related to hygiene and sanitation to improve our understanding of the epidemiology of enteric fever in this setting. Methodology and principal findings A matched case-control analysis was performed through enrollment of 103 blood culture positive enteric fever patients and 294 afebrile community-based age and gender-matched controls. A detailed questionnaire was administered to both cases and controls and the association between enteric fever infection and potential exposures were examined through conditional logistic regression. Several behavioral practices were identified as protective against infection with enteric fever, including water storage and hygienic habits. Additionally, we found that exposures related to poor water and socioeconomic status are more influential in the risk of infection with S. Typhi, whereas food consumption habits and migration play more of a role in risk of S. Paratyphi A infection. Conclusions and significance Our work suggests that S. Typhi and S. Paratyphi A follow different routes of infection in this highly endemic setting and that sustained exposure to both serovars probably leads to the development of passive immunity. In the absence of a polyvalent vaccine against S. Typhi and S. Paratyphi A, we advocate better systems for water treatment and storage, improvements in the quality of street food, and vaccination with currently available S. Typhi vaccines. PMID:23991240

Biofilm and metallo beta-lactamase production among the strains of Pseudomonas aeruginosa and Acinetobacter spp. at a Tertiary Care Hospital in Kathmandu, Nepal.

PubMed

Baniya, Bandana; Pant, Narayan Dutt; Neupane, Sanjeev; Khatiwada, Saroj; Yadav, Uday Narayan; Bhandari, Nisha; Khadka, Rama; Bhatta, Sabita; Chaudhary, Raina

2017-11-02

Pseudomonas aeruginosa and Acinetobacter spp. are found to be associated with biofilm and metallo-β-lactamase production and are the common causes of serious infections mainly in hospitalized patients. So, the main aims of this study were to determine the rates of biofilm production and metallo beta-lactamase production (MBL) among the strains of Pseudomonas aeruginosa and Acinetobacter spp. isolated from hospitalized patients. A total of 85 P. aeruginosa isolates and 50 Acinetobacter spp. isolates isolated from different clinical specimens from patients admitted to Shree Birendra Hospital, Kathmandu, Nepal from July 2013 to May 2014 were included in this study. The bacterial isolates were identified with the help of biochemical tests. Modified Kirby-Bauer disc diffusion technique was used for antimicrobial susceptibility testing. Combined disc diffusion technique was used for the detection of MBL production, while Congo red agar method and tube adherence method were used for detection of biofilm production. Around 16.4% of P. aeruginosa isolates and 22% of the strains of Acinetobacter spp. were metallo β-lactamase producers. Out of 85 P. aeruginosa isolates, 23 (27.05%) were biofilm producers according to tube adherence test while, only 13 (15.29%) were biofilm producers as per Congo red agar method. Similarly, out of 50 Acinetobacter spp. 7 (14%) isolates were biofilm producers on the basis of tube adherence test, while only 5 (10%) were positive for biofilm production by Congo red agar method. Highest rates of susceptibility of P. aeruginosa as well as Acinetobacter spp. were seen toward colistin. In our study, biofilm production and metallo beta-lactamase production were observed among Pseudomonas aeruginosa and Acinetobacter spp. However, no statistically significant association could be established between biofilm production and metallo beta-lactamase production.

Overview of the StratoClim Asian Monsoon Aircraft Campaign: Strategy, Instrumentation and preliminary Results

NASA Astrophysics Data System (ADS)

Stroh, F.

2017-12-01

The StratoClim Aircraft Field Campaign employing the high-flying research aircraft M55 Geophysica was carried out from mid July to mid August of 2017 from Kathmandu, Nepal, covering the airspace of Nepal, India, Bangladesh and Myanmar in the frame of the EC FP7 funded StratoClim project (see the Rex. et al. overview in this session). In order to sample the first detailed data set on climate relevant processes of the Asian Summer Monsoon anticyclone a comprehensive chemical and aerosol payload of more than 2 metric tons consisting of 26 different instrumets was flown to altitudes in excess of 20km to measure remote sensing and in-situ data on dynamical, chemical, and micro-chemical processes governing this experimentally underresearched atmospheric domain. An overview of the instrumentation, observation strategies, and preliminary results on open challenges as the horizontal and vertical trace gas and aerosol structures, effects of convective events and the ATAL will be given.

Accuracy of Home-Based Ultrasonographic Diagnosis of Obstetric Risk Factors by Primary-Level Health Workers in Rural Nepal

PubMed Central

Kozuki, Naoko; Mullany, Luke C.; Khatry, Subarna K.; Ghimire, Ram K.; Paudel, Sharma; Blakemore, Karin; Bird, Christine; Tielsch, James M.; LeClerq, Steven C.; Katz, Joanne

2016-01-01

Objective To assess the feasibility of task shifting by estimating the accuracy at which primary-level health care workers can perform community-based third trimester ultrasound diagnosis for selected obstetric risk factors in rural Nepal. Methods Three auxiliary nurse midwives received two one-week ultrasound trainings at Tribhuvan University Teaching Hospital in Kathmandu. In our study site in rural Nepal, women who were ≥32 weeks in gestational age were enrolled and received ultrasound examinations from the auxiliary nurse midwives during home visits. Each auxiliary nurse midwife screened for non-cephalic presentation, multiple gestation, and placenta previa. All de-identified images were stored and uploaded onto an online server, where certified sonologists and sonographers reviewed the images and made their own diagnoses for the three conditions. Accuracy of auxiliary nurse midwife diagnoses was then calculated. Results We enrolled 804 women in the study. Each auxiliary nurse midwife’s kappa statistic for diagnosis of non-cephalic presentation was above 0.90 compared with the sonogram reviewers. Sensitivity, specificity, positive and negative predictive values were between 90–100% for all auxiliary nurse midwives For multiple gestation, the auxiliary nurse midwives were in perfect agreement with both the sonogram reviewers and maternal postpartum self-report. Two placenta previa cases were detected, and the sonogram reviewers agreed with both. Conclusion With limited training, primary-level health care workers in rural Nepal can accurately diagnose selected third trimester obstetric risk factors using ultrasonography. PMID:27500343

A comparison of observed and predicted ground motions from the 2015 MW7.8 Gorkha, Nepal, earthquake

USGS Publications Warehouse

Hough, Susan E.; Martin, Stacey S.; Gahalaut, V.; Joshi, A.; Landes, M.; Bossu, R.

2016-01-01

We use 21 strong motion recordings from Nepal and India for the 25 April 2015 moment magnitude (MW) 7.8 Gorkha, Nepal, earthquake together with the extensive macroseismic intensity data set presented by Martin et al. (Seism Res Lett 87:957–962, 2015) to analyse the distribution of ground motions at near-field and regional distances. We show that the data are consistent with the instrumental peak ground acceleration (PGA) versus macroseismic intensity relationship developed by Worden et al. (Bull Seism Soc Am 102:204–221, 2012), and use this relationship to estimate peak ground acceleration from intensities (PGAEMS). For nearest-fault distances (RRUP < 200 km), PGAEMS is consistent with the Atkinson and Boore (Bull Seism Soc Am 93:1703–1729, 2003) subduction zone ground motion prediction equation (GMPE). At greater distances (RRUP > 200 km), instrumental PGA values are consistent with this GMPE, while PGAEMS is systematically higher. We suggest the latter reflects a duration effect whereby effects of weak shaking are enhanced by long-duration and/or long-period ground motions from a large event at regional distances. We use PGAEMS values within 200 km to investigate the variability of high-frequency ground motions using the Atkinson and Boore (Bull Seism Soc Am 93:1703–1729, 2003) GMPE as a baseline. Across the near-field region, PGAEMS is higher by a factor of 2.0–2.5 towards the northern, down-dip edge of the rupture compared to the near-field region nearer to the southern, up-dip edge of the rupture. Inferred deamplification in the deepest part of the Kathmandu valley supports the conclusion that former lake-bed sediments experienced a pervasive nonlinear response during the mainshock (Dixit et al. in Seismol Res Lett 86(6):1533–1539, 2015; Rajaure et al. in Tectonophysics, 2016. Ground motions were significantly amplified in the southern Gangetic basin, but were relatively low in the northern basin. The overall distribution of ground motions and damage during the Gorkha earthquake thus reflects a combination of complex source, path, and site effects. We also present a macroseismic intensity data set and analysis of ground motions for the MW7.3 Dolakha aftershock on 12 May 2015, which we compare to the Gorkha mainshock and conclude was likely a high stress-drop event.

Epidemiological Profile and Risk Factors for Acquiring HBV and/or HCV in HIV-Infected Population Groups in Nepal.

PubMed

Bhattarai, Manjula; Baniya, Jagat Bahadur; Aryal, Nirmal; Shrestha, Bimal; Rauniyar, Ramanuj; Adhikari, Anurag; Koirala, Pratik; Oli, Pardip Kumar; Pandit, Ram Deo; Stein, David A; Gupta, Birendra Prasad

2018-01-01

HBV and HCV infections are widespread among the HIV-infected individuals in Nepal. The goals of this study were to investigate the epidemiological profile and risk factors for acquiring HBV and/or HCV coinfection in disadvantaged HIV-positive population groups in Nepal. We conducted a retrospective study on blood samples from HIV-positive patients from the National Public Health Laboratory at Kathmandu to assay for HBsAg, HBeAg, and anti-HCV antibodies, HIV viral load, and CD4+ T cell count. Among 579 subjects, the prevalence of HIV-HBV, HIV-HCV, and HIV-HBV-HCV coinfections was 3.62%, 2.93%, and 0.34%, respectively. Multivariate regression analysis indicated that spouses of HIV-positive migrant labourers were at significant risk for coinfection with HBV infection, and an age of >40 years in HIV-infected individuals was identified as a significant risk factor for HCV coinfection. Overall our study indicates that disadvantaged population groups such as intravenous drug users, migrant workers and their spouses, female sex workers, and men who have sex with HIV-infected men are at a high and persistent risk of acquiring viral hepatitis. We conclude that Nepalese HIV patients should receive HBV and HCV diagnostic screening on a regular basis.

A harm reduction programme for injecting drug users in Nepal.

PubMed

Singh, M

1997-01-01

The Lifesaving and Lifegiving Society (LALS), a street-based nongovernmental organization established in Nepal in 1991, utilizes a harm-reduction strategy to minimize the spread of HIV among injecting drug users. Community health outreach workers, many of whom are former drug addicts, work in the streets of Kathmandu, educating, counseling, and distributing bleach, sterile water, swabs, and clean needles. They demonstrate how to clean syringes and distribute condoms. LALS also provides primary health care services such as treatment for abscesses. Clients are informed about the limited drug treatment services in Nepal and are offered the option of home detoxification under LALS supervision. LALS promotes the message that drug users should be treated as victims of a disease rather than as criminals. Family involvement, fostered through home visits, is considered important to sustaining behavioral changes and family members are informed about ways of encouraging drug users to give up drug use or at least practice safe injecting techniques. Education of and networking with Narcotics Division and other police officers has been essential to LALS' success. LALS is working with the Nepali Red Cross on integrating HIV prevention into family planning programs. A current priority is to reduce dependence on funding from donor agencies and mobilize support from private businesses.

Illness Perception and Depressive Symptoms among Persons with Type 2 Diabetes Mellitus: An Analytical Cross-Sectional Study in Clinical Settings in Nepal.

PubMed

Joshi, Suira; Dhungana, Raja Ram; Subba, Usha Kiran

2015-01-01

Background. This study aimed to assess the relationship between illness perception and depressive symptoms among persons with diabetes. Method. This was an analytical cross-sectional study conducted among 379 type 2 diabetic patients from three major clinical settings of Kathmandu, Nepal. Results. The prevalence of depressive symptoms was 44.1% (95% CI: 39.1, 49.1). Females (p < 0.01), homemakers (p < 0.01), 61-70 age group (p = 0.01), those without formal education (p < 0.01), and people with lower social status (p < 0.01) had significantly higher proportion of depressive symptoms than the others. Multivariable analysis identified age (β = 0.036, p = 0.016), mode of treatment (β = 0.9, p = 0.047), no formal educational level (β = 1.959, p = 0.01), emotional representation (β = 0.214, p < 0.001), identity (β = 0.196, p < 0.001), illness coherence (β = -0.109, p = 0.007), and consequences (β = 0.093, p = 0.049) as significant predictors of depressive symptoms. Conclusion. Our study demonstrated a strong relationship between illness perception and depressive symptoms among diabetic patients. Study finding indicated that persons living with diabetes in Nepal need comprehensive diabetes education program for changing poor illness perception, which ultimately helps to prevent development of depressive symptoms.

Dengue Virus Serotypes 1 and 2 Responsible for Major Dengue Outbreaks in Nepal: Clinical, Laboratory, and Epidemiological Features

PubMed Central

Dumre, Shyam Prakash; Bhandari, Renu; Shakya, Geeta; Shrestha, Sanjaya Kumar; Cherif, Mahamoud Sama; Ghimire, Prakash; Klungthong, Chonticha; Yoon, In-Kyu; Hirayama, Kenji; Na-Bangchang, Kesara; Fernandez, Stefan

2017-01-01

Abstract. Dengue virus (DENV) is expanding toward previously nonendemic areas. DENV has recently been introduced in Nepal with limited information. We report the clinical features and serotype distribution of DENV in Nepal during the 2010 outbreaks. A total of 1,215 clinical dengue cases at two major hospitals of central and western Nepal were investigated. Demographic, clinical, and laboratory parameters were recorded. Serum specimens were tested for DENV by IgM/IgG enzyme-linked immunosorbent assays (ELISAs) and reverse transcription polymerase chain reaction (RT-PCR). We confirmed DENV infection in 403 (33%) patients from 12 districts with an estimated case fatality rate of 1.5%. DENV infection was more common in adults (87%) and urban settings (74%). We detected all four serotypes but DENV-1 and -2 were mainly responsible for major outbreaks (92%). Overall, 60% of all DENV infections were secondary and 17% were severe dengue; both being more frequent among the DENV-2 infections. Rash, bleeding, abdominal pain, hepatomegaly, elevated liver enzymes, and thrombocytopenia were significantly more common in severe dengue compared with nonsevere infections. We also confirmed the expansion of dengue to hill urban areas (DENV-1 and -2), including the capital Kathmandu (altitude, 1,300 m) though > 90% cases were from southern plains. Differential clinical and laboratory features probably help in clinical decisions. Multiple serotypes circulation and elevated secondary infections pose potential risk of severe outbreaks and deaths in the future. Therefore, a country with recent dengue introduction, like Nepal, urgently requires a systematic surveillance and appropriate control measures in place to respond to any disastrous outbreaks. PMID:29031282

Rural Agricultural Change and Fertility Transition in Nepal

ERIC Educational Resources Information Center

Bhandari, Prem; Ghimire, Dirgha

2013-01-01

Using longitudinal panel data from the Western Chitwan Valley of Nepal, this study examines the impact of the use of modern farm technologies on fertility transition--specifically, the number of births in a farm household. Previous explanations for the slow pace of fertility transition in rural agricultural settings often argued that the demand…

Chigger mites (Acari: Trombiculidae) from Makalu region in Nepal Himalaya, with a description of three new species.

PubMed

Daniel, M; Stekol'nikov, A A

2009-07-01

Three new species of chigger mites, Neotrombicula kounickyi sp. n., Leptotrombidium angkamii sp. n., and Doloisia vlastae sp. n., are described from two species of small mammals collected in the Barun Glacier Valley, Makalu region, Nepal Himalaya. Two species, Trombiculindus mehtai Fernandes et Kulkarni, 2003 and Cheladonta ikaoensis (Sasa et al., 1951) are recorded for the first time in Nepal. Data on altitude distribution of chiggers and their host preferences are given.

The Himalayas: barrier and conduit for gene flow.

PubMed

Gayden, Tenzin; Perez, Annabel; Persad, Patrice J; Bukhari, Areej; Chennakrishnaiah, Shilpa; Simms, Tanya; Maloney, Trisha; Rodriguez, Kristina; Herrera, Rene J

2013-06-01

The Himalayan mountain range is strategically located at the crossroads of the major cultural centers in Asia, the Middle East and Europe. Although previous Y-chromosome studies indicate that the Himalayas served as a natural barrier for gene flow from the south to the Tibetan plateau, this region is believed to have played an important role as a corridor for human migrations between East and West Eurasia along the ancient Silk Road. To evaluate the effects of the Himalayan mountain range in shaping the maternal lineages of populations residing on either side of the cordillera, we analyzed mitochondrial DNA variation in 344 samples from three Nepalese collections (Newar, Kathmandu and Tamang) and a general population of Tibet. Our results revealed a predominantly East Asian-specific component in Tibet and Tamang, whereas Newar and Kathmandu are both characterized by a combination of East and South Central Asian lineages. Interestingly, Newar and Kathmandu harbor several deep-rooted Indian lineages, including M2, R5, and U2, whose coalescent times from this study (U2, >40 kya) and previous reports (M2 and R5, >50 kya) suggest that Nepal was inhabited during the initial peopling of South Central Asia. Comparisons with our previous Y-chromosome data indicate sex-biased migrations in Tamang and a founder effect and/or genetic drift in Tamang and Newar. Altogether, our results confirm that while the Himalayas acted as a geographic barrier for human movement from the Indian subcontinent to the Tibetan highland, it also served as a conduit for gene flow between Central and East Asia. Copyright © 2013 Wiley Periodicals, Inc.

Areal Analysis of Language Attitudes and Practices: A Case Study from Nepal

ERIC Educational Resources Information Center

Hildebrandt, Kristine A.; Hu, Shunfu

2017-01-01

This paper has two aims. One aim is to consider non-structural (language attitude and use) variables as valid in the field of dialect and linguistic geography in an inner Himalayan valley of Nepal, where four languages have traditionally coexisted asymmetrically and which demonstrate different degrees of vitality vs. endangerment. The other aim is…

Genetic characterization of rhesus macaques (Macaca mulatta) in Nepal.

PubMed

Kyes, Randall C; Jones-Engel, Lisa; Chalise, Mukesh K; Engel, Gregory; Heidrich, John; Grant, Richard; Bajimaya, Shyam S; McDonough, John; Smith, David Glenn; Ferguson, Betsy

2006-05-01

Indian-origin rhesus macaques (Macaca mulatta) have long served as an animal model for the study of human disease and behavior. Given the current shortage of Indian-origin rhesus, many researchers have turned to rhesus macaques from China as a substitute. However, a number of studies have identified marked genetic differences between the Chinese and Indian animals. We investigated the genetic characteristics of a third rhesus population, the rhesus macaques of Nepal. Twenty-one rhesus macaques at the Swoyambhu Temple in Kathmandu, Nepal, were compared with more than 300 Indian- and Chinese-origin rhesus macaques. The sequence analyses of two mitochondrial DNA (mtDNA) loci, from the HVS I and 12 S rRNA regions, showed that the Nepali animals were more similar to Indian-origin than to Chinese-origin animals. The distribution of alleles at 24 short tandem repeat (STR) loci distributed across 17 chromosomes also showed greater similarity between the Nepali and Indian-origin animals. Finally, an analysis of seven major histocompatibility complex (MHC) alleles showed that the Nepali animals expressed Class I alleles that are common to Indian-origin animals, including Mamu-A*01. All of these analyses also revealed a low level of genetic diversity within this Nepali rhesus sample. We conclude that the rhesus macaques of Nepal more closely resemble rhesus macaques of Indian origin than those of Chinese origin. As such, the Nepali rhesus may offer an additional resource option for researchers who wish to maintain research protocols with animals that possess key genetic features characteristic of Indian-origin rhesus macaques. 2005 Wiley-Liss, Inc.

Scientific Communication for Positive Action: Do's and Don'ts

NASA Astrophysics Data System (ADS)

Sanquini, A.; Wood, M. M.

2015-12-01

Natural hazard presentations often highlight disasters that may ensue from natural processes when mitigation or preparedness actions are not taken. Examples include images of raging fires, collapsed buildings, and flooded urban areas. Research has shown that this makes presentations more interesting and more memorable. Such images are the stock and trade of disaster reporting by the media. Unfortunately, it may also trigger avoidance and denial in the audience, resulting in preparedness reduction; the opposite effect of what may have been intended by the speaker. Recent social research has provided insight into a better approach. The theory of communicating actionable risk posits that people will take action against hazards when they know what to do, think it would work, and know someone who did it. This approach was recently applied in an intervention designed to motivate earthquake-resistant construction in Kathmandu Valley, Nepal. Social theory further suggests that a tendency towards action is strengthened by hearing a consistent message over time, and by providing the audience with an appropriate opportunity to seek out relevant information. This presentation shows how, by taking this transdisciplinary step, scientists can make small changes in their hazard communication, thereby acting as positive influencers of change. A summary of "do's" and "don'ts" is given for reference. 1. Show examples of what to do. 2. Show effectiveness of actions. 3. Give sense of knowing someone who did it. 4. Deliver consistent message, repeatedly. 5. Give opportunity for more information. DON'T: 1. Make the disaster the star. 2. Contradict other communications.

Surgical abortion in second trimester: initial experiences in Nepal.

PubMed

Shrivastava, V; Bajracharya, L; Thapa, S

2010-01-01

In spite of legalising abortion and making safe abortion available at affordable price at accessible distance to almost everyone, unsafe abortion especially second trimester abortion is still a big health problem in Nepal. The objective of the study is to fi nd the demographic profile, reasons for seeking abortion and to see the effectiveness of Misoprostol in preparing the cervix. A prospective study was done in the two second trimester abortion trainings conducted in Maternity hospital, Kathmandu. Total 57 clients had second trimester abortion performed. Information was collected from structured questionnaire and then data was analysed. Commonest reason for seeking abortion was, multiparity (61.4%). Common reasons for second trimester abortion were, completed family size with unwanted pregnancy (61.4%), unwanted pregnancy in married (10.52%) unwanted pregnancy in unmarried (5.26%). Second trimester abortion is one of the most common procedures performed in reproductive-aged women and when performed by a skilled provider in the appropriate setting, it is one of the safest surgeries, if it is well supported by change in policy of the country and acceptability of the people.

Human fascioliasis by Fasciola hepatica: the first case report in Nepal.

PubMed

Sah, Ranjit; Khadka, Shusila; Khadka, Mohan; Gurubacharya, Dipesh; Sherchand, Jeevan Bahadur; Parajuli, Keshab; Shah, Niranjan Prasad; Kattel, Hari Prasad; Pokharel, Bharat Mani; Rijal, Basista

2017-09-05

Fascioliasis is a zoonotic disease caused by Fasciola species. Patient may be asymptomatic or presents with jaundice and biliary colic or right hypochondriac pain due to bile duct obstruction with gastrointestinal symptoms. We report a case of human fascioliasis in a 45 years old female presented to Tribhuvan University Teaching Hospital (TUTH), Kathmandu, Nepal on August, 2015 with fever, right hypochondriac pain, jaundice and occasional vomiting with anorexia for 4 months whose alkaline phosphatase was elevated and peripheral blood smear revealed eosinophilia. The patient also gives the history of consumption of water-cress. Endoscopic Retrograde Cholagiopancretography (ERCP) showed the presence of a flat worm resembling Fasciola hepatica and stool routine examination revealed ova of F. hepatica. The patient was treated with nitazoxanide by which she got improved. Repeat stool examination 2 weeks after treatment revealed no ova of F. hepatica. Patient with fascioliasis can be simply diagnosed with stool routine microscopy and treated with nitazoxanide. So patient with right hypochondriac pain, sign and symptoms of obstructive jaundice, eosinophilia and history of water-cress consumption should be suspected for fascioliasis and investigated and treated accordingly.

Pattern of refractive errors among patients at a tertiary hospital in Kathmandu.

PubMed

Rizyal, A; Ghising, R; Shrestha, R K; Kansakar, I

2011-09-01

A hospital based cross sectional study was carried out to determine the pattern of refractive errors among patients attending the out patient department, Department of Ophthalmology, Nepal Medical College Teaching Hospital. A total of 1100 patients were evaluated, (male 43.67%; female 56.33%). Simple myopic astigmatism was the most prevalent type of refractive error accounting for 27.18% followed by simple myopia (21.66%) and compound myopic astigmatism (19.48%). Simple hypermetropia (15.03%) and mixed astigmatism (4.3%) were also noted. Simple myopia was prevalent among the younger age group in the first to third decades, whereas hypermetropia was seen in the older patients in the third to fifth decades.

World Reference Center for Arboviruses and Retroviruses

DTIC Science & Technology

1988-05-01

Reference Center for Arboviruses and Retroviruses identified viruses from Thailand, Nepal, Egypt, Colombia, and Panama. Cache Valley virus from a recruit...ARBOVIRUSES . . 13 A. Study of viruses from Thailand and Nepal . . . . 13 B. Isolation of Sicilian sandfly fever virus from Egyptian phlebotomines...dengue viruses ..... . 30 VII. LOW PASSAGE VIRUS COLLECTION .... ............. 32 VIII. ARBOVIRUS BULLETIN BOARD, REFERENCE, AND DATA ACCESS . 32 IX

Source modeling of the 2015 Mw 7.8 Nepal (Gorkha) earthquake sequence: Implications for geodynamics and earthquake hazards

NASA Astrophysics Data System (ADS)

McNamara, D. E.; Yeck, W. L.; Barnhart, W. D.; Schulte-Pelkum, V.; Bergman, E.; Adhikari, L. B.; Dixit, A.; Hough, S. E.; Benz, H. M.; Earle, P. S.

2017-09-01

The Gorkha earthquake on April 25th, 2015 was a long anticipated, low-angle thrust-faulting event on the shallow décollement between the India and Eurasia plates. We present a detailed multiple-event hypocenter relocation analysis of the Mw 7.8 Gorkha Nepal earthquake sequence, constrained by local seismic stations, and a geodetic rupture model based on InSAR and GPS data. We integrate these observations to place the Gorkha earthquake sequence into a seismotectonic context and evaluate potential earthquake hazard. Major results from this study include (1) a comprehensive catalog of calibrated hypocenters for the Gorkha earthquake sequence; (2) the Gorkha earthquake ruptured a 150 × 60 km patch of the Main Himalayan Thrust (MHT), the décollement defining the plate boundary at depth, over an area surrounding but predominantly north of the capital city of Kathmandu (3) the distribution of aftershock seismicity surrounds the mainshock maximum slip patch; (4) aftershocks occur at or below the mainshock rupture plane with depths generally increasing to the north beneath the higher Himalaya, possibly outlining a 10-15 km thick subduction channel between the overriding Eurasian and subducting Indian plates; (5) the largest Mw 7.3 aftershock and the highest concentration of aftershocks occurred to the southeast the mainshock rupture, on a segment of the MHT décollement that was positively stressed towards failure; (6) the near surface portion of the MHT south of Kathmandu shows no aftershocks or slip during the mainshock. Results from this study characterize the details of the Gorkha earthquake sequence and provide constraints on where earthquake hazard remains high, and thus where future, damaging earthquakes may occur in this densely populated region. Up-dip segments of the MHT should be considered to be high hazard for future damaging earthquakes.

Risk factors for neonatal encephalopathy in Kathmandu, Nepal, a developing country: unmatched case-control study

PubMed Central

Ellis, Matthew; Manandhar, Nilu; Manandhar, Dharma S; Costello, Anthony M de L

2000-01-01

Objective To determine the risk factors for neonatal encephalopathy among term infants in a developing country. Design Unmatched case-control study. Setting Principal maternity hospital of Kathmandu, Nepal. Subjects All 131 infants with neonatal encephalopathy from a population of 21 609 infants born over an 18 month period, and 635 unmatched infants systematically recruited over 12 months. Main outcome measures Adjusted odds ratio estimates for antepartum and intrapartum risk factors. Results The prevalence of neonatal encephalopathy was 6.1 per 1000 live births of which 63% were infants with moderate or severe encephalopathy. The risk of death from neonatal encephalopathy was 31%. The risk of neonatal encephalopathy increased with increasing maternal age and decreasing maternal height. Antepartum risk factors included primiparity (odds ratio 2.0) and non-attendance for antenatal care (2.1). Multiple births were at greatly increased risk (22). Intrapartum risk factors included non-cephalic presentation (3.4), prolonged rupture of membranes (3.8), and various other complications. Particulate meconium was strongly associated with encephalopathy (18). Induction of labour with oxytocin was associated with encephalopathy in 12 of 41 deliveries (5.7). Overall, 78 affected infants (60%) compared with 36 controls (6%) either had evidence of intrapartum compromise or were born after an intrapartum difficulty likely to result in fetal compromise. A concentration of maternal haemoglobin of less than 8.0 g/dl in the puerperium was significantly associated with encephalopathy (2.5) as was a maternal thyroid stimulating hormone concentration greater than 5 mIU/l (2.1). Conclusions Intrapartum risk factors remain important for neonatal encephalopathy in developing countries. There is some evidence of a protective effect from antenatal care. The use of oxytocin in low income countries where intrapartum monitoring is suboptimal presents a major risk to the fetus. More work is required to explore the association between maternal deficiency states and neonatal encephalopathy. PMID:10797030

Public Health Risks in Urban Slums: Findings of the Qualitative ‘Healthy Kitchens Healthy Cities’ Study in Kathmandu, Nepal

PubMed Central

Manandah, Shraddha; Sah, Dilip; Khanal, Sudeepa; MacGuire, Frances; King, Rebecca; Wallace, Hilary; Baral, Sushil Chandra

2016-01-01

Background Communities in urban slums face multiple risks to their health. These are shaped by intermediary and structural determinants. Gaining a clear understanding of these determinants is a prerequisite for developing interventions to reduce the health consequences of urban poverty. With 828 million people living in slum conditions, the need to find ways to reduce risks to health has never been greater. In many low income settings, the kitchen is the epicentre of activities and behaviours which either undermine or enhance health. Methods We used qualitative methods of semi-structured interviews, observation and participatory workshops in two slum areas in Kathmandu, Nepal to gain women’s perspectives on the health risks they faced in and around their kitchens. Twenty one women were interviewed and four participatory workshops with a total of 69 women were held. The women took photographs of their kitchens to trigger discussions. Findings The main health conditions identified by the women were respiratory disease, gastrointestinal disease and burn injuries. Women clearly understood intermediary (psychosocial, material and behavioural) determinants to these health conditions such as poor ventilation, cooking on open fires, over-crowding, lack of adequate child supervision. Women articulated the stress they experienced and clearly linked this to health conditions such as heart disease and uptake of smoking. They were also able to identify protective factors, particularly social capital. Subsequent analysis highlighted how female headed-households and those with disabilities had to contend with greater risks to health. Conclusions Women living in slums are very aware of the intermediary determinants–material, behavioural and psycho-social, that increase their vulnerability to ill health. They are also able to identify protective factors, particularly social capital. It is only by understanding the determinants at all levels, not just the behavioural, that we will be able to identify appropriate interventions. PMID:27685999

Source modeling of the 2015 Mw 7.8 Nepal (Gorkha) earthquake sequence: Implications for geodynamics and earthquake hazards

USGS Publications Warehouse

McNamara, Daniel E.; Yeck, William; Barnhart, William D.; Schulte-Pelkum, V.; Bergman, E.; Adhikari, L. B.; Dixit, Amod; Hough, S.E.; Benz, Harley M.; Earle, Paul

2017-01-01

The Gorkha earthquake on April 25th, 2015 was a long anticipated, low-angle thrust-faulting event on the shallow décollement between the India and Eurasia plates. We present a detailed multiple-event hypocenter relocation analysis of the Mw 7.8 Gorkha Nepal earthquake sequence, constrained by local seismic stations, and a geodetic rupture model based on InSAR and GPS data. We integrate these observations to place the Gorkha earthquake sequence into a seismotectonic context and evaluate potential earthquake hazard.Major results from this study include (1) a comprehensive catalog of calibrated hypocenters for the Gorkha earthquake sequence; (2) the Gorkha earthquake ruptured a ~ 150 × 60 km patch of the Main Himalayan Thrust (MHT), the décollement defining the plate boundary at depth, over an area surrounding but predominantly north of the capital city of Kathmandu (3) the distribution of aftershock seismicity surrounds the mainshock maximum slip patch; (4) aftershocks occur at or below the mainshock rupture plane with depths generally increasing to the north beneath the higher Himalaya, possibly outlining a 10–15 km thick subduction channel between the overriding Eurasian and subducting Indian plates; (5) the largest Mw 7.3 aftershock and the highest concentration of aftershocks occurred to the southeast the mainshock rupture, on a segment of the MHT décollement that was positively stressed towards failure; (6) the near surface portion of the MHT south of Kathmandu shows no aftershocks or slip during the mainshock. Results from this study characterize the details of the Gorkha earthquake sequence and provide constraints on where earthquake hazard remains high, and thus where future, damaging earthquakes may occur in this densely populated region. Up-dip segments of the MHT should be considered to be high hazard for future damaging earthquakes.

Nasal Carriage Rate of Methicillin Resistant Staphylococcus aureus among Health Care Workers at a Tertiary Care Hospital in Kathmandu, Nepal.

PubMed

Khatri, S; Pant, N D; Bhandari, R; Shrestha, K L; Shrestha, C D; Adhikari, N; Poudel, A

2017-01-01

Methicillin-resistant Staphylococcus aureus is one of the most common causes of nosocomial infections. Due to its multidrug resistant nature; infections due to Methicillin-resistant Staphylococcus aureus are often very difficult to treat. Colonized health care workers are the important sources of Methicillin-resistant Staphylococcus aureus. The objectives of this study were to determine the nasal carriage rate of Methicillin-resistant Staphylococcus aureus among health care workers at Kathmandu Medical College and Teaching Hospital, Nepal and to assess their antimicrobial susceptibility patterns. A cross sectional study was conducted among 252 health care workers from July to November 2013. Mannitol salt agar was used to culture the nasal swabs. Antimicrobial susceptibility testing was performed by Kirby-Bauer disc diffusion technique following Clinical and Laboratory Standards Institute guidelines. Methicillin-resistant Staphylococcus aureus strains were confirmed by using cefoxitin disc and by determining the minimum inhibitory concentration of oxacillin by agar dilution method. Of 252 healthcare workers, 46(18.3%) were positive for Staphylococcus aureus among which 19(41.3%) were Methicillin-resistant Staphylococcus aureus carriers. Overall rate of nasal carriage of Methicillin-resistant Staphylococcus aureus was 7.5% (19/252).The higher percentages of lab personnel were nasal carriers of S. aureus (31.6%) and Methicillin-resistant Staphylococcus aureus (10.5%).The percentages of nasal carriage of S. aureus (35.7%) and Methicillin-resistant Staphylococcus aureus (14.3%) were highest in the health care workers from post operative department. Higher percentage of Methicillin-resistant Staphylococcus aureus were susceptible toward amikacin (100%) and vancomycin (100%) followed by cotrimoxazole (84.2%). High rates of nasal carriage of S. aureus and Methicillin-resistant Staphylococcus aureus were observed among the healthcare workers, which indicate the need of strict infection control measures to be followed to control the nosocomial infections.

Self-reported child abuse in the home: a cross-sectional survey of prevalence, perpetrator characteristics and correlates among public secondary school students in Kathmandu, Nepal.

PubMed

Neupane, Dipika; Bhandari, Parash Mani; Thapa, Kiran; Bhochhibhoya, Shristi; Rijal, Shristi; Pathak, Ramjee Prasad

2018-06-19

To explore the prevalence, perpetrator characteristics and the correlates of child abuse in Kathmandu, Nepal. For this cross-sectional study, we translated the internationally validated questionnaire developed by the International Society for Prevention of Child Abuse and Neglect, Child Abuse Screening Tool-Child Home into Nepali. We added questions on descriptive information about students and their family to the questionnaire. We recruited students from 20 schools selected randomly-2 from each of the 10 electoral constituencies of Kathmandu district. In each school, we administered the questionnaires to the students in a classroom selected randomly. To assess the correlates, we ran multilevel multivariable logistic regression models, stratified by schools. Among the 962 students, 88.88% had experience of at least one form of abuse throughout their lifetime. Psychological abuse was the most prevalent form of abuse (previous year: 75.19%; lifetime: 76.15%) followed by physical abuse, exposure to violence, neglect and sexual abuse. Adults were the most common perpetrators of child abuse (37.55%). The correlates identified in this study mostly aligned with the global literature on correlates of abuse. Female students were more likely to report neglect (previous year: adjusted OR (AOR) 1.50, 95% CI 1.10 to 2.04; lifetime: AOR 1.49, 95% CI 1.10 to 2.02), but no gender difference was observed with other forms of abuse. Students living with a single parent had a greater likelihood of exposure to violence (previous year: AOR 2.55, 95% CI 1.31 to 4.94; lifetime: AOR 2.77, 95% CI 1.39 to 5.53), neglect (previous year: AOR 2.01, 95% CI 1.10 to 3.69; lifetime: AOR 2.08, 95% CI 1.14 to 3.81) and sexual abuse (previous year: AOR 3.03, 95% CI 1.45 to 6.37; lifetime: AOR 2.49, 95% CI 1.21 to 5.14). Over 88% of students reported experiencing child abuse in the home in one or more forms throughout their lifetime. Delineating the reasons for the high burden and its implications are important topics for future research. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Social and Economic Burden Associated With Typhoid Fever in Kathmandu and Surrounding Areas: A Qualitative Study.

PubMed

Kaljee, Linda M; Pach, Alfred; Garrett, Denise; Bajracharya, Deepak; Karki, Kshitu; Khan, Imran

2017-07-29

Typhoid fever is a significant contributor to infectious disease mortality and morbidity in low- and middle-income countries, particularly in South Asia. With increasing antimicrobial resistance, commonly used treatments are less effective and risks increase for complications and hospitalizations. During an episode of typhoid fever, households experience multiple social and economic costs that are often undocumented. In the current study, qualitative interview data from Kathmandu and surrounding areas provide important insights into the challenges that affect those who contract typhoid fever and their caregivers, families, and communities, as well as insight into prevention and treatment options for health providers and outreach workers. When considering typhoid fever cases confirmed by blood culture, our data reveal delays in healthcare access, financial and time costs burden on households, and the need to increase health literacy. These data also illustrate the impact of limited laboratory diagnostic equipment and tools on healthcare providers' abilities to distinguish typhoid fever from other febrile conditions and treatment challenges associated with antimicrobial resistance. In light of these findings, there is an urgent need to identify and implement effective preventive measures including vaccination policies and programs focused on at-risk populations and endemic regions such as Nepal. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

A study of abdominal pain in children.

PubMed

Shakya, K N; Dongol, U M S; Khadka, S B

2008-01-01

Pain abdomen is a common pediatric complaint that brings patient to the hospital in Nepal. Knowledge about its etiology and frequency helps in its evaluation and management. The present study was undertaken to find out the causes and their frequency of pain abdomen in Nepali children. Children with pain abdomen presenting at the emergency room and pediatric outpatient department of Kathmandu Medical College, Kathmandu from January, 2006 to December 2007 were clinically evaluated and investigated to find out the causes and frequency of their pain abdomen. The outcomes were tabulated and analyzed for interpretation. Of 444 patients attended, 356 completed investigations and came for follow up. Cause of pain abdomen was apparent in 117 (32.9%) only. 91.5% were medical causes, comprising predominantly of diarrheal diseases (28.3%), infantile colic (9.4%), urinary tract infection (7.7%) and acid peptic disease (6.8%). 8.5% causes were related to surgical conditions, which needed operative management. Secondary or extra-abdominal causes were found in 20 cases (17.1%). Pneumonia (2), functional (5), vulvovaginitis (2) and infantile colic (11) were predominant causes. Our study showed that the causes of pain abdomen in children were predominantly medical. Gastroenteritis was the most frequent cause. Secondary causes, including functional and emotional causes were infrequent. Small percentage needing surgical management formed a diagnostic challenge.

Possible emissions of POPs in plain and hilly areas of Nepal: Implications for source apportionment and health risk assessment.

PubMed

Yadav, Ishwar Chandra; Devi, Ningombam Linthoingambi; Li, Jun; Zhang, Gan; Breivik, Knut

2017-01-01

Ambient air is a core media chosen for monitoring under the Stockholm Convention on POPs. While extensive monitoring of POPs in ambient air has been carried out in some parts of the globe, there are still regions with very limited information available, such as some developing countries as Nepal. This study therefore aims to target the occurrence of selected POPs in Nepal in suspected source areas/more densely populated regions. Four potential source regions in Nepal were furthermore targeted as it was hypothesized that urban areas at lower altitudes (Birgunj and Biratnagar located at approximately 86 and 80 m.a.s.l.) would be potentially more affected by OCPs because of more intensive agricultural activities in comparison to urban areas at higher altitudes (Kathmandu, Pokhara located 1400 and 1135 m.a.s.l). As some of these areas could also be impacted by LRAT, air mass back trajectories during the sampling period were additionally evaluated using HYSPLIT. The concentrations of overall POPs were twice as high in plain areas in comparison to hilly areas. DDTs and HCHs were most frequently detected in the air samples. The high p,p'-DDT/(pp'-DDE + pp'-DDD) ratio as well as the low o,p'-DDT/p,p'-DDT ratio observed in this study was inferred as continuing use of technical DDT. High levels of ∑ 26 PCBs were linked to proximity to highly urbanized and industrial areas, indicating the potential source of PCBs. The measured concentrations of legacy POPs in air from this study is assumed to represent a negligible health risk through inhalation of ambient air, however, other modes of human exposure could still be relevant in Nepal. The air mass backward trajectory analysis revealed that most of the air masses sampled originated from India and the Bay of Bengal. Copyright © 2016 Elsevier Ltd. All rights reserved.

Three-dimensional body-wave model of Nepal using finite difference tomography

NASA Astrophysics Data System (ADS)

Ho, T. M.; Priestley, K.; Roecker, S. W.

2017-12-01

The processes occurring during continent-continent collision are still poorly understood. Ascertaining the seismic properties of the crust and uppermost mantle in such settings provides insight into continental rheology and geodynamics. The most active present-day continent-continent collision is that of India with Eurasia which has created the Himalayas and the Tibetan Plateau. Nepal provides an ideal laboratory for imaging the crustal processes resulting from the Indo-Eurasia collision. We build body wave models using local body wave arrivals picked at stations in Nepal deployed by the Department of Mining and Geology of Nepal. We use the tomographic inversion method of Roecker et al. [2006], the key feature of which is that the travel times are generated using a finite difference solution to the eikonal equation. The advantage of this technique is increased accuracy in the highly heterogeneous medium expected for the Himalayas. Travel times are calculated on a 3D Cartesian grid with a grid spacing of 6 km and intragrid times are estimated by trilinear interpolation. The gridded area spans a region of 80-90o longitude and 25-30o latitude. For a starting velocity model, we use IASP91. Inversion is performed using the LSQR algorithm. Since the damping parameter can have a significant effect on the final solution, we tested a range of damping parameters to fully explore its effect. Much of the seismicity is clustered to the West of Kathmandu at depths < 30 km. Small areas of strong fast wavespeeds exist in the centre of the region in the upper 30 km of the crust. At depths of 40-50 km, large areas of slow wavespeeds are present which track along the plate boundary.

The Prevalence of Diabetic Retinopathy Among Known Diabetic Population in Nepal.

PubMed

Mishra, S K; Pant, B P; Subedi, P

2016-01-01

Background The worldwide prevalence of diabetic retinopathy (DR) was found to be 34.6%. WHO estimates that DR is responsible for 4.8% of the 37 million cases of blindness throughout the world. In a study undertaken in urban population in Nepal, M.D. Bhattarai found the prevalence of diabetes among people aged 20 years and above to be 14.6% and the prevalence among people aged 40 years and above to be 19%. Studies on DR, to our knowledge, have mostly been hospital based in Nepal. Little information is available about prevalence of DR at the community level in Nepal. Objective To investigate the prevalence of diabetic retinopathy and associated risk factors among known diabetic population of Nepal. Method A descriptive cross sectional study was conducted among individuals aged 30 and more using cluster sampling method. The study sites were Kathmandu metropolitan city and Birgunj sub-metropolitan city. A sample size of 5400 was calculated assuming 5% prevalence rate with 95% confidence level, 5% worst acceptable level and 1.5 cluster sampling design effect. Study participants were interviewed, anthropometric measurements and fundus photograph was taken from participants with diabetes. Fundus photographs were used to grade retinopathy. Result Around 12% of the respondents were diabetic, mean age 55.43±11.86 years, of which slightly more than half were females (50.2%). Among these diabetic respondents 9.9% had some forms of diabetic retinopathy, mean age 54.08±10.34 years, 56.7% were male. When severe grade of retinopathy in any eye was considered as overall grade of retinopathy for the individual, prevalence of Non-proliferative Diabetic Retinopathy, Proliferative Diabetic Retinopathy and complete vision loss was found to be 9.1%, 0.5% and 0.3%. Prevalence of Diabetic Macular Edema was 5.5%. Duration of diabetes, family history of diabetes and blood pressure at the day of survey was found to be associated with having any retinopathy. Conclusion Diabetic retinopathy is emerging as a public health threat in Nepal. With increasing diabetes, DR can be expected to increase more. Existing eye care services may require upgrading to provide quality and affordable retinopathy services to address this emerging problem.

Overview of VOC emissions and chemistry from PTR-TOF-MS measurements during the SusKat-ABC campaign: high acetaldehyde, ketene, isoprene and isocyanic acid in wintertime air of the Kathmandu Valley

NASA Astrophysics Data System (ADS)

Sarkar, C.; Sinha, V.; Kumar, V.; Rupakheti, M.; Panday, A. K.; Mahata, K.; Rupakheti, D.; Kathayat, B.; Lawrence, M. G.

2015-12-01

During SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley-Atmospheric Brown Clouds) field campaign conducted in the winter of 2012-2013, a comprehensive study was carried out to characterize the chemical composition of ambient Kathmandu air for speciated VOCs by deploying a Proton Transfer Reaction Time of Flight Mass Spectrometer (PTR-TOF-MS), the first time to be deployed in South Asia. Due to its high mass resolution (m/Δm > 4200) and temporal resolution (1 minute), 71 ion peaks were detected in the PTR-TOF-MS mass scan data, highlighting the chemical complexity of ambient air in the Valley. Of the 71, 38 species were found to have campaign average concentrations > 200 ppt and were identified based on their spectral characteristics, ambient diel profiles and correlation with specific emission tracers. Distinct diel profiles were observed for the nominal isobaric compounds isoprene (m/z=69.070) and furan (m/z=69.033). Comparison with several sites elsewhere in the world showed mixing ratios of acetaldehyde (~ 9 ppb), acetonitrile (~1 ppb) and isoprene (~ 1 ppb) to be among the highest measured anywhere in the world. Two "new" ambient compounds namely, methanamide (m/z = 46.029) and acetamide (m/z=60.051) which can photochemically produce isocyanic acid in the atmosphere, are reported in this study alongwith nitromethane (a tracer for diesel exhaust) and ketene (a very reactive compound). Two distinct periods were identified during the campaign based on high daytime biogenic emissions of isoprene even in winter and biomass fired brick kiln emissions of acetonitrile, benzene and isocyanic acid. Biomass burning and biomass fired brick kiln emissions were found to be the dominant source for compounds such as propyne, propene, benzene and propanenitrile which correlated strongly with biomass burning tracer acetonitrile (r2 > 0.7). The calculated total VOC OH reactivity was dominated by acetaldehyde (20.1%), ketene (ethenone) (17.1%), isoprene (16.8 %) and propene (15.6%), while oxygenated VOCs and isoprene collectively contributed to more than 70% of the total ozone production potential. The first ambient measurements from any site in South Asia of compounds with significant health effects such as isocyanic acid, formamide, acetamide, naphthalene and nitromethane are reported in this study.

Rumblings and Rainfall, Rebels, Remittances and Roads- The complex landscape of slope failure in Nepal

NASA Astrophysics Data System (ADS)

McAdoo, Brian G.; Sudmeier, Karen; Devkota, Sanjaya

2017-04-01

During the first monsoon season following the deadly 2015 Gorkha earthquake, 27 people were killed during two events in Nepal's Western Region due to debris flows triggered by a 24-hour, 315 mm cloudburst (Devkota et al. 2015). Both events were linked with roads: the first was caused by an accumulation of water on a newly constructed road above a steep, deforested slope, the second wiped out a major road and destroyed 10 houses. These deadly landslides were not triggered solely by extreme rainfall, but rather a complex combination of earthquakes, intensified rainfall associated with climate change and an explosion of unplanned rural road construction fueled by an increase in foreign investment, remittances and decentralisation of budgets and power from the central government to local villages. This complexity is explored through a trend data analysis on the number of landslides, landslide fatalities, rainfall intensity, and the road network in Nepal between 1980-2014 (McAdoo et al, submitted). Of most concern are the poorly constructed roads in Nepal's Middle Hill districts ( 1000-3000 m above sea level, humid, subtropical) as they are proliferating at an unprecedented pace without proper alignment, drainage, grading or maintenance. They are occurring in areas which frequently receive up to 4,000-5,000 mm of precipitation per year, causing considerable loss in lives, livelihoods and investment. Landslide fatalities increased from 88 on average for the period 1982-1995 to 130 deaths per year for the period 2007-2014 (Desinventar, 2016). Contrary to numerous studies which show a strong link between rainfall and landslides, our trend analysis demonstrates a decoupling of climate and the geomorphic drivers, pointing to other factors, namely the exponential road construction trend to explain the increase in landslide fatalities. Nepal has some of the oldest manuals and well-trained cadres in low-cost green engineering practices, yet these are rarely applied. To reverse this deadly road-landslide trend, planners and policy-makers need to reconsider how to promote the country's infrastructure development, a central element to Nepal's sustainable development trajectory without causing further unnecessary human losses. References Desinventar (2016) Disaster information management system, Profile - Nepal http://www.desinventar.net/DesInventar/profiletab.jsp?countrycode=npl Accessed December 13, 2016 Devkota, S. Shakya, N.M., Sudmeier-Rieux, K., Adhikari, A. and M. Jaboyedoff (2016). Spatial trends of precipitation and extreme weather events in central-western hills of Nepal. (Conference Paper) 7th National conference of Science and Technology, Kathmandu, Nepal (March 29-31 2016) McAdoo, B.G, Sudmeier-Rieux, K. and S. Devkota (submitted) Roads in Nepal - Vehicles for Development or Disaster?

Coinfection of Sexually Transmitted Infections among HIV-Positive Individuals: Cross-Sectional Results of a Community-Based Positive Living with HIV (POLH) Study in Nepal.

PubMed

Poudel, Krishna C; Poudel-Tandukar, Kalpana; Palmer, Paula H; Mizoue, Tetsuya; Jimba, Masamine; Kobayashi, Jun; Acharya, Bishnu; Pandey, Basu Dev; Oka, Shinichi

In Asian concentrated HIV epidemics, data on coinfection of sexually transmitted infections (STIs) among HIV-positive individuals are limited. The authors measured the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), and syphilis, and their correlates among 319 HIV-positive individuals in Kathmandu, Nepal. The authors tested blood samples for syphilis and urine samples for CT and NG. Overall, 17 (5.3%) participants had at least 1 STI (CT: 1.3%, NG: 2.8%, and syphilis: 1.2%). Of 226 participants who had sex in past 6 months, 51.3% did not always use condoms. Older (aged 35-60 years) participants were more likely (adjusted odds ratio [AOR] = 3.83; 95% confidence interval [CI] = 1.19-12.33; P = .024) and those who were currently married (AOR = 0.30; 95% CI = 0.09-0.97; P = .046) or on antiretroviral therapy (AOR = 0.21; 95% CI = 0.06-0.71; P = .012) were less likely to have at least 1 STI. Our results suggest the need to strengthen the efforts to screen and treat STIs and to promote safer sexual practices among Nepalese HIV-positive individuals.

Correlation between knowledge, attitude and practices on HIV and AIDS: cases from the Kathmandu Valley.

PubMed

Karki, T B

2014-01-01

This study investigated the correlation between knowledge, attitude and practices on HIV and AIDS in the context of Nepal.The study was conducted among the 404 respondents; selected from the transport workers, garment factory workers, brick factory workers and health workers. It was non-experimental cross sectional study based on descriptive as well as correlational research design. Simple random technique was used to select the respondents. Survey was conducted to collect the primary data and r value was used to analyze the correlation between variables. Finding shows that 391 (96.8%) respondents have heard about HIV and AIDS; among them 388 (95.8%) respondents were mentioned that they had knowledge of way of HIV transmission also. Total 50 out of 171 unmarried (29.2%) respondents had pre-marital sexual experience. It was found that only 71 (25.6%) respondents had used the condom during their first time sexual intercourse.There was significant association (p=.000) found between the knowledge on way of HIV transmission and occupation of respondents, similarly relationship found (r = .815, p = .000 (2-tailed) between marriage age and age of first time sexual intercourseof respondents. But there was no relationship (r = .097 and p =.106 (2-tailed) found between Knowledge on way of HIV transmission and sex with non-regular sex partners. Data showed that safer sex practices was low than the level of knowledge. The educational status of respondents shows the positive association with attitude towards the necessary to have knowledge of HIV and AIDS.

Preliminary remote sensing assessment of the catastrophic avalanche in Langtang Valley induced by the 2015 Gorkha earthquake, Nepal

NASA Astrophysics Data System (ADS)

Nagai, Hiroto; Watanabe, Manabu; Tomii, Naoya

2016-04-01

A major earthquake, measuring 7.8 Mw, occurred on April 25, 2015, in Lamjung district, central Nepal, causing more than 9,000 deaths and 23,000 injuries. During the event, termed the 2015 Gorkha earthquake, the most catastrophic collapse of the mountain side was reported in the Langtang Valley, located 60 km north of Kathmandu. In this collapse, a huge boulder-rich avalanche and a sudden air pressure wave traveled from a steep south-facing slope to the bottom of a U-shaped valley, resulting in more than 170 deaths. Accurate in-situ surveys are necessary to investigate such events, and to find out ways to avoid similar catastrophic events in the future. Geospatial information obtained from multiple satellite observations is invaluable for such surveys in remote mountain regions. In this study, we (1) identify the collapsed sediment using synthetic aperture radar, (2) conduct detailed mapping using high-resolution optical imagery, and (3) estimate sediment volumes from digital surface models in order to quantify the immediate situation of the avalanched sediment. (1) Visual interpretation and coherence calculations using Phased Array type L-band Synthetic Aperture Radar-2 (PALSAR-2) images give a consistent area of sediment cover. Emergency observation was carried out the day after the earthquake, using the PALSAR-2 onboard the Advanced Land Observing Satellite-2 (ALOS-2, "DAICHI-2"). Visual interpretation of orthorectified backscatter amplitude images revealed completely altered surface features, over which the identifiable sediment cover extended for 0.73 km2 (28°13'N, 85°30'E). Additionally, measuring the decrease in normalized coherence quantifies the similarity between the pre- and post-event surface features, after the removal of numerous noise patches by focal statistics. Calculations within the study area revealed high-value areas corresponding to the visually identified sediment area. Visual interpretation of the amplitude images and the coherence calculations thus produce similar extractions of collapse sediment. (2) Visual interpretation of high-resolution satellite imagery suggests multiple layers of sediment with different physical properties. A DigitalGlobe satellite, WorldView-3, observed the Langtang Valley on May 8, 2015, using a panchromatic sensor with a spatial resolution of 0.3 m. Identification and mapping of avalanche-induced surface features were performed manually. The surface features were classified into 15 segments on the basis of sediment features, including darkness, the dominance of scattering or flowing features, and the recognition of boulders. Together, these characteristics suggest various combinations of physical properties, such as viscosity, density, and ice and snow content. (3) Altitude differences between the pre- and post-quake digital surface models (DSM) suggest the deposition of 5.2×105 m3 of sediment, mainly along the river bed. A 5 m-grid pre-event DSM was generated from PRISM stereo-pair images acquired on October 12, 2008. A 2 m-grid post-event DSM was generated from WorldView-3 images acquired on May 8, 2015. Comparing the two DSMs, a vertical difference of up to 22±13 m is observed, mainly along the river bed. Estimates of the total avalanched volume reach 5.2×105 m^3, with a possible range of 3.7×105 to 10.7×105 m^3.

Ticks (Acari: Ixodidae) of Nepal: First record of Amblyomma varanense (Supino), with an update of species list.

PubMed

Pun, Shyam Kumar; Guglielmone, Alberto A; Tarragona, Evelina L; Nava, Santiago; Maharjan, Mahendra

2018-03-01

Males and females specimens of Amblyomma were collected from Orthriophis hodgsoni (Squamata: Colubridae) caught during routine herpetological work in Kathmandu. Morphological characteristics led to the diagnosis of A. varanense, constituting the second Nepalese species for the genus after the collection of Amblyomma gervaisi, also from a colubrid snake, almost 100 years ago. Amblyomma varanense is the 55th species found in the country, and preceded for the collection of 21 species of Haemaphysalis, 14 Ixodes, 6 Rhipicephalus, 6 Hyalomma, 4 Dermacentor, 1 Amblyomma, 1 Anomalohimalaya and 1 species of Nosomma. Eleven and 19 species have been found on humans and domestic mammals, respectively, evidencing the medical and economic importance of Nepalese Ixodidae. Copyright © 2018 Elsevier GmbH. All rights reserved.

Do family order and neighbor intervention against intimate partner violence protect children from abuse? Findings from Kathmandu.

PubMed

Emery, Clifton R; Thapa, Sirjana; Do, Mi Hyang; Chan, Ko Ling

2015-03-01

Drawing on previous research on intimate partner violence, child maltreatment, and informal social control, we hypothesized relationships between child abuse severity and (1) protective informal social control of intimate partner violence (ISC_IPV) by neighbors, (2) intimate terrorism, (3) family order, and (4) the power of mothers in intimate relationships. In what we believe may be a first study of physical child abuse by parents in Nepal, we used a three stage cluster approach to draw a random sample of 300 families in Kathmandu. Random effects regression models were used to test the study hypotheses. The analyses found support for hypotheses one and two, but with an important caveat. Although observed (actual) protective ISC_IPV had the hypothesized negative association with child abuse severity, in one of our models perceived protective ISC_IPV was positively associated with child abuse severity. The models clarify that the overall direction of protective ISC_IPV appears to be negative (protective), but the positive finding is important to consider for both research and practice. A significant relationship between family order and child abuse severity was found, but the direction was negative rather than positive as in hypothesis three. Implications for neighborhood research and typological research on IPV and child maltreatment are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

Engineering geological aspect of Gorkha Earthquake 2015, Nepal

NASA Astrophysics Data System (ADS)

Adhikari, Basanta Raj; Andermann, Christoff; Cook, Kristen

2016-04-01

Strong shaking by earthquake causes massif landsliding with severe effects on infrastructure and human lives. The distribution of landslides and other hazards are depending on the combination of earthquake and local characteristics which influence the dynamic response of hillslopes. The Himalayas are one of the most active mountain belts with several kilometers of relief and is very prone to catastrophic mass failure. Strong and shallow earthquakes are very common and cause wide spread collapse of hillslopes, increasing the background landslide rate by several magnitude. The Himalaya is facing many small and large earthquakes in the past i.e. earthquakes i.e. Bihar-Nepal earthquake 1934 (Ms 8.2); Large Kangra earthquake of 1905 (Ms 7.8); Gorkha earthquake 2015 (Mw 7.8). The Mw 7.9 Gorkha earthquake has occurred on and around the main Himalayan Thrust with a hypocentral depth of 15 km (GEER 2015) followed by Mw 7.3 aftershock in Kodari causing 8700+ deaths and leaving hundreds of thousands of homeless. Most of the 3000 aftershocks located by National Seismological Center (NSC) within the first 45 days following the Gorkha Earthquake are concentrated in a narrow 40 km-wide band at midcrustal to shallow depth along the strike of the southern slope of the high Himalaya (Adhikari et al. 2015) and the ground shaking was substantially lower in the short-period range than would be expected for and earthquake of this magnitude (Moss et al. 2015). The effect of this earthquake is very unique in affected areas by showing topographic effect, liquefaction and land subsidence. More than 5000 landslides were triggered by this earthquake (Earthquake without Frontiers, 2015). Most of the landslides are shallow and occurred in weathered bedrock and appear to have mobilized primarily as raveling failures, rock slides and rock falls. Majority of landslides are limited to a zone which runs east-west, approximately parallel the lesser and higher Himalaya. There are numerous cracks in the ground especially in the epicenter area. Similarly, liquefaction occurred in the different parts of Kathmandu valley. However, the recording in KATNP and DMG indicate that the ground motions that resulted from the quake were not strong enough to fully weaken liquefiable materials and in most cases incipient or "marginal" liquefaction was observed. Here, we will present a compilation of the different types of mass wasting that have occurred in this region and discuss their location and hazard potential for local communities. References: Adhikari, L.B., Gautam, U.P., Koirala, B.P., Bhattarai, M., Kandel, T., Gupta, R.M., Timsina, C., Maharjan, N., Maharjan, K., Dhahal, T., Hoste-Colomer, R., Cano, Y., Dandine, M., Guhem, A., Merrer, S., Roudil, P., Bollinger, L., 2015, The aftershock sequence of the 2015 April 25 Gorkha-Nepal Earthquake, Geophysical Journal International, v. 203 (3), pp. 2119-2124. Earthquake Without Frontiers, 2015, http://ewf.nerc.ac.uk/2015/05/12/nepal-update-on-landslide-hazard-following-12-may-2015-earthquake/ GEER, 2015: Geotechnical Extreme Event Reconnaissance http://www.geerassociation.org Moss, R.E.S., Thompson, E.M., Kieffer, D.S., Tiwari, B., Hashash, Y.M.A., Acharya, I., Adhikari B.R., Asimaki, D., Clahan, K.B., Collins, B.D., Dahal, S., Jibson, R.W., Khadka, D., Machdonald, A. Madugo C.L., Mason, H.B., Pehlivan., M., Rayamajhi, D. and Upreti. S., 2015, Geotechnical Effects of the 2015 AMgnitude 7.8 Gorkah, Nepal, Earthquake and Aftershocks, seismological Research Letters, v. 86(6), PP. 1514-1523 National Seismoligical Center, 2015, http://www.seismonepal.gov.np/

Postseismic deformation following the 2015 Mw 7.8 Gorkha earthquake and the distribution of brittle and ductile crustal processes beneath Nepal

NASA Astrophysics Data System (ADS)

Moore, J. D. P.; Barbot, S.; Peng, D.; Yu, H.; Qiu, Q.; Wang, T.; Masuti, S.; Dauwels, J.; Lindsey, E. O.; Tang, C. H.; Feng, L.; Wei, S.; Hsu, Y. J.; Nanjundiah, P.; Lambert, V.; Antoine, S.

2017-12-01

Studies of geodetic data across the earthquake cycle indicate that a wide range of mechanisms contribute to cycles of stress buildup and relaxation. Both on-fault rate and state friction and off-fault rheologies can contribute to the observed deformation; in particular, during the postseismic transient phase of the earthquake cycle. We present a novel approach to simulate on-fault and off-fault deformation simultaneously using analytical Green's functions for distributed deformation at depth [Barbot, Moore and Lambert., 2017] and surface tractions, within an integral framework [Lambert & Barbot, 2016]. This allows us to jointly explore dynamic frictional properties on the fault, and the plastic properties of the bulk rocks (including grain size and water distribution) in the lower crust with low computational cost, whilst taking into account contributions from topography and a surface approximation for gravity. These displacement and stress Green's functions can be used for both forward and inverse modelling of distributed shear, where the calculated strain-rates can be converted to effective viscosities. Here, we draw insight from the postseismic geodetic observations following the 2015 Mw 7.8 Gorkha earthquake. We forward model afterslip using rate and state friction on the megathrust geometry with the two ramp-décollement system presented by Hubbard et al., (2016) and viscoelastic relaxation using recent experimentally derived flow laws with transient rheology and the thermal structure from Cattin et al. (2001). Multivariate posterior probability density functions for model parameters are generated by incorporating the forward model evaluation and comparison to geodetic observations into a Gaussian copula framework. In particular, we find that no afterslip occurred on the up-dip portion of the fault beneath Kathmandu. A combination of viscoelastic relaxation and down-dip afterslip is required to fit the data, taking into account the bi-directional coupling between the two processes. Finally, the inclusion of topographic corrections can modify the modelled deformation field by around 10%. The postseismic deformation brings new insights into the distribution of brittle and ductile crustal processes beneath Nepal, with serious implications for future seismic hazard at Kathmandu.

Atmospheric organochlorine pesticides and polychlorinated biphenyls in urban areas of Nepal: spatial variation, sources, temporal trends, and long-range transport potential

NASA Astrophysics Data System (ADS)

Pokhrel, Balram; Gong, Ping; Wang, Xiaoping; Nath Khanal, Sanjay; Ren, Jiao; Wang, Chuanfei; Gao, Shaopeng; Yao, Tandong

2018-02-01

The study of persistent organic pollutants (POPs) in low-latitude tropical and subtropical urban cities is necessary to assess their local and global impacts on ecosystems and human health. Despite studies on levels of POPs in water, soils, and sediments, analysis of the distribution patterns, seasonality, and sources of POPs in urban regions of Nepal remain limited. Polyurethane foam (PUF)-based passive air samplers were deployed in three major cities in Nepal: Kathmandu (the capital city), Pokhara, and Hetauda (agricultural cities). Dichlorodiphenyltrichloroethane (DDT) and hexachlorocyclohexane (HCH) were the dominant organochlorine pesticides in the atmosphere at all sites. The average concentrations of POPs were ∑ DDTs, 8.7-1.0 × 103 pg m-3; ∑ HCHs, 5.3-3.3 × 103 pg m-3; HCB, 5.8-3.4 × 102 pg m-3; ∑ endosulfan, BDL-51 pg m-3; and ∑ 6PCBs, 1.4-47 pg m-3. Isomer and metabolite ratio analyses suggested that the concentrations present were from both new and historical applications of the POPs. Vegetable production sites and their market places appeared to be the major DDT and HCH source areas. Higher atmospheric concentrations of DDT and HCH occurred during the pre-monsoon and monsoon seasons, and winter, respectively, closely associated with their local application for soil preparation and vegetable spraying. The estimated travel distances of the POPs (HCB, α-HCH, γ-HCH, and p, p'-DDT) under the Nepalese tropical climate were all above 1000 km, suggesting that high precipitation levels in the tropical climate were not enough to scavenge the POPs and that Nepal could be an important source region for POPs. Due to their close proximity and cold trapping (driven by low temperatures), the high Himalayas and the Tibetan Plateau are likely the key receptors of POPs emitted in Nepal. These results add to the information available on POPs from tropical developing countries.

Airborne lead and other elements derived from local fires in the Himalayas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Davidson, C.I.; Grimm, T.C.; Nasta, M.A.

1981-12-18

The combustion of wood and yak dung for heating and cooking in a populated Nepal Himalayan valley contributes significantly to the ambient airborne concentrations of lead, copper, aluminum, magnesium, and elemental and organic carbon. A comparison of the concentrations of these elements in fresh snow with corresponding values in air suggests that the pollution aerosol is confined to the valley, with pristine air aloft.

Transport of regional pollutants through a remote trans-Himalayan valley in Nepal

NASA Astrophysics Data System (ADS)

Dhungel, Shradda; Kathayat, Bhogendra; Mahata, Khadak; Panday, Arnico

2018-01-01

Anthropogenic emissions from the combustion of fossil fuels and biomass in Asia have increased in recent years. High concentrations of reactive trace gases and light-absorbing and light-scattering particles from these sources form persistent haze layers, also known as atmospheric brown clouds, over the Indo-Gangetic plains (IGP) from December through early June. Models and satellite imagery suggest that strong wind systems within deep Himalayan valleys are major pathways by which pollutants from the IGP are transported to the higher Himalaya. However, observational evidence of the transport of polluted air masses through Himalayan valleys has been lacking to date. To evaluate this pathway, we measured black carbon (BC), ozone (O3), and associated meteorological conditions within the Kali Gandaki Valley (KGV), Nepal, from January 2013 to July 2015. BC and O3 varied over both diurnal and seasonal cycles. Relative to nighttime, mean BC and O3 concentrations within the valley were higher during daytime when the up-valley flow (average velocity of 17 m s-1) dominated. BC and O3 concentrations also varied seasonally with minima during the monsoon season (July to September). Concentrations of both species subsequently increased post-monsoon and peaked during March to May. Average concentrations for O3 during the seasonally representative months of April, August, and November were 41.7, 24.5, and 29.4 ppbv, respectively, while the corresponding BC concentrations were 1.17, 0.24, and 1.01 µg m-3, respectively. Up-valley fluxes of BC were significantly greater than down-valley fluxes during all seasons. In addition, frequent episodes of BC concentrations 2-3 times higher than average persisted from several days to a week during non-monsoon months. Our observations of increases in BC concentration and fluxes in the valley, particularly during pre-monsoon, provide evidence that trans-Himalayan valleys are important conduits for transport of pollutants from the IGP to the higher Himalaya.

Service user and care giver involvement in mental health system strengthening in Nepal: a qualitative study on barriers and facilitating factors.

PubMed

Gurung, Dristy; Upadhyaya, Nawaraj; Magar, Jananee; Giri, Nir Prakash; Hanlon, Charlotte; Jordans, Mark J D

2017-01-01

Service user and caregiver involvement has become an increasingly common strategy to enhance mental health outcomes, and has been incorporated in the mental healthpolicies of many developed nations. However, this practice is non-existent or fragmented in low and middle income countries (LMICs). Instances of service user and caregiver involvement have been rising slowly in a few LMICs, but are rarely described in the literature. Very little is known about the context of user and caregiver participation in mental health system strengthening processes in a low-income, disaster- and conflict-affected state such as Nepal. This study explores (a) the extent and experiences of service user and caregiver involvement in policy making, service planning, monitoring, and research in Nepal; (b) perceived barriers to such involvement; and (c) possible strategies to overcome barriers. Key Informant Interviews (n = 24) were conducted with service users and caregivers who were either affiliated to a mental health organization or receiving menta health care integrated within primary care. Purposive sampling was employed. Data collection was carried out in 2014 in Chitwan and Kathmandu districts of Nepal. Data analysis was carried out in NVivo10 using a framework approach. The involvement of service users affiliated to mental health organizations in policy development was reported to be 'tokenistic'. Involvement of caregivers was non-existent. Perceived barriers to greater involvement included lack of awareness, stigma and discrimination, poor economic conditions, the centralized health system, and lack of strong leadership and unity among user organizations. Increased focus on reducing public as well as self-stigma, improved policy frameworks and initiatives, and decentralization of care are some strategies that may facilitate service user and caregiver involvement. The study highlighted need for user and caregiver networks free from competing interests and priorities. Improved policy frameworks and decentralization of care may support meaningful service user and caregiver involvement.

Strategic rehabilitation of the earthquake affected microhydropower plants in Nepal

NASA Astrophysics Data System (ADS)

Baidar, B.; Koirala, R.; Neopane, H. P.; Shrestha, M. V.; Thapa, B.

2016-11-01

Most people in the rural areas of Nepal rely on Micro-hydro Power Plants (MHPs) for their energy sources. With around four decade experiences in design and development of MHPs, Nepalese techno-entrepreneurs have gained wider reputation in the South Asian region and the beyond. However with the lack of competences in developing Francis turbines, majority of the MHPs are equipped with either Pelton of Cross Flow turbine, even though Francis units are suitable. With the devastating earthquake of a 7.6 magnitude that struck in the Gorkha district on Saturday, 25 April 2015, about 76 km northwest of the capital city Kathmandu, and the aftershocks followed claimed more than 8000 lives. It did not leave hydropower plants either. Many big plants have been affected and hundreds of MHPs were damaged, needing short to long term rehabilitation. The preliminary assessment of the 61 affected MHPs in the 6 earthquake affected districts shows more than 50% sites are suitable for Francis turbine. Hence the strategic rehabilitation plan has been developed in the present paper for the affected plants considering issues like geographical shift, dislocation of people and also with the focus on replacing the old turbine with Francis turbine in the suitable sites. The similar strategy can also be implemented in other developing countries with such situations.

Glacier and Permafrost Problems in High South Asia

NASA Astrophysics Data System (ADS)

Shroder, John F.; Bishop, Michael P.; Haritashy, Umesh

2008-05-01

International Workshop on Cryosphere and Hazards for Hindu Kush, Himalayas and Tibetan Plateau; Kathmandu, Nepal, 31 March to 2 April 2008; An outgrowth of prior conferences that had to be held separately for political reasons [Bagla, 2006a, 2006b], a 3-day workshop to discuss the impact of climate change on the glaciers and permafrost of high Asia hosted some 70 geoscientists from China, India, Nepal, Pakistan, and the United States and a few from Europe and Canada. The scientists concluded that a major need exists for better long-term monitoring of glaciers in the region using satellite imagery coupled with direct observations in the field. Also emphasized was the lack of cooperation or lack of sharing of essential hydrological information between the commonly militarily opposed countries in the area. Even within each country, agencies do not necessarily share data with other agencies or with university scientists. For example, a ludicrous situation was noted wherein it is easier to obtain high-resolution imagery and digital elevation models from scientists in opposing countries rather than domestically, where such data can be restricted or illegal to use. Such data hoarding potentially increases a population's risk because people who are trying to forecast hazardous droughts, floods, and landslides commonly cannot get appropriate information.

Better learning in schools to improve attitudes toward abstinence and intentions for safer sex among adolescents in urban Nepal.

PubMed

Shrestha, Rachana Manandhar; Otsuka, Keiko; Poudel, Krishna C; Yasuoka, Junko; Lamichhane, Medin; Jimba, Masamine

2013-03-20

School-based sex education is an effective medium to convey health information and skills about preventing sexually transmitted infections (STIs) and unwanted pregnancies among adolescents. However, research on school-based sex education is limited in many developing countries, including Nepal. This study thus had two main objectives: (1) to assess students' evaluation of school-based sex education, and (2) to examine the associations between students' evaluations of school-based sex education and their (a) attitudes toward abstinence and (b) intentions for safer sex. This cross-sectional study was conducted among 634 students from six schools in the Kathmandu Valley during May-June 2010. We used a self-administered questionnaire to assess students' evaluations of school-based sex education, attitudes toward abstinence, and intentions for safer sex. The data were then analyzed using multiple linear regression models. Regarding "information on HIV and sexual health", many students perceived that they received the least amount of information on HIV counseling and testing centers (mean 2.29, SD 1.00) through their schools. In terms of "support and involvement of teachers and parents" in sex education, parents' participation ranked as the lowest (mean 1.81, SD 1.01). Audiotapes were reported as the least used among the listed "teaching aids for sexual health education" (mean 1.54, SD 0.82). In multivariate analysis, receiving more "information on HIV and sexual health" was positively associated with more positive "attitudes toward abstinence" (β = 0.11, p = <0.018) and greater "intentions for safer sex" (β = 0.17, p = <0.001) among students. Similarly, increased "support and involvement from teachers and parents" was also positively associated with more positive "attitudes toward abstinence" (β = 0.16, p = <0.001) and greater "intentions for safer sex" (β = 0.15, p = <0.002). Our results suggest that students' needs and expectations regarding HIV and sexual health education are not being met through their schools. Moreover, comprehensive information on HIV and sexual health along with increased support and involvement of teachers and parents in sex education might help to improve adolescents' attitudes toward abstinence and intentions for safer sex. Adapting future school-based interventions to incorporate such elements may thus be an effective strategy to promote adolescent sexual health.

The oxygen concentrator is a suitable alternative to oxygen cylinders in Nepal.

PubMed

Shrestha, Bisharad M; Singh, Birendra B; Gautam, Madhav P; Chand, Man B

2002-01-01

To review the efficacy and reliability of oxygen concentrators used over the last six years in Nepal. The apparatus used was a DeVilbiss(R) oxygen concentrator that provided O(2) for anesthesia supplemented with compressed air to drive a Penlon Manley Multivent Ventilator(R). It remains difficult to supply oxygen in cylinders to peripheral hospitals in Nepal due to lack of proper roads. We conducted a retrospective analysis of a sample of 378 cases anesthetized at the Bir Hospital and at a private hospital in Kathmandu from April through October 1999. The Bain circuit or its modification was used in adults, and Bain or Ayre's T piece in children. High flows from the oxygen concentrator used with the Bain and Ayre's T-circuits were reduced to 2 L/min, delivered through the halothane vaporizer, supplemented by room air in the modified Bain circuit. Positive pressure ventilation was provided with an Ambubag, Oxford Inflating Bellows or Penlon Manley Multivent Ventilator. Blood pressure, electrocardiogram, FiO(2) and SpO(2) were monitored in all cases. Surgery included urologic, general surgery, obstetrics and gynecological procedures, neurosurgery and closed mitral valvotomy. Age ranged from six months to 78 yr. The anesthetic time lasted from 45 min to 12 hr. The FiO(2) ranged from 0.5 to 0.6 in the Bain and Ayre's T circuits, and from 0.34 to 0.40 in the modified Bain circuit with a flow of oxygen of 2 L/min from the concentrator. With regular maintenance and servicing done locally, the oxygen concentrator can be used safely in adults and children. Use of the oxygen concentrator is a suitable alternative to oxygen cylinders in the developing world.

Shadow of domestic violence and extramarital sex cohesive with spousal communication among males in Nepal

PubMed Central

2014-01-01

Background Public health and human right issues are challenging in low and middle income countries. The main objectives of this paper were to determine the prevalence and factors associated with domestic violence, extramarital sex, and spousal communication among male. Methods A cross-sectional study among 2466 married males in Kathmandu, Nepal was conducted using random sampling method. Adjusted odds ratios (AORs) and 95% confidence intervals (CI) of associated factors were estimated by stepwise backward likelihood ratio method. Results Prevalence of domestic violence was 63.14% (95% CI 61.20-65.05), extramarital sex was 32.12% (95% CI 30.27-34.00), and spousal communication was 48.87% (95% CI 46.85-50.90). Nearly one in five male (18.20%) had not used condom during extramarital sex. Interestingly, male who had more than three or equal children were less likely to have perpetrated domestic violence compared with those who had less children. Older male aged 25 and above were more likely (AORs = 1.55, 95% CI 1.19-2.03) to have extramarital sex compared with male aged 24 or below. Those male who had studied secondary or higher level of education were less likely to have extramarital sex compared to those who had primary level or no education. Male who had higher income were more likely to have spousal communication compared to those who had less income. Surprisingly, those male who had extramarital sex were less likely to have spousal communication compared with those was not involved in extramarital sex. Conclusion Practice of domestic violence and extramarital sex is quite common among married male in Nepal, where spousal communication is sparse. These findings can be used to advocate for immediate attention and activities needs to be endorsed by policymakers and programmers. PMID:24924872

Molecular Epidemiology of Helicobacter pylori Infection in Nepal: Specific Ancestor Root

PubMed Central

Miftahussurur, Muhammad; Sharma, Rabi Prakash; Shrestha, Pradeep Krishna; Suzuki, Rumiko; Uchida, Tomohisa; Yamaoka, Yoshio

2015-01-01

Prevalence of Helicobacter pylori infection in Nepal, a low-risk country for gastric cancer, is debatable. To our knowledge, no studies have examined H. pylori virulence factors in Nepal. We determined the prevalence of H. pylori infection by using three different tests, and the genotypes of virulence factors were determined by PCR followed by sequencing. Multilocus sequence typing was used to analyze the population structure of the Nepalese strains. The prevalence of H. pylori infection in dyspeptic patients was 38.4% (56/146), and was significantly related with source of drinking water. In total, 51 strains were isolated and all were cagA-positive. Western-type-cagA (94.1%), cagA pre-EPIYA type with no deletion (92.2%), vacA s1a (74.5%), and m1c (54.9%) were the predominant genotypes. Antral mucosal atrophy levels were significantly higher in patients infected with vacA s1 than in those infected with s2 genotypes (P = 0.03). Several Nepalese strains were H. pylori recombinants with genetic features of South Asian and East Asian genotypes. These included all East-Asian-type-cagA strains, with significantly lesser activity and inflammation in the corpus than the strains of the specific South Asian genotype (P = 0.03 and P = 0.005, respectively). Although the population structure confirmed that most Nepalese strains belonged to the hpAsia2 population, some strains shared hpEurope- and Nepalese-specific components. Nepalese patients infected with strains belonging to hpEurope showed higher inflammation in the antrum than strains from the Nepalese specific population (P = 0.05). These results support that ancestor roots of Kathmandu`s people not only connected with India alone. PMID:26226153

A sustainable approach towards rural development: dry toilets in Nepal.

PubMed

Regmi, M R

2005-01-01

Existing inadequate sewerage systems and direct disposal of household waste into water courses has tremendously increased water pollution. Dry toilets are feasible in rural and peri-urban areas to reduce the consumption of costlier water that is required for flushing. As conventional treatment technologies require high investment, and operation and maintenance costs, dry toilets are the only suitable option left for sanitation in the 21st century when working with limited financial resources. To reduce environmental degradation and overcome this problem, the dry toilet is only the realistic option in Nepal. Two reactors, one exposed to sunrays and the other without sunrays, were constructed. In the model with sunrays, it was found that in 48 days of observation faecal coliform presence depleted to 610 cells per gm from the initial value of 7 x 10(10) and volatile organic matter came down from 98.09% to 70.18%. Similarly, in the other model, the destruction of faecal coliform in 65 days was found to be 920 cells/gm while the destruction of organic matter took 75 days. Also, observing from 313 people in a cluster on the pilot project, the annually recovered value of N, P and K was found to be 1565 kg, 125 kg, 344 kg, respectively. This paper deals with the different types of dry ecological toilet, their performance and feasibility study in Nepal, with the full involvement of local people, based on complete laboratory analysis and regular monitoring. Using dry toilets will save 14 LPCD, which is equivalent to 14 MLD and the resulting demand will become only 80 MLD for the urban area of Kathmandu. The result advocates the implementation of ecological dry toilets to save valuable water wasted in flushing, as well as saving the resources needed to treat the waste.

NASA ARIA Project Provides New Look at Earth Surface Deformation from Nepal Quake

NASA Image and Video Library

2015-05-04

NASA and its partners are contributing important observations and expertise to the ongoing response to the April 25, 2015, magnitude 7.8 Gorkha earthquake in Nepal. The quake was the strongest to occur in that area since the 1934 Nepal-Bihar magnitude 8.0 event and caused significant regional damage and a humanitarian crisis. Scientists with the Advanced Rapid Imaging and Analysis project (ARIA), a collaboration between NASA's Jet Propulsion Laboratory, Pasadena, California, and the California Institute of Technology in Pasadena, analyzed interferometric synthetic aperture radar images from the PALSAR-2 instrument on the ALOS-2 satellite operated by the Japan Aerospace Exploration Agency (JAXA) to calculate a map of the deformation of Earth's surface caused by the quake. This false-color map shows the amount of permanent surface movement caused almost entirely by the earthquake, as viewed by the satellite, during a 70-day interval between two ALOS-2 images, acquired February 21 and May 2, 2015. In the map, surface displacements are seen as color contours (or "fringes"), where each color cycle represents 4.7 inches (11.9 centimeters) of surface motion. The contours show the land around Kathmandu has moved toward the satellite by up to 4.6 feet (1.4 meter), or 5.2 feet (1.6 meters) if we assume purely vertical motion. Areas without the color contours have snow or heavy vegetation that affects the radar measurements. Scientists use these maps to build detailed models of the fault and associated land movements to better understand the impact on future earthquake activity. The PALSAR-2 data were provided by JAXA through the Committee on Earth Observation Satellite (CEOS) in support of the response effort. The background image is from Google Earth. http://photojournal.jpl.nasa.gov/catalog/PIA19383

NASA ARIA Project Maps Deformation of Earth Surface from Nepal Quake

NASA Image and Video Library

2015-05-02

NASA and its partners are contributing important observations and expertise to the ongoing response to the April 25, 2015, magnitude 7.8 Gorkha earthquake in Nepal. The quake was the strongest to occur in that area since the 1934 Nepal-Bihar magnitude 8.0 event and caused significant regional damage and a humanitarian crisis. Scientists with the Advanced Rapid Imaging and Analysis project (ARIA), a collaboration between NASA's Jet Propulsion Laboratory, Pasadena, California, and the California Institute of Technology in Pasadena, analyzed interferometric synthetic aperture radar images from the European Union's Copernicus Sentinel-1A satellite, operated by the European Space Agency and also available from the Alaska Satellite Facility (https://www.asf.alaska.edu), to calculate a map of the deformation of Earth's surface caused by the quake. This false-color map shows the amount of permanent surface movement caused almost entirely by the earthquake, as viewed by the satellite, during a 12-day interval between two Sentinel-1 images acquired on April 17 and April 29, 2015. In the map, surface displacements are seen as color contours (or "fringes"), where each color cycle represents 8 inches (20 centimeters) of surface motion. The contours show the land around Kathmandu has moved upward by more than 40 inches (1 meter). Areas without the color contours have snow or heavy vegetation that affects the radar measurements. Scientists use these maps to build detailed models of the fault and associated land movements to better understand the impact on future earthquake activity. The background image is from Google Earth. The map contains Copernicus data (2015). http://photojournal.jpl.nasa.gov/catalog/PIA19535

Study of Depression, Anxiety and Stress among the Medical Students in two Medical Colleges of Nepal.

PubMed

Kunwar, D; Risal, A; Koirala, S

2016-01-01

Background Medical education is intended to prepare graduates for a promoting health and caring for the sick. Medical students are confronted with significant academic, psychological and existential stressors. There is insufficient information regarding psychological morbidity among Nepalese medical students. Objective To determine the prevalence of depression, anxiety and stress, among the medical students in Nepal, and its association with sociodemographic characteristics. Method A cross-sectional questionnaire based study was conducted including all students from first to fifth year of student using convenience method of sampling from Kathmandu University Medical School (KUSMS), Dhulikhel and Manipal College of Medical Sciences (MCOMS), Pokhara, Nepal. Depression, Anxiety and stress were assessed using Depression Anxiety and Stress Scale (DASS). Additional questions regarding demographic variables were also included in the survey. Data analysis was done on Statistical Package for the Social Sciences SPSS version 16. Result A total of 538 students participated in the study giving a response rate of 89.6%. Aamong them 56.5% were from age group 21-25 years, 42.2% were below 20 years and only 1.3% were above 25 years of age. Among them 52% were female and 48% were male. Our study found that the overall prevalence of depression was 29.9%, anxiety was 41.1% and stress was 27% among all participated medical students. Depression was significantly associated (OR 2.23, 95% CI 1.43-3.47, p<0.001) with living condition (living in hostel or rented house). Conclusion The higher level of psychiatric morbidity depression 29.9%, anxiety 41.1% and stress 27% among undergraduate medical students warrants needs for strategic plans to alleviate depression anxiety and the stressors right from the time they join medical school and has to be continued till they finish the course.

SNPs in Entire Mitochondrial Genome Sequences (≈15.4 kb) and cox1 Sequences (≈486 bp) Resolve Body and Head Lice From Doubly Infected People From Ethiopia, China, Nepal, and Iran But Not France.

PubMed

Xiong, H; Campelo, D; Boutellis, A; Raoult, D; Alem, M; Ali, J; Bilcha, K; Shao, R; Pollack, R J; Barker, S C

2014-11-01

Some people host lice on the clothing as well as the head. Whether body lice and head lice are distinct species or merely variants of the same species remains contentious. We sought to ascertain the extent to which lice from these different habitats might interbreed on doubly infected people by comparing their entire mitochondrial genome sequences. Toward this end, we analyzed two sets of published genetic data from double-infections of body lice and head lice: 1) entire mitochondrial coding regions (≈15.4 kb) from body lice and head lice from seven doubly infected people from Ethiopia, China, and France; and 2) part of the cox1 gene (≈486 bp) from body lice and head lice from a further nine doubly infected people from China, Nepal, and Iran. These mitochondrial data, from 65 lice, revealed extraordinary variation in the number of single nucleotide polymorphisms between the individual body lice and individual head lice of double-infections: from 1.096 kb of 15.4 kb (7.6%) to 2 bps of 15.4 kb (0.01%). We detected coinfections of lice of Clades A and C on the scalp hair of three of the eight people from Nepal: one person of the two people from Kathmandu and two of the six people from Pokhara. Lice of Clades A and B coinfected the scalp hair of one person from Atherton, Far North Queensland, Australia. These findings argue for additional large-scale studies of the body lice and head lice of double-infected people. © 2014 Entomological Society of America.

Maternal near-miss: a multicenter surveillance in Kathmandu Valley.

PubMed

Rana, Ashma; Baral, Gehanath; Dangal, Ganesh

2013-01-01

Multicenter surveillance has been carried out on maternal near-miss in the hospitals with sentinel units. Near-miss is recognized as the predictor of level of care and maternal death. Reducing Maternal Mortality Ratio is one of the challenges to achieve Millennium Development Goal. The objective was to determine the frequency and the nature of near-miss events and to analyze the near-miss morbidities among pregnant women. A prospective surveillance was done for a year in 2012 at nine hospitals in Kathmandu valley. Cases eligible by definition were recorded as a census based on WHO near-miss guideline. Similar questionnaires and dummy tables were used to present the results by non-inferential statistics. Out of 157 cases identified with near-miss rate of 3.8 per 1000 live births, severe complications were postpartum hemorrhage 62 (40%) and preeclampsia-eclampsia 25 (17%). Blood transfusion 102 (65%), ICU admission 85 (54%) and surgery 53 (32%) were common critical interventions. Oxytocin was main uterotonic used both prophylactically and therapeutically at health facilities. Total of 30 (19%) cases arrived at health facility after delivery or abortion. MgSO4 was used in all cases of eclampsia. All laparotomies were performed within three hours of arrival. Near-miss to maternal death ratio was 6:1 and MMR was 62. Study result yielded similar pattern amongst developing countries and same near-miss conditions as the causes of maternal death reported by national statistics. Process indicators qualified the recommended standard of care. The near-miss event could be used as a surrogate marker of maternal death and a window for system level intervention.

Orthognathic Surgery for the Correction of Severe Skeletal Class III Malocclusion.

PubMed

Kafle, D; Upadhayaya, C; Chaurasia, N; Agarwal, A

2016-01-01

Skeletal Malocclusions results from the abnormal position of maxilla and mandible in relation with cranial base. These types of malocclusion are commonly treated by orthodontic teeth movement known as camouflage orthodontics. However severe skeletal malocclusions cannot be treated by orthodontics alone. Such cases need surgical intervention to align the position of the jaw along with orthodontic correction. This procedure is commonly known as Orthognathic Surgery. Orthognathic Surgery dates back to early eighteenth century but became popular on mid twentieth century. Though the prevalence of skeletal malocclusion is more than 1% the treatment facility was not available in Nepal till 2012. Here we present a case of Skeletal Class III malocclusion treated at Dhulikhel Hospital, Kathmandu University Hospital. For this case, double jaw surgery was performed by le-Fort I osteotomy and Bilateral Sagital Split Osteotomy. Orthognathic surgery has been routinely performed at this centre since then.

On-site sanitation: a viable alternative to modern wastewater treatment plants.

PubMed

Lamichhane, K M

2007-01-01

Rapid population growth and urbanization are exerting excessive pressure on soil and water resources. To address these problems this paper proposes a cheap and sustainable alternative sanitation system, which accelerates nutrient recycling ("closing the loop"): ecological sanitation (ecosan) is a potential alternative to conventional sanitation systems that replenishes the organic matter and nutrients of the soil that are taken off as the crop harvest. A comparison is made of the environmental and the operation and maintenance costs between a modern wastewater treatment plant and on-site sanitation. An elevated double box urine diverting toilet ("ecotoilet") is proposed and its advantages and disadvantages over a system with a centrally controlled modern WWTP are discussed. Bagmati Area Sewerage Project in Kathmandu is taken as an example of modern WWTP and ecosan being practiced in a village in Nepal is taken as an example of ecotoilet for the comparison.

Ability to pay and impoverishment among women who give birth at a University Hospital in Kathmandu, Nepal.

PubMed

Gartoulla, Pragya; Liabsuetrakul, Tippawan; Chongsuvivatwong, Virasakdi; McNeil, Edward

2012-01-01

Pregnant women giving birth in Nepal need to use out-of-pocket payment for delivery care services due to a lack of insurance policies. The objective of this study was to examine the ability of pregnant Nepalese women to pay for delivery care services and the effects of the current household health expenditure on impoverishment due to hospital-based delivery services, especially normal delivery (ND) and caesarean section (CS). A cross-sectional study was conducted from May to August 2009 at Tribhuvan University Teaching Hospital. Ability to pay was defined as the current health spending being less than 5% of annual household income. Poverty occurred when a household's per capita income fell to less than US$1 per day. Impoverishment was considered as poverty headcount and normalised poverty gap. On average, the percentage of annual household income spent on current delivery care was 5.9% in the ND group and 9.7% in the CS group. The CS group had a stronger impoverishment effect resulting in a high per cent change of payment-induced poverty headcount by 78.1% and poverty gap by 97.3% compared to 7.7 and 24.1% in the ND group, respectively. There is a strong need to develop a well-prepared financial system to prevent the issue of poverty and impoverishment.

Outbreak Investigation of Influenza in Pajaru VDC of Jajarkot District of Nepal.

PubMed

Upadhyay, S K; Singh Pradhan, P M; Mahato, R K; Marasini, B; Upadhyaya, B; Shakya, G; Baral, G; Baral, K P

2016-09-01

An outbreak investigation study was conducted in Pajaru, one of the initially affected Village Development Committees (VDCs) of the Jajarkot district in Nepal following an outbreak of respiratory illness in early 2015. The objectives of this study were to identify the cases and magnitude of the outbreak. A cross-sectional study was carried out in mid-April 2015 covering five most affected wards of Pajaru VDC to assess the patients using standard case definition for Influenza like Illness (ILI). Throat and nasal swabs were collected and sent to the National Influenza Center (NIC) in Kathmandu for laboratory confirmation. The throat swab samples tested at NIC found Influenza A H1N1 pdm09. The attack rate was calculated to be 3% in ward number 9 and 41% in ward number 8. Wavelength of the infection was nearly two weeks in both the wards. Nearly 54% of the specimens were positive for Influenza A H1N1 pdm09. There was no ILI case fatality in the study area. Children aged 0-15 years were most affected. Majority of the patients presented with symptoms of fever, cough and sore throat. There was gradual decline in the number of cases in all five wards suggestive of development of natural immunity in the community. True severity of the outbreak was not accurately reflected as compared to media reports.

Blood glucose monitoring in type 2 diabetes – Nepalese patients’ opinions and experiences

PubMed Central

Sapkota, Sujata; Brien, Jo-anne E; Aslani, Parisa

2017-01-01

ABSTRACT Background: Blood glucose monitoring forms a vital component of diabetes care. Monitoring conducted at home using glucometers, and in laboratories by professionals, are two common methods of blood glucose monitoring in clinical practice. Objective: To investigate Nepalese patients’ perceptions and practices of blood glucose monitoring in diabetes. Methods: In-depth interviews were conducted with 48 Nepalese participants with type 2 diabetes in Sydney and Kathmandu. The interviews were audio-recorded, transcribed verbatim and thematically analysed. Results: In Australia, most participants perceived home monitoring as useful; and both home and laboratory monitoring were conducted at fairly regular intervals. In Nepal, only a small number conducted home monitoring and the laboratory method formed the primary method of day-to-day monitoring. The laboratory method was preferred due to easy access to laboratories, lack of faith in glucometers and perceptions that home monitoring is costlier. However, overall monitoring was irregular in Nepal. In addition to the healthcare system which enabled cheaper self-monitoring in Australia, Nepalese in Australia also tended to have a better understanding about the purpose of home monitoring. Conclusions: This study has highlighted the disparity in perceptions and practices related to blood glucose monitoring. Understanding the importance of blood glucose monitoring and access to affordable resources are critical facilitators for conducting regular monitoring. Both patient and health-system factors play a key role in ensuring continued diabetes monitoring and management. PMID:28585892

Involvement of males in antenatal care, birth preparedness, exclusive breast feeding and immunizations for children in Kathmandu, Nepal.

PubMed

Bhatta, Dharma Nand

2013-01-16

Men in patriarchal societies of developing countries are often identified as decision makers in all aspects of day-to-day life. The study explores the factors associated with male involvement in ANC, birth plans, exclusive breastfeeding and immunization of children. A cross-sectional survey was conducted among 2178 married males between May and December 2010 in Kathmandu, Nepal. Twenty one clusters were selected for data collection using structured questionnaire. Adjusted odds ratios (AORs) and 95% confidence intervals (95% CI) of associated factors were estimated by stepwise backward likelihood ratio method. This study determined the percentage of males who accompanied their partners for ANC (39.3%), arranged SBA (47.9%) and accompanied them for child immunization (10.9%). Factors found associated with respect to different activities were as follows: accompanied their partners on antenatal visits - uneducated or primary level education (AOR, 5.68, 95% CI, 4.44-7.27), income NPR 5001 (1USD = 85 NPR) or above (1.47, 1.20-1.80) and aged above 25 years (2.51, 1.89-3.33); arranged money for delivery - uneducated or primary level education (7.34, 5.84-9.23), income NPR 5001 or above (1.80, 1.48-2.20) and aged above 25 years (1.55, 1.18-2.03); arranged SBA - uneducated or primary level education (17.14, 12.65-23.22) and income NPR 5001 or above (2.89, 2.36-3.54); arranged transportation - uneducated or primary level education (17.65, 11.84-26.32), income NPR 5001 or above (1.69, 1.40-2.04) and aged above 25 years (1.69, 1.27-2.24); encouraged exclusive breast feeding - uneducated or primary level education (5.48, 4.39-6.83) and aged above 25 years (1.35, 1.03-1.77); accompanied their partners for immunization their children - uneducated or primary level education (3.88, 2.53-5.96) and aged above 25 years (1.72, 1.11-2.64). Men who were uneducated or had primary level education, aged above 25 years, had higher income, formal employment, came from Hindu religion and non-indigenous ethnicities demonstrated greater involvement and these factors should be emphatically considered during maternal health program development.

Reconstruction of the Late Quaternary Glaciation of the Macha Khola valley (Gorkha Himal, Nepal) using relative and absolute ( 14C, 10Be, dendrochronology) dating techniques

NASA Astrophysics Data System (ADS)

Zech, W.; Glaser, B.; Abramowski, U.; Dittmar, C.; Kubik, P. W.

2003-11-01

Late Quaternary glacier fluctuations in the Macha Khola valley (Gorkha Himal, Nepal) were reconstructed using relative and absolute dating techniques. Our results indicate that younger moraine complexes were left by Late Holocene (<1.7 cal. ka BP), mid-Holocene (ca 3 cal. ka BP), and Lateglacial (ca 13 cal. ka BP) ice advances. Older Late Quaternary glacier advances occurred during Marine Oxygen Isotope Stages (MIS) 2 and 3-4. No relics of Middle or Early Pleistocene glaciations could be found. During MIS 3-4, glaciers advanced down to an altitude of at least 2150 m a.s.l., corresponding to an ELA depression of approximately 1300 m. At about 3500 m a.s.l., the MIS 2 Macha Khola glacier reached almost the thickness of the former MIS 3-4 glacier and retreated some time before 17.9 cal. ka BP. The Lateglacial glacier advanced again several times to altitudes between 2450 and 3400 m a.s.l. The mid-Holocene glaciers extended much farther down-valley than the Late Holocene ones. Dendrochronological data of Abies spectabilis suggested several periods of unfavourable growth conditions especially at the beginning of the 19th (1820) and 20th (1905) centuries.

School Teachers' Knowledge about Epilepsy in Kathmandu Metropolitan City.

PubMed

Khanal, K; Maharjan, R; Pokharel, B R; Sanjel, S

2015-01-01

Background Studies on Knowledge towards epilepsy among school teachers are very limited on developing countries especially with reference to Nepal. Level of knowledge of schoolteachers plays an important role on providing a greater educational support for epileptic child and to maintain good communication skills between epileptic and normal child. Objective Objective of this study is to assess the level of knowledge about epilepsy and its associated factors among school teachers. Method A cross sectional study was conducted from 10th June to 4th July, 2014 among 165 teachers teaching in six different schools of Kathmandu Metropolitan City. A selfadministrated questionnaire consisting of structured and multiple choice questions were designed to collect information on the teacher's socio-demographic profile and knowledge about epilepsy. A scoring system was developed for each question: each correct answer was given a score of 1, and a score of 0 for wrong answer. Total score was categorized on two categories: Good Knowledge and Poor Knowledge. Result Teacher's age did not correlate significantly with their knowledge about epilepsy but total years of teaching experiences and knowledge about epilepsy were found to be positively correlated (ρ= 0.165, p= 0.01). Academic qualification of teachers and different teaching level were associated with level of knowledge (p= 0.023, p= 0.021). Significant difference on knowledge score was found among teachers having different academic qualification (p= 0.019). Conclusion All teachers were aware about epilepsy, but their knowledge about epilepsy was not sufficient therefore, health education training program about epilepsy is needed for teachers.

Effect of timing of umbilical cord clamping on anaemia at 8 and 12 months and later neurodevelopment in late pre-term and term infants; a facility-based, randomized-controlled trial in Nepal.

PubMed

Kc, Ashish; Målqvist, Mats; Rana, Nisha; Ranneberg, Linda Jarawka; Andersson, Ola

2016-03-10

Delayed cord clamping at birth has shown to benefit neonates with increased placental transfusion leading to higher haemoglobin concentrations, additional iron stores and less anaemia later in infancy, higher red blood cell flow to vital organs and better cardiopulmonary adaptation. As iron deficiency in infants even without anaemia has been associated with impaired development, delayed cord clamping seems to benefit full term infants also in regions with a relatively low prevalence of iron deficiency anaemia. In Nepal, there is a high anaemia prevalence among children between 6 and 17 months (72-78 %). The objective of the proposed study is to evaluate the effects of delayed and early cord clamping on anaemia (and haemoglobin level) at 8 and 12 months, ferritin at 8 and 12 months, bilirubin at 2-3 days, admission to Neonatal Intensive Care Unit (NICU) or special care nursery, and development at 12 and 18-24 months of age. A randomized, controlled trial comparing delayed and early cord clamping will be implemented at Paropakar Maternity and Women's Hospital in Kathmandu, Nepal. Pregnant woman of gestational age 34-41 weeks who deliver vaginally will be included in the study. The interventions will consist of delayed clamping of the umbilical cord (≥180 s after delivery) or early clamping of the umbilical cord (≤60 s). At 8 and 12 months of age, infant's iron status and developmental milestones will be measured. This trial is important to perform because, although strong indications for the beneficial effect of delayed cord clamping on anaemia at 8 to 12 months of age exist, it has not yet been evaluated by a randomized trial in this setting. The proposed study will analyse both outcome as well as safety effects. Additionally, the results may not only contribute to practice in Nepal, but also to the global community, in particular to other low-income countries with a high prevalence of iron deficiency anaemia. Clinical trial.gov NCT02222805 . Registered August 19 2014.

Emerging Helicobacter pylori levofloxacin resistance and novel genetic mutation in Nepal.

PubMed

Miftahussurur, Muhammad; Shrestha, Pradeep Krishna; Subsomwong, Phawinee; Sharma, Rabi Prakash; Yamaoka, Yoshio

2016-11-04

The prevalence of Helicobacter pylori antibiotic susceptibility in the Nepalese strains is untracked. We determined the antibiotic susceptibility for H. pylori and analyzed the presence of genetic mutations associated with antibiotic resistance in Nepalese strains. This study included 146 consecutive patients who underwent gastroduodenal endoscopy in Kathmandu, Nepal. Among 42 isolated H. pylori, there was no resistance to amoxicillin and tetracycline. In contrast, similar with typical South Asian patterns; metronidazole resistance rate in Nepalese strains were extremely high (88.1 %, 37/42). Clarithromycin resistance rate in Nepalese strains were modestly high (21.4 %, 9/42). Most of metronidazole resistant strains had highly distributed rdxA and frxA mutations, but were relative coincidence without a synergistic effect to increase the minimum inhibitory concentration (MIC). Among strains with the high MIC, 63.6 % (7/11) were associated with frameshift mutation at position 18 of frxA with or without rdxA involvement. However, based on next generation sequencing data we found that one strain with the highest MIC value had a novel mutation in the form of amino acid substituted at Ala-212, Gln-382, Ile-485 of dppA and Leu-145, Thr-168, Glu-117, Val-121, Arg-221 in dapF aside from missense mutations in full-length rdxA. Mutations at Asn-87 and/or Asp-91 of the gyrA were predominantly in levofloxacin-resistant strains. The gyrB mutation had steady relationship with the gyrA 87-91 mutations. Although three (44.4 %) and two (22.2 %) of clarithromycin resistant strains had point mutation on A2143G and A2146G, we confirmed the involvement of rpl22 and infB in high MIC strains without an 23SrRNA mutation. The rates of resistance to clarithromycin, metronidazole and levofloxacin were high in Nepalese strains, indicating that these antibiotics-based triple therapies are not useful as first-line treatment in Nepal. Bismuth or non-bismuth-based quadruple regimens, furazolidone-based triple therapy or rifabutin-based triple therapy may become alternative strategy in Nepal.

Earth observations taken from Space Shuttle Columbia during STS-80 mission

NASA Image and Video Library

1996-11-30

STS080-733-001 (19 Nov.-7 Dec. 1996) --- This view shows Mount Everest, near the border of Nepal and China, which reaches 29,028 feet in elevation (8,848 meters). Mount Everest is to the left of the V-shaped valley (holding picture with numbers on the right). Tibet is to the right, and Nepal is below. Rongbuk Glacier flows to the north while Khumbu Glacier flows to the south from Mount Everest. Many other glaciers are visible. The snow level is about 4,000 meters south of the divide or rain shadow, and about 6,000 meters north of the divide, in the rain shadow.

Community Social Context and Individualistic Attitudes toward Marriage

ERIC Educational Resources Information Center

Barber, Jennifer S.

2004-01-01

I develop a theoretical framework explaining how community social context affects attitude formation via nonfamily institutions and related behaviors. Empirical tests of the framework use data from a study of the Chitwan Valley in rural Nepal. The analyses focus on attitudes toward seven aspects of marriage: child marriage, arranged marriage,…

Present and Future of Dengue Fever in Nepal: Mapping Climatic Suitability by Ecological Niche Model

PubMed Central

Cao, Chunxiang; Xu, Min; Pandit, Shreejana

2018-01-01

Both the number of cases of dengue fever and the areas of outbreaks within Nepal have increased significantly in recent years. Further expansion and range shift is expected in the future due to global climate change and other associated factors. However, due to limited spatially-explicit research in Nepal, there is poor understanding about the present spatial distribution patterns of dengue risk areas and the potential range shift due to future climate change. In this context, it is crucial to assess and map dengue fever risk areas in Nepal. Here, we used reported dengue cases and a set of bioclimatic variables on the MaxEnt ecological niche modeling approach to model the climatic niche and map present and future (2050s and 2070s) climatically suitable areas under different representative concentration pathways (RCP2.6, RCP6.0 and RCP8.5). Simulation-based estimates suggest that climatically suitable areas for dengue fever are presently distributed throughout the lowland Tarai from east to west and in river valleys at lower elevations. Under the different climate change scenarios, these areas will be slightly shifted towards higher elevation with varied magnitude and spatial patterns. Population exposed to climatically suitable areas of dengue fever in Nepal is anticipated to further increase in both 2050s and 2070s on all the assumed emission scenarios. These findings could be instrumental to plan and execute the strategic interventions for controlling dengue fever in Nepal. PMID:29360797

Better learning in schools to improve attitudes toward abstinence and intentions for safer sex among adolescents in urban Nepal

PubMed Central

2013-01-01

Background School-based sex education is an effective medium to convey health information and skills about preventing sexually transmitted infections (STIs) and unwanted pregnancies among adolescents. However, research on school-based sex education is limited in many developing countries, including Nepal. This study thus had two main objectives: (1) to assess students’ evaluation of school-based sex education, and (2) to examine the associations between students’ evaluations of school-based sex education and their (a) attitudes toward abstinence and (b) intentions for safer sex. Methods This cross-sectional study was conducted among 634 students from six schools in the Kathmandu Valley during May–June 2010. We used a self-administered questionnaire to assess students’ evaluations of school-based sex education, attitudes toward abstinence, and intentions for safer sex. The data were then analyzed using multiple linear regression models. Results Regarding “information on HIV and sexual health”, many students perceived that they received the least amount of information on HIV counseling and testing centers (mean 2.29, SD 1.00) through their schools. In terms of “support and involvement of teachers and parents” in sex education, parents’ participation ranked as the lowest (mean 1.81, SD 1.01). Audiotapes were reported as the least used among the listed “teaching aids for sexual health education” (mean 1.54, SD 0.82). In multivariate analysis, receiving more “information on HIV and sexual health” was positively associated with more positive “attitudes toward abstinence” (β = 0.11, p = <0.018) and greater “intentions for safer sex” (β = 0.17, p = <0.001) among students. Similarly, increased “support and involvement from teachers and parents” was also positively associated with more positive “attitudes toward abstinence” (β = 0.16, p = <0.001) and greater “intentions for safer sex” (β = 0.15, p = <0.002). Conclusion Our results suggest that students’ needs and expectations regarding HIV and sexual health education are not being met through their schools. Moreover, comprehensive information on HIV and sexual health along with increased support and involvement of teachers and parents in sex education might help to improve adolescents’ attitudes toward abstinence and intentions for safer sex. Adapting future school-based interventions to incorporate such elements may thus be an effective strategy to promote adolescent sexual health. PMID:23509909

Science Teachers' Information Processing Behaviours in Nepal: A Reflective Comparative Study

ERIC Educational Resources Information Center

Acharya, Kamal Prasad

2017-01-01

This study examines the investigation of the information processing behaviours of secondary level science teachers. It is based on the data collected from 50 secondary level school science teachers working in Kathmandy valley. The simple random sampling and the Cognitive Style Inventory have been used respectively as the technique and tool to…

High frequency new particle formation in the Himalayas

PubMed Central

Venzac, Hervé; Sellegri, Karine; Laj, Paolo; Villani, Paolo; Bonasoni, Paolo; Marinoni, Angela; Cristofanelli, Paolo; Calzolari, Francescopiero; Fuzzi, Sandro; Decesari, Stefano; Facchini, Maria-Cristina; Vuillermoz, Elisa; Verza, Gian Pietro

2008-01-01

Rising air pollution levels in South Asia will have worldwide environmental consequences. Transport of pollutants from the densely populated regions of India, Pakistan, China, and Nepal to the Himalayas may lead to substantial radiative forcing in South Asia with potential effects on the monsoon circulation and, hence, on regional climate and hydrological cycles, as well as to dramatic impacts on glacier retreat. An improved description of particulate sources is needed to constrain the simulation of future regional climate changes. Here, the first evidence of very frequent new particle formation events occurring up to high altitudes is presented. A 16-month record of aerosol size distribution from the Nepal Climate Observatory at Pyramid (Nepal, 5,079 m above sea level), the highest atmospheric research station, is shown. Aerosol concentrations are driven by intense ultrafine particle events occurring on >35% of the days at the interface between clean tropospheric air and the more polluted air rising from the valleys. During a pilot study, we observed a significant increase of ion cluster concentrations with the onset of new particle formation events. The ion clusters rapidly grew to a 10-nm size within a few hours, confirming, thus, that in situ nucleation takes place up to high altitudes. The initiation of the new particle events coincides with the shift from free tropospheric downslope winds to thermal upslope winds from the valley in the morning hours. The new particle formation events represent a very significant additional source of particles possibly injected into the free troposphere by thermal winds. PMID:18852453

Characterisation of the atmospheric surface layer over a debris cover glacier in the Nepal Himalayas.

NASA Astrophysics Data System (ADS)

Litt, M.; Steiner, J. F.; Stigter, E.; Bierkens, M. F.; Shea, J. M.; Immerzeel, W. W.

2017-12-01

A significant area of Himalayan glaciers tongues is covered by debris. Turbulent exchanges of sensible and latent heat at the debris surface directly act on its surface energy balance (SEB). At the same time, the large turbulent water vapour exchanges at high altitude modify the debris water content and thus its thermal properties. These must be correctly accounted for in SEB models and a proper characterisation of the atmospheric surface layer (ASL) is therefore needed. We installed an eddy-correlation system (Campbell IRGASON) during a period of 15 days over the Lirung glacier in the Langtang Valley in Nepal in the Nepal Himalaya, during the transition period between the monsoon and the dry season. We present the main characteristics of our set-up and the implication of our ASL characterisation on the parameterisation of the turbulent fluxes. During the day, moderate winds blow up-valley and the ASL is mostly unstable. Latent (sensible) heat fluxes scale between 50 and 150 (50 and 250) Wm-2 during the day, thus drying and cooling the debris and playing a significant role in the SEB. During the night, weak down-glacier winds are observed and fluxes remain weak. Spectral analysis of the turbulent data indicate that flow characteristics do not fulfil theoretical requirements needed to estimate turbulent fluxes using bulk methods and at this site our data show they would work only for the sensible heat flux evaluation.

Negotiating geophysical hazards in Nepal: An interdisciplinary approach

NASA Astrophysics Data System (ADS)

Oven, Katie; Petley, Dave; Rosser, Nick; Dunn, Chris; Rigg, Jonathan

2010-05-01

It is widely accepted that the impact of natural hazards reflects not only the nature of geophysical processes but also the social conditions that prevail. The need for collaborative research to address these complex interactions between the natural and human systems is well recognised, however moving from theory to practice presents a number of significant challenges. How researchers frame problems; develop their research questions; select the methodologies to explore these questions; and privilege certain knowledges over others, can be seen to vary between physical and social science. Drawing on a case study examining the vulnerability of rural communities to landslides in the Upper Bhote Koshi Valley, Central Nepal, this paper explores how these barriers can be overcome and the benefits of undertaking interdisciplinary research within the natural hazards field. This research investigates the different framings of landslide risk and vulnerability from different stakeholder and disciplinary perspectives. Specifically, we ask: 1. Who is vulnerable to landslide hazard? 2. Why do people occupy landslide prone areas? 3. How do ‘at risk' rural communities perceive and respond to landslide hazard and risk? The findings, based on a series of participatory methodologies, challenge a number of assumptions made regarding landslide vulnerability in mountain communities. Within the Upper Bhote Koshi Valley clear transitions in settlement patterns, rural livelihoods and thus the occupation of landslide prone areas have been seen over time. For the majority of households, their decision to occupy these areas is driven by the economic and social benefits associated with the Arniko Highway which runs through the valley, linking Nepal with Tibet. Landslide vulnerability therefore emerges not just from societal marginalisation but also from situations of relative prosperity. The findings suggest that occupants of landslide prone areas have a good understanding of landslide hazard and its associated risks in this highly dynamic environment. However, these risks are contextualised in relation to other, often more pressing, social concerns. We therefore argue for a more deliberative and reflexive approach to landslide risk management which avoids singular framings of what the problem and hence the solution might be. We suggest that this can only be achieved through interdisciplinary collaboration and the privileging of different knowledge types. Key words: Nepal; landslide; vulnerability; risk perception; interdisciplinary research

Environmental hazards in Nepal: altitude illness, environmental exposures, injuries, and bites in travelers and expatriates.

PubMed

Boggild, Andrea K; Costiniuk, Cecilia; Kain, Kevin C; Pandey, Prativa

2007-01-01

Adventure travel necessarily places travelers at risk of environmental hazards. We assessed the burden of "environmental" hazards among a cohort of travelers and expatriates presenting to a large travel clinic in Nepal. Data on travelers and expatriates seen at the Canadian International Water and Energy Consultants (CIWEC) clinic in Kathmandu were prospectively collected and entered into the GeoSentinel Surveillance Network database. Data on individuals receiving predefined diagnoses related to environmental hazards were extracted and analyzed. Of 10,499 travelers and 4,854 expatriates in the database, 2,160 were diagnosed with 2,533 environment-related illnesses. Injuries were common among both travelers and expatriates [N= 788 (6.1%) and 328 (4.9%), respectively], while altitude illness was seen almost exclusively in travelers [N= 611 (4.7%) vs N= 8 (0.1%)]. Factors independently associated with environmental diagnoses include male gender (p < 0.001), traveling for tourism (p < 0.001), and lack of pre-travel advice (p= 0.043). Three percent of travelers and 2% of expatriates presenting to CIWEC sustained a bite wound or required rabies postexposure prophylaxis. Injured travelers were less likely than others to have obtained pre-travel advice (p= 0.003), while those who sustained bite wounds were more likely to have received pre-travel advice (p < 0.001). Environmental hazards are important causes of morbidity and potential mortality among adventure travelers and expatriates. Current pre-travel interventions are missing certain risk groups entirely and failing to have the desired educational impact in others.

Comparing outcomes of pediatric and adult external dacryocystorhinostomy in Nepal: Is age a prognostic factor?

PubMed

Limbu, Ben; Katwal, Sulaxmi; Lim, Nicole S; Faierman, Michelle L; Gushchin, Anna G; Saiju, Rohit

2017-08-01

We determine whether age is a prognostic factor for surgical outcomes of external dacryocystorhinostomy (Ex-DCR). This retrospective cohort study conducted at Tilganga Institute of Ophthalmology (Kathmandu, Nepal) compared pediatric Ex-DCR procedures (age ≤ 15 years) to adult Ex-DCR procedures (age > 15 years) and was performed between January 2013 and December 2013, with a minimum follow-up period of 6 months. Primary outcome measure was rate of success, defined as complete resolution of subjective symptom(s) of epiphora (subjective success), combined with patent lacrimal passage on syringing (anatomical success) at last follow-up visit. Other outcome measures included clinical presentation, diagnosis, intraoperative complications and post-operative complications. In total, 154 Ex-DCR procedures were included, with an age range of 8 months to 81 years (mean age 36.4 ± 21.0 years). In all, 38 pediatric Ex-DCR procedures were compared to 116 adult procedures. Success rates were 97% in the pediatric group and 95% in the adult group, with no clinically or statistically significant difference in success rate or complication rate between groups (p > 0.05). Our study yielded high success rates of Ex-DCR in both pediatric and adult age groups suggesting that Ex-DCR remains an optimal treatment choice for all age groups. With no difference in surgical outcomes between pediatric and adult patients, including complication rate, we conclude that age is not a prognostic factor for Ex-DCR failure. We do not recommend adjuvant therapy for pediatric patients.

South Asia Water Resources Workshop: An effort to promote water quality data sharing in South Asia

DOE Office of Scientific and Technical Information (OSTI.GOV)

RAJEN,GAURAV; BIRINGER,KENT L.; BETSILL,J. DAVID

2000-04-01

To promote cooperation in South Asia on environmental research, an international working group comprised of participants from Bangladesh, India, Nepal, Pakistan, Sri Lanka, and the US convened at the Soaltee Hotel in Kathmandu, Nepal, September 12 to 14, 1999. The workshop was sponsored in part by the Cooperative Monitoring Center (CMC) at Sandia National Laboratories in Albuquerque, New Mexico, through funding provided by the Department of Energy (DOE) Office of Nonproliferation and National Security. The CMC promotes collaborations among scientists and researchers in regions throughout the world as a means of achieving common regional security objectives. In the long term,more » the workshop organizers and participants are interested in the significance of regional information sharing as a means to build confidence and reduce conflict. The intermediate interests of the group focus on activities that might eventually foster regional management of some aspects of water resources utilization. The immediate purpose of the workshop was to begin the implementation phase of a project to collect and share water quality information at a number of river and coastal estuary locations throughout the region. The workshop participants achieved four objectives: (1) gaining a better understanding of the partner organizations involved; (2) garnering the support of existing regional organizations promoting environmental cooperation in South Asia; (3) identifying sites within the region at which data is to be collected; and (4) instituting a data and information collection and sharing process.« less

Who is Polluting the Himalaya?

NASA Astrophysics Data System (ADS)

Panday, A. K.; Praveen, P. S.; Adhikary, B.; Bhave, P.; Banmali Pradhan, B.; Dhungel, S.; Mehra, M.; Mahapatra, P. S.

2016-12-01

Observations in recent years have shown that the Himalayan atmosphere is severely polluted even at high altitude, with implications of accelerated melting of the Himalayan cryosphere. However, there are still big uncertainties in our understanding of what fraction of the black carbon and other pollutants reaching the high mountains originates from anthropogenic activities in nearby rural valleys, what fraction originates from seasonal forest fires, and from the densely populated and rapidly changing Indo-Gangetic Plains (IGP) of northern South Asia, which is fragmented across five countries between which movement of people, data, instruments and scientific understanding have been very limited. ICIMOD's Atmosphere Initiative has for the past four years been working to fill data gaps in the region, while facilitating collaborations across borders. It has established a regional modeling center and a regional data center, and it has set up half a dozen new atmospheric observatories at low and mid elevations in Bhutan and Nepal that provide data on the inflow of pollutants from the IGP towards the mountains, as well as quantify the effects of local emissions on air quality in mountain cities. Meanwhile, the University of Virginia has been running an observatory at Jomsom, Nepal, in a trans-Himalayan valley, since 2010, while ICIMOD is working on establishing high altitude black carbon observations in Bhutan and Nepal. The data so far indicates that air quality in the Himalaya is affected by local pollution sources and thermal circulation patterns, but that there are time periods, especially during the dry season, when it is inundated by regional polluted air masses that overwhelm the effects of local sources. Our modeling studies trace the origins of air pollutants reaching different places of interest in the Himalaya, and indicate the important role played by emissions in the plains to the south. The key to clean air over the Himalaya, is not just in reducing emissions in Himalayan valleys, but cleaning up the Indo-Gangetic Plains. ICIMOD's Atmosphere Initiative is also working towards transboundary cooperation in mitigation and policy.

Understanding and living with glaucoma and non-communicable diseases like hypertension and diabetes in the Jhaukhel-Duwakot Health Demographic Surveillance Site: a qualitative study from Nepal

PubMed Central

Shakya-Vaidya, Suraj; Povlsen, Lene; Shrestha, Binjwala; Grjibovski, Andrej M.; Krettek, Alexandra

2014-01-01

Background Primary open-angle glaucoma (POAG) is one of the most common causes of irreversible blindness. A possible association between POAG and non-communicable diseases such as hypertension and diabetes suggests that the incidence of POAG may increase. People with POAG in Nepal usually present late to hospital and have poor knowledge of glaucoma. Objectives Anticipating a knowledge gap regarding these diseases, this study aimed to explore the knowledge of POAG, hypertension, and diabetes in the community and barriers to health care. Design We conducted this qualitative study in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS), a peri-urban community near Kathmandu, a capital city of Nepal. To study how disease influences knowledge, we conducted focus group discussions separately for men and women with and without pre-existing POAG, hypertension, and diabetes. Data were analyzed using the framework analysis approach. Results Although people suffering from POAG, hypertension, and/or diabetes exhibited adequate knowledge of hypertension and diabetes, they lacked in-depth knowledge of POAG. People believed mostly in internal health locus of control. Perception of disease consequences and impact of disease on daily life was influenced by pre-existing POAG, hypertension, and/or diabetes but only in men. Gender disparity was observed regarding health literacy, health perception, and health barriers, which put women in a more difficult situation to tackle their health. We also revealed a gap between knowledge, attitude, and practice of health among women and healthy men. Conclusion Although people in JD-HDSS exhibited adequate knowledge regarding hypertension and diabetes, they lacked in-depth knowledge about POAG. This study demonstrated gender difference in health literacy and access to health care, making women more vulnerable towards disease. We also demonstrated a gap between knowledge, attitude, and practice of health. However, tailored health literacy programs may bring changes in the health status in the community. PMID:25361727

Nepalese patients’ perceptions of treatment modalities for type 2 diabetes

PubMed Central

Sapkota, Sujata; Brien, Jo-anne E; Aslani, Parisa

2016-01-01

Background Perceptions and beliefs about treatment can influence patients’ adherence to treatment regimens. Perceptions, in turn, are often shaped by patients’ sociocultural context. Nepal and the Nepalese have unique sociocultural traditions and beliefs, and their perceptions of diabetes treatment remain largely unexplored. This study explored Nepalese participants’ perceptions of diabetes treatment, and whether perceptions differed between the Nepalese living in Australia and Nepal. Methods Face-to-face qualitative interviews (n=48) were conducted with Nepalese participants with type 2 diabetes in Sydney and Kathmandu. All interviews were audio-recorded, transcribed verbatim, and thematically analyzed. Results Perceptions of diabetes treatment were similar among Nepalese participants in Australia and Nepal. There was a general reluctance to start oral antidiabetic medications and an even greater reluctance to commence parenteral (insulin) therapy. Participants preferred to try lifestyle modifications and alternative treatments such as herbs and “traditional” medicines, particularly as a first step. Unwillingness to take medications was primarily associated with the belief that, once started, these medications needed to be taken for life, and perceptions of long-term harms caused by such medications. Even when commenced on medication, participants were averse to any type of therapy escalation, for example, moving to insulin therapy. Insulin was perceived as the “last option” available for diabetes treatment. Most participants, however, did not find medication taking challenging once they had commenced treatment. Conclusion Antidiabetic medications were perceived to be harmful and unstoppable once initiated. These perceptions significantly impacted participants’ willingness to commence antidiabetic medications and therefore have the potential to adversely affect their medication-taking behavior. This study therefore highlights the need to explore the impact of these perceptions on participants’ medication-taking behavior, and the need to address patients’ views of “modern” (commonly prescribed) and “traditional” (natural) medications through information and education, to ensure increased understanding of how medications are used for diabetes management. PMID:27695296

Coulomb Stress Change and Seismic Hazard of Rift Zones in Southern Tibet after the 2015 Mw7.8 Nepal Earthquake and Its Mw7.3 Aftershock

NASA Astrophysics Data System (ADS)

Dai, Z.; Zha, X.; Lu, Z.

2015-12-01

In southern Tibet (30~34N, 80~95E), many north-trending rifts, such as Yadong-Gulu and Lunggar rifts, are characterized by internally drained graben or half-graben basins bounded by active normal faults. Some developed rifts have become a portion of important transportation lines in Tibet, China. Since 1976, eighty-seven >Mw5.0 earthquakes have happened in the rift regions, and fifty-five events have normal faulting focal mechanisms according to the GCMT catalog. These rifts and normal faults are associated with both the EW-trending extension of the southern Tibet and the convergence between Indian and Tibet. The 2015 Mw7.8 Nepal great earthquake and its Mw7.3 aftershock occurred at the main Himalayan Thrust zone and caused tremendous damages in Kathmandu region. Those earthquakes will lead to significant viscoelastic deformation and stress changes in the southern Tibet in the future. To evaluate the seismic hazard in the active rift regions in southern Tibet, we modeled the slip distribution of the 2015 Nepal great earthquakes using the InSAR displacement field from the ALOS-2 satellite SAR data, and calculated the Coulomb failure stress (CFS) on these active normal faults in the rift zones. Because the estimated CFS depends on the geometrical parameters of receiver faults, it is necessary to get the accurate fault parameters in the rift zones. Some historical earthquakes have been studied using the field data, teleseismic data and InSAR observations, but results are in not agreement with each other. In this study, we revaluated the geometrical parameters of seismogenic faults occurred in the rift zones using some high-quality coseismic InSAR observations and teleseismic body-wave data. Finally, we will evaluate the seismic hazard in the rift zones according to the value of the estimated CFS and aftershock distribution.

Psychotropic drugs in Nepal: perceptions on use and supply chain management.

PubMed

Upadhaya, Nawaraj; Jordans, Mark J D; Gurung, Dristy; Pokhrel, Ruja; Adhikari, Ramesh P; Komproe, Ivan H

2018-01-24

Psychotropic drugs play an important role in the treatment of mental, neurological and substance use disorders. Despite the advancement of the use of psycho-pharmaceuticals in the developed countries, the psychotropic drug production and supply chain management in low- and middle- income countries are still poorly developed. This study aims to explore the perceptions of stakeholders involved in all stages of the psychotropic drug supply chain about the need, quality, availability and effectiveness of psychotropic drugs, as well as barriers to their supply chain management. The study was conducted among 65 respondents from the Kathmandu, Chitwan and Pyuthan districts, grouped into four categories: producers, promoters and distributors (N = 22), policy makers and government actors (N = 8), service providers (N = 21) and service users/family members (N = 14). The respondents reported that psychotropic drugs, despite having side effects, are 1) needed, 2) available in major regional centers and 3) are effective for treating mental health problems. The stigma associated with mental illness, however, forces patients and family members to hide their use of psychotropic drugs. The study found that the process of psychotropic drug supply chain management is similar to other general drugs, with the exceptions of strict pre-approval process, quantity restriction (for production and import), and mandatory record keeping. Despite these regulatory provisions, respondents believed that the misuse of psychotropic drugs is widespread and companies are providing incentives to prescribers and retailers to retain their brand in the market. The production and supply chain management of psychotropic drugs is influenced by the vested interests of pharmaceutical companies, prescribers and pharmacists. In the context of the government of Nepal's policy of integrating mental health into primary health care and increased consumption of psychotropic drugs in Nepal, there is a need for massive education and awareness as well as strict monitoring and supervision to avoid the misuse of psychotropic drugs.

Is economic dependence on the husband a risk factor for intimate partner violence against female factory workers in Nepal?

PubMed

Dhungel, Sunita; Dhungel, Pabita; Dhital, Shalik Ram; Stock, Christiane

2017-09-13

Violence related injury is a serious public health issue all over the world. This study aims to assess the association between several socio-economic factors and intimate partner violence (IPV) in Nepal. A cross-sectional study was conducted among 236 women working in carpet and garment factories in Kathmandu, Nepal. Interviews were conducted to collect quantitative data on three forms of IPV, namely physical violence, psychological violence and sexual violence, as well as on a number of potentially associated factors. Twenty-two percent of women experienced sexual IPV, 28% physical IPV and 35% psychological IPV at least once in the last 12 months. The variables independently associated with at least one form of IPV were: age of the woman >29 years [OR = 4.23, p = 0.025 for physical IPV; OR = 6.94, p = 0.008 for sexual IPV; OR = 3.42, p = 0.043 for psychological IPV], alcohol consumption of the husband [OR = 9.97, p < 0.001 for physical IPV; OR = 3.76, p = 0.004 for sexual IPV; OR = 4.85, p < 0.001 for psychological IPV], education of the husband above primary level [OR = 0.43, p = 0.013 for physical IPV; OR = 0.51, p = 0.033 for psychological IPV], and economic dependency of the woman on the husband [OR = 3.04, p = 0.021 for physical IPV; OR = 2.97, p = 0.008 for psychological IPV]. This study identified various factors associated with IPV and showed that economic dependence of wives on their husband was among the most important ones. Thus, for the prevention of IPV against women, long term strategies aiming at livelihood and economic empowerment as well as independence of women would be suggested.

Clinical Epidemiology and Molecular Analysis of Extended-Spectrum-β-Lactamase-Producing Escherichia coli in Nepal: Characteristics of Sequence Types 131 and 648

PubMed Central

Sherchan, Jatan Bahadur; Miyoshi-Akiyama, Tohru; Ohmagari, Norio; Kirikae, Teruo; Nagamatsu, Maki; Tojo, Masayoshi; Ohara, Hiroshi; Sherchand, Jeevan B.; Tandukar, Sarmila

2015-01-01

Recently, CTX-M-type extended-spectrum-β-lactamase (ESBL)-producing Escherichia coli strains have emerged worldwide. In particular, E. coli with O antigen type 25 (O25) and sequence type 131 (ST131), which is often associated with the CTX-M-15 ESBL, has been increasingly reported globally; however, epidemiology reports on ESBL-producing E. coli in Asia are limited. Patients with clinical isolates of ESBL-producing E. coli in the Tribhuvan University teaching hospital in Kathmandu, Nepal, were included in this study. Whole-genome sequencing of the isolates was conducted to analyze multilocus sequence types, phylotypes, virulence genotypes, O25b-ST131 clones, and distribution of acquired drug resistance genes. During the study period, 105 patients with ESBL-producing E. coli isolation were identified, and the majority (90%) of these isolates were CTX-M-15 positive. The most dominant ST was ST131 (n = 54; 51.4%), followed by ST648 (n = 15; 14.3%). All ST131 isolates were identified as O25b-ST131 clones, subclone H30-Rx. Three ST groups (ST131, ST648, and non-ST131/648) were compared in further analyses. ST648 isolates had a proportionally higher resistance to non-β-lactam antibiotics and featured drug-resistant genes more frequently than ST131 or non-ST131/648 isolates. ST131 possessed the most virulence genes, followed by ST648. The clinical characteristics were similar among groups. More than 38% of ESBL-producing E. coli isolates were from the outpatient clinic, and pregnant patients comprised 24% of ESBL-producing E. coli cases. We revealed that the high resistance of ESBL-producing E. coli to multiple classes of antibiotics in Nepal is driven mainly by CTX-M-producing ST131 and ST648. Their immense prevalence in the communities is a matter of great concern. PMID:25824221

Development of a PICU in Nepal: the experience of the first year.

PubMed

Basnet, Sangita; Shrestha, Shrijana; Ghimire, Amrit; Timila, Dipsal; Gurung, Jeena; Karki, Utkarsha; Adhikari, Neelam; Andoh, Jennifer; Koirala, Janak

2014-09-01

Analysis of hospitalization data can help elucidate the pattern of morbidity and mortality in any given area. Little data exist on critically ill children admitted to hospitals in the resource-limited nation of Nepal. We sought to characterize the profile, management, and mortality of children admitted to one PICU. Retrospective analysis. A newly established PICU in Nepal. All patients between the ages of 0 to 16 years admitted to the PICU from July 2009 to July 2010. None. In 12 months, 126 children were admitted to the PICU including 43% female patients. Sixty-three percent were under 5 years. Twenty-nine percent came from tertiary care hospitals and 38% from rural areas outside Kathmandu. Only 18% were transported by ambulance. Median distance travelled to be admitted was 30 km (interquartile range, 10-193). Highest number of admissions were in spring (40%) followed by summer (25%). Almost half were admitted for shock (45%), particularly septic shock (30%). The second commonest reason for admission was neurologic etiologies (15%). Neonatal admissions were also significant (19%). Mortality was 26% and was significantly associated with septic shock (p < 0.01), mechanical ventilation (p < 0.01), and multiple organ dysfunction (< 0.05). Almost one third of patients required mechanical ventilation; median duration was 4 days (interquartile range, 2-8). Mean length of stay in the hospital was 6.2 days (± 5.3) and median 4 (interquartile range, 2.5-9.0). Median Pediatric Risk of Mortality II score for nonsurvivors was 12 (interquartile range, 7-21), and median Pediatric Index of Mortality II for nonsurvivors was 10 (interquartile range, 3-32). Within a short time of opening, the PICU has been seeing significant numbers of critically ill children. Despite adverse conditions and limited resources, survival of 75% is similar to many units in developing nations. Sepsis was the most common reason for PICU admission and mortality.

Investigation of the effects of hydrogenotrophic denitrification and anammox on the improvement of the quality of the drinking water supply system.

PubMed

Khanitchaidecha, W; Koshy, P; Kamei, T; Shakya, M; Kazama, F

2013-01-01

A drinking water supply system operates at Chyasal (in the Kathmandu Valley, Nepal) for purifying the groundwater that has high levels of ammonium nitrogen (NH4-N). However, high NO3-N concentrations were seen in the water after treatment. To further improve the quality of the drinking water, two types of attached growth reactors were developed for the purification system: (i) a hydrogenotrophic denitrification (HD reactor) and (ii) a concurrent reactor with anammox and hydrogenotrophic denitrification (AnHD reactor). For the HD reactor fed by water containing NO3-N, the denitrification efficiency was high (95-98%) for all NO3-N feed rates (20-40 mg/L). The nitrite-nitrogen (NO2-N) and nitrate-nitrogen (NO3-N) concentrations in the effluent were ∼0.5 mg/L. On the other hand, the AnHD reactor fed with water containing NH4-N and NO2-N was operated under varying flow rates of H2(30-70 mL/min) and intermittent supply periods (1-2 h). The efficiency of the anammox process was found to increase with decreasing H2flow rates or with increasing intermittency of the H2supply, while the efficiency of denitrification decreased under these conditions. For the optimal condition of 1.5 h intermittent H2supply, the anammox and denitrification efficiencies of the AnHD reactor reached 80% and 42%, respectively, while the concentrations of both NH4-N and NO2-N in the effluent were <1.0 mg/L, and no NO3-N was detected. From the experimental results, it is clear that both HD and AnHD reactors can function as efficient and critical units of the water purification system.

Development of an attached growth reactor for NH₄-N removal at a drinking water supply system in Kathmandu Valley, Nepal.

PubMed

Khanitchaidecha, Wilawan; Shakya, Maneesha; Nakano, Yuichi; Tanaka, Yasuhiro; Kazama, Futaba

2012-01-01

Higher concentrations of ammonium (NH(4)-N) and iron (Fe) than a standard for drinking are typical characteristics of groundwater in the study area. To remove NH(4)-N and Fe, the drinking water supply system in this study consists of a series of treatment units (i.e., aeration and sedimentation, filtration, and chlorination); however, NH(4)-N in treated water is higher than a standard for drinking (i.e., <1.5 mg NH(4)-N/L). The objective of this study, therefore, is to develop an attached growth system containing a fiber carrier for reducing NH(4)-N concentration within a safe level in the treated water. To avoid the need of air supply for nitrification, groundwater was continuously dripped through the reactor. It made the system simple operation and energy efficient. Effects of reactor design (reactor length and carrier area) were studied to achieve a high NH(4)-N removal efficiency. In accordance with raw groundwater characteristics in the area, effects of low inorganic carbon (IC) and phosphate (PO(4)-P) and high Fe on the removal efficiency were also investigated. The results showed a significant increase in NH(4)-N removal efficiency with reactor length and carrier area. A low IC and PO(4)-P had no effect on NH(4)-N removal, whereas a high Fe decreased the efficiency significantly. The first 550 days operation of a pilot-scale reactor installed in the drinking water supply system showed a gradual increase in the efficiency, reaching to 95-100%, and stability in the performance even with increased flow rate from 210 to 860 L/day. The high efficiency of the present work was indicated because only less than 1 mg of NH(4)-N/L was left over in the treated water.

Serum 25-hydroxyvitamin d levels and C-reactive protein in persons with human immunodeficiency virus infection.

PubMed

Poudel-Tandukar, Kalpana; Poudel, Krishna C; Jimba, Masamine; Kobayashi, Jun; Johnson, C Anderson; Palmer, Paula H

2013-03-01

Human immunodeficiency virus (HIV) infection has frequently been associated with vitamin D deficiency as well as chronic inflammatory response. We tested the hypothesis of an independent relationship between serum concentrations of 25-hydroxyvitamin D [25(OH)D] and high-sensitivity C-reactive protein (CRP) in a cohort of HIV-positive people. A cross-sectional survey was conducted among 316 HIV-positive people (181 men and 135 women) aged 16 to 60 years residing in the Kathmandu Valley, Nepal. Serum high-sensitivity CRP concentrations and serum 25(OH)D levels were measured by the latex agglutination nephelometry method and the competitive protein-binding assay, respectively. The relationship between serum CRP concentrations and 25(OH)D serum level was assessed using multiple logistic regression analysis with adjustment of potential cardiovascular and HIV-related factors. The proportions of participants with 25(OH)D serum levels <20 ng/ml, 20-30 ng/ml, and ≥30 ng/ml were 83.2%, 15.5%, and 1.3%, respectively. The mean 25(OH)D serum levels in men and women were 15.3 ng/ml and 14.4 ng/ml, respectively. Participants with a 25(OH)D serum level of <20 ng/ml had a 3.2-fold higher odds of high CRP (>3 mg/liter) compared to those with a 25(OH)D serum level of ≥20 ng/ml (p=0.005). Men and women with a 25(OH)D serum level of <20 ng/ml had 3.2- and 2.7-fold higher odds of high CRP (>3 mg/liter), respectively, compared to those with a 25(OH)D serum level of ≥20 ng/ml. The relationships remained significant only in men (p =0.02) but not in women (p=0.28). The risk of having a high level of inflammation (CRP>3 mg/liter) may be high among HIV-positive men and women with a 25(OH)D serum level of <20 ng/ml.

Evaluation of an electricity-free, culture-based approach for detecting typhoidal Salmonella bacteremia during enteric fever in a high burden, resource-limited setting.

PubMed

Andrews, Jason R; Prajapati, Krishna G; Eypper, Elizabeth; Shrestha, Poojan; Shakya, Mila; Pathak, Kamal R; Joshi, Niva; Tiwari, Priyanka; Risal, Manisha; Koirala, Samir; Karkey, Abhilasha; Dongol, Sabina; Wen, Shawn; Smith, Amy B; Maru, Duncan; Basnyat, Buddha; Baker, Stephen; Farrar, Jeremy; Ryan, Edward T; Hohmann, Elizabeth; Arjyal, Amit

2013-01-01

In many rural areas at risk for enteric fever, there are few data on Salmonella enterica serotypes Typhi (S. Typhi) and Paratyphi (S. Paratyphi) incidence, due to limited laboratory capacity for microbiologic culture. Here, we describe an approach that permits recovery of the causative agents of enteric fever in such settings. This approach involves the use of an electricity-free incubator based upon use of phase-change materials. We compared this against conventional blood culture for detection of typhoidal Salmonella. Three hundred and four patients with undifferentiated fever attending the outpatient and emergency departments of a public hospital in the Kathmandu Valley of Nepal were recruited. Conventional blood culture was compared against an electricity-free culture approach. Blood from 66 (21.7%) patients tested positive for a Gram-negative bacterium by at least one of the two methods. Sixty-five (21.4%) patients tested blood culture positive for S. Typhi (30; 9.9%) or S. Paratyphi A (35; 11.5%). From the 65 individuals with culture-confirmed enteric fever, 55 (84.6%) were identified by the conventional blood culture and 60 (92.3%) were identified by the experimental method. Median time-to-positivity was 2 days for both procedures. The experimental approach was falsely positive due to probable skin contaminants in 2 of 239 individuals (0.8%). The percentages of positive and negative agreement for diagnosis of enteric fever were 90.9% (95% CI: 80.0%-97.0%) and 96.0% (92.7%-98.1%), respectively. After initial incubation, Salmonella isolates could be readily recovered from blood culture bottles maintained at room temperature for six months. A simple culture approach based upon a phase-change incubator can be used to isolate agents of enteric fever. This approach could be used as a surveillance tool to assess incidence and drug resistance of the etiologic agents of enteric fever in settings without reliable local access to electricity or local diagnostic microbiology laboratories.

Cross-sectional survey shows that follow-up formula and growing-up milks are labelled similarly to infant formula in four low and middle income countries.

PubMed

Pereira, Catherine; Ford, Rosalyn; Feeley, Alison B; Sweet, Lara; Badham, Jane; Zehner, Elizabeth

2016-04-01

This cross-sectional survey assessed the characteristics of labels of follow-up formula (FUF) and growing-up milk (GUM) compared with infant formula (IF), including cross-promotion practices between FUF/GUM and IF manufactured by the same company, sold in Phnom Penh, Cambodia; Kathmandu Valley, Nepal; Dakar Department, Senegal; and Dar es Salaam, Tanzania. All products were imported. A wide recommended age/age range for introduction was provided by manufacturers across all sites, with products with an age recommendation of 0-6 months being most prevalent in three sites, representing over a third of all products. Various age categories (e.g. 1, 1+ and Stage 1) commonly appeared on labels. A number of descriptive names (e.g. infant formula and milk formula) per category of age of introduction were used with some appearing across more than one category. Images of feeding bottles were found on most labels across all age categories, but prevalence decreased with older age categories. The majority of FUF/GUM manufactured by IF companies across all sites displayed at least one example of cross-promotion with one or more of the company's IF: two-thirds or more contained similar colour schemes/designs and similar brand names; 20-85% had similar slogans/mascots/symbols. A wide and potentially confusing range of ages/categories of introduction and descriptive names were found, and cross-promotion with IF was common on FUF/GUM labels. Global guidance from normative bodies forms the basis of most low and middle income countries policies and should provide specific guidance to prohibit cross-promotion between FUF/GUM and IF, and all three categories should be classified as breastmilk substitutes. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Community intervention to improve knowledge and practices on commonly used drugs.

PubMed

Kafle, K K; Karkee, S B; Shrestha, N; Prasad, R R; Bhuju, G B; Das, P L; Chataut, B D

2010-01-01

World Health Organisation (WHO) estimates that about half of all medicines are inappropriately prescribed, dispensed and sold and about half of all patients fail to take their medicines properly. The overall objective of the study was improving use of medicines in the community by creating awareness among different target groups. It was a pre-post comparison of intervention implemented at the community level in purposively selected Bhaktapur District of Kathmandu Valley, Nepal. The study was conducted in the private schools of the study district. Twelve schools were randomly selected. Thereafter, students from 6-9 grades were listed from the selected schools. Then 15% of the total students in each grade were randomly selected to get six students from each grade of the each school, totaling 288 students. The households of the selected students served as the sample households for the study. Thus, there were 288 households sampled for the study. The intervention and the targeted intermediary groups consisted of a. training of schools teachers b. training of journalists c. interactive discussions of trained school teachers with school children using key messages and c. communication of key messages through the local F.M. radio, newspaper/magazine. There was a significant increase in correct knowledge on action of antibiotics and excellent knowledge on the methods of administration of antibiotics of households after the intervention. Similarly, there was a significant increase in knowledge on cough as a disease and a significant decrease in the use of cough medicines after intervention. There was also a significant increase in excellent knowledge on the sources of vitamins and a significant decrease in the use of vitamin/tonics after the intervention. The participation of intermediary groups eg. school teachers, journalists and school children in the implementation of intervention were successful. The groups have fulfilled the commitments in implementing the plan of action. The key messages have effectively reached the households, and the knowledge and practices of the community members in drug use have improved.

Damage extraction of buildings in the 2015 Gorkha, Nepal earthquake from high-resolution SAR data

NASA Astrophysics Data System (ADS)

Yamazaki, Fumio; Bahri, Rendy; Liu, Wen; Sasagawa, Tadashi

2016-05-01

Satellite remote sensing is recognized as one of the effective tools for detecting and monitoring affected areas due to natural disasters. Since SAR sensors can capture images not only at daytime but also at nighttime and under cloud-cover conditions, they are especially useful at an emergency response period. In this study, multi-temporal high-resolution TerraSAR-X images were used for damage inspection of the Kathmandu area, which was severely affected by the April 25, 2015 Gorkha Earthquake. The SAR images obtained before and after the earthquake were utilized for calculating the difference and correlation coefficient of backscatter. The affected areas were identified by high values of the absolute difference and low values of the correlation coefficient. The post-event high-resolution optical satellite images were employed as ground truth data to verify our results. Although it was difficult to estimate the damage levels for individual buildings, the high resolution SAR images could illustrate their capability in detecting collapsed buildings at emergency response times.

Abdus Salam and Physics Beyond the Standard Model

NASA Astrophysics Data System (ADS)

Shafi, Qaisar

Abdus Salam was my PhD Advisor and I had the privilege of working with him over a long period, in fact, over more than twenty years. I first got to know him in the role of professor and supervisor at Imperial College, London, but starting in the 1980s I also interacted with him at the ICTP in Trieste, Italy, which he had founded in the early 1960s and which subsequently was named after him. We also co-organized (together with Jogesh Pati and Yu Lu) the first BCSPIN school in Kathmandu, Nepal in 1989. Abdus Salam was an exceptional human being, scientist, administrator and politician. He had tremendous strength of character as well as tenacity and discipline. He also had a powerful vision for each of his many pursuits, from science and science education, to building international networks and collaborations to Pakistans political and economic future. Abdus Salam thought in global terms and acted as a global figure well before globalism became a common term...

Rapid Damage Mapping for the 2015 M7.8 Gorkha Earthquake using Synthetic Aperture Radar Data from COSMO-SkyMed and ALOS-2 Satellites

NASA Astrophysics Data System (ADS)

Yun, S. H.; Hudnut, K. W.; Owen, S. E.; Webb, F.; Simons, M.; Macdonald, A.; Sacco, P.; Gurrola, E. M.; Manipon, G.; Liang, C.; Fielding, E. J.; Milillo, P.; Hua, H.; Coletta, A.

2015-12-01

The April 25, 2015 M7.8 Gorkha earthquake caused more than 8,000 fatalities and widespread building damage in central Nepal. Four days after the earthquake, the Italian Space Agency's (ASI's) COSMO-SkyMed Synthetic Aperture Radar (SAR) satellite acquired data over Kathmandu area. Nine days after the earthquake, the Japan Aerospace Exploration Agency's (JAXA's) ALOS-2 SAR satellite covered larger area. Using these radar observations, we rapidly produced damage proxy maps derived from temporal changes in Interferometric SAR (InSAR) coherence. These maps were qualitatively validated through comparison with independent damage analyses by National Geospatial-Intelligence Agency (NGA) and the UNITAR's (United Nations Institute for Training and Research's) Operational Satellite Applications Programme (UNOSAT), and based on our own visual inspection of DigitalGlobe's WorldView optical pre- vs. post-event imagery. Our maps were quickly released to responding agencies and the public, and used for damage assessment, determining inspection/imaging priorities, and reconnaissance fieldwork.

Retrospective histopathological analysis of various neoplasms of the female reproductive system (FRS) seen at the Kathmandu University Teaching Hospital, (KUTH) Dhulikhel, Nepal.

PubMed

Mohammad, A; Makaju, R

2006-01-01

To find out the spectrum of various histopathological types of primary neoplasms of different parts/organs of the female reproductive system seen at the Kathmandu University Teaching Hospital (KUTH) as there exists a worldwide wide variation in the distribution of various neoplasms, which appears largely due to exogenous factors rather than due to inherent differences between populations. This was a retrospective study. It was carried out at KUTH. All neoplasms of the female reproductive system seen at the KUTH during the period of 20 months from 1st January 2004 to 31st August 2005 were included in this study and examined by light microscope (LM). A total number of 60 cases of neoplasms of the female reproductive system were seen. Out of these, 1 (1.7%) was of the vagina (squamous cell carcinoma, papillary variant); 16 (26.7%) were of the cervix of the uterus (all squamous cell carcinoma in advanced stage); none were of the endometrium; 20 (33.3%) were of the body of the uterus/uterine muscle (all liomyomas); 16 (26.7%) were of the ovary, (11 benign, consisting of nine mature cystic tertoma, also known as dermoid cyst, one serous papillary cystdenoma and one mucinous cystadenoma; and, five malignant, consisting of two serous cystadenocarcinoma, two mucinous cystadenocarcinoma and one mixed mucinous and serous cystadenocarcinoma); and, 7 (11.6%) were of the breast (two benign, consisting of fibroadenoma and five malignant, all consisting of infiltrating ductal carcinoma in advanced stage). There were relatively a large number of cases of advanced stage of cancer of uterine cervix. All breast cancers seen were also in advanced stage. Endometrial carcinoma was conspicuously absent in our this small series of cases.

Status of intestinal parasitosis among hospital visiting patients in Deukhury Valley, Dang, Nepal.

PubMed

Khanal, L K; Rai, S K; Khanal, P R; Ghimire, G

2011-06-01

Intestinal parasitosis is highly prevalent among the general population in Nepal. This study aimed to assess the status of intestinal parasitosis among patients attending Deukhury Community Hospital, Lamahi, Dang, situated in the mid western region of Nepal. A total of 210 stool samples examined by direct smear technique were reported. The overall prevalence of intestinal parasitic infection was found to be 21.4% (M = 23.5% vs F = 19.3%). Children < 15 yrs age were infected more often as compared to > 60 yrs and 15-60 yrs aged people. Among adults, Entamoeba histolytica infection was found to be very high compared to high helminthic infection found among children. Finding showed that, the prevalence was significantly high (68.8%) among people having low socio-economic status compared to others (31.1%) (p < 0.05). Among various parasites detected, E. histolytica was the most common parasite (48.8%) followed by helminths, mainly Ascaris lumbricoides (31.1%), hookworm (13.3%), Trichuris trichiura (4.4%) and Taenia species (2.2%) respectively in the locality.

Catastrophic valley fills record large Himalayan earthquakes, Pokhara, Nepal

NASA Astrophysics Data System (ADS)

Stolle, Amelie; Bernhardt, Anne; Schwanghart, Wolfgang; Hoelzmann, Philipp; Adhikari, Basanta R.; Fort, Monique; Korup, Oliver

2017-12-01

Uncertain timing and magnitudes of past mega-earthquakes continue to confound seismic risk appraisals in the Himalayas. Telltale traces of surface ruptures are rare, while fault trenches document several events at best, so that additional proxies of strong ground motion are needed to complement the paleoseismological record. We study Nepal's Pokhara basin, which has the largest and most extensively dated archive of earthquake-triggered valley fills in the Himalayas. These sediments form a 148-km2 fan that issues from the steep Seti Khola gorge in the Annapurna Massif, invading and plugging 15 tributary valleys with tens of meters of debris, and impounding several lakes. Nearly a dozen new radiocarbon ages corroborate at least three episodes of catastrophic sedimentation on the fan between ∼700 and ∼1700 AD, coinciding with great earthquakes in ∼1100, 1255, and 1344 AD, and emplacing roughly >5 km3 of debris that forms the Pokhara Formation. We offer a first systematic sedimentological study of this formation, revealing four lithofacies characterized by thick sequences of mid-fan fluvial conglomerates, debris-flow beds, and fan-marginal slackwater deposits. New geochemical provenance analyses reveal that these upstream dipping deposits of Higher Himalayan origin contain lenses of locally derived river clasts that mark time gaps between at least three major sediment pulses that buried different parts of the fan. The spatial pattern of 14C dates across the fan and the provenance data are key to distinguishing these individual sediment pulses, as these are not evident from their sedimentology alone. Our study demonstrates how geomorphic and sedimentary evidence of catastrophic valley infill can help to independently verify and augment paleoseismological fault-trench records of great Himalayan earthquakes, while offering unparalleled insights into their long-term geomorphic impacts on major drainage basins.

Development and characterization of microsatellite loci in the endangered species Taxus wallichiana (Taxaceae).

PubMed

Gajurel, Jyoti Prasad; Cornejo, Carolina; Werth, Silke; Shrestha, Krishna Kumar; Scheidegger, Christoph

2013-03-01

Microsatellite primers were developed in the endangered tree species Taxus wallichiana from Nepal to investigate regional genetic differentiation, local genetic diversity, and gene flow for the conservation of this species under climate- and land-use change scenarios in mountain regions of Nepal. • We developed 10 highly polymorphic microsatellite markers from 454 DNA sequencing. Characterization of the new microsatellite loci was done in 99 individuals collected from three valleys with different climatic regimes. The number of alleles per locus varied from four to 12. Observed heterozygosity of populations, averaged across loci, ranged from 0.30 to 0.59. • The new markers provided by this study will substantially increase the resolution for detailed studies in phylogeography, population genetics, and parentage analysis.

Pilot study to reduce emissions, improve health, and offset BC emissions through the distribution of improved cook stoves in Nepal

NASA Astrophysics Data System (ADS)

Banmali Pradhan, B.; Panday, A. K.; Surapipith, V.

2013-12-01

In most developing countries, wood and other biomass fuels are still the primary source of energy for the majority of the people, particularly the poor. It is estimated that cook stoves account for approximately 20% of global black carbon emissions. In Nepal 87% of energy is supplied from traditional biomass and 75% of households still depend on biomass as a cooking fuel. The substitution of traditional cook stoves with improved cook stoves provides an important way to reduce black carbon emissions. In 2013 the International Centre for Integrated Mountain Development (ICIMOD) has commenced a pilot study that both examines ways to effectively disseminate improved cookstoves across remote rural mountain regions, and also quantifies the resulting changes in emissions, air quality and health. The selected study area is in Bajrabarahi Village in Makawanpur district, to the southwest of Kathmandu. The study area consists of around 1600 households, which are divided into control groups and groups where the cook stove intervention is taking place. The study complements the ';Clean Cooking energy solution for all by 2017' announced by the Government of Nepal recently, and will provide insights to the government on ways to effectively reduce black carbon emissions from cook stoves. To make the study robust and sustainable, local women's group and a local medical institution are involved in the project right from the conceptualization stage. The study region has been chosen in part because the medical school Patan Academy of Health Sciences (PAHS) has already started a long term health assessment in the region, and has built up considerable local contacts. The local women's group is working on the modality of cook stove distribution through micro credit programmes in the village. We will distribute the best available manufactured, fan-assisted cook stoves that are expected to reduce BC emissions the most. Health assessments, emissions estimates, as well as measurements of indoor and outdoor air quality will be done before and after the stoves are disseminated. Having obtained funds for the purchase of improved cook stoves from Nepal's diesel automobile sector, we compare the emissions of black carbon from the sponsoring diesel vehicles with the reduction in black carbon emissions from the sponsored improved cook stoves, thereby pioneering methods to offset black carbon emissions.

Geological, Geophysical, and Stochastic Factors in Nepal's Gorkha Earthquake-Triggered Landslide Distribution

NASA Astrophysics Data System (ADS)

Kargel, J. S.; Shugar, D. H.; Haritashya, U. K.; Leonard, G. J.; Fielding, E. J.; Hudnut, K. W.; Jibson, R.; Collins, B. D.

2015-12-01

On 25 April 2015, a magnitude 7.8 earthquake struck Nepal. Subsequently many large aftershocks shook the region, including one of magnitude 7.3. Much damage and over 4300 landslides were triggered. The landslides were mapped by a volunteer group who self organized to undertake an emergency response to the earthquake disaster. The number of landslides is fewer than expected based on total released seismic energy. This may be because of lack of a surface rupture and possibly also because of high surface-wave attenuation due to rugged surface topography or to the geological and geophysical characteristics of the upper crust. The observed landslides were primarily in the southern half of the Himalaya in areas where the steepest slopes occur and where peak ground accelerations were relatively high. The landslides are also concentrated on the tectonically downdropped block. However, the distribution is complex and varies dramatically from valley to valley. Furthermore, different types of landslides are concentrated in different geologic materials, which suggests local factors control the valley-scale attenuation or amplification of seismic waves or the way wave disturbances couple to the local geologic materials. Across the earthquake-affected zone on the regional scale, wave attenuation and also net downdrop and uplift may also explain as much about the distribution of landslides as slopes and distance from large slips on the fault. We will offer the regional distribution results and some specific case studies to illustrate a set of possible controlling factors.

Relationship between Heavy Metal Concentrations in Soils and Grasses of Roadside Farmland in Nepal

PubMed Central

Yan, Xuedong; Zhang, Fan; Zeng, Chen; Zhang, Man; Devkota, Lochan Prasad; Yao, Tandong

2012-01-01

Transportation activities can contribute to accumulation of heavy metals in roadside soil and grass, which could potentially compromise public health and the environment if the roadways cross farmland areas. Particularly, heavy metals may enter the food chain as a result of their uptake by roadside edible grasses. This research was conducted to investigate heavy metal (Cu, Zn, Cd, and Pb) concentrations in roadside farmland soils and corresponding grasses around Kathmandu, Nepal. Four factors were considered for the experimental design, including sample type, sampling location, roadside distance, and tree protection. A total of 60 grass samples and 60 topsoil samples were collected under dry weather conditions. The Multivariate Analysis of Variance (MANOVA) results indicate that the concentrations of Cu, Zn, and Pb in the soil samples are significantly higher than those in the grass samples; the concentrations of Cu and Pb in the suburban roadside farmland are higher than those in the rural mountainous roadside farmland; and the concentrations of Cu and Zn at the sampling locations with roadside trees are significantly lower than those without tree protection. The analysis of transfer factor, which is calculated as the ratio of heavy-metal concentrations in grass to those in the corresponding soil, indicates that the uptake capabilities of heavy metals from soil to grass is in the order of Zn > Cu > Pb. Additionally, it is found that as the soils’ heavy-metal concentrations increase, the capability of heavy-metal transfer to the grass decreases, and this relationship can be characterized by an exponential regression model. PMID:23202679

Study of nosocomial isolates of Staphylococcus aureus with special reference to methicillin resistant S. aureus in a tertiary care hospital in Nepal.

PubMed

Shrestha, B; Pokhrel, B; Mohapatra, T

2009-06-01

To find out the prevalence of Staphylococcus aureus nosocomial infection and methicillin resistant S. aureus (MRSA), clinical samples from nosocomially infected patients were processed by following standard methodology in microbiology laboratory, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Of 149 S. aureus isolates, skin infection isolates contributed a major part 72.5% making nosocomial infection by S. aureus most prevalent in skin infection followed by lower respiratory tract infection 11.41% and urinary tract infection 8.7%. Overall MRSA prevalence was 45.0%. MRSA prevalence was 42.6% in skin infection, 82.3% in lower respiratory tract infection and 30.8% in urinary tract infection. MRSA infection was found associated with lower respiratory tract infection only. Highest occurrence of nosocomial infection was observed in female surgical ward, surgical out patient department, orthopedic ward, male surgical ward and maternity ward. MRSA isolation was high from lower respiratory tract of patients admitted in intensive care unit, coronary care unit, Sub-acute intensive care unit, intermediate coronary care unit, neurology ward and post-operative ward. Whereas methicillin sensitive S. aureus (MSSA) occurrence was higher in patients admitted in orthopedic, Surgical out patient department, and female surgical ward. The occurrence of MRSA did not differ with age but MRSA was found associated with male patients and MSSA was associated with female patients. Since MRSA prevalence was high, regular surveillance of MRSA and nosocomial infections should be done and universal precautions to control nosocomial infections should be followed.

Near-Fault Ground Motion Velocity Pulses Input and Its Non-Stationary Characteristics from 2015 Gorkha Nepal Mw7.8 Earthquake KATNP Station

NASA Astrophysics Data System (ADS)

Chen, Bo; Wen, Zengping; Wang, Fang

2017-04-01

Using near-fault strong motions from Nepal Mw7.8 earthquake at KATNP station in the city center of Kathmandu, velocity-pulse and non-stationary characteristics of the strong motions are shown, and the reason and potential effect on earthquake damage for intense non-stationary characteristics of near fault velocity-pulse strong motions are mainly studied. The observed strong ground motions of main shock were collected from KATNP station located in 76 kilometers south-east away from epicenter along with forward direction of the rupture fault at an inter-montane basin of the Himalaya. Large velocity pulse show the period of velocity pulse reach up to 6.6s and peak ground velocity of the pulse ground motion is 120 cm/s. Compared with the median spectral acceleration value of NGA prediction equation, significant long-period amplification effect due to velocity pulse is detected at period more than 3.2s. Wavelet analysis shows that the two horizontal component of ground motion is intensely concentration of energy in a short time range of 25-38s and period range of 4-8s. The maximum wavelet-coefficient of horizontal component is 2455, which is about four time of vertical component of strong ground motion. On the perspective of this study, large velocity pulses are identified from two orthogonal components using wavelet method. Intense non-stationary characteristics amplitude and frequency content are mainly caused by site conditions and fault rupture mechanism, which will help to understand the damage evaluation and serve local seismic design.

Prevalence and factors associated with depressive symptoms among post-partum mothers in Nepal.

PubMed

Giri, Rajendra Kumar; Khatri, Resham Bahadur; Mishra, Shiva Raj; Khanal, Vishnu; Sharma, Vidya Dev; Gartoula, Ritu Prasad

2015-03-31

Post-partum depression is a common complication of women after childbirth. The objective of this study was to determine the prevalence of and factors associated with depressive symptoms among post-partum mothers attending a child immunization clinic at a maternity hospital in Kathmandu, Nepal. This cross-sectional study was conducted among 346 post-partum mothers at six to ten weeks after delivery using systematic random sampling. Mothers were interviewed using a semi-structured questionnaire. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depressive symptoms. Logistic regression analysis was used to calculate the association of post-partum depressive symptoms with socio-demographic and maternal factors. The prevalence of post-partum depressive symptoms among mothers was 30%. Mothers aged 20 to 29 years were less likely to have depressive symptoms (adjusted odds ratio (aOR) = 0.40; 95% CI: 0.21-0.76) compared to older mothers. Similarly, mothers with a history of pregnancy-induced health problems were more likely to have depressive symptoms (aOR = 2.16; CI: 1.00-4.66) and subjective feelings of stress (aOR = 3.86; CI: 1.84-4.66) than mothers who did not. The number of post-partum mothers experiencing depressive symptoms was high; almost one-third of the participants reported having them. Pregnancy-induced health problems and subjective feelings of stress during pregnancy in the post-partum period were found to be associated with depressive symptoms among these women. Screening of depressive symptoms should be included in routine antenatal and postnatal care services for early identification and prevention.

Chapter 5: Buildings (EERI Earthquake Reconnaissance Team Report: M7.8 Gorkha, Nepal Earthquake on April 25, 2015 and its Aftershocks)

USGS Publications Warehouse

Kaushik, Hemant; Bevington, John; Jaiswal, Kishor; Lizundia, Bret; Shrestha, Surya

2016-01-01

The most common building typologies in Nepal are reinforced concrete (RC) frame buildings with masonry infill walls, unreinforced masonry (URM) bearing wall buildings, and wood frame buildings (Figure 5-1). The RC frames with masonry infills are commonly constructed in urban and semi-urban areas. Most of these buildings are three to five stories high, and most privately owned buildings are non-engineered. High rise buildings (up to 17 stories high) are also found in Kathmandu, but their number is limited. Burnt clay bricks are widely used as masonry infill walls; external walls are generally one full brick thick (~ 230 mm), and internal walls are one half brick thick. URM bearing wall buildings are an obvious choice for the population in rural areas and the outskirts of cities, primarily to limit the material expenses. Such buildings are generally two to four stories high and constructed using burnt clay brick masonry or stone masonry with cement, lime, or mud mortar. In some of the older constructions, a different mortar known as Vajra (a mix of lime and brick dust) is also observed. These buildings have either wooden or reinforced concrete flooring. A hybrid type of construction also prevails in semi-urban and rural areas, where wood frames are used in the ground story front façade, and rest of the house is made of unreinforced masonry bearing walls. Wood frame houses (generally two to three stories high) are also observed in rural areas where the material for such construction is easily available.

Source characteristics of the 2015 MW 7.8 Gorkha (Nepal) earthquake and its MW 7.2 aftershock from space geodesy

NASA Astrophysics Data System (ADS)

Feng, Wanpeng; Lindsey, Eric; Barbot, Sylvain; Samsonov, Sergey; Dai, Keren; Li, Peng; Li, Zhenhong; Almeida, Rafael; Chen, Jiajun; Xu, Xiaohua

2017-08-01

On April 25, 2015, a destructive MW 7.8 earthquake struck the capital of Nepal, Kathmandu, killing more than 8800 people and destroying numerous historical structures. We analyze six coseismic interferograms from several satellites (ALOS-2, Sentinel-1 A, and RADARSAT-2), as well as three-dimensional displacements at six GPS stations to investigate fault structure and slip distribution of the Gorkha earthquake. Using a layered crustal structure, the best-fit slip model shows that the preferred dip angle of the mainshock fault is 6 ± 3.5° and the major slip is concentrated within depths of 8-15 km. The maximum slip of 6.0 m occurs at a depth of 11 km, 70 km south east of the epicenter. The coseismic rupture extends 150 km eastward of the epicentre with a cumulative geodetic moment of 7.8 × 1020 Nm, equivalent to an earthquake of MW 7.84. We also investigate the MW 7.2 aftershock on 12 May 2015 using another three postseismic interferograms from ALOS2, RADARSAT-2, and Sentinel-1 A. The InSAR-based best-fit slip model of the largest aftershock implies that its major slip is next to the eastern lower end of the mainshock rupture with a similar maximum slip of 6 m at a depth of 13 km. This study generates various coseismic geodetic measurements to determine the source parameters of the MW 7.8 Gorkha earthquake and 12 May MW 7.2 afershock, providing an additional chance to understand the local fault structure and slip extent.

Impact of the spread of mass education on married women's experience with domestic violence.

PubMed

Ghimire, Dirgha J; Axinn, William G; Smith-Greenaway, Emily

2015-11-01

This paper investigates the association between mass education and married women's experience with domestic violence in rural Nepal. Previous research on domestic violence in South Asian societies emphasizes patriarchal ideology and the widespread subordinate status of women within their communities and families. The recent spread of mass education is likely to shift these gendered dynamics, thereby lowering women's likelihood of experiencing domestic violence. Using data from 1775 currently married women from the Chitwan Valley Family Study in Nepal, we provide a thorough analysis of how the spread of mass education is associated with domestic violence among married women. The results show that women's childhood access to school, their parents' schooling, their own schooling, and their husbands' schooling are each associated with their lower likelihood of experiencing domestic violence. Indeed, husbands' education has a particularly strong, inverse association with women's likelihood of experiencing domestic violence. These associations suggest that the proliferation of mass education will lead to a marked decline in women's experience with domestic violence in Nepal. Copyright © 2015 Elsevier Inc. All rights reserved.

Impact of the Spread of Mass Education on Married Women’s Experience with Domestic Violence

PubMed Central

Ghimire, Dirgha J.; Axinn, William G.; Smith-Greenaway, Emily

2015-01-01

This paper investigates the association between mass education and married women’s experience with domestic violence in rural Nepal. Previous research on domestic violence in South Asian societies emphasizes patriarchal ideology and the widespread subordinate status of women within their communities and families. The recent spread of mass education is likely to shift these gendered dynamics, thereby lowering women’s likelihood of experiencing domestic violence. Using data from 1,775 currently married women from the Chitwan Valley Family Study in Nepal, we provide a thorough analysis of how the spread of mass education is associated with domestic violence among married women. The results show that women’s childhood access to school, their parents’ schooling, their own schooling, and their husbands’ schooling are each associated with their lower likelihood of experiencing domestic violence. Indeed, husbands’ education has a particularly strong, inverse association with women’s likelihood of experiencing domestic violence. These associations suggest that the proliferation of mass education will lead to a marked decline in women’s experience with domestic violence in Nepal. PMID:26463551

Use of a subsurface plankton layer to benefit a cage-culture fishery in Lake Phewa, Nepal

USGS Publications Warehouse

Davis, Melinda F.; Gurung, Tek B.; Shrestha, Bikash; Jones, Susan B.; Wylie, Glenn D.; Perkins, Bruce D.; Jones, John R.

1998-01-01

The Nepalese government and some 225 families in the private sector are engaged in an expanding aquaculture program in lakes Phewa, Begnas and Rupa in the Pokhara Valley, Nepal (Swar & Pradhan 1992). Bighead carp (Aristichthys nobilis) and silver carp (Hypopthalmichthys molitrix) are propagated in hatchery ponds and are raised to market size in mesh enclosures (having sides, tops and bottoms) suspended to a depth of 2 m. Some 300 cages are presently in use, with annual production varying from 3.4 kg/m3 Lake Phewa to about 5 kg/m3 in lakes Begnas and Rupa (Swar & Pradhan 1992). These cage-reared fish are an important source of animal protein and revenue (Swar 1981). Tourism in the region provides growers a continuous market for their fish.

Mount Everest as seen from STS-58

NASA Image and Video Library

1993-10-30

STS058-101-014 (18 Oct-1 Nov 1993) --- The best, most-nearly cloud-free, shuttle view yet of Mount Everest, the highest mountain in the world at 29,028 feet. The peak, on the border between Nepal and China, is almost exactly in the center of the photograph. The challenging North Face is in shadow; valley glaciers radiate in all directions from the central massif.

Application of Vertical Electrical Sounding (VES) for the assessment of Ground Water Potential at Madi Phant, Palpa District, Western Nepal

NASA Astrophysics Data System (ADS)

Khatiwada, B.; Ghimire, H.; Bhusal, U. C.; Shrestha, S. R.; Upadhyay, K.; Khanal, A.; Pandey, D.

2017-12-01

Ground Water Resources Development Board (GWRDB), Government of Nepal, is the sole authority for systematize investigation, and management of ground water in the country. This study was conducted by GWRDB to create a data base of the groundwater potential in the hilly area. The main purpose of the study was to assess the groundwater potential at the Madi Phant Valley, Lesser Himalaya Region, Plapa District, Nepal. Data were acquired from WDJD-4 and analyzed using computer aided software called IPI2win, which yield an automatic interpretation of the apparent resistivity and data were correlated with lithologs of the vertical section. The simulated results of the ten VES points conducted using Schlumberger Configuration with AB/2 varying from 2 to 400 m and MN/2 varying from 0.5 to 50m reveal the presence of 4 to 8 geo-electric layers. Results obtained from software were rechecked by plotting the apparent resistivity value on Log-Log transparent graph sheet and manually interpreted using master curves and auxiliary curves. The resistivity values of the different layers' ranges from 3 Ωm to 3700 Ωm and were statistically analyzed from Golden Software Grapher. Representative resistivity sounding curves with modeled layer obtained after inversion was used to delineate the aquifer and 1D geoelectric sections. The geoelectrical sections for the study area consists of: the topsoil, sandy silt, sand and gravel, fractured rock and the fresh basement rock. The groundwater bearing layer of fractured rock varies between depth of 8-65 meters across foothill site (Eastern Corner) of the study area and groundwater bearing layer of sand and gravel/fractured rock varies between depth of 20-100 m in the central part of the Madi Phant valley. Contour map and 3D map of bedrock and water bearing layers for the conceptual model were prepared with the help of surfer shows that the gradient of the contour is high in the surrounding parts and flat in the center of Valley.

Characterizing the Kathmandu Valley sediment response through strong motion recordings of the 2015 Gorkha earthquake sequence

USGS Publications Warehouse

Rajaure, S.; Asimaki, Domniki; Thompson, Eric M.; Hough, Susan E.; Martin, Stacey; Ampuero, J.P.; Dhital, M.R.; Inbal, A; Takai, N; Shigefuji, M.; Bijukchhen, S; Ichiyanagi, M; Sasatani, T; Paudel, L

2017-01-01

We analyze strong motion records and high-rate GPS measurements of the M 7.8 Gorkha mainshock, M 7.3 Dolakha, and two moderate aftershock events recorded at four stations on the Kathmandu basin sediments, and one on rock-outcrop. Recordings on soil from all four events show systematic amplification relative to the rock site at multiple frequencies in the 0.1–2.5 Hz frequency range, and de-amplification of higher frequencies ( >2.5–10 Hz). The soil-to-rock amplification ratios for the M 7.8 and M 7.3 events have lower amplitude and frequency peaks relative to the ratios of the two moderate events, effects that could be suggestive of nonlinear site response. Further, comparisons to ground motion prediction equations show that 1) both soil and rock mainshock recordings were severely depleted of high frequencies, and 2) the depletion at high frequencies is not present in the aftershocks. These observations indicate that the high frequency deamplification is additionally related to characteristics of the source that are not captured by simplified ground motion prediction equations, and allude to seismic hazard analysis models being revised – possibly by treating isolated high frequency radiation sources separately from long period components to capture large magnitude near-source events such as the 2015 Gorkha mainshock.

10-year record of atmospheric composition in the high Himalayas: source, transport and impact

NASA Astrophysics Data System (ADS)

Bonasoni, Paolo; Laj, Paolo; Marinoni, Angela; Cristofanelli, Paolo; Maione, Michela; Putero, Davide; Calzolari, Francescopiero; Decesari, Stefano; Facchini, Maria Cristina; Fuzzi, Sandro; Gobbi, Gianpaolo; Sellegri, Karine; Verza, Gianpietro; Vuillermoz, Elisa; Arduini, Jgor

2016-04-01

South Asia represents a global "hot-spot" for air-quality and climate impacts. Since the end of the 20th Century, field experiments and satellite observations identified a thick layer of atmospheric pollutants extending from the Indian Ocean up to the atmosphere of the Himalayas. Since large amount of short-lived climate pollutants (SLCPs) - like atmospheric aerosol (in particular, the light-absorbing aerosol) and ozone - characterize this region, severe implications were recognized for population health, ecosystem integrity as well as regional climate impacts, especially for what concerns hydrological cycle, monsoon regimes and cryosphere. Since 2006, the Nepal Climate Observatory - Pyramid (NCO-P, 27.95N, 86.82 E, 5079 m a.s.l.), a global station of the WMO/GAW programme has been active in the eastern Nepal Himalaya, not far from the Mt. Everest. NCO-P is located away from large direct anthropogenic pollution sources. The closest major urban area is Kathmandu (200 km south-west from the measurement site). As being located along the Khumbu valley, the observations are representative of synoptic-scale and mountain thermal circulation, providing direct information about the vertical transport of pollutants/climate-altering compounds to the Himalayas and to the free troposphere. In the framework of international programmes (GAW/WMO, UNEP-ABC, AERONET) the following continuous measurement programmes have been carried out at NCO-P: surface ozone, aerosol size distribution (from 10 nm to 25 micron), total particle number, aerosol scattering and absorption coefficients, equivalent BC, PM1-PM10, AOD by sun-photometry, global solar radiation (SW and LW), meteorology. Long-term sampling programmes for the off-line determination of halogenated gases and aerosol chemistry have been also activated. The atmospheric observation records at NCO-P, now representing the longest time series available for the high Himalayas, provided the first direct evidences about the systematic occurrence of pollution transport and high rate of new particle formation events in this region. Here we provide an overview of the main scientific results obtained during these ten years of research. In particular, we will discuss the impact of atmospheric transport and monsoon variability on atmospheric composition by disentangling the role played by mountain breeze system and synoptic-scale transport. We will provide specific information about the role of stratospheric intrusions, long-range mineral dust transport and open biomass burning emissions in determining the variability of ozone, aerosol and equivalent black carbon concentrations. The effect of particle nucleation processes on aerosol number concentrations will be shown. Finally, we discuss the climatic impact of aerosols observed at NCO-P both in terms of direct atmospheric radiative forcing and black carbon deposition on Himalayan snow.

Rapid damage mapping for the 2015 M7.8 Gorkha earthquake using synthetic aperture radar data from COSMO-SkyMed and ALOS-2 satellites

USGS Publications Warehouse

Yun, Sang-Ho; Hudnut, Kenneth W.; Owen, Susan; Webb, Frank; Simons, Mark; Sacco, Patrizia; Gurrola, Eric; Manipon, Gerald; Liang, Cunren; Fielding, Eric; Milillo, Pietro; Hua, Hook; Coletta, Alessandro

2015-01-01

The 25 April 2015 Mw 7.8 Gorkha earthquake caused more than 8000 fatalities and widespread building damage in central Nepal. The Italian Space Agency’s COSMO–SkyMed Synthetic Aperture Radar (SAR) satellite acquired data over Kathmandu area four days after the earthquake and the Japan Aerospace Exploration Agency’s Advanced Land Observing Satellite-2 SAR satellite for larger area nine days after the mainshock. We used these radar observations and rapidly produced damage proxy maps (DPMs) derived from temporal changes in Interferometric SAR coherence. Our DPMs were qualitatively validated through comparison with independent damage analyses by the National Geospatial-Intelligence Agency and the United Nations Institute for Training and Research’s United Nations Operational Satellite Applications Programme, and based on our own visual inspection of DigitalGlobe’s WorldView optical pre- versus postevent imagery. Our maps were quickly released to responding agencies and the public, and used for damage assessment, determining inspection/imaging priorities, and reconnaissance fieldwork.

2008: A Year of Transition. DoD Global Emerging Infections Surveillance and Response System

DTIC Science & Technology

2009-04-01

surveillance program to 72 countries, 20 Navy ships, 1 foreign ship, and 6 clinics along the Mexican border (four in California, two in Mexico ... Mexico Mongolia Morocco Mozambique Nepal Nicaragua Nigeria Northern Mariana Islands Oman Pakistan Palau Panama Paraguay Peru Philippines Poland Portugal...tested for Arenaviruses, Rift Valley fever virus, rickettsia, Barto- nella, pox viruses, and leishmaniasis in collaboration with the National Museums

Nepalese dental hygiene and dental students' career choice motivation and plans after graduation: a descriptive cross-sectional comparison.

PubMed

Knevel, Ron J M; Gussy, Mark G; Farmer, Jane; Karimi, Leila

2015-12-11

This is the first study of its kind to provide data regarding the self-reported career choice motivation and intentions after graduation of dental and dental hygiene students in Nepal. The findings of this study can be used to inform future oral health workforce planning in Nepal. A cross-sectional survey of dentistry and dental hygiene students attending a large accredited dental college in Kathmandu, Nepal. Quantitative data were analysed using IBM® SPSS® 22. The respondents were given the opportunity to provide clarifying comments to some of the questions. Two hundred questionnaires were distributed, and 171 students completed the anonymous survey (response rate 86 %). Working in health care and serving the community were the most important initial motives for career choice, with significantly more dentistry students selecting their degree course because of the possibility to work flexible working hours (p < .001) compared to dental hygiene students. A majority of the students expressed concern about finding a suitable job (58 %) after graduation. Almost a quarter (23 %) reported intent to seek a job immediately after graduation, while 46 % plan further studies. Dentistry students were more likely to report planning further studies (p = .007) compared to the dental hygiene students. Dental hygiene students express a higher interest in going abroad (p = .011) following graduation. Only 10 % of all students plan to live or work in rural areas after study. Most common preferred locations to live after graduation are urban (33 %) or abroad (38 %). Data suggest a preference to combine working in a hospital with working in their own practice (44 %) while interest in solely working in their own practice is low (<2 %). Many students, though enthusiastic about their profession and expressing the ambition to serve the community, fear unemployment or envision better chances abroad. Most of the students in this study expressed a preference to live in an urban area after graduation. Findings indicate that strong measures are required to incentivise students to consider rural work.

Explaining Religious Differentials in Family Size Preferences: Evidence from Nepal in 1996

PubMed Central

Pearce, Lisa D.; Brauner-Otto, Sarah; Ji, Yingchun

2015-01-01

This paper presents an examination of how religio-ethnic identity, individual religiosity, and family members’ religiosity are related to preferred family size in Nepal. Analyses of survey data from the Chitwan Valley Family Study show that socioeconomic characteristics and individual experiences can suppress, as well as largely account for, religio-ethnic differences in fertility preferences. These religio-ethnic differentials are associated with variance in particularized religious theologies or general value orientations (like son preference) across groups. In addition, individual and family religiosity are both positively associated with preferred family size, seemingly because of their association with religious beliefs that are likely to shape fertility strategies. These findings suggest improvements in how we conceptualize and empirically measure supra-individual religious influence in a variety of settings and for a range of demographically interesting outcomes. PMID:25685878

Explaining religious differentials in family-size preference: Evidence from Nepal in 1996.

PubMed

Pearce, Lisa D; Brauner-Otto, Sarah R; Ji, Yingchun

2015-01-01

We examine how religio-ethnic identity, individual religiosity, and family members' religiosity were related to preferred family size in Nepal in 1996. Analyses of survey data from the Chitwan Valley Family Study show that socio-economic characteristics and individual experiences can suppress, as well as largely account for, religio-ethnic differences in fertility preference. These religio-ethnic differentials are associated with variance in particularized theologies or general value orientations (like son preference) across groups. In addition, individual and family religiosity are both positively associated with preferred family size, seemingly because of their association with religious beliefs—beliefs that are likely to shape fertility strategies. These findings suggest the need for improvements in how we conceptualize and measure supra-individual religious influence in a variety of settings and for a range of demographically interesting outcomes.

Study of Annual Mass Balance (2011-2013) of Rikha Samba Glacier, Hidden Valley, Mustang, Nepal

NASA Astrophysics Data System (ADS)

Gurung, S.; Bhattrai, B. C.; Kayastha, R. B.; Stumm, D.; Joshi, S.; Mool, P. K.

2016-12-01

lthough Himalayan glaciers are of particular interest interms of future water supplies, regional climate changes, and sea-level rises, little is known about them due to lack of reliable and consistent data. There is a need for monitoring these glaciers to bridge this knowledge gap and to provide field measurements necessary to calibrate and validate the results from different remote sensing operations. Therefore, glaciological observations have been carried out by the Cryosphere Monitoring Project (CMP) since September 2011 on Rikha Samba Glacier in Hidden valley, Mustang district in western Nepal in order to study its annual mass balance. This paper presents the first results of that study. There are 10 glaciers in Hidden Valley, named G1, G2, G3, up to G10. Of these, G5 is the Rikha Samba Glacier, which has the largest area (5.37 km2) in this valley and the highest and lowest altitudes (6,476 and 5,392 m a.s.l., respectively). The glacier mass balance discussed in this paper was calculated using the glaciological method and the equilibrium line altitude (ELA).The glacier showed a negative annual point mass balance along the longitudinal profile of its lower part from September 10, 2011 to October 3, 2012. Stake measurements from October 4, 2012 to September 30, 2013 indicated a negative areal average of annual mass balance -0.088±0.019 m w.e. for the whole glacier. Based on these observations, the ELA of the Rikha Samba Glacier is estimated at 5,800 m a.s.l. in 2013. This negative balance may be due to rising air temperatures in the region, which have been incrementally rising since 1980 accompanied by little or no significant increase in precipitation in that period. The negative mass balance confirms the general shrinking trend of the glacier.

[The impact of population growth on Tamba Kosi, a Himalayan valley in Nepal].

PubMed

Verliat, S

1994-01-01

Two several-month-long stays in the isolated Tamba Kosi valley in Nepal in 1983 and 1986 allowed an assessment of the importance of changes in rural societies. In about 50 years, the oldest inhabitants of some villages have seen the number of houses quadruple. In the absence of reliable statistical data, the inhabitants say that the Tamba Kosi valley population has doubled in the last 25 years. This population growth exacerbates the multiethnic fight for good land (i.e., ground of modest slope, hot, and humid). Many people have emigrated, which has somewhat eased problems relative to population growth. Soil degradation, which is becoming more and more acute, drives the inhabitants to cut down trees and clear the land for cultivation of new plots. These new plots are running up against steep slopes and high altitude. Most families have barely two hectares, which must suffice to feed 5-6 people on average. This fuels intensification of agricultural production, resulting in low efficacy. Livestock mutilate forests with their hooves and teeth. The marked increase in the variety of livestock accelerates this destruction. Three types of building materials are used in this high valley: thatch, shingles (fir tree), and bamboo matting. The disappearance of wild grasses used to make thatch roofs and people moving to higher and higher altitudes resulted in use of shingles to make roofs. Buildings made of shingles, which demanded changes in construction techniques, changed the conception of homes. They became the preferred building type, which increased the demand for fir trees and deforestation. This lead to a demand for roofing material made of bamboo matting and another change in construction techniques. The retreat of the forest and disappearance of the most wanted plant species are the most spectacular impacts of population growth. This environmental degradation exacerbates erosion at all bioclimatic altitudes.

The promotion of geosites along a major trail of the Nepal Himalayas: the middle Kali Gandaki Valley.

NASA Astrophysics Data System (ADS)

Adhikari, Narayan; Fort, Monique; Sapkota, Somanath

2017-04-01

The Himalayas mountains, the highest in the world, offer exceptional landscapes, characterized by a large bio- and geo-diversity that should be preserved. Besides World Heritage Sites, recognized by UNESCO and inscribed for their outstanding universal value, a series of National Parks (Khumbu, Langtang, etc.) and Conservation areas (e.g. ACAP…) have been created by the Nepal Government, with the aim of integrating protection, education and sustainable development, in order to protect environmental heritages (flora, fauna, geosites), together with local culture and history, hence encouraging better knowledge and perception of the landscape elements by the visitors in connection with local people. The Himalayas, the result of the India-Asia plates collision, may also be considered both as real outdoor laboratory and museum, where geodynamic activity can be directly tackled and interpreted at different spatial and time scales by scientists. Their findings should be « translated » in simple words and sketches, in such a way that travelers, both local visitors and foreign trekkers, may learn along their itinerary. The conception of posters to be set in specific sites (outcrops and rock types, geological and geomorphological processes, such as major faults, landslides, relicts of glaciation etc.) is certainly the best way to promote geosciences and bring an additional value to travels across the Nepal Himalayas. The Department of Mines and Geology has taken the initiative of such a project. We present here a few examples of such geosites that would worth being illustrated along the famous trail, recently transformed as a motorable road, across the Kali Gandaki valley (Myadi and Mustang districts). On the basis of their geomorphic activity and their significance for local population, we have selected a few scenic places of significant scientific and educational interest (not exhaustive list). (1) Tatopani, famous for its hot-springs, was recently flooded by a landslide which dammed during a few hours the valley. (2) Dana is close to the Main Central Thrust zone (transition from the Lesser to Higher Himalayas units), and is regularly affected by active debris flows, a threat to the recent road. (3) North of Kabre, the large Holocene PahiroThaplo landslide dammed the Kali Gandaki river, which then cut a dramatic epigenetic gorge; (4) Marpha village is characterized by white lacustrine deposits contrasting with the surrounding dark Tethysian sedimentary rocks: it represents the remnants of a large lake, as the result of a giant, most probably prehistoric mountain collapse derived from the Dhaulagiri Peak (8167 m) and its adjacent mountain ridges. On the basis of this first experience and feedback from locals and trekkers, the geosites network will be further extended to other major and touristic trails of Nepal.

Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site.

PubMed

Vaidya, Abhinav; Krettek, Alexandra

2014-03-14

Physical inactivity is a leading risk factor for cardiovascular and other noncommunicable diseases in high-, low- and middle-income countries. Nepal, a low-income country in South Asia, is undergoing an epidemiological transition. Although the reported national prevalence of physical inactivity is relatively low, studies in urban and peri-urban localities have always shown higher prevalence. Therefore, this study aimed to measure physical activity in three domains-work, travel and leisure-in a peri-urban community and assess its variations across different sociodemographic correlates. Adult participants (n=640) from six randomly selected wards of the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) near Kathmandu responded to the Global Physical Activity Questionnaire. To determine total physical activity, we calculated the metabolic equivalent of task in minutes/week for each domain and combined the results. Respondents were categorized into high, moderate or low physical activity. We also calculated the odds ratio for low physical activity in various sociodemographic variables and self-reported cardiometabolic states. The urbanizing JD-HDSS community showed a high prevalence of low physical activity (43.3%; 95% CI 39.4-47.1). Work-related activity contributed most to total physical activity. Furthermore, women and housewives and older, more educated and self-or government-employed respondents showed a greater prevalence of physical inactivity. Respondents with hypertension, diabetes or overweight/obesity reported less physical activity than individuals without those conditions. Only 5% of respondents identified physical inactivity as a cardiovascular risk factor. Our findings reveal a high burden of physical inactivity in a peri-urban community of Nepal. Improving the level of physical activity involves sensitizing people to its importance through appropriate multi-sector strategies that provide encouragement across all sociodemographic groups.

Identification and treatment of Nepal 2015 earthquake survivors with posttraumatic stress disorder by nonspecialist volunteers: An exploratory cross-sectional study.

PubMed

Jha, Arun; Shakya, Suraj; Zang, Yinyin; Pathak, Nishita; Pradhan, Prabhat Kiran; Bhatta, Khem Raj; Sthapit, Sabitri; Niraula, Shanta; Nehete, Rajesh

2017-01-01

In April 2015, a major earthquake struck northern regions of Nepal affecting one-third of the population, and many suffered mental health problems. This study aimed to conduct a preliminary investigation of prevalence and feasibility of brief therapy for posttraumatic stress disorder (PTSD) among earthquake survivors. This is an exploratory cross-sectional study of prevalence and feasibility of brief trauma-focused therapy for PTSD among survivors 3 and 11 months after the earthquake in affected areas near Kathmandu. A team of local nonspecialist mental health volunteers was trained to identify survivors with PTSD using the PTSD checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) (cutoff score 38). They were trained to deliver either shortened versions of narrative exposure therapy (NET)-revised or group-based control-focused behavioral treatment (CFBT). Altogether, 333 survivors were surveyed (130 in July 2015 and 203 in March 2016) with PCL-5 as the screening instrument, using the cutoff score of 38 or more for diagnosing PTSD. A PTSD prevalence of 33% was noted in 2015 and 28.5% in 2016. This drop of 4.5% prevalence in the intervening 8 months suggests that a significant number of survivors are still suffering from PTSD. Most participants were female, aged 40 or above, married, and poorly educated. Compared to the brief (four sessions) individual NET-revised, a group-based CFBT was found more acceptable and affordable. PTSD is common following earthquake trauma, and if untreated, survivors continue to suffer for a long time. Management of PTSD should be included in future disaster management plans.

Identification and treatment of Nepal 2015 earthquake survivors with posttraumatic stress disorder by nonspecialist volunteers: An exploratory cross-sectional study

PubMed Central

Jha, Arun; Shakya, Suraj; Zang, Yinyin; Pathak, Nishita; Pradhan, Prabhat Kiran; Bhatta, Khem Raj; Sthapit, Sabitri; Niraula, Shanta; Nehete, Rajesh

2017-01-01

Context: In April 2015, a major earthquake struck northern regions of Nepal affecting one-third of the population, and many suffered mental health problems. Aims: This study aimed to conduct a preliminary investigation of prevalence and feasibility of brief therapy for posttraumatic stress disorder (PTSD) among earthquake survivors. Settings and Design: This is an exploratory cross-sectional study of prevalence and feasibility of brief trauma-focused therapy for PTSD among survivors 3 and 11 months after the earthquake in affected areas near Kathmandu. Methodology: A team of local nonspecialist mental health volunteers was trained to identify survivors with PTSD using the PTSD checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) (cutoff score 38). They were trained to deliver either shortened versions of narrative exposure therapy (NET)-revised or group-based control-focused behavioral treatment (CFBT). Results: Altogether, 333 survivors were surveyed (130 in July 2015 and 203 in March 2016) with PCL-5 as the screening instrument, using the cutoff score of 38 or more for diagnosing PTSD. A PTSD prevalence of 33% was noted in 2015 and 28.5% in 2016. This drop of 4.5% prevalence in the intervening 8 months suggests that a significant number of survivors are still suffering from PTSD. Most participants were female, aged 40 or above, married, and poorly educated. Compared to the brief (four sessions) individual NET-revised, a group-based CFBT was found more acceptable and affordable. Conclusions: PTSD is common following earthquake trauma, and if untreated, survivors continue to suffer for a long time. Management of PTSD should be included in future disaster management plans. PMID:29085091

Perceived impact of Nepalese food and food culture in diabetes.

PubMed

Sapkota, Sujata; Brien, Jo-Anne E; Gwynn, Josephine; Flood, Victoria; Aslani, Parisa

2017-06-01

Consuming a healthy diet forms an important component of diabetes management; however, adhering to a healthy diet is challenging. Dietary behaviour is often guided by socio-cultural, environmental and emotional factors, and not necessarily by physical and nutritional needs. This study explored Nepalese patients' perceptions of the impact of diet, diet management requirement for diabetes and how Nepalese food culture in particular influenced diet management. Interviews were conducted with Nepalese participants with type 2 diabetes in Sydney and Kathmandu; and data was thematically analysed. Diet was recognized as a cause of, and a key treatment modality, in diabetes. Besides doctors, participants in Nepal received a large amount of dietary information from the community. Dietary changes formed a major component of lifestyle modifications adopted after diagnosis, and mostly consisted of removal of foods with added sugar and foods with high total sugar content from the diet, and a reduction in overall quantity of foods consumed. Perceived dietary restriction requirements created social and emotional discomfort to patients. Most participants perceived the Nepalese food culture as a barrier to effective diet management. Meals high in carbohydrates, limited food choices, and food preparation methods were identified as barriers, particularly in Nepal. In Australia, participants reported greater availability and easier access to appropriate food, and healthier cooking options. The socio-cultural aspects of food behaviour, mainly, food practices during social events were identified as significant barriers. Although diet was acknowledged as an important component of diabetes care, and most adopted changes in their diet post-diagnosis, effective and sustained changes were difficult to achieve. Future public health campaigns and education strategies should focus on improving diet knowledge, awareness of food options for diabetes, and effective dietary management. Copyright © 2017 Elsevier Ltd. All rights reserved.

Comparative attitude and plans of the medical students and young Nepalese doctors.

PubMed

Lakhey, M; Lakhey, S; Niraula, S R; Jha, D; Pant, R

2009-01-01

Many doctors are leaving Nepal to work abroad. To understand this problem better, we decided to study the attitude and plans of young doctors and medical students. This cross-sectional study was conducted at Kathmandu Medical College involving 65 first year medical students, 100 interns and 100 house officers. The data collected was entered in Microsoft excel and analysed by SPSS (Statistical Package for Social Sciences) programme. Chi-square test was used to compare two proportions. Significance level was set at 5%. Only 2% house officers said that their job prospects were excellent as compared to 22.4% of students, whereas 20% house officers as compared to 9% students thought job prospects in Nepal were poor (p= 0.003). Eighty two percent of students thought that a doctor's service to his country was very important as compared to 51% of interns (p= 0.001) and 58% of house officers. Forty percent of students, 58% of interns and 48% of house officers (no statistical significance between the three groups) planned to migrate to a developed country after graduation. Eighty eight percent of students, 89% interns and 74% of house officers (no statistical significant differences between the three groups) were of the opinion that improving career opportunities or working environment of the doctor could make the profession more attractive. Although majority of students, interns and house officers were of the opinion that a doctor's service to his community/country was very important, almost half of them still planned to migrate to a developed country after graduation. Improving the chances of professional advancement and professional working environment can make the profession more attractive, and therefore, may decrease this tendency for brain drain from our country.

Persistent Complex Bereavement Disorder and Culture: Early and Prolonged Grief in Nepali Widows.

PubMed

Kim, Jane; Tol, Wietse A; Shrestha, Abina; Kafle, Hari Maya; Rayamajhi, Rajin; Luitel, Nagendra P; Thapa, Lily; Surkan, Pamela J

2017-01-01

Persistent complex bereavement disorder (PCBD) in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has not been well studied in socioculturally diverse populations. Thus, this qualitative study examined (a) how widows in Nepal understand grief, (b) whether a local construct of PCBD exists, and (c) its comparability with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), terminology. Using an adapted Explanatory Model Interview Catalogue (EMIC) framework, semistructured interviews with 25 widows and 12 key informants, as well as three focus-group discussions (n = 20), were conducted between October 2014 and April 2015. Through an inductive grounded theory-based approach, we used the constant comparative method, iteratively coding transcripts to identify themes and patterns in the data. Also, we created two lists of grief responses, one of early reactions and another all reactions to grief, based on the frequency of mention. No single term for grief was reported. Widows reported a local construct of PCBD, which was broadly compatible with DSM-5 terminology but with important variation reflecting societal influence. Surviving torture during conflict, economic and family stressors, and discrimination were mentioned as important determinants that prolong and complicate grief. Suicidal ideation was common, with about 31% and 62% of widows reporting past-year and lifetime suicidality, respectively. Findings may not be generalizable to all Nepali widows; participants were recruited from a non-governmental organization, from Kathmandu and its neighboring districts, and were primarily of reproductive age. While PCBD symptoms proposed in DSM-5 were mentioned as relevant by study participants, some components may need adaptation for use in non-Western settings, such as Nepal.

Life satisfaction among elderly patients in Nepal: associations with nutritional and mental well-being.

PubMed

Ghimire, Saruna; Baral, Binaya Kumar; Karmacharya, Isha; Callahan, Karen; Mishra, Shiva Raj

2018-06-07

Nepal's demography is aging rapidly, yet few studies to date have examined how this has affected the health and well-being of the elderly, defined as those above 60 years in Nepal's Senior Citizen Act (2006). Our study, abbreviated NepEldQOLII, aims to assess perceived life satisfaction, and evaluate its relationship with nutritional health and mental well-being among the burgeoning Nepalese elderly population. A cross-sectional survey among 289 Nepalese elderly, aged ≥60 years, attending an outpatient clinic of a hospital in Kathmandu, Nepal was conducted. Nutritional status, depression, and life satisfaction were assessed by a mini-nutritional assessment scale (range: 0-14), a geriatric depression scale (range: 0-15), and a satisfaction with life scale (range: 5-35), respectively. Mediation analyses, adjusted for age, sex, marital status, and family type, were used to assess mediating relationships between nutritional and mental wellbeing with life satisfaction as the outcome. Approximately 21% of the participants were dissatisfied with their life. Life satisfaction was positively associated with being married, high family income, involvement in active earning, and a high nutritional score. Conversely, life satisfaction was inversely associated with living in a nuclear (as opposed to joint) family, the perception of having worse health than peers, the perception of being ignored/hated due to old age, and a higher depression score. In mediation analyses, both nutrition (β = 0.48, bias-corrected and accelerated (BCa) 95% CI: 0.27, 0.69) and depression (β = - 0.87, BCa 95% CI: -1.01, - 0.74) had significant direct associations with life satisfaction. Furthermore, both nutrition (β = 0.30, BCa 95% CI: 0.13, 0.49) and depression (β = - 0.07, BCa 95% CI: -0.14, - 0.03) mediate each other's association with life satisfaction. Nutritional score mediated 7% of the total association between depression and life satisfaction; depression mediated 38% of the total association between nutrition and life satisfaction. Life satisfaction shows a pattern of decline as nutritional and mental health status decrease. Both depression and under-nutrition had a significant association with life satisfaction. The pathway by which nutrition affects life satisfaction is influenced by depression as a mediator. Moreover, nutritional status explained a small portion of the relationship between depression and life satisfaction. These observed preliminary findings should be confirmed in future longitudinal studies.

Mental health and psychosocial problems in the aftermath of the Nepal earthquakes: findings from a representative cluster sample survey.

PubMed

Kane, J C; Luitel, N P; Jordans, M J D; Kohrt, B A; Weissbecker, I; Tol, W A

2018-06-01

Two large earthquakes in 2015 caused widespread destruction in Nepal. This study aimed to examine frequency of common mental health and psychosocial problems and their correlates following the earthquakes. A stratified multi-stage cluster sampling design was employed to randomly select 513 participants (aged 16 and above) from three earthquake-affected districts in Nepal: Kathmandu, Gorkha and Sindhupalchowk, 4 months after the second earthquake. Outcomes were selected based on qualitative preparatory research and included symptoms of depression and anxiety (Hopkins Symptom Checklist-25); post-traumatic stress disorder (PTSD Checklist-Civilian); hazardous alcohol use (AUDIT-C); symptoms indicating severe psychological distress (WHO-UNHCR Assessment Schedule of Serious Symptoms in Humanitarian Settings (WASSS)); suicidal ideation (Composite International Diagnostic Interview); perceived needs (Humanitarian Emergency Settings Perceived Needs Scale (HESPER)); and functional impairment (locally developed scale). A substantial percentage of participants scored above validated cut-off scores for depression (34.3%, 95% CI 28.4-40.4) and anxiety (33.8%, 95% CI 27.6-40.6). Hazardous alcohol use was reported by 20.4% (95% CI 17.1-24.3) and 10.9% (95% CI 8.8-13.5) reported suicidal ideation. Forty-two percent reported that 'distress' was a serious problem in their community. Anger that was out of control (symptom from the WASSS) was reported by 33.7% (95% CI 29.5-38.2). Fewer people had elevated rates of PTSD symptoms above a validated cut-off score (5.2%, 95% CI 3.9-6.8), and levels of functional impairment were also relatively low. Correlates of elevated symptom scores were female gender, lower caste and greater number of perceived needs. Residing in Gorkha and Sindhupalchowk districts and lower caste were also associated with greater perceived needs. Higher levels of impaired functioning were associated with greater odds of depression and anxiety symptoms; impaired functioning was less strongly associated with PTSD symptoms. Four months after the earthquakes in Nepal, one out of three adults experienced symptoms of depression and distressing levels of anger, one out of five engaged in hazardous drinking, and one out of ten had suicidal thoughts. However, posttraumatic stress symptoms and functional impairment were comparatively less frequent. Taken together, the findings suggest that there were significant levels of psychological distress but likely low levels of disorder. The findings highlight the importance of indicated prevention strategies to reduce the risk of distress progressing to disorder within post-disaster mental health systems of care.

The Global Earthquake Model and Disaster Risk Reduction

NASA Astrophysics Data System (ADS)

Smolka, A. J.

2015-12-01

Advanced, reliable and transparent tools and data to assess earthquake risk are inaccessible to most, especially in less developed regions of the world while few, if any, globally accepted standards currently allow a meaningful comparison of risk between places. The Global Earthquake Model (GEM) is a collaborative effort that aims to provide models, datasets and state-of-the-art tools for transparent assessment of earthquake hazard and risk. As part of this goal, GEM and its global network of collaborators have developed the OpenQuake engine (an open-source software for hazard and risk calculations), the OpenQuake platform (a web-based portal making GEM's resources and datasets freely available to all potential users), and a suite of tools to support modelers and other experts in the development of hazard, exposure and vulnerability models. These resources are being used extensively across the world in hazard and risk assessment, from individual practitioners to local and national institutions, and in regional projects to inform disaster risk reduction. Practical examples for how GEM is bridging the gap between science and disaster risk reduction are: - Several countries including Switzerland, Turkey, Italy, Ecuador, Papua-New Guinea and Taiwan (with more to follow) are computing national seismic hazard using the OpenQuake-engine. In some cases these results are used for the definition of actions in building codes. - Technical support, tools and data for the development of hazard, exposure, vulnerability and risk models for regional projects in South America and Sub-Saharan Africa. - Going beyond physical risk, GEM's scorecard approach evaluates local resilience by bringing together neighborhood/community leaders and the risk reduction community as a basis for designing risk reduction programs at various levels of geography. Actual case studies are Lalitpur in the Kathmandu Valley in Nepal and Quito/Ecuador. In agreement with GEM's collaborative approach, all projects are undertaken with strong involvement of local scientific and risk reduction communities. Open-source software and careful documentation of the methodologies create full transparency of the modelling process, so that results can be reproduced any time by third parties.

Evaluation of an Electricity-free, Culture-based Approach for Detecting Typhoidal Salmonella Bacteremia during Enteric Fever in a High Burden, Resource-limited Setting

PubMed Central

Andrews, Jason R.; Prajapati, Krishna G.; Eypper, Elizabeth; Shrestha, Poojan; Shakya, Mila; Pathak, Kamal R.; Joshi, Niva; Tiwari, Priyanka; Risal, Manisha; Koirala, Samir; Karkey, Abhilasha; Dongol, Sabina; Wen, Shawn; Smith, Amy B.; Maru, Duncan; Basnyat, Buddha; Baker, Stephen; Farrar, Jeremy; Ryan, Edward T.; Hohmann, Elizabeth; Arjyal, Amit

2013-01-01

Background In many rural areas at risk for enteric fever, there are few data on Salmonella enterica serotypes Typhi (S. Typhi) and Paratyphi (S. Paratyphi) incidence, due to limited laboratory capacity for microbiologic culture. Here, we describe an approach that permits recovery of the causative agents of enteric fever in such settings. This approach involves the use of an electricity-free incubator based upon use of phase-change materials. We compared this against conventional blood culture for detection of typhoidal Salmonella. Methodology/Principal Findings Three hundred and four patients with undifferentiated fever attending the outpatient and emergency departments of a public hospital in the Kathmandu Valley of Nepal were recruited. Conventional blood culture was compared against an electricity-free culture approach. Blood from 66 (21.7%) patients tested positive for a Gram-negative bacterium by at least one of the two methods. Sixty-five (21.4%) patients tested blood culture positive for S. Typhi (30; 9.9%) or S. Paratyphi A (35; 11.5%). From the 65 individuals with culture-confirmed enteric fever, 55 (84.6%) were identified by the conventional blood culture and 60 (92.3%) were identified by the experimental method. Median time-to-positivity was 2 days for both procedures. The experimental approach was falsely positive due to probable skin contaminants in 2 of 239 individuals (0.8%). The percentages of positive and negative agreement for diagnosis of enteric fever were 90.9% (95% CI: 80.0%–97.0%) and 96.0% (92.7%–98.1%), respectively. After initial incubation, Salmonella isolates could be readily recovered from blood culture bottles maintained at room temperature for six months. Conclusions/Significance A simple culture approach based upon a phase-change incubator can be used to isolate agents of enteric fever. This approach could be used as a surveillance tool to assess incidence and drug resistance of the etiologic agents of enteric fever in settings without reliable local access to electricity or local diagnostic microbiology laboratories. PMID:23853696

The importance of providing counselling and financial support to patients receiving treatment for multi-drug resistant TB: mixed method qualitative and pilot intervention studies.

PubMed

Baral, Sushil C; Aryal, Yeshoda; Bhattrai, Rekha; King, Rebecca; Newell, James N

2014-01-17

People with multi-drug resistant tuberculosis (MDR-TB) in low-income countries face many problems during treatment, and cure rates are low. The purpose of the study was (a) to identify and document the problems experienced by people receiving care for MDR-TB, and how they cope when support is not provided, to inform development of strategies; (b) to estimate the effectiveness of two resultant strategies, counselling alone, and joint counselling and financial support, of increasing DOTS-plus treatment success under routine programme conditions. A mixed-method study comprising a formative qualitative study, pilot intervention study and explanatory qualitative study to better understand barriers to completion of treatment for MDR-TB. Participants were all people starting MDR-TB treatment in seven DOTS-plus centres in the Kathmandu Valley, Nepal during January to December 2008. The primary outcome measure was cure, as internationally defined. MDR-TB treatment caused extreme social, financial and employment hardship. Most patients had to move house and leave their job, and reported major stigmatisation. They were concerned about the long-term effects of their disease, and feared infecting others. In the resultant pilot intervention study, the two strategies appeared to improve treatment outcomes: cure rates for those receiving counselling, combined support and no support were 85%, 76% and 67% respectively. Compared with no support, the (adjusted) risk ratios of cure for those receiving counselling and receiving combined support were 1.2 (95% CI 1.0 to 1.6) and 1.2 (95% CI 0.9 to 1.6) respectively. The explanatory study demonstrated that patients valued both forms of support. MDR-TB patients are extremely vulnerable to stigma and extreme financial hardship. Provision of counselling and financial support may not only reduce their vulnerability, but also increase cure rates. National Tuberculosis Programmes should consider incorporating financial support and counselling into MDR-TB care: costs are low, and benefits high, especially since costs to society of incomplete treatment and potential for incurable TB are extremely high.

Hydrochemistry of snow and glacier-fed surface waters in the Gokyo Valley, Nepal: A Pre and Post Earthquake Assessment

NASA Astrophysics Data System (ADS)

Khan, A. L.; McKnight, D. M.; Williams, M. W.; Armstrong, R. L.

2016-12-01

To investigate the impacts of the 2015 earthquakes on water quality and resources in the Gokyo Valley, drinking water samples were collected in the Khumbu region of Nepal in early 2016 and compared to baseline data from November 2012. This study was part of a larger USAID funded project housed at the National Snow and Ice Data Center to understand Contributions to High Asian Run-off from Ice and Snow (CHARIS) which has more than 10 local partners across 8 countries in High Asia. The Gokyo Valley is home to the Ngozumba Glacier and the Gokyo Lakes, which serve as the headwaters to the Dudh Koshi River. Samples were collected from tributary streams, which serve as the local drinking water sources and contribute to the Dudh Koshi watershed, along a transect from Lukla, 9181 ft, to Gokyo, 15, 557 ft. Water samples were analyzed in the field with the Aquagenx, Compartment Bag Test, a low cost method to detect E.coli, an indicator bacteria of fecal contamination. E.coli was present at the lowest elevations. Water samples were also shipped back to CU-Boulder for further chemical analysis including dissolved organic carbon (DOC), total dissolved nitrogen (TDN), arsenic, and oxygen isotopes to identify changes in hydrologic flow paths. These samples are being analyzed over the summer of 2016. Snow samples were also collected along a transect from Namche Bazaar at 11,657 ft to Gokyo Ri at 17,500 ft and have been analyzed for refractory black carbon (rBC). In general, rBC concentrations decreased with increasing elevation, except near local point-sources. Impurities like these reduce surface albedo and increase the amount of solar radiation absorbed by snow/ice, leading to enhanced melt.

Mass Media and Rural Out-Migration in the Context of Social Change: Evidence from Nepal

PubMed Central

Piotrowski, Martin

2011-01-01

This work examines the influence of mass media on rural out-migration using historical and contemporary data from a setting experiencing massive social and economic development in the last half-century. Data come from the Chitwan Valley Family Study, an ongoing study of an agrarian region in rural Nepal. Media are hypothesized to affect migration by inducing attitudinal and behavioral changes similar to those of other determinants of migration. As their influence differs from other determinants in important ways, media represent a unique form of influence that should be taken into account. I find that movie and television exposure are significant determinants of out-migration in historical contexts, although television exposure was important in more contemporary contexts. Differences in these effects probably indicate the timing of the spread of each type of media and changing preferences among media consumers. PMID:23894210

Nonfamily Experience and Receipt of Personal Care in a Rapidly Changing Context

PubMed Central

Yarger, Jennifer; Brauner-Otto, Sarah R.

2013-01-01

Scholars and policy makers have expressed concern that social and economic changes occurring throughout Asia are threatening the well-being of older adults by undercutting their systems of family support. Using a sample of 1,654 men and women aged 45 and older from the Chitwan Valley Family Study in Nepal, we evaluated the relationship between individuals’ nonfamily experiences, such as education, travel, and nonfamily living, and their likelihood of receiving personal care in older adulthood. Overall, we found that among individuals in poor health, those who had received more education, traveled to the capital city, or lived away from their families were less likely to have received personal care in the previous two weeks than adults who had not had these experiences. Our findings provide evidence that although familial connections remain strong in Nepal, experiences in new nonfamily social contexts are tied to lower levels of care receipt. PMID:24999289

Premarital sexual behavior among male college students of Kathmandu, Nepal.

PubMed

Adhikari, Ramesh; Tamang, Jyotsna

2009-07-15

In Nepal, as in other Asian countries, the issue of sexuality still remains a taboo. Despite this fact, an increasing number of sexual activities is being reported by Nepalese students. This trend warrants serious and timely attention. Due to the sensitivity of the topic of premarital sexuality, youth receive inadequate education, guidance and services on reproductive health. The main objectives of this paper are to explore the sexual behavior especially focusing on prevalence of premarital sex among college men and to investigate the factors surrounding premarital sexual behavior. A cross-sectional survey of college students was conducted in April-May 2006. A self-administered questionnaire was completed by 573 male students. Association between premarital sex and the explanatory variables was assessed in bivariate analysis using Chi-square tests. The associations were further explored using multivariate logistic analysis. Despite the religious and cultural restrictions, about two-fifths of survey respondents (39%) reported that they have had premarital sex. The study has also shown that substantial proportions of students indulge in sexual activities as well as risky sexual behavior. Sex with commercial sex workers, multiple sex partners, and inconsistence use of condom with non-regular partner was common among the students. Less than two in five male students (57%) had used condom at the first sexual intercourse.The prevalence of premarital sex varied on different settings. Older students aged 20 and above were more likely to have premarital sex compared with younger students aged 15-19. Men who had liberal attitude towards male virginity at marriage were almost two times more likely to have engaged in premarital sex compared to their counterparts who have conservative attitude towards male virginity at marriage. Moreover, those students who believe in Hindu religion were more than two times (OR = 2.5) more likely to have premarital sex compared with those who follow other religions. Furthermore, those men who have close unmarried friends who have experienced premarital sexual intercourse were eight times (OR = 8.4) more likely to be sexually active compared to those who did not have such sexually active friends. Prevalence of premarital sexual intercourse and risky sexual behavior are not uncommon in Nepal. Young people are exposed to health hazards due to their sexual behavior; hence sex education should be provided. School or college based sexuality education could benefit even out-of-school youths, because their partners often are students.

Sleep quality, internet addiction and depressive symptoms among undergraduate students in Nepal.

PubMed

Bhandari, Parash Mani; Neupane, Dipika; Rijal, Shristi; Thapa, Kiran; Mishra, Shiva Raj; Poudyal, Amod Kumar

2017-03-21

Evidence on the burden of depression, internet addiction and poor sleep quality in undergraduate students from Nepal is virtually non-existent. While the interaction between sleep quality, internet addiction and depressive symptoms is frequently assessed in studies, it is not well explored if sleep quality or internet addiction statistically mediates the association between the other two variables. We enrolled 984 students from 27 undergraduate campuses of Chitwan and Kathmandu, Nepal. We assessed sleep quality, internet addiction and depressive symptoms in these students using Pittsburgh Sleep Quality Index, Young's Internet Addiction Test and Patient Health Questionnaire-9 respectively. We included responses from 937 students in the data analysis after removing questionnaires with five percent or more fields missing. Via bootstrap approach, we assessed the mediating role of internet addiction in the association between sleep quality and depressive symptoms, and that of sleep quality in the association between internet addiction and depressive symptoms. Overall, 35.4%, 35.4% and 21.2% of students scored above validated cutoff scores for poor sleep quality, internet addiction and depression respectively. Poorer sleep quality was associated with having lower age, not being alcohol user, being a Hindu, being sexually active and having failed in previous year's board examination. Higher internet addiction was associated with having lower age, being sexually inactive and having failed in previous year's board examination. Depressive symptoms were higher for students having higher age, being sexually inactive, having failed in previous year's board examination and lower years of study. Internet addiction statistically mediated 16.5% of the indirect effect of sleep quality on depressive symptoms. Sleep quality, on the other hand, statistically mediated 30.9% of the indirect effect of internet addiction on depressive symptoms. In the current study, a great proportion of students met criteria for poor sleep quality, internet addiction and depression. Internet addiction and sleep quality both mediated a significant proportion of the indirect effect on depressive symptoms. However, the cross-sectional nature of this study limits causal interpretation of the findings. Future longitudinal study, where the measurement of internet addiction or sleep quality precedes that of depressive symptoms, are necessary to build upon our understanding of the development of depressive symptoms in students.

Hazard Assessment of Glacial Lake Outburst Flood and Potential of ICTs for Coping: A Case of Eastern Himalaya of Nepal

NASA Astrophysics Data System (ADS)

Bhattarai, D. R.

2015-12-01

Retreat of glaciers and formation of glacial lakes in Nepal Himalaya have been reported to be related with the temperature rise in the region. Glacier Lake Outburst Floods (GLOF) are the growing climate induced hazards in the Himalaya. GLOF has increased the vulnerability of community and fragile ecosystem in the mountain valleys. This study has analyzed the potential impacts from GLOF in the highland of eastern Nepal and the potential role of Information Communication Technologies (ICT) to cope with such impacts. I analyzed the trend of climatic pattern (temperature and precipitation) of the Eastern Himalaya Region of Nepal available from the Department of Hydrology and Meteorology, Government of Nepal, and prepared the latest location map of the glacial lakes using google earth and ArcGIS applications in the highland of the Kanchanjungha Conservation Area of the region. Tiptala glacial lake, located at an elevation of 4950 m, within the conservation area, was selected for the GLOF hazard assessment. I used semi-structured questionnaire survey and key informants' interviews in the community in order to assess the potential hazard of GLOF. With the varying sizes, 46 glacial lakes were located in the region, which covers over 2.57 sq. km in total. Though the larger portion of the downstream area of the Tiptala glacial lake fall in the remote location away from major residential area, few villages, major pasture lands for Yaks, foot trails, and several bridges across the Tamor River below the lake are in risk of GLOF. Poor access due to extreme geographical remoteness and capacity to afford the modern technologies in the community are the major limiting factor to the knowledge and information about the climate change and related impacts. Modern ICTs has high potential to reduce the risk of climate related hazards in the remote area by information dissemination and awareness.

Automatic analysis of the 2015 Gorkha earthquake aftershock sequence.

NASA Astrophysics Data System (ADS)

Baillard, C.; Lyon-Caen, H.; Bollinger, L.; Rietbrock, A.; Letort, J.; Adhikari, L. B.

2016-12-01

The Mw 7.8 Gorkha earthquake, that partially ruptured the Main Himalayan Thrust North of Kathmandu on the 25th April 2015, was the largest and most catastrophic earthquake striking Nepal since the great M8.4 1934 earthquake. This mainshock was followed by multiple aftershocks, among them, two notable events that occurred on the 12th May with magnitudes of 7.3 Mw and 6.3 Mw. Due to these recent events it became essential for the authorities and for the scientific community to better evaluate the seismic risk in the region through a detailed analysis of the earthquake catalog, amongst others, the spatio-temporal distribution of the Gorkha aftershock sequence. Here we complement this first study by doing a microseismic study using seismic data coming from the eastern part of the Nepalese Seismological Center network associated to one broadband station in Everest. Our primary goal is to deliver an accurate catalog of the aftershock sequence. Due to the exceptional number of events detected we performed an automatic picking/locating procedure which can be splitted in 4 steps: 1) Coarse picking of the onsets using a classical STA/LTA picker, 2) phase association of picked onsets to detect and declare seismic events, 3) Kurtosis pick refinement around theoretical arrival times to increase picking and location accuracy and, 4) local magnitude calculation based amplitude of waveforms. This procedure is time efficient ( 1 sec/event), reduces considerably the location uncertainties ( 2 to 5 km errors) and increases the number of events detected compared to manual processing. Indeed, the automatic detection rate is 10 times higher than the manual detection rate. By comparing to the USGS catalog we were able to give a new attenuation law to compute local magnitudes in the region. A detailed analysis of the seismicity shows a clear migration toward the east of the region and a sudden decrease of seismicity 100 km east of Kathmandu which may reveal the presence of a tectonic feature acting as a seismic barrier. Comparison of the aftershock distribution with respect to the coseismic slip distribution will be discussed.d.

Environmental concentration and atmospheric deposition of halogenated flame retardants in soil from Nepal: Source apportionment and soil-air partitioning.

PubMed

Yadav, Ishwar Chandra; Devi, Ningombam Linthoingambi; Li, Jun; Zhang, Gan

2018-02-01

While various investigations have been driven on polybrominated diphenyl ethers (PBDEs) and other flame retardants (FRs) in different framework around the world, information about contamination and fate of PBDEs and other FRs in developing countries especially in the Indian subcontinent is uncommon. Nepal being located in the Indian subcontinent, very little is known about contamination level of semi-volatile organic pollutants discharged into the environment. This motivated us to investigate the environmental fate of halogenated flame retardant (HFRs) in Nepalese condition. In this study, we investigated the concentration, fate, and sources of 9 PBDEs, 2 dechlorane plus isomers (DPs), and 6 novel brominated flame retardants (NBFRs). Moreover, air-soil exchange and soil-air partitioning were also evaluated to characterize the pattern of air-soil exchange and environmental fate. In general, the concentrations of NBFRs in soil were more prevalent than PBDEs and DPs, and accounted 95% of ∑HFRs. By and large, the concentrations of NBFRs and DPs were measured high in Kathmandu, while PBDEs level exceeded in Pokhara. Principal component analysis (PCA) study suggested contributions from commercial penta-, octa-, and deca-BDEs products and de-bromination of highly brominated PBDEs as the significant source of PBDEs. Likewise, low f anti ratio suggested DPs in soil might have originated from long-range atmospheric transport from remote areas, while high levels of decabromodiphenyl ethane (DBDPE) in soil were linked with the use of wide varieties of consumer products. The estimated fugacity fraction (ff) for individual HFR was quite lower (<0.05) than equilibrium value, suggesting that deposition and net transport from air to the soil is overwhelming. Soil-air partitioning study revealed neither octanol-air partition coefficient (K OA ) nor black carbon partition coefficient (K BC-A ) is an appropriate surrogate for soil organic matter (SOM), subsequently, absorption by SOM has no or little role in the partitioning of HFRs. Copyright © 2017 Elsevier Ltd. All rights reserved.

Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site

PubMed Central

Vaidya, Abhinav; Aryal, Umesh Raj; Krettek, Alexandra

2013-01-01

Objectives This study determined the knowledge, attitude and practice/behaviour of cardiovascular health in residents of a semiurban community of Nepal. Design To increase the understanding of knowledge, attitude and practice/behaviour towards cardiovascular health, we conducted in-home interviews using a questionnaire based on the WHO STEPwise approach to surveillance and other resources, scoring all responses. We also recorded blood pressure and took anthropometric measurements. Setting Our study was conducted as part of the Heart-Health-Associated Research and Dissemination in the Community project in the Jhaukhel-Duwakot Health Demographic Surveillance Site in two urbanising villages near Kathmandu. Participants The study population included 777 respondents from six randomly selected clusters in both villages. Results Seventy per cent of all participants were women and 26.9% lacked formal education. The burden of cardiovascular risk factors was high; 20.1% were current smokers, 43.3% exhibited low physical activity and 21.6% were hypertensive. Participants showed only poor knowledge of heart disease causes; 29.7% identified hypertension and 11% identified overweight and physical activity as causes, whereas only 2.2% identified high blood sugar as causative. Around 60% of respondents did not know any heart attack symptoms compared with 20% who knew 2–4 symptoms. Median percentage scores for knowledge, attitude and practice/behaviour were 79.3, 74.3 and 48, respectively. Nearly 44% of respondents had insufficient knowledge and less than 20% had highly satisfactory knowledge. Among those with highly satisfactory knowledge, only 14.7% had a highly satisfactory attitude and 19.5% and 13.9% had satisfactory and highly satisfactory practices, respectively. Conclusions Our study demonstrates a gap between cardiovascular health knowledge, attitude and practice/behaviour in a semiurban community in a low-income nation, even among those already affected by cardiovascular disease. PMID:24157816

Low knowledge and perceived Hepatitis C risk despite high risk behaviour among injection drug users in Kathmandu, Nepal.

PubMed

Loewinger, Gabriel; Sharma, Bishnu; Karki, Deepak Kumar; Khatiwoda, Prasana; Kainee, Sher; Poudel, Krishna C

2016-07-01

In Nepal, prevalence of Hepatitis C (HCV) among injecting drug users (IDUs) has been measured at 50% and knowledge of the virus is low. Rehabilitation and harm reduction attendees constitute populations to whom health care providers can deliver services. As such, characterizing their drug use and risk profiles is important for developing targeted service delivery. We measured drug use and risk patterns of IDUs participating in residential rehabilitation as well as those contacted through needle exchanges to identify correlates of drug use frequency, risky injection practices as well as HCV testing, knowledge and perceived risk. We collected cross-sectional data from one-on-one structured interviews of IDUs contacted through needle-exchange outreach workers (n=202) and those attending rehabilitation centres (behaviour immediately prior to joining rehabilitation) (n=167). Roughly half of participants reported injecting at least 30 times in the past 30 days and individuals with previous residential rehabilitation experience reported frequent injection far more than those without it. About one in fourteen respondents reported past week risky injection practices. Participants were over three times as likely to report risky injection if they consumed alcohol daily (17.2%) than if they did not (5.0%) (p=0.002). Those who reported injecting daily reported risky injection practices (11.9%) significantly more than non-daily injectors (1.8%) (p<0.001). Respondents reported high HCV infection rates, low perceived risk, testing history and knowledge. HCV knowledge was not associated with differences in risky injecting. Treatment centres should highlight the link between heavy drinking, frequent injection and risky injecting practices. The link between rehabilitation attendance and frequent injection may suggest IDUs with more severe use patterns are more likely to attend rehabilitation. Rehabilitation centres and needle exchanges should provide testing and education for HCV. Education alone may not be sufficient to initiate change since knowledge did not predict lower risk. Copyright © 2016 Elsevier B.V. All rights reserved.

Histopathological Changes in the Chorionic Villi and Endometrial Decidual Tissues in the Product of Conception of Spontaneous Abortion Cases.

PubMed

Makaju, R; Shrestha, S; Sharma, S; Dhakal, R; Bhandari, S; Shrestha, A; Tamrakar, S

2015-01-01

Background Spontaneous abortion refers to a pregnancy that ends spontaneously before the fetus has reached a viable gestational age or expulsion or extraction of an embryo or fetus weighing 500 g or less from its mother. The Maternal Mortality Morbidity Survey of Nepal 2008/09 reported that 7% of maternal deaths in Nepal were due to complications related to abortion. Objective The main objective of this study was to examine the histopathological changes in the chorionic villi and endometrial decidual tissue in products of conception obtained from women with spontaneous abortion. Method This is a retrospective study of 111 patients admitted in the Department of Obstetrics and Gynecology at Dhulikhel Hospital, Kathmandu University Hospital (DH-KUH) with the diagnosis of spontaneous abortion during the period of January 2013 to January 2014. Result Among 111 cases of spontaneous abortions, products of conception was seen in 73 (65.77%) and with only one cases of choriocarcinoma. Majority of cases belongs to age group 21-30 years. The most common decidual changes were inflammation (41.4%) followed by fibrin deposition 29.7%. Majority of the cases shows hydropic changes as histopathological changes in chorionic villi. In the present study, minimum age of lady was 15 years and the maximum age was 45 years and the mean age was 25.09±5.58 years at the time of abortion. Among the cases, maximum 69 (62.2%) of them belonged to age group 21-30 years. Correlating the age group with number of abortions was found to be significantly different (Chi-square= 92.35, df= 3, p < 0.001) among four different age groups. Conclusion The histopathological diagnosis of spontaneous abortion will help in further management of the patient. Further study is required to know the cause of different histopathlogical changes in villi as well as in the decidua.

International Aftershock Forecasting: Lessons from the Gorkha Earthquake

NASA Astrophysics Data System (ADS)

Michael, A. J.; Blanpied, M. L.; Brady, S. R.; van der Elst, N.; Hardebeck, J.; Mayberry, G. C.; Page, M. T.; Smoczyk, G. M.; Wein, A. M.

2015-12-01

Following the M7.8 Gorhka, Nepal, earthquake of April 25, 2015 the USGS issued a series of aftershock forecasts. The initial impetus for these forecasts was a request from the USAID Office of US Foreign Disaster Assistance to support their Disaster Assistance Response Team (DART) which coordinated US Government disaster response, including search and rescue, with the Government of Nepal. Because of the possible utility of the forecasts to people in the region and other response teams, the USGS released these forecasts publicly through the USGS Earthquake Program web site. The initial forecast used the Reasenberg and Jones (Science, 1989) model with generic parameters developed for active deep continental regions based on the Garcia et al. (BSSA, 2012) tectonic regionalization. These were then updated to reflect a lower productivity and higher decay rate based on the observed aftershocks, although relying on teleseismic observations, with a high magnitude-of-completeness, limited the amount of data. After the 12 May M7.3 aftershock, the forecasts used an Epidemic Type Aftershock Sequence model to better characterize the multiple sources of earthquake clustering. This model provided better estimates of aftershock uncertainty. These forecast messages were crafted based on lessons learned from the Christchurch earthquake along with input from the U.S. Embassy staff in Kathmandu. Challenges included how to balance simple messaging with forecasts over a variety of time periods (week, month, and year), whether to characterize probabilities with words such as those suggested by the IPCC (IPCC, 2010), how to word the messages in a way that would translate accurately into Nepali and not alarm the public, and how to present the probabilities of unlikely but possible large and potentially damaging aftershocks, such as the M7.3 event, which had an estimated probability of only 1-in-200 for the week in which it occurred.

Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site

PubMed Central

2014-01-01

Background Physical inactivity is a leading risk factor for cardiovascular and other noncommunicable diseases in high-, low- and middle-income countries. Nepal, a low-income country in South Asia, is undergoing an epidemiological transition. Although the reported national prevalence of physical inactivity is relatively low, studies in urban and peri-urban localities have always shown higher prevalence. Therefore, this study aimed to measure physical activity in three domains—work, travel and leisure—in a peri-urban community and assess its variations across different sociodemographic correlates. Methods Adult participants (n = 640) from six randomly selected wards of the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) near Kathmandu responded to the Global Physical Activity Questionnaire. To determine total physical activity, we calculated the metabolic equivalent of task in minutes/week for each domain and combined the results. Respondents were categorized into high, moderate or low physical activity. We also calculated the odds ratio for low physical activity in various sociodemographic variables and self-reported cardiometabolic states. Results The urbanizing JD-HDSS community showed a high prevalence of low physical activity (43.3%; 95% CI 39.4–47.1). Work-related activity contributed most to total physical activity. Furthermore, women and housewives and older, more educated and self-or government-employed respondents showed a greater prevalence of physical inactivity. Respondents with hypertension, diabetes or overweight/obesity reported less physical activity than individuals without those conditions. Only 5% of respondents identified physical inactivity as a cardiovascular risk factor. Conclusions Our findings reveal a high burden of physical inactivity in a peri-urban community of Nepal. Improving the level of physical activity involves sensitizing people to its importance through appropriate multi-sector strategies that provide encouragement across all sociodemographic groups. PMID:24628997

Pharmacotherapy of Bipolar Affective Disorder: A Hospital based Study from Sub Himalayan Valley of Nepal

PubMed Central

Sathian, Brijesh; Chakraborty, Prasanta Kumar; Banerjee, Indraneel; Roy, Bedanta; Jauhari, Akhilesh Chandra; Saha, Archana

2014-01-01

Introduction: In Bipolar disorder the mood of the patients fluctuates between depression and mania. The main objective of the study was to find out the commonest mood stabilizers used for the treatment of Bipolar affective disorders in Western Nepal in hospitalized patients in an actual clinical set up. Methods: This was a cross-sectional study which was conducted between October 2009 and September 2010 at Psychiatric ward at Manipal teaching hospital, Pokhara, Nepal, a tertiary care hospital situated in Western Nepal. The diagnosis of the disease was based on ICD-10 (Tenth revision) Classification of mental and Behavioural disorders, Diagnostic Criteria for Research. We calculated odds ratio and their 95% confidence intervals (95% CI). p< 0.05 was considered as statistically significant. Results: 62.1% of the patients were less than 40 yrs, 56.3% were male, 72.4% were unemployed and 75.9% of the patients were having monthly income <10,000/month. As far as ethnicity is concerned 37.9% of the cases were Brahmin and by occupation 29.9% of the patients were students followed by housewife 25.3%, labour 17.2%, retired 13.8% respectively. Drugs and Psychotherapy [OR 1.4, 95% (CI 0.575, 3.4017)] was prescribed in age <40 years as compared to age>40 yrs. Male patients [OR 7.22, 95% (CI 0.862, 60.499)] and [OR 2.353, 95% (CI 0.857, 6.455)] received drugs by trade names and drugs not from the national drug list of Nepal as compared to females. Monthly income <10,000/month and [OR 2.8, 95% (CI 0.742, 10.56)] tendency of receiving drugs by trade names. Among the mood elevators Sodium valproate was the commonest drug to be prescribed in 51/87(58.6%) patients followed by Lithium in 30/87 (34.5%) cases and Carbamazepine in 6/87 (6.9%) cases. Sodium valproate was prescribed at 1,000 mg/day, Lithium was prescribed at 900 mg/day in and Carbamazepine was prescribed at 800 mg/day. Conclusion: Among all the mood elevators Sodium valproate is the commonest drug prescribed for the treatment of bipolar affective disorder, recommended that there is a trend of using newer drugs like sodium valproate rather than the conventional mood stabilizers like Lithium for bipolar affective disorder in Western Development region of Nepal. PMID:25121003

MTV's "Staying Alive" global campaign promoted interpersonal communication about HIV and positive beliefs about HIV prevention.

PubMed

Geary, Cynthia Waszak; Burke, Holly McClain; Castelnau, Laure; Neupane, Shailes; Sall, Yacine Ba; Wong, Emily; Tucker, Heidi Toms

2007-02-01

In 2002 MTV launched a global multicomponent HIV prevention campaign, "Staying Alive," reaching over 166 countries worldwide. An evaluation of this campaign focused on three diverse sites: Kathmandu, Nepal; São Paulo, Brazil; and Dakar, Senegal. Data were collected before and after campaign implementation through population-based household surveys. Using linear regression techniques, our evaluation examined the effects of campaign exposure on interpersonal communication about HIV and the effects of campaign exposure and interpersonal communication on beliefs about HIV prevention. We found a consistent positive effect of exposure on interpersonal communication across all sites, though there were differences among sites with regard to whom the respondent talked about HIV. We also found a consistent positive effect of exposure on HIV prevention beliefs across sites when interpersonal communication was simultaneously entered into the model. Finally, in two sites we found a relationship between interpersonal communication and HIV prevention beliefs, controlling for exposure, though again, the effects differed by the type of person the communication was with. These similar findings in three diverse sites provide ecological validity of the findings that "Staying Alive" promoted interpersonal communication and influenced young people's beliefs about HIV prevention in a positive way, evidence for the potential of a global media campaign to have an impact on social norms.

Seasonal Changes in Bird Species and Feeding Guilds along Elevational Gradients of the Central Himalayas, Nepal

PubMed Central

Katuwal, Hem Bahadur; Basnet, Khadga; Khanal, Bhaiya; Devkota, Shiva; Rai, Sanjeev Kumar; Gajurel, Jyoti Prasad; Scheidegger, Christoph; Nobis, Michael P.

2016-01-01

The Himalayas are a global hotspot for bird diversity with a large number of threatened species, but little is known about seasonal changes in bird communities along elevational gradients in this region. We studied the seasonality of bird diversity in six valleys of the Central Himalayas, Nepal. Using 318 plots with a 50 m radius, located from 2200 to 3800 m a.s.l., and repeated sampling during different seasons (mainly pre-monsoon, monsoon, and post-monsoon), we analyzed 3642 occurrences of 178 species. Birds classified in the literature as resident were more species-rich than migratory birds (140 vs. 38 species). In all six valleys and within the studied elevation range, species richness of all birds showed a peak at mid-elevation levels of 2600 or 3000 m a.s.l. Similar patterns were found for the most species-rich feeding guilds of insectivores (96 species) and omnivores (24 species), whereas the species richness of herbivores (37 species including frugivores) increased towards higher elevations. Among these feeding guilds, only species richness of insectivores showed pronounced seasonal changes with higher species numbers during post-monsoon season. Similarly, individual bird species showed distinct spatio-temporal distribution patterns, with transitions from species dominated by elevational differences to those characterized by strong seasonal changes. In an era of climate change, the results demonstrate that individual bird species as well as feeding guilds might greatly differ in their responses to climate warming and changes in the seasonality of the precipitation regime, two aspects of climate change which should not be analyzed independently. PMID:27367903

Gatifloxacin versus ceftriaxone for uncomplicated enteric fever in Nepal: an open-label, two-centre, randomised controlled trial.

PubMed

Arjyal, Amit; Basnyat, Buddha; Nhan, Ho Thi; Koirala, Samir; Giri, Abhishek; Joshi, Niva; Shakya, Mila; Pathak, Kamal Raj; Mahat, Saruna Pathak; Prajapati, Shanti Pradhan; Adhikari, Nabin; Thapa, Rajkumar; Merson, Laura; Gajurel, Damodar; Lamsal, Kamal; Lamsal, Dinesh; Yadav, Bharat Kumar; Shah, Ganesh; Shrestha, Poojan; Dongol, Sabina; Karkey, Abhilasha; Thompson, Corinne N; Thieu, Nga Tran Vu; Thanh, Duy Pham; Baker, Stephen; Thwaites, Guy E; Wolbers, Marcel; Dolecek, Christiane

2016-05-01

Because treatment with third-generation cephalosporins is associated with slow clinical improvement and high relapse burden for enteric fever, whereas the fluoroquinolone gatifloxacin is associated with rapid fever clearance and low relapse burden, we postulated that gatifloxacin would be superior to the cephalosporin ceftriaxone in treating enteric fever. We did an open-label, randomised, controlled, superiority trial at two hospitals in the Kathmandu valley, Nepal. Eligible participants were children (aged 2-13 years) and adult (aged 14-45 years) with criteria for suspected enteric fever (body temperature ≥38·0°C for ≥4 days without a focus of infection). We randomly assigned eligible patients (1:1) without stratification to 7 days of either oral gatifloxacin (10 mg/kg per day) or intravenous ceftriaxone (60 mg/kg up to 2 g per day for patients aged 2-13 years, or 2 g per day for patients aged ≥14 years). The randomisation list was computer-generated using blocks of four and six. The primary outcome was a composite of treatment failure, defined as the occurrence of at least one of the following: fever clearance time of more than 7 days after treatment initiation; the need for rescue treatment on day 8; microbiological failure (ie, blood cultures positive for Salmonella enterica serotype Typhi, or Paratyphi A, B, or C) on day 8; or relapse or disease-related complications within 28 days of treatment initiation. We did the analyses in the modified intention-to-treat population, and subpopulations with either confirmed blood-culture positivity, or blood-culture negativity. The trial was powered to detect an increase of 20% in the risk of failure. This trial was registered at ClinicalTrials.gov, number NCT01421693, and is now closed. Between Sept 18, 2011, and July 14, 2014, we screened 725 patients for eligibility. On July 14, 2014, the trial was stopped early by the data safety and monitoring board because S Typhi strains with high-level resistance to ciprofloxacin and gatifloxacin had emerged. At this point, 239 were in the modified intention-to-treat population (120 assigned to gatifloxacin, 119 to ceftriaxone). 18 (15%) patients who received gatifloxacin had treatment failure, compared with 19 (16%) who received ceftriaxone (hazard ratio [HR] 1·04 [95% CI 0·55-1·98]; p=0·91). In the culture-confirmed population, 16 (26%) of 62 patients who received gatifloxacin failed treatment, compared with four (7%) of 54 who received ceftriaxone (HR 0·24 [95% CI 0·08-0·73]; p=0·01). Treatment failure was associated with the emergence of S Typhi exhibiting resistance against fluoroquinolones, requiring the trial to be stopped. By contrast, in patients with a negative blood culture, only two (3%) of 58 who received gatifloxacin failed treatment versus 15 (23%) of 65 who received ceftriaxone (HR 7·50 [95% CI 1·71-32·80]; p=0·01). A similar number of non-serious adverse events occurred in each treatment group, and no serious events were reported. Our results suggest that fluoroquinolones should no longer be used for treatment of enteric fever in Nepal. Additionally, under our study conditions, ceftriaxone was suboptimum in a high proportion of patients with culture-negative enteric fever. Since antimicrobials, specifically fluoroquinolones, are one of the only routinely used control measures for enteric fever, the assessment of novel diagnostics, new treatment options, and use of existing vaccines and development of next-generation vaccines are now a high priority. Wellcome Trust and Li Ka Shing Foundation. Copyright © 2016 Arjyal et al. Open Access article distributed under the terms of CC BY. Published by Elsevier Ltd.. All rights reserved.

Hazard Assessment of Glacial Lake Outburst Flood and Potential of ICTs for Coping: A Case of Eastern Himalaya of Nepal

NASA Astrophysics Data System (ADS)

Bhattarai, D. R.; Pradhananga, D.

2014-12-01

Alarming rate of retreat of glaciers and formation of glacial lakes in higher elevation of Nepal Himalaya has been reported to be related with the pronounced atmospheric temperature rise in the region. Glacier Lake Outburst Floods (GLOF) are the growing climate induced hazards in the Himalaya increasing the vulnerability of community living in the mountain valley, and the fragile ecosystem. This study tried to come up with the potential impacts from glacial lake outburst flood (GLOF) in highland of eastern region of Nepal and potential role of Information Communication Technologies (ICT) in coping. I analyzed the trend of climatic pattern (temperature and precipitation) of the Eastern Himalaya Region of Nepal available from Department of Hydrology and Meteorology (DHM), Government of Nepal, and also prepared the latest location map of the glacial lakes using google earth and ArcGIS application in the highland of the Kanchanjungha Conservation Area of the region. Tiptala glacial lake, located at an elevation of 4950 masl, within the conservation area, was selected for the GLOF hazard assessment. I used semi-structured questioner survey and key informants interviews in the community living below the lake in the highland of the study area in order to assess the potential hazard of GLOF. Analysis shows the increasing trend of atmospheric temperature in the region. With the varying sizes, 46 glacial lakes were located in the region, which covers over 2.57 sq. km in total. Though the larger portion of the downstream area of the Tiptala glacial lake fall in the remote location away from major residential area, few villages, major pasture lands for Yaks, foot trails, and several bridges across the Tamor River below the lake are in risk of GLOF. Poor access due to extreme geographical remoteness and capacity to afford the modern technologies in the community is seen as the major limiting factor to the knowledge and information about the climate change and related impacts. Modern ICTs has high potential to reduce the risk of climate related hazards in the remote area by information dissemination and awareness.

Pre-monsoon air quality over Lumbini, a world heritage site along the Himalayan foothills

NASA Astrophysics Data System (ADS)

Rupakheti, Dipesh; Adhikary, Bhupesh; Siva Praveen, Puppala; Rupakheti, Maheswar; Kang, Shichang; Singh Mahata, Khadak; Naja, Manish; Zhang, Qianggong; Panday, Arnico Kumar; Lawrence, Mark G.

2017-09-01

Lumbini, in southern Nepal, is a UNESCO world heritage site of universal value as the birthplace of Buddha. Poor air quality in Lumbini and surrounding regions is a great concern for public health as well as for preservation, protection and promotion of Buddhist heritage and culture. We present here results from measurements of ambient concentrations of key air pollutants (PM, BC, CO, O3) in Lumbini, first of its kind for Lumbini, conducted during an intensive measurement period of 3 months (April-June 2013) in the pre-monsoon season. The measurements were carried out as a part of the international air pollution measurement campaign; SusKat-ABC (Sustainable Atmosphere for the Kathmandu Valley - Atmospheric Brown Clouds). The main objective of this work is to understand and document the level of air pollution, diurnal characteristics and influence of open burning on air quality in Lumbini. The hourly average concentrations during the entire measurement campaign ranged as follows: BC was 0.3-30.0 µg m-3, PM1 was 3.6-197.6 µg m-3, PM2. 5 was 6.1-272.2 µg m-3, PM10 was 10.5-604.0 µg m-3, O3 was 1.0-118.1 ppbv and CO was 125.0-1430.0 ppbv. These levels are comparable to other very heavily polluted sites in South Asia. Higher fraction of coarse-mode PM was found as compared to other nearby sites in the Indo-Gangetic Plain region. The ΔBC / ΔCO ratio obtained in Lumbini indicated considerable contributions of emissions from both residential and transportation sectors. The 24 h average PM2. 5 and PM10 concentrations exceeded the WHO guideline very frequently (94 and 85 % of the sampled period, respectively), which implies significant health risks for the residents and visitors in the region. These air pollutants exhibited clear diurnal cycles with high values in the morning and evening. During the study period, the worst air pollution episodes were mainly due to agro-residue burning and regional forest fires combined with meteorological conditions conducive of pollution transport to Lumbini. Fossil fuel combustion also contributed significantly, accounting for more than half of the ambient BC concentration according to aerosol spectral light absorption coefficients obtained in Lumbini. WRF-STEM, a regional chemical transport model, was used to simulate the meteorology and the concentrations of pollutants to understand the pollutant transport pathways. The model estimated values were ˜ 1. 5 to 5 times lower than the observed concentrations for CO and PM10, respectively. Model-simulated regionally tagged CO tracers showed that the majority of CO came from the upwind region of Ganges Valley. Model performance needs significant improvement in simulating aerosols in the region. Given the high air pollution level, there is a clear and urgent need for setting up a network of long-term air quality monitoring stations in the greater Lumbini region.

Characterization of the Jure (Sindhupalchok, Nepal) Landslide by TLS and field investigations

NASA Astrophysics Data System (ADS)

Jaboyedoff, Michel; Leibundgut, Geoffroy; Penna, Ivanna; Dahal, Ranjan Kumar; Sevkota, Sanjaya; Sudmeier, Karen

2015-04-01

On August 2nd 2014, a huge rockslide of approximately 5 million m3 blocked the Sun-Koshi River upstream of Jure village (Northeast of Kathmandu, Nepal). This landslide killed approximately 155 people, destroying approximately 120 houses completely and 37 partially. The main road leading to China was cut and the Sun-Koshi hydropower plant was affected. The landslide dammed the river, creating a 2 km long lake. During the whole month of August the authorities and the army managed to drain the lake in order to avoid a potential dam collapse and a disaster by flooding downstream. In addition, a road was built very quickly in the opposite slope of the rockslide. The main road was reopened in November 2014 crossing the rock avalanche deposit to reach China border. Rocky steep slope on right bank of lake is used for earthen road construction. After the quick draining of the lake water on October 5, 2014, many landslides were induced or reactivated on the slopes along the lake shore. Some are affecting the slopes over several hundred in uphill section. However, the roads are also promoting shallow landslides or old landslides reactivation. The DEM extracted from merging 16 terrestrial laser scanner (TLS) acquisitions permits to analyse the rock fall avalanche volume, scar structure and deposits. The rockslide was developed in phyllites, quartzite and sandstones. The stratification is folded but mainly subhorizontal in the scar area, while the scar is defined by several faults and visible joint sets. Using TLS and SRTM data the volume of the rockslide can be approximated at 5 million m3. From TLS data it is also possible to identify regional faults, which form the back scar with a dip of approximately 165°/60°. The discontinuity sets ~250°/60° and 075°/45° are forming oblique shallow wedges. In addition, subvertical joints which are cutting the whole scar are oriented north 145°. All these structures permits to define the volume involved in the rockslide. Satellite images since 2000 indicate an increasing rock fall and scarp development activity of the landslide before this catastrophic event and scarp development. In addition, it seems that some ephemeral springs developed below the unstable mass. The rockslide generated a rock avalanche, which is documented by the effect of volume on the travel distance. This Farböshung varies between 22° and 24° depending on the type of substratum, which is a bit above the standard values. The spreading of the rock mass can be also reproduced by simulations. It seems that the rockslide ran up the opposite slope and then receded as proposed by Crosta et al. (2003) for Val Pola. Furthermore the upper layer of soils on the failure area created an area of "mud splash" in the frontal part of the rock avalanche. Mud splash is supported by the mud and dust cover found in the trees on the opposite slope near the landslide dam. The analysis of this rock avalanche confirmed the general observation that can be made for present rockslides in general. It reactivated large scale instabilities. In addition, the location of such rockslide developed in complex structures accompanied by a degradation of the rock mass conditions. In addition, the impact of the lake on slope stability in and around the reservoir can be noticed. References: Crosta G.B., Imposimato S. and Roddeman D. G. (2003): Numerical modelling of large landslides stability and runout. Natural Hazards and Earth System Sciences, 3: 523-538 ICIMOD (2015): Eye on the Sun Koshi Landslide: Monitoring and Infrastructure Planning Key to Minimizing Scale of Disasters. http://www.icimod.org/?q=14356 NRSM (2014): Landslide on River Sun Koshi, Nepal. http://www.nrsc.gov.in/Nepal_Landslide.html Petley D. (2015): Sunkoshi landslide in Nepal - still no reduction in the lake. The landslide Blog.Blogs.agu.org. SANDRP (2015): Massive landslide blocks Sunkoshi River, Downstream Nepal-India under threat. http://sandrp.wordpress.com/2014/08/02/massive-landslide-blocks-sunkoshi-river-downstream-nepal-india-under-threat/

Vertical profile of aerosols in the Himalayan region using an ultralight aircraft platform

NASA Astrophysics Data System (ADS)

Singh, A.; Mahata, K.; Rupakheti, M.; Lawrence, M. G.; Junkermann, W.

2017-12-01

Indo-gangetic plain (IGP) and Himalayan foothills have large spatial and temporal heterogeneity in aerosols characteristics. Regional meteorology around 850-500 mb plays an important role in the transformation and transportation of aerosols from west Asia to IGP, into Himalayan foothill, as well to high-altitude region of the Himalayas. In order to quantify the vertical and horizontal variation of aerosol properties in the Himalayan , an airborne campaign was carried out in the Pokhara Valley/Nepal (83°50'-84°10' E, 25°7'-28°15' N, 815 masl ) in two phases: test flights during May 2016 and an intensive airborne sampling flight in December-January 2017. This paper provides an overview of airborne measurement campaign from the first phase of measurements in May 2016. A two-seater microlight aircraft (IKARUS C 42) was used as the aerial platform. This was deemed the feasible option in Nepal for an aerial campaign; technical specification of the aircraft include an approximately 6 hrs of flying time, short-take off run, > 100 kgs of payload, suitable for spiral upward and downward profiling. The instrument package consist of GRIMM 1.108 for particle size distribution from 0.3 to 20 um at 6 seconds time resolution, and TSI CPC 3375 for total ultrafine particle (UFP) concentration at 1 s. The package also includes a Magee Scientific Aethalometer (AE42) for aerosol absorption at seven different wavelengths. Meteorological parameters include temperature and dew point at a sampling rate of 1 Hz or higher. The paper provides a snapshot of observed vertical profile (from 800 to 4500masl) of aerosols size, number and black carbon over one of populated mountain valley in Nepal during the pre-monsoon season. During the airborne measurement, local fires- mostly agriculture burn were observed, however no large scale forest fire was captured. Sharp morning and afternoon gradients were observed in the vertical profile for aerosol number and size, mostly dominated by <400 nm. The vertical profile in the afternoon showed elevated layer with higher number concentration (than ground) over >2000 masl which may indicate regional transport than local contribution. Also presented is the comparison between the measured vertical profile of aerosol properties and columnar measurement (using AERONET) and CALIPSO-derived vertical profile.

Factors associated with dropout between Bacille Calmette Guerin (BCG) and measles vaccination in a village development committee of a district.

PubMed

Basel, P L; Shrestha, I B

2012-05-01

The Expanded Programme on Immunization is one of the first priorities of the Government of Nepal. The high national dropout rate (11.3%) demonstrates that immunization opportunities are lost as approximately one of every nine children in contact with immunization services are slipping "out of the system" before the age of 12 months. This study is an attempt to explore the situation of the enhancing factors for dropout. The main objective of the study was to identify the reasons of dropout between BCG and Measles vaccination in Kapan Village Development Committee (VDC) of Kathmandu district. This was a descriptive study. of children ranging from 12 to 23 months of age residing in Kapan VDC. (N=81) mothers were interviewed to obtain the information. The study revealed that Magar/Gurung in the area were found to dropout more (78.6%). Female children were more likely to dropout than male children. About 70% of children dropout were from labor class, and/or illiterate families. Majority of the mothers (42.5 %) said that the child was ill so they did not go for routine vaccination. However, 50.7% of dropout children received quality care. These findings were corroborated with the findings of key informant interview. The major reason of dropout of measles vaccine was found to be the perceived contraindication regarding the immunization.

Oral Cancer Knowledge and Awareness in Patients Visiting Kantipur Dental College.

PubMed

Bajracharya, Dipshikha; Gupta, Sujaya; Sapkota, Manish; Bhatta, Shishir

2018-01-01

Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal. The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors. Most of the participants (41.80%) had not heard of oral cancer. 31.60% recognized tobacco smoking and tobacco chewing as the chief risk factor with 15.50% and 10.80% of participants who identified white patch and red patch as early sign of oral cancer respectively. Pearson's chi square test was used which showed statistically significant association of total mean knowledge score and awareness score with age, education level and occupation (p<0.05). This study done in dental patients showed lack of knowledge and awareness in general public about oral cancer. There seem to be a need for more planned awareness programs through newspapers, radio, television and health campaigns regarding the association of habits in the development of oral cancer and benefits of detecting oral cancer at early stage for better prognosis.

Perceived risks and benefits of cigarette smoking among Nepalese adolescents: a population-based cross-sectional study.

PubMed

Aryal, Umesh Raj; Petzold, Max; Krettek, Alexandra

2013-03-02

The perceived risks and benefits of smoking may play an important role in determining adolescents' susceptibility to initiating smoking. Our study examined the perceived risks and benefits of smoking among adolescents who demonstrated susceptibility or non susceptibility to smoking initiation. In October-November 2011, we conducted a population-based cross-sectional study in Jhaukhel and Duwakot Villages in Nepal. Located in the mid-hills of Bhaktapur District, 13 kilometers east of Kathmandu, Jhaukhel and Duwakot represent the prototypical urbanizing villages that surround Nepal's major urban centers, where young people have easy access to tobacco products and are influenced by advertising. Jhaukhel and Duwakot had a total population of 13,669, of which 15% were smokers. Trained enumerators used a semi-structured questionnaire to interview 352 randomly selected 14- to 16-year-old adolescents. The enumerators asked the adolescents to estimate their likelihood (0%-100%) of experiencing various smoking-related risks and benefits in a hypothetical scenario. Principal component analysis extracted four perceived risk and benefit components, excluding addiction risk: (i) physical risk I (lung cancer, heart disease, wrinkles, bad colds); (ii) physical risk II (bad cough, bad breath, trouble breathing); (iii) social risk (getting into trouble, smelling like an ashtray); and (iv) social benefit (looking cool, feeling relaxed, becoming popular, and feeling grown-up). The adjusted odds ratio of susceptibility increased 1.20-fold with each increased quartile in perception of physical Risk I. Susceptibility to smoking was 0.27- and 0.90-fold less among adolescents who provided the highest estimates of physical Risk II and social risk, respectively. Similarly, susceptibility was 2.16-fold greater among adolescents who provided the highest estimates of addiction risk. Physical risk I, addiction risk, and social benefits of cigarette smoking related positively, and physical risk II and social risk related negatively, with susceptibility to smoking. To discourage or prevent adolescents from initiating smoking, future intervention programs should focus on communicating not only the health risks but also the social and addiction risks as well as counteract the social benefits of smoking.

Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal.

PubMed

Sapkota, Binaya; Gupta, Gopal Kumar; Mainali, Dhiraj

2014-09-26

Healthcare waste is produced from various therapeutic procedures performed in hospitals, such as chemotherapy, dialysis, surgery, delivery, resection of gangrenous organs, autopsy, biopsy, injections, etc. These result in the production of non-hazardous waste (75-95%) and hazardous waste (10-25%), such as sharps, infectious, chemical, pharmaceutical, radioactive waste, and pressurized containers (e.g., inhaler cans). Improper healthcare waste management may lead to the transmission of hepatitis B, Staphylococcus aureus and Pseudomonas aeruginosa. This evaluation of waste management practices was carried out at gynaecology, obstetrics, paediatrics, medicine and orthopaedics wards at Government of Nepal Civil Service Hospital, Kathmandu from February 12 to October 15, 2013, with the permission from healthcare waste management committee at the hospital. The Individualized Rapid Assessment tool (IRAT), developed by the United Nations Development Program Global Environment Facility project, was used to collect pre-interventional and post-interventional performance scores concerning waste management. The healthcare waste management committee was formed of representing various departments. The study included responses from focal nurses and physicians from the gynaecology, obstetrics, paediatrics, medicine and orthopaedics wards, and waste handlers during the study period. Data included average scores from 40 responders. Scores were based on compliance with the IRAT. The waste management policy and standard operating procedure were developed after interventions, and they were consistent with the national and international laws and regulations. The committee developed a plan for recycling or waste minimization. Health professionals, such as doctors, nurses and waste handlers, were trained on waste management practices. The programs included segregation, collection, handling, transportation, treatment and disposal of waste, as well as occupational health and safety issues. The committee developed a plan for treatment and disposal of chemical and pharmaceutical waste. Pretest and posttest evaluation scores were 26% and 86% respectively. During the pre-intervention period, the hospital had no HCWM Committee, policy, standard operating procedure or proper color coding system for waste segregation, collection, transportation and storage and the specific well-trained waste handlers. Doctors, nurses and waste handlers were trained on HCWM practices, after interventions. Significant improvements were observed between the pre- and post-intervention periods.

Long-term genetic stability and a high-altitude East Asian origin for the peoples of the high valleys of the Himalayan arc

PubMed Central

Jeong, Choongwon; Ozga, Andrew T.; Witonsky, David B.; Malmström, Helena; Edlund, Hanna; Hofman, Courtney A.; Hagan, Richard W.; Jakobsson, Mattias; Lewis, Cecil M.; Aldenderfer, Mark S.; Di Rienzo, Anna

2016-01-01

The high-altitude transverse valleys [>3,000 m above sea level (masl)] of the Himalayan arc from Arunachal Pradesh to Ladahk were among the last habitable places permanently colonized by prehistoric humans due to the challenges of resource scarcity, cold stress, and hypoxia. The modern populations of these valleys, who share cultural and linguistic affinities with peoples found today on the Tibetan plateau, are commonly assumed to be the descendants of the earliest inhabitants of the Himalayan arc. However, this assumption has been challenged by archaeological and osteological evidence suggesting that these valleys may have been originally populated from areas other than the Tibetan plateau, including those at low elevation. To investigate the peopling and early population history of this dynamic high-altitude contact zone, we sequenced the genomes (0.04×–7.25×, mean 2.16×) and mitochondrial genomes (20.8×–1,311.0×, mean 482.1×) of eight individuals dating to three periods with distinct material culture in the Annapurna Conservation Area (ACA) of Nepal, spanning 3,150–1,250 y before present (yBP). We demonstrate that the region is characterized by long-term stability of the population genetic make-up despite marked changes in material culture. The ancient genomes, uniparental haplotypes, and high-altitude adaptive alleles suggest a high-altitude East Asian origin for prehistoric Himalayan populations. PMID:27325755

Reassessing Catastrophic Infill of the Pokhara Valley, Nepal Himalaya

NASA Astrophysics Data System (ADS)

Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Adhikari, Basantha; Korup, Oliver

2014-05-01

The Pokhara valley, home to Nepal's second largest city and a major tourist attraction (28°15'N, 83°58'E), is covered by 4-5 km3 and 50-100 m thick intramontane fan deposits that resulted from massive aggradation of the Seti Khola, a river draining the Annapurna Massif of the Greater Himalaya. Poorly sorted, gravelly fluvial facies intercalated with debris-flow and mud-flow facies known as the Pokhara Gravels attest to highly energetic transport conditions during one or several catastrophic flow events. In May 2012, a devastative flash flood/debris flow in the Seti Khola rekindled interest in the formation processes and timing of the Pokhara Gravels as they may provide constraints on the magnitudes and frequencies of similar past events. Interpretations of previous sedimentological work and radiocarbon dating (Yamanaka, 1982; Fort, 1987) culminated in the belief that the Pokhara Gravels were catastrophically emplaced only 500 to 1000 years ago, although the exact nature, timing, and triggers of the purported event(s) remain obscure. Specifically, it remains debated whether the Pokhara Gravels were deposited instantaneously, possibly within less than a year, or whether sedimentation was more protracted over perhaps decades to millennia. We present new geomorphological, sedimentological, geochemical, and radiocarbon data and re-assess a potential catastrophic infill of the Pokhara Valley during one or several high-magnitude events. Support for this scenario is given by laterally continuous long-runout (~40 km) debris-flow deposits topped by large (i.e. up to >11-m) boulders, a distinctly calcareous lithology diagnostic of a small Greater Himalayan source area tens of kilometres upstream, and by historical anecdotes of a large flood that destroyed an earlier settlement in the area. However, we show that dated outcrops of fine-grained sediments in tributaries blocked by the Pokhara Gravels yield asynchronous ages. Although our radiocarbon dates are consistent with previously reported ones, pooled ages may equally well reflect more than one depositional event. We infer that massive aggradation must have been ongoing after rivers began incising into the Pokhara Gravels. Yet, geochemical fingerprinting of stillwater sediments located several kilometers upstream in these and other tributary valleys suggests a common and strikingly dominant sediment source limited to the Seti Khola's glaciated headwaters. These findings are at odds with the sedimentology of the Pokhara Gravels that point at one or more phases of deposition, most likely by high-magnitude events, possibly even by different transport processes. In summary, our results call for a much more detailed enquiry into the timing and mode of emplacement of the Pokhara Gravels in order to avoid gross misestimates of the hazard portfolio of the Pokhara valley. References: A. Yamanaka. The Science Reports of Tohoku University, 7th Series (Geography), 32, 46-60 (1982). M. Fort. Zeitsch. f. Geom. N.F., Suppl., 63, 9-36 (1987).

Geomorphic legacy of medieval Himalayan earthquakes in the Pokhara Valley

NASA Astrophysics Data System (ADS)

Schwanghart, Wolfgang; Bernhardt, Anne; Stolle, Amelie; Hoelzmann, Philipp; Adhikari, Basanta R.; Andermann, Christoff; Tofelde, Stefanie; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver

2016-04-01

The Himalayas and their foreland belong to the world's most earthquake-prone regions. With millions of people at risk from severe ground shaking and associated damages, reliable data on the spatial and temporal occurrence of past major earthquakes is urgently needed to inform seismic risk analysis. Beyond the instrumental record such information has been largely based on historical accounts and trench studies. Written records provide evidence for damages and fatalities, yet are difficult to interpret when derived from the far-field. Trench studies, in turn, offer information on rupture histories, lengths and displacements along faults but involve high chronological uncertainties and fail to record earthquakes that do not rupture the surface. Thus, additional and independent information is required for developing reliable earthquake histories. Here, we present exceptionally well-dated evidence of catastrophic valley infill in the Pokhara Valley, Nepal. Bayesian calibration of radiocarbon dates from peat beds, plant macrofossils, and humic silts in fine-grained tributary sediments yields a robust age distribution that matches the timing of nearby M>8 earthquakes in ~1100, 1255, and 1344 AD. The upstream dip of tributary valley fills and X-ray fluorescence spectrometry of their provenance rule out local sediment sources. Instead, geomorphic and sedimentary evidence is consistent with catastrophic fluvial aggradation and debris flows that had plugged several tributaries with tens of meters of calcareous sediment from the Annapurna Massif >60 km away. The landscape-changing consequences of past large Himalayan earthquakes have so far been elusive. Catastrophic aggradation in the wake of two historically documented medieval earthquakes and one inferred from trench studies underscores that Himalayan valley fills should be considered as potential archives of past earthquakes. Such valley fills are pervasive in the Lesser Himalaya though high erosion rates reduce preservation potential. Further studies may wish to seek such remnants of prehistoric earthquakes using extensive sedimentological work as well as numerical age control.

Rapid downwasting of lower portion of Ponkar Glacier and its impacts in Manang, Nepal

NASA Astrophysics Data System (ADS)

Kayastha, R. B.; Armstrong, R. L.; Sherpa, T. C.; Bajracharya, S. R.; Maharjan, S. B.; Joshi, S.; Shrestha, F.

2017-12-01

Quantifying and understanding the dynamics of melting of the underlying ice has always been a challenge especially in the rough terrains of the Himalayas. This study incorporates the use of Unmanned Aerial Vehicle (UAV) to analyze the downwasting of Ponkar Glacier, Manang, Nepal Himalayas. Four repeat aerial surveys have been conducted using a Quad Copter and a fixed wing UAVs on the lower part of the glacier. The surveys have been conducted in March and July 2016 (quad copter) and in November 2016 and May 2017 (fixed wing). Three ablation stakes are also installed on the survey region of the glacier so as to compare the ice melt. Comparing the high resolution DEMs (2 and 10 cm) generated from those aerial surveys, downwasting of the glacier is found to be ranging from 0.68 m to 0.94 m under the debris thickness of 11 and 20 cm, respectively from 20 March to 5 July 2016. Similarly, average downwasting of the lower part of the glacier is found to be 0.47 m since 14 November 2016 to 5 May 2017. The downwasting follows a heterogeneous pattern across the glacier. The net ablation of 2.04 and 2.21 m are found at debris thickness of 11 and 20 cm from March 2016 to May 2017, respectively. Alongside that, a 16 MHZ Multi Low frequency Ground Penetrating Radar (GPR) has also been used to estimate the underlying ice thickness. The result indicates thickness of 80 m near the terminus of the glacier. To address the change in the glacier to the changing climate, the meteorological conditions prevailing in the valley also needs to be properly understood. Hence, six precipitation gauges and temperature sensors have been installed along the downstream valley of the glacier at different elevations ranging from 1926 to 3780 m asl. Based on the observed data, average vertical and longitudinal precipitation gradients of the valley have been found to be 2.9 % m-1 and -0.45 % m-1, respectively. Likewise, the temperature lapse rate has been found to be -0.0088 °C m-1. These preliminary results of the ongoing study on Ponkar Glacier and future similar repeat surveys of the glacier would provide a much larger temporal scale and a far better understanding of the glacier melt variations and its impact on water availability in the downstream.

Protracted fluvial recovery from medieval earthquakes, Pokhara, Nepal

NASA Astrophysics Data System (ADS)

Stolle, Amelie; Bernhardt, Anne; Schwanghart, Wolfgang; Andermann, Christoff; Schönfeldt, Elisabeth; Seidemann, Jan; Adhikari, Basanta R.; Merchel, Silke; Rugel, Georg; Fort, Monique; Korup, Oliver

2016-04-01

River response to strong earthquake shaking in mountainous terrain often entails the flushing of sediments delivered by widespread co-seismic landsliding. Detailed mass-balance studies following major earthquakes in China, Taiwan, and New Zealand suggest fluvial recovery times ranging from several years to decades. We report a detailed chronology of earthquake-induced valley fills in the Pokhara region of western-central Nepal, and demonstrate that rivers continue to adjust to several large medieval earthquakes to the present day, thus challenging the notion of transient fluvial response to seismic disturbance. The Pokhara valley features one of the largest and most extensively dated sedimentary records of earthquake-triggered sedimentation in the Himalayas, and independently augments paleo-seismological archives obtained mainly from fault trenches and historic documents. New radiocarbon dates from the catastrophically deposited Pokhara Formation document multiple phases of extremely high geomorphic activity between ˜700 and ˜1700 AD, preserved in thick sequences of alternating fluvial conglomerates, massive mud and silt beds, and cohesive debris-flow deposits. These dated fan-marginal slackwater sediments indicate pronounced sediment pulses in the wake of at least three large medieval earthquakes in ˜1100, 1255, and 1344 AD. We combine these dates with digital elevation models, geological maps, differential GPS data, and sediment logs to estimate the extent of these three pulses that are characterized by sedimentation rates of ˜200 mm yr-1 and peak rates as high as 1,000 mm yr-1. Some 5.5 to 9 km3 of material infilled the pre-existing topography, and is now prone to ongoing fluvial dissection along major canyons. Contemporary river incision into the Pokhara Formation is rapid (120-170 mm yr-1), triggering widespread bank erosion, channel changes, and very high sediment yields of the order of 103 to 105 t km-2 yr-1, that by far outweigh bedrock denudation rates inferred from cosmogenic 10Be inventories in river sands. The rapid infill of about a dozen tributary valleys displaced river channels, and caused them to re-incise into bedrock along steep epigenetic gorges. We conclude that the Pokhara Formation offers a unique archive of medieval earthquakes as well as the associated protracted fluvial response that may have been ongoing for up to 900 years.

Modelling the Crust beneath the Kashmir valley in Northwestern Himalaya

NASA Astrophysics Data System (ADS)

Mir, R. R.; Parvez, I. A.; Gaur, V. K.; A.; Chandra, R.; Romshoo, S. A.

2015-12-01

We investigate the crustal structure beneath five broadband seismic stations in the NW-SE trendingoval shaped Kashmir valley sandwiched between the Zanskar and the Pir Panjal ranges of thenorthwestern Himalaya. Three of these sites were located along the southwestern edge of the valley andthe other two adjoined the southeastern. Receiver Functions (RFs) at these sites were calculated usingthe iterative time domain deconvolution method and jointly inverted with surface wave dispersiondata to estimate the shear wave velocity structure beneath each station. To further test the results ofinversion, we applied forward modelling by dividing the crust beneath each station into 4-6homogeneous, isotropic layers. Moho depths were separately calculated at different piercing pointsfrom the inversion of only a few stacked receiver functions of high quality around each piercing point.These uncertainties were further reduced to ±2 km by trial forward modelling as Moho depths werevaried over a range of ±6 km in steps of 2 km and the synthetic receiver functions matched with theinverted ones. The final values were also found to be close to those independently estimated using theH-K stacks. The Moho depths on the eastern edge of the valley and at piercing points in itssouthwestern half are close to 55 km, but increase to about 58 km on the eastern edge, suggesting thathere, as in the central and Nepal Himalaya, the Indian plate dips northeastwards beneath the Himalaya.We also calculated the Vp/Vs ratio beneath these 5 stations which were found to lie between 1.7 and1.76, yielding a Poisson's ratio of ~0.25 which is characteristic of a felsic composition.

Heterogeneous Status of Glacial Terminal-Contacted Lakes in Himalayas Due to Different Geomorphology and Glacier Characters

NASA Astrophysics Data System (ADS)

Liu, Q.; Nie, Y.; Liu, S.

2014-12-01

Widespread expanding of glacial lakes around the Himalayas, which has led (or will lead) to hazard risks in their downstream valleys due to the potential glacial outburst flood (GLOF), has been widely reported during the past decades. Among all type of glacial lakes, those lakes contacted with the terminals of modern glaciers are generally found experienced most remarkable area increases. That is mostly due to the coupled processes, such as calving, between the lake growths and ice tongue retreats. Thermal absorption and convection of lake water are important for calving at the ice cliff or sub-marine melting under the supra-ponded water bodies. Currently, many larger moraine dammed lakes, e. g., Imja Tsho (Nepal) and Longbasaba Lake (China), are observed undergoing remarkable growths and synchronically with the rapid ice margin collapses due to calving. Some newly formed and rapidly growing supraglacial lakes are also identified on the debris-covered region of Himalayan glaciers, e. g., the Rongbuk Glacier (China), Ngozumpa Glacier (Nepal) and Thorthormi Glacier (Butan), which are speculated to experience accelerated expanding in the near future and finally developing as bigger terminal-calving lakes. However, not all such lake-glacier systems present the same scenes. After experienced the phases of rapid lake growth and terminal retreat, despite the contacting and calving still existing, the positions of the calving lines may be balanced by the positive advances of the ice tongue. We have observed several lakes with stagnation of growth or even shrinkage in lake area as the advance of the calving ice margin. The heterogeneous status of these ice-contacted glacial lakes are mainly due to the different local geomorphology (e. g., slope, lake-basin shape and valley aspect) and glacier characters (e. g., debris cover, velocity and mass balance). These related factors are important for both the prediction of lake and glacier changes and the evaluation of GLOF hazards in the future.

Hepatitis E in Qatar imported by expatriate workers from Nepal: epidemiological characteristics and clinical manifestations.

PubMed

Ibrahim, Abdulsalam Saif; Alkhal, Abdulatif; Jacob, Joyal; Ghadban, Wisam; Almarri, Ajayeb

2009-06-01

Prompted by cases of acute hepatitis in expatriate workers presenting at Alkhor Hospital, Qatar, a limited prospective observational study was conducted from July 2005 to June 2006 to determine the epidemiological and clinical features of patients (predominantly Nepalese) presenting with acute hepatitis. Countrywide during that period samples from 86 Nepalese presenting at different centers were found to be anti-HEV IgG positive and 50 of these were also positive for anti-HEV IgM. Fifty-eight of those Nepalese were seen and treated at Alkhor Hospital and of them 43 were confirmed as cases of acute HEV, being positive for both anti-HEV IgM and IgG. The remaining 15 were diagnosed as probable cases of acute HEV on the basis of clinical and epidemiological similarity. It seems likely that transit in Kathmandu in reportedly unsanitary conditions was the focus of infection. In some of those examined at Alkhor, ultrasound detected a thickened gallbladder wall in 30 of 39 (76.9%) with two cases having clinical acalcular cholecystitis. Higher levels of alanine aminotransferase and aspartate aminotransferase were associated with severe disease and derangement in coagulation. On the available evidence hepatitis E was imported by expatriate workers and it is clear that medical screening of these workers pre- and post-arrival must be improved to prevent further outbreaks. It is also essential that health care workers in Qatar are made aware of this ongoing problem of imported HEV and understand the variable presentation of the condition.

Analysis of Jure Landslide DAM, Sindhupalchowk Using GIS and Remote Sensing

NASA Astrophysics Data System (ADS)

Acharya, T. D.; Mainali, S. C.; Yang, I. T.; Lee, D. H.

2016-06-01

On 2nd August 2014, a rainfall-induced massive landslide hit Jure village, Sindhupalchowk killing 156 people at a distance of 70 km North-East of Kathmandu, Nepal. The landslide was a typical slope failure with massive rock fragments, sand and soil. A total of estimated 6 million cubic meters debris raised more than 100 m from the water level and affected opposite side of the bank. The landslide blocked the Sunkoshi River completely forming an estimated 8 million cubic meter lake of 3km length and 300-350m width upstream. It took nearly 12 hour to fill the lake and overflow the debris dam. The lake affected five Village Development Committees (VDC) including highway, school, health post, postal service, police station, VDC office and temple upstream. The bottom of the dam was composed of highly cemented material and the derbies affected Sunkoshi hydropower downstream. Moreover, it caused the potential threat of Lake Outburst Flood. The lake was released by blasting off part of the landslide blockade and facilitated release of water from the lake. With the help of Remote Sensing (RS), series satellite images were used to identified, compared with previous state and quick estimation of potential treat was analysed. Using geographic information System (GIS) technology, estimation of volume, affected households, service centres, parcels etc. in the area was possible. In such hilly regions where disaster are very frequent, using GIS and RS technology comes very handy for immediate planning and response.

Modelled and observed mass balance of Rikha Samba Glacier, Nepal, Central Himalaya

NASA Astrophysics Data System (ADS)

Gurung, T. R.; Kayastha, R. B.; Fujita, K.; Sinisalo, A. K.; Stumm, D.; Joshi, S.; Litt, M.

2016-12-01

Glacier mass balance variability has an implication for the regional water resources and it helps to understand the response of glacier to climate change in the Himalayan region. Several mass balance studies have been started in the Himalayan region since 1970s, but they are characterized by frequent temporal gaps and a poor spatial representatively. This study aims at bridging the temporal gaps in a long term mass balance series of the Rikha Samba glacier (5383 - 6475 m a.s.l.), a benchmark glacier located in the Hidden Valley, Mustang, Nepal. The ERA Interim reanalysis data for the period 2011-2015 is calibrated with the observed meteorological variables from an AWS installed near the glacier terminus. We apply an energy mass balance model, validated with the available in-situ measurements for the years 1998 and 2011-2015. The results show that the glacier is shrinking at a moderate negative mass balance rate for the period 1995 to 2015 and the high altitude location of Rikha Samba also prevents a bigger mass loss compared to other small Himalayan glaciers. Precipitation from July to January and the mean air temperature from June to October are the most influential climatic parameters of the annual mass balance variability of Rikha Samba glacier.

Mountain rivers may need centuries to adjust to earthquake-triggered sediment pulses, Pokhara, Nepal

NASA Astrophysics Data System (ADS)

Stolle, Amelie; Korup, Oliver; Schwanghart, Wolfgang; Bernhardt, Anne; Adhikari, Basanta Raj; Andermann, Christoff; Wittmann, Hella; Merchel, Silke

2017-04-01

Mountain rivers respond to strong earthquakes by not only adjusting to changes in local base level, but also by rapidly aggrading to accommodate excess sediment delivered by co- and post-seismic landslides. A growing number of detailed sediment budgets suggests that it takes rivers several years to decades to recover from such seismic disturbances, depending on how recovery is defined. We test this notion and study how rivers adjusted to catastrophic sedimentation triggered by at least three medieval earthquakes in the central Nepal Himalaya. In the vicinity of Pokhara, the nation's second largest city, rapid aggradation formed a large fan covering 150 km2 of mountainous terrain over a length of some 70 km. The fan prograded into several tributary valleys, rapidly infilling their lower reaches with several tens of meters of sediment from a major point source tens of kilometers away. A robust radiocarbon chronology of these valley fills provides an ideal framework for gauging average rates of fluvial incision and adjustment. We use high-resolution digital elevation data, geodetic field surveys, aerial photos documenting historic channel changes, and several re-exhumed tree trunks in growth position to define dated geomorphic marker surfaces. We compare various methods of computing the volumes lost from these surfaces to arrive at net sediment yields averaged over decades to centuries. We find that contemporary rates of river incision into the medieval earthquake debris are between 160 and 220 mm yr-1, with corresponding sediment yields of 103 to 105 t km-2 yr-1, several hundred years after the last traceable seismic disturbance. These rates greatly exceed the density-adjusted background rates of catchment-wide denudation inferred from concentrations of cosmogenic 10Be in river sands sampled in different tributaries. The lithological composition of active channel-bed load differs largely from local bedrock and confirms that rivers are still busy with excavating medieval valley fills. Pronounced knickpoints and epigenetic gorges at tributary junctions add to the picture of a drawn-out fluvial response, while the re-exhumed tree trunks indicate that some distal portions of the earthquake-derived sediment wedge have been incised to near their base. Our results challenge the notion that mountain rivers recover within years or even decades following earthquake disturbance. We caution against generalizing the spectrum of fluvial response in this context, as the valley fills around Pokhara document the possibility of a more protracted fluvial response that may have been ongoing for as long as 900 years despite the high and aggressive erosion that characterizes Himalayan rivers. Beyond the scientific community, our results may motivate some rethinking of post-seismic hazard appraisals and infrastructural planning during the rehabilitation phase in earthquake-struck regions.

Report: Searching for a way to sustainability: technical and policy analyses of solid waste issues in Kathmandu.

PubMed

Dangi, Mohan B; Cohen, Ronald R H; Urynowicz, Michael A; Poudyal, Khem N

2009-05-01

Kathmandu Metropolitan City has attempted to reorganize its solid waste management a number of times. The German Technical and Financial Aid Organization led early efforts that were followed by a number of more recent experiments that left the city with an unsustainable solid waste management system following the termination of foreign aid. To examine this failure, the research team evaluated household surveys, field observations, interviews, and other primary and secondary information within the context of technical, social, and institutional analyses. The survey results show that the solid waste collection rates are far below the 90% claimed by the metropolis and street sweeping consumes approximately 51% of its solid waste budget. As a result of the relatively low collection rates the city residents are encouraged to dump waste into public lands. Consequently, too much of the city's resources are focused on sweeping rather than collection. Kathmandu needs to recognize informal waste picking, privatize, use local techniques, build capacity, promote bottom-up and participatory styles of management, and regulate policies to maintain solid waste management.

Influence of family members on utilization of maternal health care services among teen and adult pregnant women in Kathmandu, Nepal: a cross sectional study.

PubMed

Upadhyay, Priti; Liabsuetrakul, Tippawan; Shrestha, Amir Babu; Pradhan, Neelam

2014-12-23

In some developing countries a woman's decision to utilize maternal health care services is not made by the woman herself but by other family members. The perception of family members regarding who is the most influential person for making the decision to utilize these services is inconclusive. Hence, this study aimed to determine the perceived influential person on utilization of antenatal care (ANC) and delivery care services among teen, young adult and adult pregnant women from the perspective of the woman themselves, their husband and their mother-in-law, identify the factors associated with the woman being the most influential person, and assess the level of agreement between the woman's and her husband's response to the woman being the most influential person. A cross-sectional study was conducted at Paropakar Maternity and Women's Hospital and Tribhuvan University Teaching Hospital. Purposive sampling technique was used to select 315 women of which 105 were from each age group and their accompanied husbands (n = 315) and mothers-in-law (n = 315). The proportion of perceived influential person and mean priority score of the perceived influence with its 95% confidence interval was calculated. The factors associated with the woman perceived as the most influential person were analyzed by multivariate logistic regression model. The agreement was analyzed using kappa statistic. Among teens and young adults and their husband and mother-in-law, the woman's husband was perceived as the most influential person. Among adults, the most influential person for ANC was the woman herself but for delivery care was the woman's husband. A woman of adult age, having a non-indigenous ethnicity or who was not referred was more likely to perceive herself as the most influential person in the decision to utilize delivery care. A fair to poor level of agreement was found on the perception of the most influential person for ANC and delivery care utilization. Both women and their husbands influenced the decision to utilize ANC and delivery care but husbands were more influential, especially in teens and young adults. Thus, husband's involvement is crucial as a strategy to improve maternal health care utilization in Nepal.

Nepal CRS project incorporates.

PubMed

1983-01-01

The Nepal Contraceptive Retail Sales (CRS) Project, 5 years after lauching product sales in June 1978, incorporated as a private, nonprofit company under Nepalese management. The transition was finalized in August 1983. The Company will work through a cooperative agreement with USAID/Kathmandu to complement the national family planning goals as the program continues to provide comtraceptives through retail channels at subsidized prices. Company objectives include: increase contraceptive sales by at least 15% per year; make CRS cost effective and move towards self sufficiency; and explore the possibility of marketing noncontraceptive health products to improve primary health care. After only5 years the program can point to some impressive successes. The number of retial shops selling family planning products increased from 100 in 1978 to over 8000, extending CRS product availability to 66 of the country's 75 districts. Retail sales have climbed dramatically in the 5-year period, from Rs 46,817 in 1978 to Rs 271,039 in 1982. Sales in terms of couple year protection CYP) have grown to 24,451 CYP(1982), a 36% increase over 1980 CYP. Since the beginning of the CRS marketing program, total distribution of contraceptives--through both CRS and the Family Planning Maternal and Child Haelth (FP/MCH) Project--has been increasing. While the FP/MCH program remains the largest distributor,contribution of CRS Products is increasing, indicating that CRS is creating new product acceptors. CRS market share in 1982 was 43% for condoms and 16% for oral contraceptives (OCs). CRS markets 5 products which are subsidized in order to be affordable to consumers as well as attractive to sellers. The initial products launched in June 1978 were Gulaf standard dose OCs and Dhaal lubricated colored condoms. A less expensive lubricates, plain Suki-Dhaal condom was introduced in June 1980 in an attempt to reach poorer rural populations, but rural distribution costs are excessive and Suki-Dhaal sales have never been high. In 1982 2 additional products were introduced--Nilocan (Norminest) low does OCs and Kamal Neo Sampoon foaming tablets. The CRS program recruited and trained its own sales representatives who work shop to shop, promoting products and educating retailers and consumers. An important part of the communication starategy includes consumer and retailer education. Advertising messages were developed to increase brand awareness, create demand, educate consumers about side effects of OCs, and to identify contraceptives as a means of adequately space children.

Effect of the 2015 earthquake on pediatric inpatient pattern at a tertiary care hospital in Nepal.

PubMed

Giri, Bishnu Rath; Chapagain, Ram Hari; Sharma, Samana; Shrestha, Sandeep; Ghimire, Sunita; Shankar, P Ravi

2018-02-05

Earthquakes impact child health in many ways. Diseases occurring immediately following an earthquake have been studied in field based hospitals but studies on the inpatient disease pattern among children without trauma in a permanent hospital setup is lacking. We examined the diagnoses of all children without trauma, admitted to Kanti Children's Hospital, Kathmandu for fifteen-week duration (from 4th week to end of the 18th week) following the 7.8 magnitude Nepal earthquake on 25th April 2015. The admitted children were grouped based on direct effect of earthquake on their family (house damaged or family member injured or dead) and on whether their place of residence was located in an earthquake affected district. Most common diagnoses were identified and their distribution between the aforementioned groups analyzed to examine differences, if any, in disease occurrence or presentation. The fifteen weeks study duration was divided into three parts of five weeks each, to study trends in illness presentation. Variables were compared among various groups using appropriate statistical tests (p < 0.05). A total of 1057 patients were admitted. The proportion of patients requiring admission for pneumonia, acute gastroenteritis and acute or poststreptococcal glomerulonephritis (AGN/PSGN) was significantly higher among children belonging to earthquake affected districts. Proportion of patients with any infective condition was also significantly higher in this group. Acute gastroenteritis and any infective condition were significantly higher among children from substantially affected families. The proportion of AGN/PSGN among admitted patients increased in successive time categories among patients from affected districts and from substantially affected families. Urinary Tract Infection, bronchiolitis, tuberculosis, pleural effusion, protein energy malnutrition/failure to thrive, nephrotic syndrome, meningitis/meningoencephalitis, epilepsy or seizure disorders, leukemia/malignancies, enteric fever, infective hepatitis and congenital heart disease were not significantly different among children from affected and not affected districts or between substantially affected and not affected families. Patients from substantially affected families were admitted to semi-intensive care ward or ICU in significantly higher proportions (12.6% vs 7.8%, p = 0.014). Children seeking care for certain diseases were more likely to be from earthquake affected families and districts. Those from affected families required critical care more often.

Study of Aerosol Optical Properties Over Two Sites in the Foothills of the Central Himalayas

NASA Astrophysics Data System (ADS)

Rupakheti, D.; Kang, S.; Cong, Z.; Rupakheti, M.; Tripathee, L.; Panday, A. K.; Holben, B.

2018-04-01

Atmospheric aerosol possesses impacts on climate system and ecological environments, human health and agricultural productivity. The environment over Himalayas and Tibetan Plateau region are continuously degraded due to the transport of pollution from the foothills of the Himalayas; mostly the Indo-Gangetic Plain (IGP). Thus, analysis of aerosol optical properties over two sites; Lumbini and Kathmandu (the southern slope of central Himalayas) using AERONET's CIMEL sun photometer were conducted in this study. Aerosol optical depth (AOD at 500 nm), angstrom exponent (α or AE), volume size distribution (VSD), single scattering albedo (SSA) and asymmetry parameter (AP) were studied for 2013-2014 and the average AOD was found to be: 0.64 ± 0.41 (Lumbini) and 0.45 ± 0.30 (Kathmandu). The average AE was found to be: 1.25 ± 0.24 and 1.26 ± 0.18 respectively for two sites. The relation between AOD and AE was used to discriminate the aerosol types over these sites which indicated anthropogenic, mixed and biomass burning origin aerosol constituted the major aerosol types in Lumbini and Kathmandu. A clear bi-modal distribution of aerosol volume size was observed with highest volume concentration during the post-monsoon season in fine mode and pre-monsoon season in coarse mode (Lumbini) and highest value over both modes during pre-monsoon season in Kathmandu. The single scattering albedo (SSA) and asymmetry parameter (AP) analyses suggested aerosols over the Himalayan foothills sites are dominated by absorbing and anthropogenic aerosols from urban and industrial activities and biomass burning. Long-term studies are essential to understand and characterize the nature of aerosol over this research gap zone.

Denudational slope processes and slope response to global climate changes and other disturbances: insights from the Nepal Himalayas.

NASA Astrophysics Data System (ADS)

Fort, Monique

2016-04-01

Hillslope geomorphology results from a large range of denudational processes mainly controlled by relief, structure, lithology, climate, land-cover and land use. In most areas of the world, the "critical zone" concept is a good integrator of denudation that operates on a long-term scale. However, in large and high mountain areas, short-time scale factors often play a significant role in the denudational pattern, accelerating and/or delaying the transfer of denudation products and fluxes, and creating specific, spatially limited disturbances. We focus on the Nepal Himalayas, where the wide altitudinal range of bio-climatic zones and the intense geodynamic activity create a complex mosaic of landforms, as expressed by the present geomorphology of mountain slopes. On the basis of examples selected in the different Himalayan mountain belts (Siwaliks hills, middle mountains, High Himalaya), we illustrate different types of slopes and disturbances induced by active tectonics, climate extremes, and climate warming trends. Special attention is paid to recent events, such as landslide damming, triggered by either intense rainfalls (Kali Gandaki and Sun Kosi valleys) or the last April-May 2015 Gorkha seismic sequence (southern Khumbu). Lastly, references to older, larger events show that despite the highly dynamic environment, landforms caused by large magnitude disturbances may persist in the landscape in the long term.

Mechanisms for landscape evolution: Correlations between topography, lithology, erosion, and rock uplift in the central Nepalese Himalaya

NASA Astrophysics Data System (ADS)

Walsh, L. S.; Martin, A. J.; Ojha, T. P.; Fedenczuk, T.

2009-12-01

To investigate feedbacks between tectonics and erosion in the Himalaya-Tibet orogen we compare high resolution digital topography with detailed geologic maps of the Modi Khola valley in central Nepal. We examine the influence of lithologic contacts and structures on river steepness and concavity. The trace of the Bhanuwa fault, a large normal fault in Greater Himalayan rocks, coincides with the steepest location on the river profile where river steepness (ksn) reaches 884 m0.9. Transitions in ksn also occur at 1) the Romi fault, another normal fault, 2) within the Kuncha formation, 3) within Greater Himalayan rocks at the Formation I - Formation II boundary, and 4) between quartzite- and phyllite-rich parts of the Fagfog Formation. We assess mechanisms for ksn transitions on the Modi Khola by examining the influence of precipitation variability, glacial and landslide dams, tributary junctions, changes in lithology, and rock uplift on the topography. Although changes in lithology and/or landslide dams potentially explain all ksn extrema and transitions, these changes in river steepness consistently occur at normal faults suggesting possible recent motion on some of them. In detail, the Main Central thrust appears not to be the location of a major steepness change. Correlations of ksn with normal faults and lithologic contacts exhibit an important component of the landscape evolution process occurring in central Nepal and potentially other mountain belts.

Periodic Glacial Lake Outburst Floods threatening the oldest Buddhist monastery in north-west Nepal

NASA Astrophysics Data System (ADS)

Kropáček, J.; Neckel, N.; Tyrna, B.; Holzer, N.; Hovden, A.; Gourmelen, N.; Schneider, C.; Buchroithner, M.; Hochschild, V.

2014-11-01

Since 2004 Halji Village, home of the oldest Buddhist Monastery in north-west Nepal has suffered from recurrent Glacial Lake Outburst Floods (GLOFs). Studies of recent satellite images identified a supra-glacial lake, located at a distance of 6.5 km from the village, as a possible source of the flood. During a field survey in 2013, the finding was confirmed and several entrances to en-glacial conduits which are draining the lake were found. The topography of the lake basin was then mapped by combining Differential Global Positioning System (DGPS) measurements with a Structure From Motion (SFM) approach from terrestrial photographs. From this model the maximum filling capacity of the lake has been estimated as 1.06 × 106 m3 with a maximum discharge of 77.8 m3 s-1 calculated using an empirical relation. The flooded area in the valley has been estimated by employing a raster-based hydraulic model considering six scenarios of discharge volume and surface roughness. To understand the changes in glacier geometry in the last decade the thinning and retreat of Halji Glacier have been analysed by geodetic mass balance measurements and a time series of satellite images respectively. The GLOF occurrences have further been correlated with cumulative temperature and cumulative liquid precipitation calculated from the High Asia Reanalysis (HAR) dataset. Finally, effective mitigation measures and adaption strategies for Halji village have been discussed.

Determinants of Marital Quality in an Arranged Marriage Society

PubMed Central

Allendorf, Keera

2013-01-01

Drawing on a uniquely large number of items on marital quality, this study explores the determinants of marital quality in Chitwan Valley, Nepal. Marital quality is measured with five dimensions identified through exploratory factor analysis, including satisfaction, communication, togetherness, problems, and disagreements. Gender, education, and spouse choice emerge as the most important determinants of these dimensions of marital quality. Specifically, men, those with more schooling, and those who participated in the choice of their spouse have higher levels of marital quality. By contrast, caste, occupation, age at marriage, marital duration, and number of children have little to no association with marital quality. While gender, education, and spouse choice emerge as key determinants of marital quality in this context, the majority of variation in marital quality remains unexplained. PMID:23146598

Excessive weight gain after pregnancy in urban areas: one important area to prevent diabetes.

PubMed

Bhattarai, Madhur Dev; Singh, Dhruba Lall

2005-12-01

Diabetes has been found to be common in people, including the women of child bearing age, in urban Nepal. There is a custom of feeding the women with foods rich in calories and fats, as much as possible, after delivery. Weights of 200 women of urban Kathmandu before the first pregnancy and 6 months and 1 year after delivery were studied. The mean + SD of weights before pregnancy, six months after delivery and one year after delivery were 51.3 + 4.9, 67.2 + 6.3 and 63.4 + 6.4 respectively. Similarly, the mean + SD of body mass index (BMI) before pregnancy, six months after delivery and one year after delivery were 21.3 + 1.8, 27.9 + 2.5 and 26.7 + 2.8 respectively. The average increases in weight and BMI six months after delivery were 15.9 kg and 6.6; the increases from the basal values were statistically significant (p<0.01). Six months later the average increased weight and BMI decreased by 3.8 kg and 1.2 respectively. Thus, the average increases in weight and BMI one year after first pregnancy were 12.1 kg and 5.4; the increases from the basal values were statistically significant (p<0.01). The women seemed to have difficulty in losing weight gained. In view of the problem of overweight, the custom of excess feeding after delivery seems required to be discouraged in urban areas to prevent subsequent gestational and type 2 diabetes in women and the population.

Accuracy of remote burn scar evaluation via live video-conferencing technology.

PubMed

Cai, Lawrence Z; Caceres, Maria; Dangol, Mohan Krishna; Nakarmi, Kiran; Rai, Shankar Man; Chang, James; Gibran, Nicole S; Pham, Tam N

2016-12-05

Telemedicine in outpatient burn care, particularly in burn scar management, may provide cost-effective care and comes highly rated by patients. However, an effective scar scale using both video and photographic elements has not been validated. The purpose of this study is to test the reliability of the Patient and Observer Scar Assessment Scale (POSAS) using live video-conferencing. A prospective study was conducted with individuals with healed burn scars in Kathmandu, Nepal. Three independent observers assessed 85 burn scars from 17 subjects, using the Observer portion to evaluate vascularity, pigmentation, thickness, relief, pliability, surface area, and overall opinion. The on-site observer was physically present with the subjects and used a live videoconferencing application to show the scars to two remote observers in the United States. Subjects used the Patient portion to evaluate the scar that they believed appeared the worst appearance and had the greatest impact on function. The single-rater reliability of the Observer scale was acceptable (ICC>0.70) in overall opinion, thickness, pliability, and surface area. The average-rater reliability for three observers was acceptable (ICC>0.70) for all parameters except for vascularity. When comparing Patients' and Observers' overall opinion scores, patients consistently reported worse opinion. Evaluation of burn scars using the Patient and Observer Scar Assessment Scale can be accurately performed via live videoconferencing and presents an opportunity to expand access to burn care to rural communities, particularly in low- and middle-income countries, where patients face significant access barriers to appropriate follow-up care. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

Older people’s perspectives on an elderly-friendly hospital environment: an exploratory study

PubMed Central

Karki, Sushmita; Bhatta, Dharma Nand; Aryal, Umesh Raj

2015-01-01

Background Many older people are vulnerable with multiple health problems and need of extensive care and support for quality of life. The main objective of this study was to explore the older people’s perspectives on an “elderly-friendly” hospital. Methods Hospital was stratified by four domains including government, semi-government, community, and private. We interviewed 33 hospitalized older patients and four hospital managers between June and December 2014 in Kathmandu, Nepal, using purposive sampling technique. We executed a qualitative content analysis step with extensive review of the interviews. Final name of the theme was given after the agreement between the research team and experts to improve trustworthiness. Elderly-friendly services, expectation from government and hospital, and health policy related to senior citizen were developed as main themes. Results Most of the participants were satisfied with the behavior of health personnel. However, none of the health personnel were trained with geriatric health care. Elderly-friendly hospital guidelines and policy were not developed by any hospitals. Older people health card, advocacy for older people’s health and benefit, and hospital environment were the common expectations of older patients. Government policy and budget constraint were the main obstacles to promote elderly-friendly health care services. Conclusion Elderly-related health policies, physical environments of hospital, elderly-friendly health manpower, advocacy, and other facilities and benefits should be improved and developed. There are urgent needs to develop elderly-friendly hospital policies and guidelines that focus on older people’s health benefits and friendly services. PMID:26028980

Use of head circumference as a predictor of height of individual.

PubMed

Mansur, D I; Haque, M K; Sharma, K; Mehta, D K; Shakya, R

2014-01-01

Establishing personal identity is one of the main concerns in forensic investigations. In forensic anthropology, estimation of height from head circumference has a significant role in establishing personal identity. The objective of the present study was an attempt to understand the relationship between height and head circumference of an individual and to derive regression formulae to estimate the height from the head circumference. The present study consisted of 440 (258 male and 182 female) students of age group 17 to 25 years studying in Kathmandu University School of Medical Sciences, Dhulikhel, Nepal during the period from November 2012 to October 2013. Height and head circumference of an individual were measured in centimeter. Data were analyzed by using statistical software SPSS-16. The findings of the present study were significant correlation between height and head circumference (r = 0.443, p < 0.01 for male, r = 0.302, p<0.01 for female, and r = 0. 398, p < 0.01 for combined (male and female). The regression equation for height and head circumference was found to be Y = 1.734X + 70.36 (R2 = 0.196) for male, Y = 0.916X + 106.8 (R2 = 0.091) for female, and Y = 1.648 X + 71.69 (R2 = 0.158) for combined (male and female), where Y is the height of Individual and X is the Head Circumference. Head circumference showed highly significant positive correlation with individual's height. Therefore, the present study will help in medico-legal cases in establishing the identity of an individual and this would also be useful for Anatomists and Anthropologists.

High Variety of Known and New RNA and DNA Viruses of Diverse Origins in Untreated Sewage

PubMed Central

Ng, Terry Fei Fan; Marine, Rachel; Wang, Chunlin; Simmonds, Peter; Kapusinszky, Beatrix; Bodhidatta, Ladaporn; Oderinde, Bamidele Soji; Wommack, K. Eric

2012-01-01

Deep sequencing of untreated sewage provides an opportunity to monitor enteric infections in large populations and for high-throughput viral discovery. A metagenomics analysis of purified viral particles in untreated sewage from the United States (San Francisco, CA), Nigeria (Maiduguri), Thailand (Bangkok), and Nepal (Kathmandu) revealed sequences related to 29 eukaryotic viral families infecting vertebrates, invertebrates, and plants (BLASTx E score, <10−4), including known pathogens (>90% protein identities) in numerous viral families infecting humans (Adenoviridae, Astroviridae, Caliciviridae, Hepeviridae, Parvoviridae, Picornaviridae, Picobirnaviridae, and Reoviridae), plants (Alphaflexiviridae, Betaflexiviridae, Partitiviridae, Sobemovirus, Secoviridae, Tombusviridae, Tymoviridae, Virgaviridae), and insects (Dicistroviridae, Nodaviridae, and Parvoviridae). The full and partial genomes of a novel kobuvirus, salivirus, and sapovirus are described. A novel astrovirus (casa astrovirus) basal to those infecting mammals and birds, potentially representing a third astrovirus genus, was partially characterized. Potential new genera and families of viruses distantly related to members of the single-stranded RNA picorna-like virus superfamily were genetically characterized and named Picalivirus, Secalivirus, Hepelivirus, Nedicistrovirus, Cadicistrovirus, and Niflavirus. Phylogenetic analysis placed these highly divergent genomes near the root of the picorna-like virus superfamily, with possible vertebrate, plant, or arthropod hosts inferred from nucleotide composition analysis. Circular DNA genomes distantly related to the plant-infecting Geminiviridae family were named Baminivirus, Nimivirus, and Niminivirus. These results highlight the utility of analyzing sewage to monitor shedding of viral pathogens and the high viral diversity found in this common pollutant and provide genetic information to facilitate future studies of these newly characterized viruses. PMID:22933275

Permian biogeography of the Indian subcontinent with special reference to the marine fauna

NASA Astrophysics Data System (ADS)

Singh, Trilochan

Permian biogeography of the Indian subcontinent is discussed in the light of brachiopods and associated fossils from different localities. The discussion is based primarily on the Permian "biome" concept of Waterhouse and Bonham-Carter (1975), wherein three biomes are proposed: group A of subpolar, group B of temperate, and group C of tropical character. Data on the occurrence of Permian brachiopods and associated fossils are given for the Salt Range, Karakoram, and Himalayan regions of India, Nepal, Bhutan, Tibet, and Peninsular India with respect to the age of the fauna. Marine Permian localities of the Himalayan region include those of Ladakh, Zanskar, Lahaul and Spiti, Kashmir, Bhadarwah-Bhallesh-Chamba, Kinnaur, Garhwal, Kumaun, Darjeeling, Sikkim, and Arunachal Pradesh. Permian marine localities of Peninsular India, which forms a part of central Gondwanaland, include those of Bap, Badhaura, Umaria, Manendragarh, and Daltonganj, where marine transgression occurred in Early Permian time. The faunas of these localities are discussed with respect to their age, which falls into two groups, Early and Late Permian. It is suggested that widespread colder climatic conditions prevailed in the Indian subcontinent during the early Early Permian. Similar conditions continued in most of the localities until the late Early Permian, except at west Karakoram (Shaksgam valley), Zanskar, north Tibet (central and western part), and the Salt Range. However, during the Late Permian, climatic conditions were varied. Cold climatic conditions prevailed in north Tibet (central part), Kumaun Tethyan Himalaya, and south Tibet; temperate conditions occurred in west Karakoram (Shaksgam valley), Zanskar, Lahaul and Spiti, Bhadarwah-Bhallesh-Chamba, north Nepal, and north Sikkim; and tropical conditions occurred in the Salt Range, east Karakoram, Ladakh, Kashmir, and north Tibet (western and eastern parts). At a few localities there appear to be some anomalies that might be due to lack of stratigraphical details and/or lack of detailed faunal investigations. An analysis of the Permian fauna of the Indian subcontinent reveals that the fauna belongs to one single biogeographic province, the Gondwana province. The northern boundary of this biogeographic province passes through the Karakoram Pass, Bangong Lake, and the Nujiang River. The Gondwana biogeographic province, further, shows two subprovinces, the Himalayan and the Tibetan.

Understanding erosion rates in the Himalayan orogen: A case study from the Arun Valley

NASA Astrophysics Data System (ADS)

Olen, Stephanie M.; Bookhagen, Bodo; Hoffmann, Bernd; Sachse, Dirk; Adhikari, D. P.; Strecker, Manfred R.

2015-10-01

Understanding the rates and pattern of erosion is a key aspect of deciphering the impacts of climate and tectonics on landscape evolution. Denudation rates derived from terrestrial cosmogenic nuclides (TCNs) are commonly used to quantify erosion and bridge tectonic (Myr) and climatic (up to several kiloyears) time scales. However, how the processes of erosion in active orogens are ultimately reflected in 10Be TCN samples remains a topic of discussion. We investigate this problem in the Arun Valley of eastern Nepal with 34 new 10Be-derived catchment-mean denudation rates. The Arun Valley is characterized by steep north-south gradients in topography and climate. Locally, denudation rates increase northward, from <0.2 mm yr-1 to ~1.5 mm yr-1 in tributary samples, while main stem samples appear to increase downstream from ~0.2 mm yr-1 at the border with Tibet to 0.91 mm yr-1 in the foreland. Denudation rates most strongly correlate with normalized channel steepness (R2 = 0.67), which has been commonly interpreted to indicate tectonic activity. Significant downstream decrease of 10Be concentration in the main stem Arun suggests that upstream sediment grains are fining to the point that they are operationally excluded from the processed sample. This results in 10Be concentrations and denudation rates that do not uniformly represent the upstream catchment area. We observe strong impacts on 10Be concentrations from local, nonfluvial geomorphic processes, such as glaciation and landsliding coinciding with areas of peak rainfall rates, pointing toward climatic modulation of predominantly tectonically driven denudation rates.

The influence of neighbors' family size preference on progression to high parity births in rural Nepal.

PubMed

Jennings, Elyse A; Barber, Jennifer S

2013-03-01

Large families can have a negative impact on the health and well-being of women, children, and their communities. Seventy-three percent of the individuals in our rural Nepalese sample report that two children is their ideal number, yet about half of the married women continue childbearing after their second child. Using longitudinal data from the Chitwan Valley Family Study, we explore the influence of women's and neighbors' family size preferences on women's progression to high parity births, comparing this influence across two cohorts. We find that neighbors' family size preferences influence women's fertility, that older cohorts of women are more influenced by their neighbors' preferences than are younger cohorts of women, and that the influence of neighbors' preferences is independent of women's own preferences. © 2013 The Population Council, Inc.

Changing Attitudes Toward Care of Aging Parents: The Influence of Education, International Travel, and Gender.

PubMed

Compernolle, Ellen

Population aging is a key public health issue facing many nations, and is particularly pronounced in many Asian countries. At the same time, attitudes toward filial obligation are also rapidly changing, with a decreasing sense that children are responsible for caring for elderly parents. This investigation blends the family versus nonfamily mode of social organization framework with a life course perspective to provide insight into the processes of ideational change regarding filial responsibility, highlighting the influence of education and international travel. Using data from a longitudinal study in Nepal-the Chitwan Valley Family Study-results demonstrate that education and international travel are associated with a decrease in attitudes toward filial obligation. However, findings further reveal that the impact of education and international travel vary both across the life course and by gender.

Implementing Nepal's national building code—A case study in patience and persistence

USGS Publications Warehouse

Arendt, Lucy; Hortacsu, Ayse; Jaiswal, Kishor; Bevington, John; Shrestha, Surya; Lanning, Forrest; Mentor-William, Garmalia; Naeem, Ghazala; Thibert, Kate

2017-01-01

The April 2015 Gorkha Nepal earthquake revealed the relative effectiveness of the Nepal Standard, or national building code (NBC), and irregular compliance with it in different parts of Nepal. Much of the damage to more than half a million Nepal's residential structures may be attributed to the prevalence of owner-built or owner-supervised construction and the lack of owner and builder responsiveness to seismic risk and training in the appropriate means of complying with the NBC. To explain these circumstances, we review the protracted implementation of the NBC and the role played by one organization, the National Society for Earthquake Technology-Nepal (NSET), in the NBC's implementation. We also share observations on building code compliance made by individuals in Nepal participating in workshops led by the Earthquake Engineering Research Institute's 2014 class of Housner Fellows.

Present and former equilibrium-line altitudes near Mount Everest, Nepal and Tibet

USGS Publications Warehouse

Williams, V.S.

1983-01-01

New information on equilibrium-line altitudes (ELAs) of present and former glaciers in the Mount Everest area of eastern Nepal and southern Tibet has been derived from field mapping and interpretation of topographic maps and Landsat imagery. Present ELAs rise from south to north across the Himalayan Range from 5200 to 5800 m, as indicated by the altitudes of lowest cirque glaciers and highest lateral and medial moraines on valley glaciers. In contrast, ELAs during maximum late Pleistocene glaciation rose in altitude from 4300 to 5500 m across the range, as indicated by altitudes of lowest cirque floors and maximum extent of glacial deposits. Highest ELAs occurred on previously unrecognized ice caps that formerly covered extensive highland areas in Tibet north of the range crest. During four distinct Holocene glacial advances of subequal magnitude, ELAs were depressed about 30% as much as the late Pleistocene maximum depression. Depression of ELAs during the late Pleistocene glaciation was about twice as great south of the range crest (950 m) as north of it (400 m). Although the present northward decrease in precipitation causes ELAs to rise northward for 85 km at 7.1 m km-1, the gradient during maximum late Pleistocene glaciation was 11 m km-1. Such a great contrast in glacier response to climate change over a short distance is remarkable and probably reflects increased aridity on the Tibetan Plateau and increased climatic contrast across the Himalayan Range during glacial ages.

New insights on multiple seismic uplift on the Main Frontal Thrust near the Ratu river, Eastern Nepal using high-resolution topography

NASA Astrophysics Data System (ADS)

Karakas, Cagil; Tapponnier, Paul; Nath Sapkota, Soma; Coudurier Curveur, Aurelie; Ildefonso, Sorvigenaleon; Gao, Mingxing; Bollinger, Laurent; Klinger, Yann

2016-04-01

The number of localities along the Main Frontal Thrust, between 85°49' to 86°27' E, where new data corroborates the surface emergence of the great M ≈ 8.4, 1934 Bihar-Nepal and 1255 AD earthquakes has increased over the past years. Here we show new high-resolution, quantitative evidences of surface rupture and co-seismic uplift near the Ratu river area. We present a refined map of uplifted terrace surfaces and abandoned paleo-channels truncated by the MFT, obtained by the combination of newly acquired high resolution Digital Elevation Models from Total station, Terrestrial Lidar Scanner (TLS), Unmanned Aerial Vehicle (UAV) and kinematic GPS surveys. In the Ratu valley, using these new high-resolution topographic datasets, we identify six and possibly seven distinct terrace levels uplifted parallel to the riverbed, lying unconformably on top of folded Siwaliks. Several sets of measurements may be taken to imply broadly characteristic increments of throw during sequences of at least six to seven events of riverbed abandonment related to co-seismic uplifts. Newly collected detrital charcoals from several pits and from a rejuvenated paleoseismological wall will help assess more precisely uplift and shortening rates over the length of segments of the MFT east and west of Bardibas. A regional comparison of comparable long-term paleoseismological data at other sites along the 1934 rupture length is in progress.

Understanding effects of armed conflict on health outcomes: the case of Nepal

PubMed Central

2010-01-01

Objective There is abundance of literature on adverse effects of conflict on the health of the population. In contrast to this, sporadic data in Nepal claim improvements in most of the health indicators during the decade-long armed conflict (1996-2006). However, systematic information to support or reject this claim is scant. This study reviews Nepal's key health indicators before and after the violent conflict and explores the possible factors facilitating the progress. Methods A secondary analysis has been conducted of two demographic health surveys-Nepal Family Health Survey (NFHS) 1996 and Nepal Demographic and Health Survey (NDHS) 2006; the latter was supplemented by a study carried out by the Nepal Health Research Council in 2006. Results The data show Nepal has made progress in 16 out of 19 health indicators which are part of the Millennium Development Goals whilst three indicators have remained static. Our analysis suggests a number of conflict and non-conflict factors which may have led to this success. Conclusion The lessons learnt from Nepal could be replicable elsewhere in conflict and post-conflict environments. A nationwide large-scale empirical study is needed to further assess the determinants of Nepal's success in the health sector at a time the country experienced a decade of armed conflict. PMID:21122098

Nepal Ambient Monitoring and Source Testing Experiment (NAMaSTE): emissions of trace gases and light-absorbing carbon from wood and dung cooking fires, garbage and crop residue burning, brick kilns, and other sources

NASA Astrophysics Data System (ADS)

Stockwell, Chelsea E.; Christian, Ted J.; Goetz, J. Douglas; Jayarathne, Thilina; Bhave, Prakash V.; Praveen, Puppala S.; Adhikari, Sagar; Maharjan, Rashmi; DeCarlo, Peter F.; Stone, Elizabeth A.; Saikawa, Eri; Blake, Donald R.; Simpson, Isobel J.; Yokelson, Robert J.; Panday, Arnico K.

2016-09-01

The Nepal Ambient Monitoring and Source Testing Experiment (NAMaSTE) campaign took place in and around the Kathmandu Valley and in the Indo-Gangetic Plain (IGP) of southern Nepal during April 2015. The source characterization phase targeted numerous important but undersampled (and often inefficient) combustion sources that are widespread in the developing world such as cooking with a variety of stoves and solid fuels, brick kilns, open burning of municipal solid waste (a.k.a. trash or garbage burning), crop residue burning, generators, irrigation pumps, and motorcycles. NAMaSTE produced the first, or rare, measurements of aerosol optical properties, aerosol mass, and detailed trace gas chemistry for the emissions from many of the sources. This paper reports the trace gas and aerosol measurements obtained by Fourier transform infrared (FTIR) spectroscopy, whole-air sampling (WAS), and photoacoustic extinctiometers (PAX; 405 and 870 nm) based on field work with a moveable lab sampling authentic sources. The primary aerosol optical properties reported include emission factors (EFs) for scattering and absorption coefficients (EF Bscat, EF Babs, in m2 kg-1 fuel burned), single scattering albedos (SSAs), and absorption Ångström exponents (AAEs). From these data we estimate black and brown carbon (BC, BrC) emission factors (g kg-1 fuel burned). The trace gas measurements provide EFs (g kg-1) for CO2, CO, CH4, selected non-methane hydrocarbons up to C10, a large suite of oxygenated organic compounds, NH3, HCN, NOx, SO2, HCl, HF, etc. (up to ˜ 80 gases in all). The emissions varied significantly by source, and light absorption by both BrC and BC was important for many sources. The AAE for dung-fuel cooking fires (4.63 ± 0.68) was significantly higher than for wood-fuel cooking fires (3.01 ± 0.10). Dung-fuel cooking fires also emitted high levels of NH3 (3.00 ± 1.33 g kg-1), organic acids (7.66 ± 6.90 g kg-1), and HCN (2.01 ± 1.25 g kg-1), where the latter could contribute to satellite observations of high levels of HCN in the lower stratosphere above the Asian monsoon. HCN was also emitted in significant quantities by several non-biomass burning sources. BTEX compounds (benzene, toluene, ethylbenzene, xylenes) were major emissions from both dung- (˜ 4.5 g kg-1) and wood-fuel (˜ 1.5 g kg-1) cooking fires, and a simple method to estimate indoor exposure to the many measured important air toxics is described. Biogas emerged as the cleanest cooking technology of approximately a dozen stove-fuel combinations measured. Crop residue burning produced relatively high emissions of oxygenated organic compounds (˜ 12 g kg-1) and SO2 (2.54 ± 1.09 g kg-1). Two brick kilns co-firing different amounts of biomass with coal as the primary fuel produced contrasting results. A zigzag kiln burning mostly coal at high efficiency produced larger amounts of BC, HF, HCl, and NOx, with the halogenated emissions likely coming from the clay. The clamp kiln (with relatively more biomass fuel) produced much greater quantities of most individual organic gases, about twice as much BrC, and significantly more known and likely organic aerosol precursors. Both kilns were significant SO2 sources with their emission factors averaging 12.8 ± 0.2 g kg-1. Mixed-garbage burning produced significantly more BC (3.3 ± 3.88 g kg-1) and BTEX (˜ 4.5 g kg-1) emissions than in previous measurements. For all fossil fuel sources, diesel burned more efficiently than gasoline but produced larger NOx and aerosol emission factors. Among the least efficient sources sampled were gasoline-fueled motorcycles during start-up and idling for which the CO EF was on the order of ˜ 700 g kg-1 - or about 10 times that of a typical biomass fire. Minor motorcycle servicing led to minimal if any reduction in gaseous pollutants but reduced particulate emissions, as detailed in a companion paper (Jayarathne et al., 2016). A small gasoline-powered generator and an "insect repellent fire" were also among the sources with the highest emission factors for pollutants. These measurements begin to address the critical data gap for these important, undersampled sources, but due to their diversity and abundance, more work is needed.

Clinical Profile and Early Complications after Single and Dual Chamber Permanent Pacemaker Implantation at Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal.

PubMed

Khanal, J; Poudyal, R R; Devkota, S; Thapa, S; Dhungana, R R

2015-01-01

Permanent pacemaker implantation is a minimally invasive surgical procedure in the management of patients with cardiac problems. However, complications during and after implantation are not uncommon. There is lack of evidences in rate of complications with the selection of pacemakers in Nepal. Therefore, this study was performed to compare the frequency of implantation and complication rate between single chamber and dual chamber pacemaker. The present study is based on all consecutive pacemaker implantations in a single centre between April 2014 and May 2015. A total of 116 patients were categorized into two cohorts according to the type of pacemaker implanted- single chamber or dual chamber. All patients had regular 2-weeks follow-up intervals with standardized documentation of all relevant patient data till 6-week after implantation. Data were presented as means ± standard deviation (SD) for continuous variables and as proportions for categorical variables. Comparison of continuous variables between the groups was made with independent Student's t-test. For discrete variables distribution between groups were compared with Chi-square test. The mean age (±SD) of total population at implant was 64.08 (± 15.09) years. Dual chamber units were implanted in 44 (37.93%) of patients, single chamber in 72 (62.06%). Only 14 women (31.81%) received dual chamber compared with 42 women (58.33%) who received single chamber (Chi-square=18, DF=1, P = 0.0084). Complete atrioventricular block was the commonest (56.03%) indication for permanent pacemaker insertion followed by sick sinus syndrome (33.62%), symptomatic high-grade AV block (11.20%). Hypertension (dual chamber 21.55%, single chamber 40.51%) was the most common comorbidity in both cohorts. Complications occurred in 11 (9.48%) patients. More proportion of complication occurred in single chamber group (9 patients, 12.50%) than in dual chamber (2 patients, 4.54%). Complications occurring in dual chamber group include pocket hematoma 1 patient (2.27%) and arrhythmia in 1 patient (2.27%). Similarly, complications occurring in single chamber include RV perforation in two patients (2.77%) and one each (1.38%) had pocket hematoma, pneumothorax, infection, swelling at pocket site, arrhythmia in the form of NSVT, leads displacement, DVT and mortality. Women were more likely to receive single chamber systems than men. More proportion of complication occurred in single chamber group than in dual chamber. Future prospective studies on larger number of patients are needed to confirm and support our findings.

Initiatives to Reduce Earthquake Risk of Developing Countries

NASA Astrophysics Data System (ADS)

Tucker, B. E.

2008-12-01

The seventeen-year-and-counting history of the Palo Alto-based nonprofit organization GeoHazards International (GHI) is the story of many initiatives within a larger initiative to increase the societal impact of geophysics and civil engineering. GHI's mission is to reduce death and suffering due to earthquakes and other natural hazards in the world's most vulnerable communities through preparedness, mitigation and advocacy. GHI works by raising awareness in these communities about their risk and about affordable methods to manage it, identifying and strengthening institutions in these communities to manage their risk, and advocating improvement in natural disaster management. Some of GHI's successful initiatives include: (1) creating an earthquake scenario for Quito, Ecuador that describes in lay terms the consequences for that city of a probable earthquake; (2) improving the curricula of Pakistani university courses about seismic retrofitting; (3) training employees of the Public Works Department of Delhi, India on assessing the seismic vulnerability of critical facilities such as a school, a hospital, a police headquarters, and city hall; (4) assessing the vulnerability of the Library of Tibetan Works and Archives in Dharamsala, India; (5) developing a seismic hazard reduction plan for a nonprofit organization in Kathmandu, Nepal that works to manage Nepal's seismic risk; and (6) assisting in the formulation of a resolution by the Council of the Organization for Economic Cooperation and Development (OECD) to promote school earthquake safety among OECD member countries. GHI's most important resource, in addition to its staff and Board of Trustees, is its members and volunteer advisors, who include some of the world's leading earth scientists, earthquake engineers, urban planners and architects, from the academic, public, private and nonprofit sectors. GHI is planning several exciting initiatives in the near future. One would oversee the design and construction of an earthquake- and tsunami-resistant structure in Sumatra to house a tsunami museum, a community training center, and offices of a local NGO that is preparing Padang for the next tsunami. This facility would be designed and built by a team of US and Indonesian academics, architects, engineers and students. Another initiative would launch a collaborative research program on school earthquake safety with the scientists and engineers from the US and the ten Islamic countries that comprise the Economic Cooperation Organization. Finally, GHI hopes to develop internet and satellite communication techniques that will allow earthquake risk managers in the US to interact with masons, government officials, engineers and architects in remote communities of vulnerable developing countries, closing the science and engineering divide.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Alam, R.; Chowdhury, M.A.I.; Hasan, G.M.J.

Solid waste management (SWM) services have consistently failed to keep up with the vast amount of solid waste produced in urban areas. There is not currently an efficient system in place for the management, storage, collection, and transportation of solid waste. Kathmandu City, an important urban center of South Asia, is no exception. In Kathmandu Metropolitan City, solid waste generation is predicted to be 1091 m{sup 3}/d (245 tons/day) and 1155 m{sup 3}/d (260 tons/day) for the years 2005 and 2006, respectively. The majority (89%) of households in Kathmandu Metropolitan City are willing to segregate the organic and non-organic portionsmore » of their waste. Overall collection efficiency was 94% in 2003. An increase in waste collection occurred due to private sector involvement, the shutdown of the second transfer station near the airport due to local protest, a lack of funding to maintain trucks/equipment, a huge increase in plastic waste, and the willingness of people to separate their waste into separate bins. Despite a substantial increase in total expenditure, no additional investments were made to the existing development plan to introduce a modern disposal system due to insufficient funding. Due to the lack of a proper lining, raw solid waste from the existing dumping site comes in contact with river water directly, causing severe river contamination and deteriorating the quality of the water.« less

Do dentists have better oral health compared to general population: a study on oral health status and oral health behavior in Kathmandu, Nepal

PubMed Central

2014-01-01

Background Dentists are considered role models by the general population in regards to oral hygiene and oral health behavior. This study aimed to access the oral health status of dentists and laypersons, and compare the dentists’ practice of preventive dentistry and oral self-care behaviors to that of the laypersons. Methods This cross-sectional study recruited 472 participants (195 dentists and 277 laypersons from the general population). Their oral health/hygiene behavior was assessed using a standardized close-ended multiple choice questionnaire. Oral examination was performed to assess caries using Decayed Missed Filled teeth (DMFT) index and periodontal status using Community Periodontal Index of Treatment Needs (CPITN). Results Ninety-six percent of dentists brushed their teeth at least once daily, using fluoridated toothpaste and 80.5% twice daily. Although 94% of laypersons brushed their teeth once daily, they seldom used fluoridated toothpaste. Ten percent of participants in each group were caries free. The mean number of teeth present in the oral cavity (27.4 versus 25.4), mean number of teeth with caries (1.8 versus 3.7) and fillings (2.5 versus 0.4) were significantly different (p < 0.0001) between dentists and laypersons, respectively. Regarding the periodontal status, 82% of dentists had CPITN score of 0 whereas 71% of laypersons had the highest score 3 (p = 0.007), and 81% of the laypersons reported tooth mobility compared to 1% of dentists (p < 0.0001). Conclusions The participating dentists had better periodontal status and better self-reported oral health behaviors than the laypersons. Despite similar prevalence of caries in the two groups, the prevalence of decayed and unfilled teeth was lower among the dentists. PMID:24655533

Characterization of mycobacteria in HIV/AIDS patients of Nepal.

PubMed

Dhungana, G P; Ghimire, P; Sharma, S; Rijal, B P

2008-01-01

Besides Mycobacterium tuberculosis, a number of other Mycobacterium species are also occasional human pathogens. Tuberculosis due to Mycobacterium avium complex (MAC) and Mycobacterium kansasii is particularly prevalent in AIDS patients as compared to the normal population. A cross-sectional study was carried out during January 2004 to August 2005 in 100 HIV-infected persons visiting Tribhuvan University, Teaching Hospital, and about a dozen of HIV/AIDS care centers of Kathmandu with the objectives to characterize the different mycobacterial species in HIV/AIDS patients. Three sputum specimens from each person were used to investigate tuberculosis by Ziehl-Neelsen staining, culture and identification tests. Among the 100 HIV-infected cases, 66 (66%) were males and 34 (34%) were females. Sixty percent of the cases were in the age group of 21-30 years. Mycobacteria were detected in 23 (23%) HIV cases of which 15 (65.2%) were in the age group of 21-30 years ; 17(74%) were males and 6 (26 %) were females. Among 23 co-infected cases, 22 were culture positive for mycobacteria. Among these, the predominant one was Mycobacterium avium complex (MAC), 9 (41%), followed by M. tuberculosis, 6 (27%), M .kansasii, 4 (18%), M. fortuitum, 2 (10%) and M. chelonae 1 (4%). Significant relationship was established between smoking/alcoholism and the subsequent development of tuberculosis (chi(2)=7.24, p<0.05 for smoking habit and chi(2)=4.39, p<0.05 for alcoholism). Fourteen (61%) co-infected cases presented with weight loss and cough whereas diarrhea was presented only by those patients with atypical mycobacterial co-infection, which was as high as 5 (56%) in patients with MAC co-infection. This study demonstrated the predominance of atypical mycobacteria, mainly MAC, in HIV/AIDS cases and most of them were from sputum smear-negative cases.

Seasonal variations of natural ventilation and radon-222 exhalation in a slightly rising dead-end tunnel.

PubMed

Perrier, Frédéric; Richon, Patrick; Gautam, Umesh; Tiwari, Dilli Ram; Shrestha, Prithvi; Sapkota, Soma Nath

2007-01-01

The concentration activity of radon-222 has been monitored, with some interruptions, from 1997 to 2005 in the end section of a slightly rising, dead-end, 38-m long tunnel located in the Phulchoki hill, near Kathmandu, Nepal. While a high concentration varying from 6 x 10(3) Bq m(-3) to 10 x 10(3) Bq m(-3) is observed from May to September (rainy summer season), the concentration remains at a low level of about 200 Bq m(-3) from October to March (dry winter season). This reduction of radon concentration is associated with natural ventilation of the tunnel, which, contrary to expectations for a rising tunnel, takes place mainly from October to March when the outside air temperature drops below the average tunnel temperature. This interpretation is supported by temperature measurements in the atmosphere of the tunnel, a few meters away from the entrance. The temporal variations of the diurnal amplitude of this temperature indeed follow the ventilation rate deduced from the radon measurements. In the absence of significant ventilation (summer season), the radon exhalation flux at the rock surface into the tunnel atmosphere can be inferred; it exhibits a yearly variation with additional transient reductions associated with heavy rainfall, likely to be due to water infiltration. No effect of atmospheric pressure variations on the radon concentration is observed in this tunnel. This experiment illustrates how small differences in the location and geometry of a tunnel can lead to vastly different behaviours of the radon concentration versus time. This observation has consequences for the estimation of the dose rate and the practicability of radon monitoring for tectonic purposes in underground environments.

Percutaneous transvenous mitral commissurotomy in juvenile mitral stenosis.

PubMed

Adhikari, Chandra Mani; Malla, Rabi; Rajbhandari, Rajib; Shakya, Urmila; Sharma, Poonam; Shrestha, Nagma; Kc, Bishal; Limbu, Deepak; Kc, Man Bahadur

2016-02-01

Percutaneous transvenous mitral commissurotomy (PTMC) is a valid alternative to surgical therapy in selected patients with mitral stenosis. Juvenile mitral stenosis (JMS) varies uniquely from adult rheumatic heart disease (RHD). We aimed to evaluate the efficacy of PTMC in JMS patients. It was a single centre, retrospective study conducted between July 2013 to June 2015 in Shahid Gangalal National Heart Centre, Kathmandu, Nepal. Medical records of all consecutive patients aged less than 21 years who underwent PTMC were included. Mitral valve area (MVA), left atrial pressure and mitral regurgitation (MR) were compared pre and post procedure. During the study period 131 JMS patients underwent PTMC. Seventy (53.4%) were female and 61 (46.6%) were male. Among the 131 patients, 40 (30.5%) patients were below the age of 15 years. Patient age ranged between 9 to 20 years with the mean of 16.3±2.9 years. Electrocardiography (ECG) findings were normal sinus rhythm in 115 (87.7%) patients and atrial fibrillation in 16 (12.3%) patients. Left atrial size ranged from 2.9 to 6.1 cm with the mean of 4.5±0.6 cm. The mean MVA increased from 0.8±0.1 cm(2) to 1.6±0.2 following PTMC. Mean left atrial pressure decreased from their pre-PTMC state of 27.5±8.6 to 14.1±5.8 mmHg. Successful results were observed in 115 (87.7%) patients. Suboptimal MVA <1.5 cm(2) in 11 (8.4%) patients and post-procedure MR of more than moderate MR in 5 (3.8%) patients was the reason for unsuccessful PTMC. PTMC in JMS is safe and effective.

Comparison of multiple methods for detecting changes in urban areas in TerraSAR-X data

NASA Astrophysics Data System (ADS)

Hammer, Horst; Dubois, Clémence; Boldt, Markus; Kuny, Silvia; Cadario, Erich; Thiele, Antje

2016-10-01

The current generation of SAR satellites such as TerraSAR-X, TanDEM-X and COSMO-SkyMed provide resolutions below one meter, permitting the detailed analysis of urban areas while covering large zones. Furthermore, as they are deployable independently of daylight and weather, such remote sensing SAR data are particularly popular for purposes such as rapid damage assessment at building level after a natural disaster. The purpose of our study is the investigation of techniques for the detection of changes based on one pre-event and one post-event SAR amplitude image. We provide a comparison of several methods for detecting changes in urban areas. Especially, changes at building locations are looked for. We analyzed two areas affected differently in detail. First, a suburban area of Paris, France, was considered due to changes caused by an urbanization project. Here, we have two TanDEM-X acquisitions available, before (November 4, 2012) and after (May 10, 2013) the changes. Second, we investigated changes that happened in Kathmandu, Nepal, after the April 25, 2015 earthquake. For this analysis, we have two TerraSAR-X acquisitions, one before (October 13, 2013) and one immediately after (April 27, 2015) the earthquake. Both areas differ by the building types, the image resolution and the available reference, which makes it an interesting challenge. In this paper, we compare six different methods for change detection. The investigated methods contain both standard criteria such as Log Ratio, Kullback-Leibler and the Difference of Entropies detector, and methods developed by the authors such as a Log Ratio combined with an Alternating Sequential Filter. All change detection results are presented and discussed by considering the available ground truth.

Life in unexpected places: Employing visual thinking strategies in global health training.

PubMed

Allison, Jill; Mulay, Shree; Kidd, Monica

2017-01-01

The desire to make meaning out of images, metaphor, and other representations indicates higher-order cognitive skills that can be difficult to teach, especially in the complex and unfamiliar environments like those encountered in many global health experiences. Because reflecting on art can help develop medical students' imaginative and interpretive skills, we used visual thinking strategies (VTS) during an immersive 4-week global health elective for medical students to help them construct new understanding of the social determinants of health in a low-resource setting. We were aware of no previous formal efforts to use art in global health training. We assembled a group of eight medical students in front of a street mural in Kathmandu and used VTS methods to interpret the scene with respect to the social determinants of health. We recorded and transcribed the conversation and conducted a thematic analysis of student responses. Students shared observations about the mural in a supportive, nonjudgmental fashion. Two main themes emerged from their observations: those of human-environment interactions (specifically community dynamics, subsistence land use, resources, and health) and entrapment/control, particularly relating to expectations of, and demands on, women in traditional farming communities. They used the images as well as their experience in Nepali communities to consolidate complex community health concepts. VTS helped students articulate their deepening understanding of the social determinants of health in Nepal, suggesting that reflection on visual art can help learners apply, analyze, and evaluate complex concepts in global health. We demonstrate the relevance of drawing upon many aspects of cultural learning, regarding art as a kind of text that holds valuable information. These findings may help provide innovative opportunities for teaching and evaluating global health training in the future.

Performance of the Chicago Water Isotope Spectrometer in the UTLS during the Asian Monsoon

NASA Astrophysics Data System (ADS)

Gaeta, D. C.; Clouser, B.; Sarkozy, L.; Singer, C. E.; Moyer, E. J.

2017-12-01

The preferential condensation of water vapor isotopologues makes the isotopic composition of water vapor a useful tracer of the processes responsible for the distribution of water in the UTLS, but the UTLS also offers particular challenges for its measurement. We report here on the field performance of a new instrument designed for measurement of HDO and H2O in the UTLS region: the Chicago Water Isotope Spectrometer (Chi-WIS). Chi-WIS is a laser-based infrared absorption spectrometer at 2.65 μm that uses a high-reflectivity optical cavity to obtain 6 km of effective path length, allowing sensitive measurements of scarce molecules. During the 2017 StratoClim aircraft campaign in Kathmandu, Nepal, Chi-WIS flew aboard the M-55 Geophysica high-altitude research aircraft in a series of flights to probe the Asian Monsoon. Preliminary results show in-flight performance consistent with laboratory performance and the achievement of design targets necessary to reach UTLS science goals. Residual noise on spectra is stable across flights at 4-5x10-4 with 1 second averaging (i.e. absorption depth of .04-.05%); the instrument is robust in terms of alignment and shows no evidence of optical resonances. The resulting measurement precision is as expected from these characteristics. Because we use a relatively strong water line, the water vapor measurement is extremely precise: constant-altitude flight legs in the stratosphere at 4 ppm H2O show 1 s standard deviation 0.03 ppmv for 1 s averaging, and 0.08 ppbv for HDO with 10 s averaging. We show comparisons with other StratoClim instruments and examples of how these measurements resolve scientifically relevant atmospheric features.

Dietary B Vitamins and Serum C-Reactive Protein in Persons With Human Immunodeficiency Virus Infection: The Positive Living With HIV (POLH) Study.

PubMed

Poudel-Tandukar, Kalpana; Chandyo, Ram Krishna

2016-12-01

B vitamins may have beneficial roles in reducing inflammation; however, research on the role of B vitamins in inflammation among HIV-infected persons is lacking. This study assessed the association between B vitamins and serum C-reactive protein (CRP) concentrations in HIV-infected persons. A cross-sectional survey was conducted among 314 HIV-infected persons (180 men and 134 women) aged 18 to 60 years residing in the Kathmandu, Nepal. High-sensitive and regular serum CRP concentrations were measured by the latex agglutination nephelometry and latex agglutination turbidimetric method, respectively. Dietary intake was assessed using 2 nonconsecutive 24-hour dietary recalls. The relationships between B vitamins and serum CRP concentrations were assessed using multiple regression analysis. The multivariate-adjusted geometric mean of serum CRP concentrations was significantly decreased with an increasing B vitamins intake across quartiles of niacin (P for trend = .007), pyridoxine (P for trend = .042), and cobalamin (P for trend = .037) in men. In men, the mean serum CRP concentrations in the highest quartiles of niacin, pyridoxine, and cobalamin were 63%, 38%, and 58%, respectively, lower than that in the lowest quartile. In women, the mean serum CRP concentrations in the highest quartiles of riboflavin (P for trend = .084) and pyridoxine (P for trend = .093) were 37% and 47%, respectively, lower than that in the lowest quartile. High intake of niacin, pyridoxine, or cobalamin was independently associated with decreased serum CRP concentrations among HIV-infected men. Further prospective studies are warranted to confirm the role of B vitamins in inflammation among HIV-infected persons. © The Author(s) 2016.

Teaching English as a Foreign/Second Language in Nepal: Past and Present

ERIC Educational Resources Information Center

Bista, Krishna

2011-01-01

In this paper, the author reviews the history of English language teaching English as a second or foreign language in schools and colleges in Nepal. Teaching English language and literature in Nepal is of about a half a decade, starting from the mid of twentieth century. English learners in Nepal do not have enough exposure to various techniques…

Factors Associated with Pregnancy among Married Adolescents in Nepal: Secondary Analysis of the National Demographic and Health Surveys from 2001 to 2011

PubMed Central

Pradhan, Rina; Wynter, Karen; Fisher, Jane

2018-01-01

Pregnancy-related morbidity and mortality are much more prevalent among adolescents than adults, particularly in low-income settings. Little is known about risk factors for pregnancy among adolescents in Nepal, but setting-specific evidence is needed to inform interventions. This study aimed to describe the prevalence, and identify factors associated with pregnancy among adolescents in Nepal between 2001 and 2011. Secondary analyses of Nepal Demographic Health Surveys (NDHS) data from 2001, 2006, and 2011 were completed. The outcome was any pregnancy or birth among married adolescents; prevalence was calculated for each survey year. Although the rate of marriage among adolescent women in Nepal decreased significantly from 2001 to 2011, prevalence of pregnancy and birth among married adolescent women in Nepal remains high (average 56%) in Nepal, and increased significantly between 2001 and 2011. Regression analyses of this outcome indicate higher risk was associated with living in the least resourced region, early sexual debut, and older husband. Despite national efforts to reduce pregnancies among married adolescent women in Nepal, prevalence remains high. Integrated, cross-sectoral prevention efforts are required. Poverty reduction and infrastructure improvements may lead to lower rates of adolescent pregnancy. PMID:29385771

Ozone Observations using Ozonesonde over the Himalaya from Pokhara, Nepal.

NASA Astrophysics Data System (ADS)

Dhungel, S.; Cullis, P.; Johnson, B.; Thompson, A. M.; Witte, J. C.; Panday, A. K.

2016-12-01

In recent years, transport of emissions from the Indo-Gangetic Plains (IGP), which covers parts of Pakistan, Nepal, India, Bangladesh has increased. Ozone pre-cursors like methane, nitrogen oxides, volatile organic carbons, and carbon monoxide from diesel based vehicular emission, biofuel and biomass burning, agricultural activities dominate the total emissions from the IGP. Synoptic circulation patterns along with local weather systems transport pollutants from the IGP up the Himalayan valleys to the Tibetan plateau. After being emitted, these pollutants are photochemically converted into tropospheric ozone - a short-lived climate pollutant that can increase atmospheric warming, alter processes of cloud formation, and in turn, influence precipitation levels and reduce carbon absorptivity in plants leading to decline in crop yields. However, little is known about vertical profiles of ozone concentration on the southern slopes of the Himalaya. Vertical ozone profiles were sampled from December 18th, 2015 to January 8th, 2016 from Pokhara (28.23°N, 83.99°E, 827m asl), Nepal using ozonesondes. Pokhara is located about 30km south of the Annapurna Himalaya, thus providing an ideal location to profile vertical ozone concentration south of the Himalaya. We launched one, two or four ozonesondes per day to examine the vertical resolution of ozone south of the Himalaya for the first time, and to understand the contribution of tropospheric and stratospheric sources. Here we present results from the 37 ozonesonde launches from Pokhara to examine: (i) how emissions from the IGP contribute to the vertical resolution of ozone, and (ii) if Himalayan orography provides an efficient path for stratosphere-troposphere air mass exchange under dry conditions. Our results show no signals of stratospheric air mass exchange. The results indicate higher levels of ozone within the boundary layer and lower troposphere. These higher values in the lower troposphere during winter seasons may be a result of longer residence times of the air mass resulting in photochemical build-up despite reduced insolation. Our observations are also essential to help infer ozone trends near the Himalaya, where there is currently inadequate spatial and temporal data coverage.

Fault- and Area-Based PSHA in Nepal using OpenQuake: New Insights from the 2015 M7.8 Gorkha-Nepal Earthquake

NASA Astrophysics Data System (ADS)

Stevens, Victoria

2017-04-01

The 2015 Gorkha-Nepal M7.8 earthquake (hereafter known simply as the Gorkha earthquake) highlights the seismic risk in Nepal, allows better characterization of the geometry of the Main Himalayan Thrust (MHT), and enables comparison of recorded ground-motions with predicted ground-motions. These new data, together with recent paleoseismic studies and geodetic-based coupling models, allow for good parameterization of the fault characteristics. Other faults in Nepal remain less well studied. Unlike previous PSHA studies in Nepal that are exclusively area-based, we use a mix of faults and areas to describe six seismic sources in Nepal. For each source, the Gutenberg-Richter a and b values are found, and the maximum magnitude earthquake estimated, using a combination of earthquake catalogs, moment conservation principals and similarities to other tectonic regions. The MHT and Karakoram fault are described as fault sources, whereas four other sources - normal faulting in N-S trending grabens of northern Nepal, strike-slip faulting in both eastern and western Nepal, and background seismicity - are described as area sources. We use OpenQuake (http://openquake.org/) to carry out the analysis, and peak ground acceleration (PGA) at 2 and 10% chance in 50 years is found for Nepal, along with hazard curves at various locations. We compare this PSHA model with previous area-based models of Nepal. The Main Himalayan Thrust is the principal seismic hazard in Nepal so we study the effects of changing several parameters associated with this fault. We compare ground shaking predicted from various fault geometries suggested from the Gorkha earthquake with each other, and with a simple model of a flat fault. We also show the results from incorporating a coupling model based on geodetic data and microseismicity, which limits the down-dip extent of rupture. There have been no ground-motion prediction equations (GMPEs) developed specifically for Nepal, so we compare the results of standard GMPEs used together with an earthquake-scenario representing that of the Gorkha earthquake, with actual data from the Gorkha earthquake itself. The Gorkha earthquake also highlighted the importance of basin-, topographic- and directivity-effects, and the location of high-frequency sources, on influencing ground motion. Future study aims at incorporating the above, together with consideration of the fault-rupture history and its influence on the location and timing of future earthquakes.

Social Change and the Relationships between Education and Employment.

PubMed

Yabiku, Scott T; Schlabach, Sarah

2009-08-01

The relationships between education and employment have long been of interest to social scientists. During the transition from a completely agricultural economy to one that is developing nonfarm opportunities, however, the relationships between education and employment may dramatically change. We examine how two components of education-schooling enrollment and attainment-affect the transition to employment for men and women in the Chitwan Valley of Nepal. Using discrete-time event history models, we find that school enrollment tends to delay employment, while school attainment accelerates employment. We also test how these effects may have changed across successive cohorts. Over time, the effects of enrollment have become stronger, while the effects of attainment appear to have weakened. These shifts in the nature of education may be related to increasing conflict between student and employee roles, as well as changes in the types and availability of employment.

Deconstructing Community for Conservation: Why Simple Assumptions are Not Sufficient.

PubMed

Waylen, Kerry Ann; Fischer, Anke; McGowan, Philip J K; Milner-Gulland, E J

2013-01-01

Many conservation policies advocate engagement with local people, but conservation practice has sometimes been criticised for a simplistic understanding of communities and social context. To counter this, this paper explores social structuring and its influences on conservation-related behaviours at the site of a conservation intervention near Pipar forest, within the Seti Khola valley, Nepal. Qualitative and quantitative data from questionnaires and Rapid Rural Appraisal demonstrate how links between groups directly and indirectly influence behaviours of conservation relevance (including existing and potential resource-use and proconservation activities). For low-status groups the harvesting of resources can be driven by others' preference for wild foods, whilst perceptions of elite benefit-capture may cause reluctance to engage with future conservation interventions. The findings reiterate the need to avoid relying on simple assumptions about 'community' in conservation, and particularly the relevance of understanding relationships between groups, in order to understand natural resource use and implications for conservation.

HIV epidemic in Far-Western Nepal: effect of seasonal labor migration to India

PubMed Central

2011-01-01

Background Because of limited work opportunities in Nepal and the open-border provision between Nepal and India, a seasonal labor migration of males from Far-Western Nepal to India is common. Unsafe sexual activities of these migrants in India, such as frequent visits to brothels, lead to a high HIV prevalence among them and to a potential transmission upon their return home to Nepal. The present study aims to evaluate the role of such seasonal labor-migration to India on HIV transmission in Far-Western Nepal and to assess prevention programs. Methods An HIV epidemic model was developed for a population in Far-Western Nepal. The model was fitted to the data to estimate the back and forth mobility rates of labor-migrants to India, the HIV prevalence among migrants and the HIV transmission rate in Far-Western Nepal. HIV prevalence, new infections, disease deaths and HIV infections recruited from India were calculated. Prevention programs targeting the general population and the migrants were evaluated. Results Without any intervention programs, Far-Western Nepal will have about 7,000 HIV infected individuals returning from India by 2015, and 12,000 labor-migrants living with HIV in India. An increase of condom use among the general population from 39% to 80% will reduce new HIV infections due to sexual activity in Far-Western Nepal from 239 to 77. However, such a program loses its effectiveness due to the recruitment of HIV infections via returning migrants from India. The reduction of prevalence among migrants from 2.2% to 1.1% can bring general prevalence down to 0.4% with only 3,500 recruitments of HIV infections from India. Conclusion Recruitment of HIV infections from India via seasonal labor-migrants is the key factor contributing to the HIV epidemic in Far-Western Nepal. Prevention programs focused on the general population are ineffective. Our finding highlights the urgency of developing prevention programs which reduce the prevalence of HIV among migrants for a successful control of the HIV epidemic in Far-Western Nepal. PMID:21569469

Health-sector responses to address the impacts of climate change in Nepal.

PubMed

Dhimal, Meghnath; Dhimal, Mandira Lamichhane; Pote-Shrestha, Raja Ram; Groneberg, David A; Kuch, Ulrich

2017-09-01

Nepal is highly vulnerable to global climate change, despite its negligible emission of global greenhouse gases. The vulnerable climate-sensitive sectors identified in Nepal's National Adaptation Programme of Action (NAPA) to Climate Change 2010 include agriculture, forestry, water, energy, public health, urbanization and infrastructure, and climate-induced disasters. In addition, analyses carried out as part of the NAPA process have indicated that the impacts of climate change in Nepal are not gender neutral. Vector-borne diseases, diarrhoeal diseases including cholera, malnutrition, cardiorespiratory diseases, psychological stress, and health effects and injuries related to extreme weather are major climate-sensitive health risks in the country. In recent years, research has been done in Nepal in order to understand the changing epidemiology of diseases and generate evidence for decision-making. Based on this evidence, the experience of programme managers, and regular surveillance data, the Government of Nepal has mainstreamed issues related to climate change in development plans, policies and programmes. In particular, the Government of Nepal has addressed climate-sensitive health risks. In addition to the NAPA report, several policy documents have been launched, including the Climate Change Policy 2011; the Nepal Health Sector Programme - Implementation Plan II (NHSP-IP 2) 2010-2015; the National Health Policy 2014; the National Health Sector Strategy 2015-2020 and its implementation plan (2016-2021); and the Health National Adaptation Plan (H-NAP): climate change and health strategy and action plan (2016-2020). However, the translation of these policies and plans of action into tangible action on the ground is still in its infancy in Nepal. Despite this, the health sector's response to addressing the impact of climate change in Nepal may be taken as a good example for other low- and middle-income countries.

Vision science literature of Nepal in the database "Web of Science".

PubMed

Risal, S; Prasad, H N

2012-01-01

Vision Science is considered to be a quite developed discipline in Nepal, with much research currently in progress. Though the results of these endeavors are published in scientific journals, formal citation analyses have not been performed on works contributed by Nepalese vision scientists. To study Nepal's contribution to vision science literature in the database "Web of Science". The primary data source of this paper was Web of Science, a citation database of Thomas Reuters. All bibliometric analyses were performed with the help of Web of Science analysis service. In the current database of vision science literature, Nepalese authors contributed 112 publications to Web of Science, 95 of which were original articles. Pokharel GP had the highest number of citations among contributing authors of Nepal. Hennig A contributed the highest number of article as a first author. The Nepal Eye Hospital contributed the highest number of articles as an institution to the field of Vision Science. Currently, only two journals from Nepal including Journal of Nepal Medical Association (JAMA) are indexed in the Web of Science database (Sieving, 2012). To evaluate the total productivity of vision science literature from Nepal, total publication counts from national journals and articles indexed in other databases such as PubMed and Scopus must also be considered. © NEPjOPH.

Seismic soil structure interaction analysis for asymmetrical buildings supported on piled raft for the 2015 Nepal earthquake

NASA Astrophysics Data System (ADS)

Badry, Pallavi; Satyam, Neelima

2017-01-01

Seismic damage surveys and analyses conducted on modes of failure of structures during past earthquakes observed that the asymmetrical buildings show the most vulnerable effect throughout the course of failures (Wegner et al., 2009). Thus, all asymmetrical buildings significantly fails during the shaking events and it is really needed to focus on the accurate analysis of the building, including all possible accuracy in the analysis. Apart from superstructure geometry, the soil behavior during earthquake shaking plays a pivotal role in the building collapse (Chopra, 2012). Fixed base analysis where the soil is considered to be infinitely rigid cannot simulate the actual scenario of wave propagation during earthquakes and wave transfer mechanism in the superstructure (Wolf, 1985). This can be well explained in the soil structure interaction analysis, where the ground movement and structural movement can be considered with the equal rigor. In the present study the object oriented program has been developed in C++ to model the SSI system using the finite element methodology. In this attempt the seismic soil structure interaction analysis has been carried out for T, L and C types piled raft supported buildings in the recent 25th April 2015 Nepal earthquake (M = 7.8). The soil properties have been considered with the appropriate soil data from the Katmandu valley region. The effect of asymmetry of the building on the responses of the superstructure is compared with the author's research work. It has been studied/observed that the shape or geometry of the superstructure governs the response of the superstructure subjected to the same earthquake load.

High Concentrations of Ozone Air Pollution on Mount Everest: Health Implications for Sherpa Communities and Mountaineers.

PubMed

Semple, John L; Moore, G W Kent; Koutrakis, Petros; Wolfson, Jack M; Cristofanelli, Paolo; Bonasoni, Paolo

2016-12-01

Semple, John L., G.W. Kent Moore, Petros Koutrakis, Jack M. Wolfson, Paolo Cristofanelli, and Paolo Bonasoni. High concentrations of ozone air pollution on Mount Everest: health implications for Sherpa communities and mountaineers. High Alt Med Biol. 17:365-369, 2016.-Introduction: Populations in remote mountain regions are increasingly vulnerable to multiple climate mechanisms that influence levels of air pollution. Few studies have reported on climate-sensitive health outcomes unique to high altitude ecosystems. In this study, we report on the discovery of high-surface ozone concentrations and the potential impact on health outcomes on Mount Everest and the high Himalaya. Surface ozone measurements were collected during ascending transects in the Mount Everest region of Nepal with passive nitrite-coated Ogawa filter samplers to obtain 8-hour personal exposures (2860-5364 m asl). In addition, the Nepal Climate Observatory-Pyramid, a GAW-WMO Global Station sited in the Khumbu Valley (5079 m asl), collected ozone mixing ratios with photometric gas analyzer. Surface ozone measurements increased with altitude with concentrations that exceed 100 ppb (8-hour exposure). Highest values were during the spring season and the result of diverse contributions: hemispheric background values, the descent of ozone-rich stratospheric air, and the transport of tropospheric pollutants occurring at different spatial scales. Multiple climate factors, including descending stratospheric ozone and imported anthropogenic air masses from the Indo-Gangetic Plain, contribute to ambient ozone exposure levels in the vicinity of Mount Everest that are similar to if not higher than those reported in industrialized cities.

Morphotectonic study of the Brahmaputra basin using geoinformatics

NASA Astrophysics Data System (ADS)

Nath Sarma, Jogendra; Acharjee, Shukla; murgante, Beniamino

2013-04-01

The Brahmaputra River basin occupies an area of 580,000 km2 lying in Tibet (China), Bhutan, India and Bangladesh. It is bounded on the north by the Nyen-Chen-Tanghla mountains, on the east by the Salween River basin and Patkari range of hills, on the south by Nepal Himalayas and the Naga Hills and on the west by the Ganga sub-basin. Brahmaputra river originates at an elevation of about 5150 m in south-west Tibet and flows for about 2900 km through Tibet (China), India and Bangladesh to join the Ganga.. The Brahmaputra River basin is investigated to examine the influence of active structures by applying an integrated study on geomorphology, morphotectonics, Digital Elevation Model (DEM) using topographic map, satellite data, SRTM, and seismic data. The indices for morphotectonic analysis, viz. basin elongation ratio (Re) indicated tectonically active, transverse topographic symmetry (T = 0.018-0.664) indicated asymmetric nature, asymmetric factor (AF=33) suggested tilt, valley floor width to valley height ratio (Vf = 0.0013-2.945) indicated active incision and mountain-front sinuosity (Smf = 1.11-1.68) values indicated active tectonics in the area. A great or major earthquake in the modern times, in this region may create havoc with huge loss of life and property due to high population density and rapidly developing infrastructure. Keywords: .Morphotectonic, Brahmaputra river, earthquake

Rebuilding Government Legitimacy in Post-Conflict Societies: Case Studies of Nepal and Afghanistan

DTIC Science & Technology

2015-01-01

Post-conflict Societies: Case Studies of Nepal and Afghanistan 5a. CONTRACT NUMBER FA2386-12-1-4052 5b. GRANT NUMBER Grant 12RSZ057 AOARD...on the government of different groups in the Nepal , a list of 13 local and regional groups was compiled (see Appendix E). These comprised the eight... Nepal , and email and mobile phone use is inconsistent (especially in rural areas), alternative strategies needed to be developed for finding

Disaster risk profile and existing legal framework of Nepal: floods and landslides

PubMed Central

Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

2015-01-01

Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus. PMID:26366106

Disaster risk profile and existing legal framework of Nepal: floods and landslides.

PubMed

Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

2015-01-01

Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus.

Pharmacy workforce to prevent and manage non-communicable diseases in developing nations: The case of Nepal.

PubMed

Khanal, Saval; Nissen, Lisa; Veerman, Lennert; Hollingworth, Samantha

2016-01-01

Non-communicable diseases (NCDs, e.g. cardiovascular diseases, cancer, chronic respiratory diseases and diabetes mellitus) are the main causes of mortality and morbidity in developing countries, including Nepal. Nearly half of the deaths in Nepal are caused by NCDs. Nepal lacks adequate human resources to prevent and manage NCDs, but the skills and expertise of pharmacists in Nepal are underused. There is evidence from many countries that pharmacists can contribute substantially to the prevention and management NCD. We aim to describe the opportunities and challenges for pharmacists to prevent and manage NCDs in Nepal. Pharmacists can contribute by screening and monitoring NCDs; counseling on lifestyle; providing medication therapy management services; promoting public health; and providing other pharmaceutical services. Challenges to the implementation of some of these activities in the current context include inadequate training of pharmacists in NCD prevention and management, the cost of pharmaceutical services to patients and government, and the existing health care service delivery model. There is a need for health services research to determine how pharmacists can be best used to prevent and manage NCDs in Nepal. Copyright © 2015 Elsevier Inc. All rights reserved.

Incidence Rate of Acute Encephalitis Syndrome without Specific Treatment in India and Nepal

PubMed Central

Potharaju, Nagabhushana Rao

2012-01-01

Background: A performance target (PT) for the incidence rate (IR) of acute encephalitis syndrome (AES) was not defined by the World Health Organization (WHO) due to lack of data. There is no specific treatment for ~90% of the AES cases. Objectives: (1) To determine the IR of AES not having specific treatment (AESn) in two countries, India and Nepal. (2) To suggest the PT. Subjects and Methods: This was a record-based study of the entire population of India and Nepal from 1978 to 2011. The WHO definition was used for inclusion of cases. Cases that had specific treatment were excluded. IR was calculated per 100,000 population per annum. Forecast IR was generated from 2010 to 2013 using time-series analysis. Results: There were 165,461 cases from 1978 to 2011, of which 125,030 cases were from India and 40,431 were from Nepal. The mean IR of India was 0.42 (s 0.24) and that of Nepal was 5.23 (σ 3.03). IRs of 2010 and 2011 of India and that of 2011 of Nepal were closer to the mean IR rather than the forecast IR. IR of 2010 of Nepal was closer to the forecast IR. The forecast IR for India for 2012 was 0.49 (0.19-1.06), for 2013 was 0.42 (0.15-0.97) and for Nepal for both 2012 and 2013 was 5.62 (1.53-15.05). Conclusions: IRs were considerably different for India and Nepal. Using the current mean IR as PT for the next year was simple and practical. Using forecasting was complex and, less frequently, useful. PMID:23293439

Assessment of social vulnerability to natural hazards in Nepal

NASA Astrophysics Data System (ADS)

Gautam, Dipendra

2017-12-01

This paper investigates district-wide social vulnerability to natural hazards in Nepal. Disasters such as earthquakes, floods, landslides, epidemics, and droughts are common in Nepal. Every year thousands of people are killed and huge economic and environmental losses occur in Nepal due to various natural hazards. Although natural hazards are well recognized, quantitative and qualitative social vulnerability mapping has not existed until now in Nepal. This study aims to quantify the social vulnerability on a local scale, considering all 75 districts using the available census. To perform district-level vulnerability mapping, 13 variables were selected and aggregated indexes were plotted in an ArcGIS environment. The sum of results shows that only 4 districts in Nepal have a very low social vulnerability index whereas 46 districts (61 %) are at moderate to high social vulnerability levels. Vulnerability mapping highlights the immediate need for decentralized frameworks to tackle natural hazards in district level; additionally, the results of this study can contribute to preparedness, planning and resource management, inter-district coordination, contingency planning, and public awareness efforts.

Health Care Waste Management Practice in Health Care Institutions of Nepal.

PubMed

Joshi, H D; Acharya, T; Ayer, R; Dhakal, P; Karki, K B; Dhimal, M

2017-01-01

Medical waste is considered as a major public health hazard. In a developing country like Nepal, there is much concern about the management practice of medical waste. This study aimed to assess Health Care Waste Management practice among Health Care Institutions in Nepal. A cross sectional study was carried out between July 2012 to June 2013 in 62 different Health Care Institutions, selected from stratified proportionate random sampling technique from all administrative regions of Nepal. A structured questionnaire and observation checklist were used for data collection. The waste generation rate is found significantly correlated with bed capacity, patient flow rate and annual budget spent in the hospital. It is found significantly higher in Teaching hospital than other Health Care Institutions of Nepal. An average of 3.3 kg/day/patient of medical waste (2.0 kg/day/patient non-hazardous and 1.0 kg/day/patient hazardous waste) was generated during the study period. Further, it was found that most of the Health care wastes were not disinfected before transportation to waste disposal sites. Very limited number of Health Care Institutions had conducted Environmental Assessment. Similarly, some of the Health Care Institutions had not followed Health care waste management guideline 2009 of Nepal Government. We found poor compliance of medical waste management practice as per existing legislation of Government of Nepal. Hence, additional effort is needed for improvement of Health care waste management practice at Health Care Institutions of Nepal.

Attempts to bring the trained teachers in the schools of Nepal

NASA Astrophysics Data System (ADS)

Lamsal, Jeevan

2016-07-01

To develop space activities and to industrialize astronomy, base of space education in the high schools must be very effective. This paper highlights the present scenario of space education and discusses the syllabus of astronomy in the different education level of Nepal. Astronomy is included in the curriculum of science book of middle school and high school which contains very few contents of solar system, constellations, galaxy, black holes and formation of stars. There is no any degree for higher studies in astronomy as a separate department in any university of Nepal. This paper also highlights the space activities and national level programs conducting in Nepal to support astronomy education. With the rise of many astronomical clubs and societies in the different regions of Nepal, astronomy education has been more effective in the recent time. Series of Galileo Teacher's Training Program in the different parts of Nepal being organized by Global Hands on Universe in cooperation with local astronomy clubs will be discuss in brief. The attempts to bring more trained and skilled teachers in the classroom by the government and non-government agencies are now gradually increasing. The competition of private schools and their capacity building workshops to their teachers to attract more students is also playing active role to shape the school education effective. The challenges, prospects and the practice of effective astronomy education prevailing in Nepal will be discuss. Key Words: Nepal, Astronomy Education, GTTP, Trained Teachers

Dating and Sex among Emerging Adults in Nepal

ERIC Educational Resources Information Center

Regmi, Pramod R.; van Teijlingen, Edwin R.; Simkhada, Padam; Acharya, Dev R.

2011-01-01

Social and cultural changes in Nepal, including better communication facilities and transport, more urbanization and a rising age at which people marry, have created more opportunities for young people for "dating." Our qualitative study explores whether the existence of dating cultures influences young people's sexual behavior in Nepal.…

Orthopedic Activity in Field Hospitals Following Earthquakes in Nepal and Haiti : Variability in Injuries Encountered and Collaboration with Local Available Resources Drive Optimal Response.

PubMed

Bar-On, Elhanan; Blumberg, Nehemia; Joshi, Amit; Gam, Arnon; Peyser, Amos; Lee, Evgeny; Kashichawa, Shree Krishna; Morose, Alexander; Schein, Ophir; Lehavi, Amit; Kreiss, Yitshak; Bader, Tarif

2016-09-01

Field hospitals have been deployed by the Israel Defense Forces (IDF) Medical Corps in numerous disaster events. Two recent deployments were following earthquakes in Haiti in 2010 and in Nepal in 2015. Despite arrival in similar timetables, the mode of operation was different-independently in Haiti and in collaboration with a local hospital in Nepal. The pathology encountered in the two hospitals and the resultant treatment requirements were significantly different between the two events. The purpose of this study was to analyze these differences and their implications for preparation and planning of future deployments. Data were obtained from IDF records and analyzed using SPSS™ software. 1686 patients were treated in Nepal versus 1111 in Haiti. The caseload in Nepal included significantly less earthquake-related injuries (26 vs. 66 %) with 28 % of them sustaining fractures versus 47 % in Haiti. Femoral fractures accounted for 7.9 % of fractures in Nepal versus 26.4 % in Haiti with foot fractures accounting for 23.8 and 6.4 %, respectively. The rate of open fracture was similar at 29.4 % in Nepal and 27.5 % in Haiti. 18.1 % of injured patients in Nepal underwent surgery, and 32.9 % of which was skeletal compared to 32 % surgical cases (58.8 % skeletal) in Haiti. 74.2 % of patients in Nepal and 34.3 % in Haiti were treated for pathology unrelated to the earthquake. The reasons for the variability in activities between the two hospitals include the magnitude of the disaster, the functionality of the local medical system which was relatively preserved in Nepal and destroyed in Haiti and the mode of operation which was independent in Haiti and collaborative with a functioning local hospital in Nepal. Emergency medical teams (EMTs) may encounter variable caseloads despite similar disaster scenarios. Advance knowledge of the magnitude of the disaster, the functionality of the local medical system, and the collaborative possibilities will help in planning and preparing EMTs to function optimally and appropriately. However, as this information will often be unavailable, EMTs should be capable to adapt to unexpected conditions.

Imaging of the Main Himalayan Thrust and Moho beneath Satluj Valley, Northwest Himalaya

NASA Astrophysics Data System (ADS)

Wadhawan, M.; Hazarika, D.; Paul, A.; Kumar, N.

2016-12-01

The ongoing continental collision between India and Eurasia gave rise to the formation of the great Himalayan fold-thrust belt. Satluj valley is found to be well exposed from foreland to Higher Himalayan Crystalline series along the Satluj River. Receiver function method has been utilized to image crustal features using Common Conversion Point (CCP) stacking beneath Satluj valley recorded by a seismological array of 18 broadband seismometers. The seismological stations cover the geotectonic units starting from the Himalayan Frontal Thrust (HFT) in the south to the Tethyan Himalaya (TH) to the north. The study inferred gentle northward dipping nature of the Main Himalayan Thrust (MHT) between Sub Himalaya (SH) and Higher Himalaya (HH) in the study area rather than flat-ramp-flat geometry as reported in Nepal Himalaya and Garhwal Himalaya. The depth of the MHT obtained from CCP image and inversion of receiver functions shows that it varies from 16 km in the SH to 27 km near the STD which further increases up to 38 km beneath the TH. The absence of both large and moderate magnitude earthquakes in the Himalayan Seismic Belt (HSB) straddling northern Lesser Himalaya and southern Higher Himalaya in Satluj valley is correlated with absence of ramp structure in this part of HSB. The CCP image has mapped the Moho discontinuity at 44 km depth near the HFT which has increased to 62 km beneath the TH. An extremely low shear wave velocity ranging between 0.8 and 1.8 km s-1 is estimated at stations near the HFT, in the upper most 3-4 km of the crust which indicates the effect of sedimentary column of Indo-Gangetic plains. An intra crustal low velocity layer (IC-LVL) is observed beneath the study profile and inferred as partial melt and/or aqueous fluid at mid-crustal depth beneath the TH. The H-K stacking is applied and average Poisson's ratio is observed to be higher in the TH as compared to the stations to the south of STD.

Visual defects in Nepalese children with Down syndrome.

PubMed

Paudel, Nabin; Leat, Susan J; Adhikari, Prakash; Woodhouse, J Margaret; Shrestha, Jyoti Baba

2010-03-01

Down syndrome (DS) is a common chromosomal anomaly. People with this syndrome have recognisable physical characteristics and limited intellectual abilities. The aim of this study was to determine visual defects, especially refractive error and binocular anomalies, in a sample of Nepalese children with DS. Thirty-six children with DS (19 boys and 17 girls) from the Kathmandu valley, aged from four months to 18 years, underwent detailed optometric examination. Cycloplegic refraction was performed on all subjects. Vision on presentation of all the children was assessed with preferential looking cards, the Kay picture cards, the Bailey-Lovie logMAR chart or the Snellen chart. Binocular function was assessed with cover test, Hirschberg or Bruckner test. Cycloplegic refraction of the children revealed that 80 per cent of the children had significant refractive error. Most of them had hyperopia (55 per cent), followed by astigmatism (44 per cent), myopia (25 per cent) and anisometropia (19 per cent). Only two (5.6 per cent) children were strabismic and both of them were alternating esotropes. Nystagmus was present in 10 (28 per cent). Other ocular findings were upward slanting palpebral fissures, blepharitis, congenital nasolacrimal duct obstruction, blepharoconjunctivitis, chalazion and lenticular opacities. Nepalese children with DS have a high prevalence of refractive error and nystagmus. Regular eye examinations are indicated for these children to enable early diagnosis and appropriate management of ocular disorders to improve their vision and quality of life.

An ethnobotanical analysis of parasitic plants (Parijibi) in the Nepal Himalaya.

PubMed

O'Neill, Alexander Robert; Rana, Santosh Kumar

2016-02-24

Indigenous biocultural knowledge is a vital part of Nepalese environmental management strategies; however, much of it may soon be lost given Nepal's rapidly changing socio-ecological climate. This is particularly true for knowledge surrounding parasitic and mycoheterotrophic plant species, which are well represented throughout the Central-Eastern Himalayas but lack a collated record. Our study addresses this disparity by analyzing parasitic and mycoheterotrophic plant species diversity in Nepal as well as the ethnobotanical knowledge that surrounds them. Botanical texts, online databases, and herbarium records were reviewed to create an authoritative compendium of parasitic and mycoheterotrophic plant species native or naturalized to the Nepal Central-Eastern Himalaya. Semi-structured interviews were then conducted with 141 informants to better understand the biocultural context of these species, emphasizing ethnobotanical uses, in 12 districts of Central-Eastern Nepal. Nepal is a hotspot of botanical diversity, housing 15 families and 29 genera of plants that exhibit parasitic or mycoheterotrophic habit. Over 150 of the known 4500 parasitic plant species (~3 %) and 28 of the 160 mycoheterotrophic species (~18 %) are native or naturalized to Nepal; 13 of our surveyed parasitic species are endemic. Of all species documented, approximately 17 % of parasitic and 7 % of mycoheterotrophic plants have ethnobotanical uses as medicine (41 %), fodder (23 %), food (17 %), ritual objects (11 %), or material (8 %). Parasitic and mycoheterotrophic plant species exhibit high diversity in the Nepal Central-Eastern Himalaya and are the fodder for biocultural relationships that may help inform future environmental management projects in the region.

Sino-Indian War 1962 -- Where do India and China Stand Today?

DTIC Science & Technology

2013-06-14

interests in Nepal stem from its concerns over movement of large numbers of Tibetans into Nepal . Therefore, India is not only concerned with growing...Tibetan refugee community. Beijing has been pressing Nepal to tighten its borders with Tibet, which has led to a major decrease in the number of

Language Learning Strategies Profiles of EFL Learners in Nepal

ERIC Educational Resources Information Center

Dawadi, Saraswati

2017-01-01

This study investigated language learning strategies (LLS) used by English as foreign language (EFL) learners in Nepal. For this study, 370 undergraduate level students from a university in Nepal responded to a questionnaire. The quantitative software SPSS was used to analyse the data. Results indicated that students were moderate users of those…

Rights of the Child in Nepal.

ERIC Educational Resources Information Center

Schonveld, Ben

This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the U.N. Convention on the Rights of the Child by the country of Nepal. The report's introductory summary asserts that although the Nepal government's passage of the Act to…

Synoptic-scale dust transport events in the southern Himalaya

NASA Astrophysics Data System (ADS)

Duchi, R.; Cristofanelli, P.; Marinoni, A.; Bourcier, L.; Laj, P.; Calzolari, F.; Adhikary, B.; Verza, G. P.; Vuillermoz, E.; Bonasoni, P.

2014-06-01

The variability of long-range dust transport events observed in the southern Himalaya and its relation with source areas have been studied thanks to five years’ continuous measurements which were carried out at the “Nepal Climate Observatory-Pyramid” (NCO-P, 27°57‧N, 86°48‧E), the highest Northern Hemisphere GAW-WMO global station sited at 5079 m a.s.l. in the high Khumbu valley (Nepal) on the southern Himalaya. During the period March 2006-February 2011, the analyses of the aerosol particle concentrations and LAGRANTO three-dimensional backward trajectories indicated the occurrence of 275 days affected by synoptic-scale dust transport, which account for 22.2% of the investigated period. The frequency of dust transport days (DTDs) showed a clear seasonal cycle, with the highest seasonal value observed during pre-monsoon season (33.5% of the pre-monsoon’s days are DTDs). Large enhancements in coarse aerosol number concentration N1-10 (average: +689%) and mass PM1-10 (average: +1086%) were observed during the dust transport events as compared to the days without dust (dust-free days, DFDs). In addition, the single scattering albedo (SSA) also showed higher values, ranging from 0.87 to 0.90, during DTDs with respect to DFDs (0.80-0.87). The predominant source of mineral dust reaching the measurement site was identified in the arid regions of the north-western Indian subcontinent (Thar desert), which accounted for 41.6% of the trajectories points associated with DTDs. Seasonal analysis also indicated that the winter season was significantly influenced by far western desert regions, such as North Africa and the Arabic Peninsula.

New climatic classification of Nepal

NASA Astrophysics Data System (ADS)

Karki, Ramchandra; Talchabhadel, Rocky; Aalto, Juha; Baidya, Saraju Kumar

2016-08-01

Although it is evident that Nepal has an extremely wide range of climates within a short latitudinal distance, there is a lack of comprehensive research in this field. The climatic zoning in a topographically complex country like Nepal has important implications for the selection of scientific station network design and climate model verification, as well as for studies examining the effects of climate change in terms of shifting climatic boundaries and vegetation in highly sensitive environments. This study presents a new high-resolution climate map of Nepal on the basis of long-term (1981-2010) monthly precipitation data for 240 stations and mean air temperature data for 74 stations, using original and modified Köppen-Geiger climate classification systems. Climatic variables used in Köppen-Geiger system were calculated (i) at each station and (ii) interpolated to 1-km spatial resolution using kriging which accounted for latitude, longitude, and elevation. The original Köppen-Geiger scheme could not identify all five types of climate (including tropical) observed in Nepal. Hence, the original scheme was slightly modified by changing the boundary of coldest month mean air temperature value from 18 °C to 14.5 °C in order to delineate the realistic climatic condition of Nepal. With this modification, all five types of climate (including tropical) were identified. The most common dominant type of climate for Nepal is temperate with dry winter and hot summer (Cwa).

Parent Decision-Making When Selecting Schools: The Case of Nepal

ERIC Educational Resources Information Center

Joshi, Priyadarshani

2014-01-01

This paper analyzes the parent decision-making processes underlying school selection in Nepal. The analysis is based on primary survey and focus group data collected from parent meetings in diverse local education markets in two districts of Nepal in 2011. It highlights three main arguments that are less frequently discussed in the context of…

Defense.gov Special Report: Disaster Relief - Nepal Earthquake

Science.gov Websites

You have reached a collection of archived material. The content available is no longer being updated and may no longer be applicable as a result of changes in law, regulation and/or administration U.S. Troops Continue Aid, Relief in Nepal U.S. Troops Load Humanitarian Aid Supplies in Nepal U.S

Determinants of Child Immunization in Nepal: The Role of Women's Empowerment

ERIC Educational Resources Information Center

Pandey, Shanta; Lee, Hae nim

2012-01-01

Background: Approximately 1.4 million or 13% of all children who die each year could be prevented with widely-available vaccines. Objective: We examined if women's empowerment improved child immunization using data on 1,056 mothers with young children from Nepal. Methods: The study utilized the 2006 Nepal Demographic and Health Survey, a…

Overview of Integrated Child Development Services Programme in India: Some Policy Implications for Nepal.

ERIC Educational Resources Information Center

Shrestha, Kishor

This paper presents an overview of the Integrated Child Development Services (ICDS) program in India, discusses the context of Early Childhood Education (ECE) in Nepal, analyzes the best practices of the ICDS, and draws some policy implications for improving ECE in Nepal. The ICDS program is an integrated child development program with the…

Public and Private School Performance in Nepal: An Analysis Using the SLC Examination

ERIC Educational Resources Information Center

Thapa, Amrit

2015-01-01

Using data from the survey of the Ministry of Education, Nepal-2005 for School Leaving Certificate Exam, this paper analyzes public and private school performance in Nepal. The ordinary least square estimates suggest that private school students perform better than public school students. However, the problem of self-selection bias arises, as…

Impact of mass media on the utilization of antenatal care services among women of rural community in Nepal.

PubMed

Acharya, Dilaram; Khanal, Vishnu; Singh, Jitendra Kumar; Adhikari, Mandira; Gautam, Salila

2015-08-12

Antenatal care has several benefits for expecting mothers and birth outcomes; yet many mothers do not utilise this service in Nepal. Mass media may play an important role in increasing the use of antenatal care and other maternal health services. However, the effect of mass media on increasing health service utilisation has remained an under studied area in Nepal. The aim of this study was to investigate the impact of mass media on the utilisation of antenatal care services in rural Nepal. A community-based cross-sectional study was conducted in Sinurjoda Village Development Committee of Dhanusha District, Nepal. A total of 205 mothers of children aged under 1 year were selected using systematic random sampling. Logistic regression was employed to examine the association between selected antenatal care services and mass media exposure after adjusting for other independent variables. A majority of mothers were exposed to mass media. Radio was accessible to most (60.0%) of the participants followed by television (43.41%). Mothers exposed to mass media were more likely to attending antenatal visits [Odds ratio (OR) 6.28; 95% CI (1.01-38.99)], taking rest and sleep during pregnancy [OR 2.65; 95% CI (1.13-6.26)], and receiving TT immunization [OR 5.12; 95% CI (1.23-21.24)] than their non-exposed counterparts. The study reported a positive influence of mass media on the utilisation of antenatal care services in Nepal. Therefore, further emphasis should be given to increase awareness of women of rural Nepal through mass media to improve utilisation of antenatal care services in Nepal.

Predictors of Marital Dissolution During a Period of Rapid Social Change: Evidence From South Asia.

PubMed

Jennings, Elyse A

2016-10-01

Few studies have examined the causes and consequences of marital dissolution in non-Western settings. This article explores the fundamental factors that may predict marital dissolution in a mainly agrarian setting in South Asia, where collectivism has historically been valued over individualism and where life is centered on the family. Using event history analyses with retrospective life history data from the Chitwan Valley Family Study conducted in rural Nepal, I explore the possible predictors of marital dissolution. Results suggest that couples in which wives married at older ages and chose their spouse in conjunction with their parents face lower risk of marital dissolution, while wives' work increases the risk. Moreover, couples married for longer durations and couples who have more children face lower risks of marital dissolution. The influences of many of these factors have changed over the last few decades, pointing toward the important role of changing social context on marital trajectories.

Predictors of Marital Dissolution During a Period of Rapid Social Change: Evidence From South Asia

PubMed Central

Jennings, Elyse A.

2016-01-01

Few studies have examined the causes and consequences of marital dissolution in non-Western settings. This article explores the fundamental factors that may predict marital dissolution in a mainly agrarian setting in South Asia, where collectivism has historically been valued over individualism and where life is centered on the family. Using event history analyses with retrospective life history data from the Chitwan Valley Family Study, conducted in rural Nepal, I explore the possible predictors of marital dissolution. Results suggest that couples in which wives married at older ages and chose their spouse in conjunction with their parents face lower risk of marital dissolution, while wives’ work increases the risk. Moreover, couples married for longer durations and couples who have more children face lower risks of marital dissolution. The influences of many of these factors have changed over the last few decades, pointing toward the important role of changing social context on marital trajectories. PMID:27624319

Status and management of watersheds in the Upper Pokhara Valley, Nepal

NASA Astrophysics Data System (ADS)

Thapa, Gopal B.; Weber, Karl E.

1995-07-01

Contributing to the debate on the causes of Himalayan environmental degradation, the status and management of four watersheds in the Upper Pokhara Valley were studied using information available from land use analysis, household surveys conducted in 1989 and 1992, deliberations held with villagers, and field observations. Accordingly, areas under forests and grazing lands were found being depleted at relatively high rates between 1957 and 1978 due mainly to the government policy of increasing national revenue by expansion of agricultural lands, nationalization of forests, steadily growing population, and dwindling household economy. Despite the steady growth of population, this process had remarkably slackened since 1978, owing primarily to remaining forests being located in very, steep slopes and implementation of the community forestry program. Forests with relatively sparase tree density, however, and grazing lands in the vicinity of settlements have been undergoing degradation due to fuelwood and fodder collection and livestock grazing. In many instances, this is aggravated by weak resource management institutions. Being particularly aware of the economic implication of land degradation, farmers have adopted assorted land management practices. Still a substantial proportion of bari lands in the hill slopes is vulnerable to accelerating degradation, as the arable cropping system is being practiced there as well. The perpetuation of the local subsistence economy is certain to lead, to a further deterioration of the socioeconomic and environmental conditions of watersheds. To facilitate environmental conservation and ecorestructuring for sustainable development, a broad watershed management strategy is outlined with focus on alleviating pressure on natural resources.

Save the Children Nonformal Education and Early Childhood Development Activities in Rural Nepal.

ERIC Educational Resources Information Center

Reinhold, Amy Jo

In 1981, Save the Children (SC) opened an office in Nepal to support projects related to health, education, income generation, and resource management. Statistics show that between 7 and 8 million of Nepal's 19 million people live below the poverty line, and almost 2 out of 3 adolescent girls do not attend school, placing the overall female…

Universal Primary Education in Nepal: Fulfilling the Right to Education

ERIC Educational Resources Information Center

Lohani, Shiva; Singh, Ram Balak; Lohani, Jeevan

2010-01-01

With the net enrollment ratio in primary education in Nepal at 94%, most children are in the school system, but the system fails to ensure that all enrolled children will continue in school cycle and complete primary education of acceptable quality. Given the system's poor internal efficiency, Nepal is not likely to achieve the MDG and EFA goals…

Exploring the Nature and Reasons for Sexual Violence within Marriage among Young Women in Nepal

ERIC Educational Resources Information Center

Puri, Mahesh; Shah, Iqbal; Tamang, Jyotsna

2010-01-01

Sexual violence within marriage (SVWM) is a major public health and human right issue and yet remains a much neglected research area, especially in Nepal. An exploratory study using free listing, in-depth case histories and causal flow analysis was conducted among two major ethnic groups in Nepal. Descriptive data collected from free listing…

The Role of Obstetric Knowledge in Utilization of Delivery Service in Nepal

ERIC Educational Resources Information Center

Karkee, Rajendra; Baral, Om Bahadur; Khanal, Vishnu; Lee, Andy H.

2014-01-01

Birth Preparedness and Complication Readiness (BP/CR) program has been promoted in Nepal to equip pregnant women with obstetric knowledge so as to motivate them to seek professional care. Using a prospective design of 701 pregnant women of more than 5 months gestation in a central hills district of Nepal, we evaluated if having obstetric knowledge…

Epidemic of Hysteria in a School of Rural Eastern Nepal: A Case Report

ERIC Educational Resources Information Center

Shakya, Rabi

2005-01-01

Introduction: The headmaster of a school (NRMV) in rural eastern Nepal, pleaded for help from the public health Department of Psychiatry, BKIHS, Dharan, Nepal, to prevent closure of his school as guardians of many students refused to send their children to his school, which was supposedly haunted by evil spirits. The author, along with his staff,…

Does Private School Competition Improve Public School Performance? The Case of Nepal

ERIC Educational Resources Information Center

Thapa, Amrit

2013-01-01

Using data from the survey of the Ministry of Education, Nepal-2005 for school leaving certificate (SLC) exam, this paper attempts to estimate the impact of private school competition on public school performance for the case of Nepal. The study uses the number of private schools in the neighborhood as a measure of competition. The identification…

Visceral leishmaniasis diagnosis and reporting delays as an obstacle to timely response actions in Nepal and India.

PubMed

Boettcher, Jan P; Siwakoti, Yubaraj; Milojkovic, Ana; Siddiqui, Niyamat A; Gurung, Chitra K; Rijal, Suman; Das, Pradeep; Kroeger, Axel; Banjara, Megha R

2015-02-06

To eliminate visceral leishmaniasis (VL) in India and Nepal, challenges of VL diagnosis, treatment and reporting need to be identified. Recent data indicate that VL is underreported and patients face delays when seeking treatment. Moreover, VL surveillance data might not reach health authorities on time. This study quantifies delays for VL diagnosis and treatment, and analyses the duration of VL reporting from district to central health authorities in India and Nepal. A cross-sectional study conducted in 12 districts of Terai region, Nepal, and 9 districts of Bihar State, India, in 2012. Patients were interviewed in hospitals or at home using a structured questionnaire, health managers were interviewed at their work place using a semi-structured questionnaire and in-depth interviews were conducted with central level health managers. Reporting formats were evaluated. Data was analyzed using two-tailed Mann-Whitney U or Fisher's exact test. 92 VL patients having experienced 103 VL episodes and 49 district health managers were interviewed. Patients waited in Nepal 30 days (CI 18-42) before seeking health care, 3.75 times longer than in Bihar (8d; CI 4-12). Conversely, the lag time from seeking health care to receiving a VL diagnosis was 3.6x longer in Bihar (90d; CI 68-113) compared to Nepal (25d; CI 13-38). The time span between diagnosis and treatment was short in both countries. VL reporting time was in Nepal 19 days for sentinel sites and 76 days for "District Public Health Offices (DPHOs)". In Bihar it was 28 days for "District Malaria Offices". In Nepal, 73% of health managers entered data into computers compared to 16% in Bihar. In both countries reporting was mainly paper based and standardized formats were rarely used. To decrease the delay between onset of symptoms and getting a proper diagnosis and treatment the approaches in the two countries vary: In Nepal health education for seeking early treatment are needed while in Bihar the use of private and non-formal practitioners has to be discouraged. Reinforcement of VL sentinel reporting in Bihar, reorganization of DPHOs in Nepal, introduction of standardized reporting formats and electronic reporting should be conducted in both countries.

Learning, education and satisfaction after compulsory rotating internship in Kathmandu University Medical School: a qualitative study of interns' response.

PubMed

Shrestha, D; Mishra, B

2008-01-01

Internship is an integral part of MBBS training programme and mandatory to all students. Kathmandu University Medical School has adopted a programme of compulsory one year rotating internship including 6 weeks community exposure in out reach clinics for the first batch of students. The purpose of the study is to evaluate interns' feedback concerning learning, education and satisfaction. A questionnaire with 47 items was administered to 30 interns who had finished one year rotating internship in Kathmandu University Medical School. Fourty-two responses were graded according in Likert scale and 5 open ended questions were analyzed for common themes. The mean age of the interns was 24.77+/-0.67 yrs with female: male ratio of 1.5:1. Confidence level of communication of interns with faculties was lesser than with junior doctors and patients. Junior doctors and colleagues contributed more in interns' learning than faculties. Community exposure for 6 weeks was considered lengthy and lacking of clear objectives. However, 53.3% interns agreed that achievement of objectives of community posting was high or very high. Of the interns, 50% perceived certain degree of physical or mental or sexual harassment during internship. Interns raised the issue of not involving them as a part of team during clinical posting. Clinical competencies for most of the skills were high or very high. Interns have learned clinical skills and patient care in one year internship programme but contribution of junior doctors and colleague are more than teachers. Clear objectives are needed before clinical and community postings. Process of providing regular feedback from interns and vice versa should be implemented to improve interns' learning, education and satisfaction.

Involving diaspora and expatriates as human resources in the health sector in Nepal.

PubMed

Devkota, A; Devkota, B; Ghimire, J; Mahato, R K; Gupta, R P; Hada, A

2013-05-01

Health professional mobility has increased in the recent years and is one of the public health concerns in the developing countries including Nepal. On the other hand, we can't ignore a positive shift of Nepali diaspora coming back to Nepal for some work related projects. The objective of this study was thus to estimate the number of Nepalese Diaspora and foreign expatriate those are coming to Nepal and explore the ways and process of their engagement in the health sector of Nepal. Mixed method was used. In total, 13 Key Informant Interviews were conducted at the central level along with record review from professional councils. Nepalese Diasporas mainly come through Diaspora Volunteering Organizations, Non Resident Nepali Association and personal connections to the place of their origin. Nepalese Diasporas have supported as health specialists, health camps and project organizers, trainer and hospital promoters, supplier of equipment including ambulances etc. The Nepalese Diasporas are unrecorded with professional organizations such as NMC and NHPC. As such the real status and results of support from Nepalese Diaspora are not known. Overall, 5,120 foreign medical professionals have served to Nepal through NMC followed by 739 nursing professionals through NNC and 189 paramedical staff through NHPC as of 2012. Systematic information on number and characteristics of the Nepalese Diaspora and their role in the health sector of Nepal is limited. The health professional bodies have some record systems but they lack uniformity and systematic process.

An exemplary developing astronomy movement in Nepal

NASA Astrophysics Data System (ADS)

Neupane, Sudeep

2015-03-01

Astronomy and space science education had been given least importance by Nepalese government in the past. The modern astronomy movement is believed to have started when an official observation programme of Haley's comet was organized by Royal Nepal Academy of Science and Technology (RONAST) in 1986. Following the huge pressure from the scientific community, the Nepal government (Kingdom of Nepal at that time) established B.P. Koirala Memorial Planetarium, Observatory and Science Museum Development Board in 1992. Initiatives of the project started with observatory set up and the development of astrophysics syllabus for university students. Astrophysics is included as an elective paper in the Physics masters course. The lead astrophysicist of Nepal Dr. Binil Aryal is running a research group in Tribhuvan University since 2005 which has a significant number of international publications. The developing government initiatives and achievements will be discussed. In 2007, a group of astronomy enthusiastic students along with amateurs working independently in past established Nepal Astronomical Society (NASO), which surprisingly increased the amateur activities and inspired other amateur groups to revive. During IYA 2009, more than 80 outreach and observation events were organized solely by NASO. NASO was able to collaborate with many international programmes and projects like GHOU/GTTP, EurAstro, AWB, UNAWE, SGAC, Star Peace, TWAN etc during and beyond IYA2009. Currently Nepal is recognized as the most eventful country of outreach and astronomy education among the amateur community. The success story of the astronomy movement and the local difficulties while organizing the events will be explained.

Monsoon Rainfall and Landslides in Nepal

NASA Astrophysics Data System (ADS)

Dahal, R. K.; Hasegawa, S.; Bhandary, N. P.; Yatabe, R.

2009-12-01

A large number of human settlements on the Nepal Himalayas are situated either on old landslide mass or on landslide-prone areas. As a result, a great number of people are affected by large- and small-scale landslides all over the Himalayas especially during monsoon periods. In Nepal, only in the half monsoon period (June 10 to August 15), 70, 50 and 68 people were killed from landslides in 2007, 2008 and 2009, respectively. In this context, this paper highlights monsoon rainfall and their implications in the Nepal Himalaya. In Nepal, monsoon is major source of rainfall in summer and approximately 80% of the annual total rainfall occurs from June to September. The measured values of mean annual precipitation in Nepal range from a low of approximately 250 mm at area north of the Himalaya to many areas exceeding 6,000 mm. The mean annual rainfall varying between 1500 mm and 2500 mm predominate over most of the country. In Nepal, the daily distribution of precipitation during rainy season is also uneven. Sometime 10% of the total annual precipitation can occur in a single day. Similarly, 50% total annual rainfall also can occur within 10 days of monsoon. This type of uneven distribution plays an important role in triggering many landslides in Nepal. When spatial distribution of landslides was evaluated from record of more than 650 landslides, it is found that more landslides events were concentrated at central Nepal in the area of high mean annual rainfall. When monsoon rainfall and landslide relationship was taken into consideration, it was noticed that a considerable number of landslides were triggered in the Himalaya by continuous rainfall of 3 to 90 days. It has been noticed that continuous rainfall of few days (5 days or 7 days or 10 days) are usually responsible for landsliding in the Nepal Himalaya. Monsoon rains usually fall with interruptions of 2-3 days and are generally characterized by low intensity and long duration. Thus, there is a strong role of antecedent rainfall in triggering landslides. It is noticed that a moderate correlation exists between the antecedent rainfalls of 3 to 10 days and the daily rainfall at failure in the Nepal Himalaya. The rainfall thresholds are utilized to develop early warning systems. Taking reference of the intensity-duration threshold and normalized rainfall intensity threshold, two proto-type models of early warning systems (RIEWS and N-RIEWS) are proposed. Early warning models show less time for evacuation in the case of short duration and high intensity rainfall, whereas for long duration rainfall, warning time is enough and when warning information disseminate to the people, people will aware to possible landslide risk. In the meantime, they will be mentally ready to tackle with possible disaster of coming hours or days and will avoid the consequences. On the basis of coarse hydro-meteorological data of developing country like Nepal, this simple and rather easy model of early warning will certainly help to reduce fatalities from landslides.

Nepali Private Schools and Tolerated Illegality: A Foucauldian Analysis of Privatisation of Education in Nepal

ERIC Educational Resources Information Center

Sharma Poudyal, Chandra

2017-01-01

The Education Act 1971 is the main policy document under which schools in Nepal are operated. With the change in political regime, this policy has been amended as per the ideology of the incoming regime. Although private schools started to show their influence in Nepal in the late 1980s, excessive growth of private schools began with the…

Obesity Prevalence in Nepal: Public Health Challenges in a Low-Income Nation during an Alarming Worldwide Trend

PubMed Central

Vaidya, Abhinav; Shakya, Suraj; Krettek, Alexandra

2010-01-01

The future toll of the obesity epidemic will likely hit hardest in low- and middle-income countries. Ongoing urbanization promotes risk factors including sedentary lifestyle and fat- and sugar-laden diets. Low-income countries like Nepal experience a double disease burden: infectious diseases as well as rising incidence of noncommunicable diseases (e.g., cardiovascular disease and diabetes mellitus) frequently characterized by obesity. Nepal currently directs efforts towards curing disease but pays little attention to preventive actions. This article highlights obesity prevalence in Nepal, delineates the challenges identified by our pilot study (including low health literacy rates), and suggests strategies to overcome this trend. PMID:20644698

Scientific publications in Nepal.

PubMed

Magar, A

2012-09-01

Scientific publications have become a mainstay of communication among readers, academicians, researchers and scientists worldwide. Although, its existence dates back to 17 th century in the West, Nepal is still struggling to take few steps towards improving its local science for last 50 years. Since the start of the first medical journal in 1963, the challenges remains as it were decades back regarding role of authors, peer reviewers, editors and even publishers in Nepal. Although, there has been some development in terms of the number of articles being published and appearances of the journals, yet there is a long way to go. This article analyzes the past and present scenario, and future perspective for scientific publications in Nepal.

Obesity prevalence in Nepal: public health challenges in a low-income nation during an alarming worldwide trend.

PubMed

Vaidya, Abhinav; Shakya, Suraj; Krettek, Alexandra

2010-06-01

The future toll of the obesity epidemic will likely hit hardest in low- and middle-income countries. Ongoing urbanization promotes risk factors including sedentary lifestyle and fat- and sugar-laden diets. Low-income countries like Nepal experience a double disease burden: infectious diseases as well as rising incidence of noncommunicable diseases (e.g., cardiovascular disease and diabetes mellitus) frequently characterized by obesity. Nepal currently directs efforts towards curing disease but pays little attention to preventive actions. This article highlights obesity prevalence in Nepal, delineates the challenges identified by our pilot study (including low health literacy rates), and suggests strategies to overcome this trend.

Duane's retraction syndrome: a retrospective review from Kathmandu, Nepal.

PubMed

Shrestha, Gauri Shankar; Sharma, Ananda Kumar

2012-01-01

  The aim was to study the clinical characteristics of Duane's retraction syndrome (DRS) in Nepalese patients.   Medical records from 52 cases of DRS from May 2003 to April 2010 were retrospectively reviewed for age, gender, laterality and clinical characteristics. Forty-one case records (78.8 per cent) that had complete clinical findings were considered for further evaluation. Examination included visual acuity by Snellen chart, refraction, associated horizontal and vertical strabismus in primary gaze, upshoot and downshoot on attempted adduction, binocular vision assessed with the Worth four-dot test on adopted gaze and stereopsis examined with the Titmus stereo test.   DRS type I was the most common type observed in 73.2 per cent of cases, followed by DRS type II (14.6 per cent) and DRS type III (12.2 per cent). It was more common in female patients (58.5 per cent) than male patients (χ(2) = 4.6, df = 1, p = 0.03). DRS was more common in the left eye (68.3 per cent) than the right eye and unilaterally present in 95.1 per cent of subjects. In primary gaze, orthotropia (41.5 per cent) was more common than exotropia (34.1 per cent) and esotropia (24.4 per cent) and vertical strabismus was present in 24.4 per cent of subjects. Upshoot and downshoot on attempted adduction was seen in 14.6 and 9.8 per cent, respectively. Binocular single vision was present in 68.3 per cent of subjects by Worth four-dot test at near. Stereopsis of 3,000 seconds of arc was present in 9.8 per cent, 100 to 200 seconds of arc in 14.6 per cent and 40 to 60 seconds of arc in 43.9 per cent with the Titmus stereo test.   DRS is more common in female patients and the left eye. DRS type I is the most common type. © 2011 The Authors. Clinical and Experimental Optometry © 2011 Optometrists Association Australia.

A health equity critique of social marketing: where interventions have impact but insufficient reach.

PubMed

Langford, Rebecca; Panter-Brick, Catherine

2013-04-01

Health interventions increasingly rely on formative qualitative research and social marketing techniques to effect behavioural change. Few studies, however, incorporate qualitative research into the process of program evaluation to understand both impact and reach: namely, to what extent behaviour change interventions work, for whom, in what contexts, and why. We reflect on the success of a community-based hygiene intervention conducted in the slums of Kathmandu, Nepal, evaluating both maternal behaviour and infant health. We recruited all available mother-infant pairs (n = 88), and allocated them to control and intervention groups. Formative qualitative research on hand-washing practices included structured observations of 75 mothers, 3 focus groups, and 26 in-depth interviews. Our intervention was led by Community Motivators, intensively promoting hand-washing-with-soap at key junctures of food and faeces contamination. The 6-month evaluation period included hand-washing and morbidity rates, participant observation, systematic records of fortnightly community meetings, and follow-up interviews with 12 mothers. While quantitative measures demonstrated improvement in hand-washing rates and a 40% reduction in child diarrhoea, the qualitative data highlighted important equity issues in reaching the ultra-poor. We argue that a social marketing approach is inherently limited: focussing on individual agency, rather than structural conditions constraining behaviour, can unwittingly exacerbate health inequity. This contributes to a prevention paradox whereby those with the greatest need of a health intervention are least likely to benefit, finding hand-washing in the slums to be irrelevant or futile. Thus social marketing is best deployed within a range of interventions that address the structural as well as the behavioural and cognitive drivers of behaviour change. We conclude that critiques of social marketing have not paid sufficient attention to issues of health equity, and demonstrate how this can be addressed with qualitative data, embedded in both the formative and evaluative phases of a health intervention. Copyright © 2013 Elsevier Ltd. All rights reserved.

Zinc as an adjunct treatment for reducing case fatality due to clinical severe infection in young infants: study protocol for a randomized controlled trial.

PubMed

Wadhwa, Nitya; Basnet, Sudha; Natchu, Uma Chandra Mouli; Shrestha, Laxman P; Bhatnagar, Shinjini; Sommerfelt, Halvor; Strand, Tor A; Ramji, Siddarth; Aggarwal, K C; Chellani, Harish; Govil, Anuradha; Jajoo, Mamta; Mathur, N B; Bhatt, Meenakshi; Mohta, Anup; Ansari, Imran; Basnet, Srijana; Chapagain, Ram H; Shah, Ganesh P; Shrestha, Binod M

2017-07-10

An estimated 2.7 of the 5.9 million deaths in children under 5 years of age occur in the neonatal period. Severe infections contribute to almost a quarter of these deaths. Mortality due to severe infections in developing country settings is substantial despite antibiotic therapy. Effective interventions that can be added to standard therapy for severe infections are required to reduce case fatality. This is a double-blind randomized placebo-controlled parallel group superiority trial to investigate the effect of zinc administered orally as an adjunct to standard therapy to infants aged 3 days up to 2 months (59 days) hospitalized with clinical severe infection, that will be undertaken in seven hospitals in Delhi, India and Kathmandu, Nepal. In a 1:1 ratio, we will randomly assign young infants to receive 10 mg of elemental zinc or placebo orally in addition to the standard therapy for a total of 14 days. The primary outcomes hospital case fatality, which is death due to any cause and at any time after enrolment while hospitalized for the illness episode, and extended case fatality, which encompasses the period until 12 weeks after enrolment. A previous study showed a beneficial effect of zinc in reducing the risk of treatment failure, as well as a non-significant effect on case fatality. This study was not powered to detect an effect on case fatality, which this current study is. If the results are consistent with this earlier trial, we would have provided strong evidence for recommending zinc as an adjunct to standard therapy for clinical severe infection in young infants. Universal Trial Number: U1111-1187-6479, Clinical Trials Registry - India: CTRI/2017/02/007966 : Registered on February 27, 2017.

Surveillance of Influenza A Virus and Its Subtypes in Migratory Wild Birds of Nepal

PubMed Central

Sharma, Ajay; Bhatta, Tarka; Adhikari, Pratikshya; Sherchan, Adarsh Man; Shrestha, Bishwo; Bista, Manisha; Rajbhandari, Rajesh; Oberoi, Mohinder; Bisht, Khadak; Hero, Jean-Marc; Dissanayake, Ravi; Dhakal, Maheshwar; Hughes, Jane; Debnath, Nitish

2015-01-01

Nepal boarders India and China and all three countries lie within the Central Asian Flyway for migratory birds. Novel influenza A H7N9 caused human fatalities in China in 2013. Subclinical infections of influenza A H7N9 in birds and the potential for virus dispersal by migratory birds prompted this study to assess avian H7N9 viral intrusion into Nepal. Surveillance of influenza A virus in migratory birds was implemented in early 2014 with assistance from the Food and Agricultural Organization (FAO). Of 1811 environmental fecal samples collected from seven wetland migratory bird roosting areas, influenza A H9N2 was found in one sample from a ruddy shelduck in Koshi Tappu Wildlife Reserve located in southern Nepal. Avian H7N9 and other highly pathogenic avian influenza viruses were not detected. This study provides baseline data on the status of avian influenza virus in migratory bird populations in Nepal. PMID:26176773

Innovation in Primary School Construction: Community Participation in Seti Zone, Nepal. Educational Building Report 20. A Case Study.

ERIC Educational Resources Information Center

Tamang, H. D.; Dharam, K. C.

Nepal is one of the poorest countries in the world. In 1981 the Education for Rural Development in Seti Zone Project--more commonly known as the "Seti Project"--was part of the Nepalese government's effort to develop a system of basic education in that far western region of Nepal. The early success of the project provided the impetus for…

The Advancement of Women in Post-Conflict Nepal

DTIC Science & Technology

2017-04-01

DANIEL K. INOUYE ASIA PACIFIC CENTER FOR SECURITY STUDIES OCCASIONAL PAPER, APRIL 2017 The Advancement of Women in Post -Conflict Nepal Lily Thapa1...in the lack of access to appropriate services and compensation, and in the way that female ex -combatants are treated and reintegrated...5,912 2,985 The Advancement of Women in Post -Conflict Nepal 2 reparation of victims of armed conflict and the provision of mechanisms for

Advancement of Women in Post-Conflict Nepal

DTIC Science & Technology

2017-04-01

DANIEL K. INOUYE ASIA PACIFIC CENTER FOR SECURITY STUDIES OCCASIONAL PAPER, APRIL 2017 The Advancement of Women in Post -Conflict Nepal Lily Thapa1...in the lack of access to appropriate services and compensation, and in the way that female ex -combatants are treated and reintegrated...5,912 2,985 The Advancement of Women in Post -Conflict Nepal 2 reparation of victims of armed conflict and the provision of mechanisms for

Community-based early warning systems for flood risk mitigation in Nepal

NASA Astrophysics Data System (ADS)

Smith, Paul J.; Brown, Sarah; Dugar, Sumit

2017-03-01

This paper focuses on the use of community-based early warning systems for flood resilience in Nepal. The first part of the work outlines the evolution and current status of these community-based systems, highlighting the limited lead times currently available for early warning. The second part of the paper focuses on the development of a robust operational flood forecasting methodology for use by the Nepal Department of Hydrology and Meteorology (DHM) to enhance early warning lead times. The methodology uses data-based physically interpretable time series models and data assimilation to generate probabilistic forecasts, which are presented in a simple visual tool. The approach is designed to work in situations of limited data availability with an emphasis on sustainability and appropriate technology. The successful application of the forecast methodology to the flood-prone Karnali River basin in western Nepal is outlined, increasing lead times from 2-3 to 7-8 h. The challenges faced in communicating probabilistic forecasts to the last mile of the existing community-based early warning systems across Nepal is discussed. The paper concludes with an assessment of the applicability of this approach in basins and countries beyond Karnali and Nepal and an overview of key lessons learnt from this initiative.

Disaster response under One Health in the aftermath of Nepal earthquake, 2015.

PubMed

Asokan, G V; Vanitha, A

2017-03-01

Until now, an estimate quotes that 1100 healthcare facilities were damaged and over 100,000 livestock lost in the two earthquakes that occurred in April and May of 2015 in Nepal. Threats of infectious diseases, mostly zoonoses, could affect Nepal's economy, trade, and tourism, and reaching the targets of the United Nations Millennium Development Goals. Historically, outbreaks of infectious diseases, including zoonoses, were largely associated with the aftereffects of the earthquakes. It has been documented that zoonoses constitute 61% of all known infectious diseases. Therefore, the purpose of this communication was to examine the infectious disease outbreaks after earthquakes around the world and explore the risk assessment of the zoonoses threats reported in Nepal and highlight adopting One Health. Our summaries on reported zoonoses in Nepal have shown that parasitic zoonoses were predominant, but other infectious disease outbreaks can occur. The fragile public health infrastructure and inadequately trained public health personnel can accelerate the transmission of infections, mostly zoonoses, in the post impact phase of the earthquake in Nepal. Therefore, we believe that with the support of aid agencies, veterinarians and health professionals can team up to resolve the crisis under One Health. Copyright © 2016 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal

NASA Astrophysics Data System (ADS)

Stapp, Jared R.; Lilieholm, Robert J.; Leahy, Jessica; Upadhaya, Suraj

2016-06-01

Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities—one that has experienced significant forest loss, and the other forest gain—compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

Linking Attitudes, Policy, and Forest Cover Change in Buffer Zone Communities of Chitwan National Park, Nepal.

PubMed

Stapp, Jared R; Lilieholm, Robert J; Leahy, Jessica; Upadhaya, Suraj

2016-06-01

Deforestation in Nepal threatens the functioning of complex social-ecological systems, including rural populations that depend on forests for subsistence, as well as Nepal's biodiversity and other ecosystem services. Nepal's forests are particularly important to the nation's poorest inhabitants, as many depend upon them for daily survival. Two-thirds of Nepal's population relies on forests for sustenance, and these pressures are likely to increase in the future. This, coupled with high population densities and growth rates, highlights the importance of studying the relationship between human communities, forest cover trends through time, and forest management institutions. Here, we used surveys to explore how household attitudes associated with conservation-related behaviors in two rural communities-one that has experienced significant forest loss, and the other forest gain-compare with forest cover trends as indicated by satellite-derived forest-loss and -regeneration estimates between 2005 and 2013. Results found a significant difference in attitudes in the two areas, perhaps contributing to and reacting from current forest conditions. In both study sites, participation in community forestry strengthened support for conservation, forest conservation-related attitudes aligned with forest cover trends, and a negative relationship was found between economic status and having supportive forest conservation-related attitudes. In addition, on average, respondents were not satisfied with their district forest officers and did not feel that the current political climate in Nepal supported sustainable forestry. These findings are important as Nepal's Master Plan for the Forestry Sector has expired and the country is in the process of structuring a new Forestry Sector Strategy.

A hyperendemic focus of Taenia solium transmission in the Banke District of Nepal.

PubMed

Sah, Keshav; Poudel, Ishab; Subedi, Suyog; Singh, Dinesh Kumar; Cocker, Jo; Kushwaha, Peetambar; Colston, Angela; Donadeu, Meritxell; Lightowlers, Marshall W

2017-12-01

Neurocysticercosis is a major cause of epilepsy in countries where Taenia solium is endemic and the parasite is a major cause of food-borne disease globally. Pigs are the natural intermediate host involved in transmission of the parasite. T. solium is known to be endemic in Nepal, however there is limited reliable data about the prevalence of the disease in Nepal. The aim of this study was to determine accurately the prevalence of porcine cysticercosis in slaughter age pigs in an area of Nepal where pigs are known to be free-roaming. Pigs were obtained from the Udaypur Village Development Committee (VDC) and Hirminiya & Betahani VDC of the Banke district in Nepal. One hundred and ten animals of slaughter age (approximately 8-16 months old) were purchased, slaughtered and the heart, liver, brain and half the body skeletal musculature were sliced using hand knives and the number and viability of T. solium cysts determined. Thirty two of the 110 animals were found to harbour T. solium cysticerci (29%), of which 30 (27%) were found to have viable cysticerci (93% of the infected animals). This is one of the highest prevalences of porcine cysticercosis that has been reported to date from the results of necropsy on randomly selected animals. This study highlights a high rate of transmission of T. solium in the Banke District of Nepal. It encourages further investigation of human and porcine cysticercosis in Nepal, as well as implementation of efforts to reduce transmission of the parasite and the associated human disease. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Comparative Analysis of Passenger Traffic Fleets in Asian Cities: Technology, Driving Activities, and Emission

NASA Astrophysics Data System (ADS)

KIM Oanh, N. T.; Huynh, H. V.; Saikawa, E.

2015-12-01

The road transport sector is the major emission source of toxic air pollutants and greenhouse gases (GHGs) in large Asian cities. This paper comparatively analyzed on-road passenger traffic fleets (cars, buses, taxis, motorcycles), using local data collected in cities of Bangkok (BKK), Kathmandu, Hanoi, Ho Chi Minh City (HCMC), and Yangon. Surveys were done in 2010-2014 to obtain information on vehicle technology, driving activities (speed, distance, number, and types of starts), traffic density, and fuel characteristics. Large shares of pre-Euro vehicles were still observed, especially for public buses. The most advanced technology was Euro4, which was observed in small shares (<5%) of the personal car fleets in BKK, HCMC, and Yangon. Euro3 was generally the most advanced technology found in other fleets in these cities. Motorcycles (MC) was the most dominant fleet in all cities, except in Yangon, where they were not allowed. Low vehicle speeds, mainly below 25 km/h, were observed for all vehicle types, indicating traffic jams. Natural gas and LPG had considerable shares in BKK and Yangon while for other cities diesel and gasoline were still the two major fuels used in transportation. Running emission factors (EF) of buses and taxis in Kathmandu were considerably higher than other cities due to its hilly topography, low speeds, high mileage, and less advanced vehicle technologies. The number of passenger vehicles per 1000 people were 400-500 in HCMC and Hanoi (mainly by MC) and in BKK (also by cars), moderate in Kathmandu (200) and the lowest in Yangon (40) because of the MC ban. Annual emissions of the passenger fleets were calculated for each city using the International Vehicle Emission (IVE) for 14 species. BC and OC emissions were estimated using their fractions of PM10 emission. Annual emission per capita of toxic air pollutants and GHGs was analyzed. For example, the emission in kg/year/person for CO, VOC, NOx and PM10 in these cities was 24-150 for CO, 0.9-23 for VOC, 2.1-8.2 for NOx and 0.2-1.1 for PM10. The highest per capita emissions of CO and VOC were found for HCMC and the lowest for Yangon, which showed the influence of MC fleet. The per capita emission of Kathmandu was ranked second among the cities. Our results were also analyzed in comparison with the per capita emission estimated for other Asian cities.

Rational for Conducting PTSD Research and Challenges of Recruiting and Training Volunteers to Screen and Treat PTSD among the Nepal 2015 Earthquake Survivors.

PubMed

Jha, A; Shakya, S

2015-01-01

Post-traumatic Stress Disorder (PTSD) is common psychiatric morbidity among earthquake survivors, and if untreated people suffer from it for years. Government of Nepal and NGOs provided various short-term mental health services to the victims of the 2015 earthquake in Nepal, but there was no plan or provision for long-term mental health problems. The prevalence of PTSD following natural disasters depends on various local factors requiring understanding and further investigation before identifying affordable evidence based interventions. This paper discusses the need for PTSD research among the survivors of the 2015 earthquake in Nepal, and describes the challenges and difficulties of recruiting and training PTSD volunteers.

Emergence of Primary Teeth in Children of Sunsari District of Eastern Nepal

PubMed Central

Gupta, Anita; Hiremath, SS; Singh, SK; Poudyal, S; Niraula, SR; Baral, DD; Singh, RK

2007-01-01

This study assessed the timing and eruption sequence of primary teeth in children of Sunsari district of Eastern Nepal and compared the eruption pattern of males & females between various, ethnic groups. Method This cross-sectional study, included 501 subjects, aged 3 months to 60 months selected by simple random sampling method. The determinant variables such as age, gender, ethnicity, and eruption of teeth were recorded. Results This study provides a model data on emergence of primary teeth and number of deciduous teeth in these children. This is a first study of its kind in Nepal. The findings of this study will help as a reference data for optimal use in clinical, academic, and research activities, especially for children of Eastern Nepal. PMID:18523631

Crossing the roof of the world: Trade in medicinal plants from Nepal to China.

PubMed

He, Jun; Yang, Bin; Dong, Min; Wang, Yunshang

2018-04-26

Trade in medicinal and aromatic plants (MAPs) between Nepal and China has taken place for centuries along the Tibetan border. While there is anecdotal evidence that economic development in China over the past decades, coupled with regional infrastructure development and increasing market integration, has substantially changed this trade, there are no current published studies investigating this, e.g. in terms of species and market structure. This knowledge gap impedes the development of public interventions, e.g. in support of sustainable trade. The primary objective of this study is to provide the first informative insights into the Nepal-China trade in MAPs, with particular emphasis on the value chain in Tibet. Data was collected from December 2015 to August 2016 in Nepal and Tibet. The data collection included standardized questionnaires to understand and map the value chain of MAPs, including the actors involved and key governance issues. Data was collected from Katmandu-based MAPs wholesalers exporting from Nepal to China, (n = 6) and with regional wholesalers (n = 40) based in Tibet. The questionnaires contained quantitative and qualitative components focusing on key elements of the MAPs value chain, e.g. the traded species and their values. This was augmented with qualitative interviews with Lhasa-based processors (n = 4) and government officials (n = 12) working in border controls, customs, and/or drug administration. We also collected official statistics on the Nepal-China MAPs trade and conducted a workshop in Lhasa with traders and government officials to discuss the nature of the Nepal-China MAPs trade. The Nepal-China MAPs trade boomed after 2011 when the value of traded plants increased more than nine-fold. This rapid increase reflected both a broader species composition and higher unit prices in response to increasing demand from China. The trade expansion was also driven by increasing demand in China and facilitated by improved infrastructure in Nepal and Tibet, including direct flight connections for the transport of high-value products. Official records on both sides of the border under-document both the value and the volume of the trade, implying that much of it is extra-legal. The value chain is thus governed by both legal and extra-legal mechanisms. This study provides the first structured overview of the current trade in commercial MAPs from Nepal to China. While the trade is thriving, growing in both volume and value to the benefit of producers in Nepal and consumers in China, there is little empirical data or research to support policy formulation on sustainable trading. This study provides informative insights into the value chain and makes public policy recommendations to increase the transparency and sustainability of trade by improving traditional border markets and removing market barriers. Copyright © 2018 Elsevier B.V. All rights reserved.

Variable shortening on the Main Frontal Thrust in Nepal

NASA Astrophysics Data System (ADS)

Almeida, R. V.; Hubbard, J.; Lee, Y. S.; Liberty, L. M.; Paudel, L.; Shrestha, A.; Sapkota, S. N.; Joshi, G.

2017-12-01

The Main Frontal Thrust (MFT) is the youngest, most active, and southernmost thrust system in the Himalaya. It is located in the footwall of the Main Boundary thrust (MBT), deforming Miocene to Pliocene age Siwalik Group rocks. Although often considered a single, continuous fault, in reality as many as four subparallel faults, spaced 5-30 km apart, make up this fault system. Estimates of total shortening across the MFT for eastern and central Nepal vary from 15 to 40 km, based on cross-sections and surface measurements. However, when the same methods are applied, shortening does not vary significantly along strike (Hirschmiller et al., 2014), suggesting contrasting methodologies rather than a difference in interpreted along strike structural history. Based on high resolution seismic reflection imaging, we present new interpretations of total shortening recorded by the MFT system in central vs. eastern Nepal (200 km apart), together with a detailed transect of field observations in central Nepal. Our structural interpretations demonstrate that the geological shortening recorded on the MFT ranges from >20 km in central Nepal to <1 km in far eastern Nepal. Geodetic measurements show only a slight decrease in interseismic convergence from central (15±1 mm/yr) to eastern Nepal (14±1 mm/yr) and therefore cannot explain this dramatic difference (Lindsey et al., in prep). Taken at face value, these results imply that the MBT must have been much more recently active in eastern Nepal ( 70 ka) than central Nepal ( 1.4 Ma). We propose an alternative model that does not require this dramatic difference in the age of the MFT. As one end-member, it is indeed possible that the MFT may have broken forward much more recently in the east. However, it is also possible that older MFT thrust sheets have formed, and then have been consumed as the MBT passively slid south in the hanging wall of the MFT. Distinguishing between these models is important not only for understanding the evolution of the MBT and MFT, but also plays a critical role in assessing the current geometry and earthquake hazard associated with the Main Himalayan Thrust, the décollement that underlies the entire system (e.g., Hubbard et al., 2016). We explore the implications of these two end-member models and identify ways in which each model could be tested.

The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters.

PubMed

Landry, Michel D; Sheppard, Phillip S; Leung, Kit; Retis, Chiara; Salvador, Edwin C; Raman, Sudha R

2016-11-01

The frequency of natural disasters appears to be mounting at an alarming rate, and the degree to which people are surviving such traumatic events also is increasing. Postdisaster survival often triggers increases in population and individual disability-related outcomes in the form of impairments, activity limitations, and participation restrictions, all of which have an important impact on the individual, his or her family, and their community. The increase in postdisaster disability-related outcomes has provided a rationale for the increased role of the disability and rehabilitation sector's involvement in emergency response, including physical therapists. A recent major earthquake that has drawn the world's attention occurred in the spring of 2015 in Nepal. The response of the local and international communities was large and significant, and although the collection of complex health and disability issues have yet to be fully resolved, there has been a series of important lessons learned from the 2015 Nepal earthquake(s). This perspective article outlines lessons learned from Nepal that can be applied to future disasters to reduce overall disability-related outcomes and more fully integrate rehabilitation in preparation and planning. First, information is presented on disasters in general, and then information is presented that focuses on the earthquake(s) in Nepal. Next, field experience in Nepal before, during, and after the earthquake is described, and actions that can and should be adopted prior to disasters as part of disability preparedness planning are examined. Then, the emerging roles of rehabilitation providers such as physical therapists during the immediate and postdisaster recovery phases are discussed. Finally, approaches are suggested that can be adopted to "build back better" for, and with, people with disabilities in postdisaster settings such as Nepal. © 2016 American Physical Therapy Association.

Molecular and phylogenetic analyses of the liver amphistome Explanatum explanatum (Creplin, 1847) Fukui, 1929 in ruminants from Bangladesh and Nepal based on nuclear ribosomal ITS2 and mitochondrial nad1 sequences.

PubMed

Mohanta, U K; Rana, H B; Devkota, B; Itagaki, T

2017-07-01

Explanatum explanatum flukes, liver amphistomes of ruminants, cause significant economic loss in the livestock industry by inducing severe liver damage. A total of 66 flukes from 26 buffaloes and 7 cattle in four different geographic areas of Bangladesh and 20 flukes from 10 buffaloes in the Chitwan district of Nepal were subjected for analysis. The sequences (442 bp) of the second internal transcribed spacer (ITS2) of ribosomal DNA and the variable fragments (657 bp) of mitochondrial nicotinamide dehydrogenase subunit 1 (nad1) of E. explanatum flukes from Bangladesh and Nepal were analysed. The aim of this study was molecular characterization of the flukes and to elucidate their origin and biogeography. In the ITS2 region, two genotypes were detected among the flukes from Bangladesh, while flukes from Nepal were of only one genotype. Phylogenetic analyses inferred from the nad1 gene revealed that at least four divergent populations (groups I-IV) are distributed in Bangladesh, whereas two divergent populations were found to be distributed in Nepal. Fst values (pairwise fixation index) suggest that Bangladeshi and Nepalese populations of group I to IV are significantly different from each other; but within groups III and IV, the populations from Bangladesh and Nepal were genetically close. This divergence in the nad1 gene indicates that each lineage of E. explanatum from diverse geography was co-adapted during the multiple domestication events of ruminants. This study, for the first time, provides molecular characterization of E. explanatum in Bangladesh and Nepal, and may provide useful information for elucidating its origin and dispersal route in Asia.

Lake deposits record evidence of large post-1505 AD earthquakes in western Nepal

NASA Astrophysics Data System (ADS)

Ghazoui, Z.; Bertrand, S.; Vanneste, K.; Yokoyama, Y.; Van Der Beek, P.; Nomade, J.; Gajurel, A.

2016-12-01

According to historical records, the last large earthquake that ruptured the Main Frontal Thrust (MFT) in western Nepal occurred in 1505 AD. Since then, no evidence of other large earthquakes has been found in historical records or geological archives. In view of the catastrophic consequences to millions of inhabitants of Nepal and northern India, intense efforts currently focus on improving our understanding of past earthquake activity and complement the historical data on Himalayan earthquakes. Here we report a new record, based on earthquake-triggered turbidites in lakes. We use lake sediment records from Lake Rara, western Nepal, to reconstruct the occurrence of seismic events. The sediment cores were studied using a multi-proxy approach combining radiocarbon and 210Pb chronologies, physical properties (X-ray computerized axial tomography scan, Geotek multi-sensor core logger), high-resolution grain size, inorganic geochemistry (major elements by ITRAX XRF core scanning) and bulk organic geochemistry (C, N concentrations and stable isotopes). We identified several sequences of dense and layered fine sand mainly composed of mica, which we interpret as earthquake-triggered turbidites. Our results suggest the presence of a synchronous event between the two lake sites correlated with the well-known 1505 AD earthquake. In addition, our sediment records reveal five earthquake-triggered turbidites younger than the 1505 AD event. By comparison with historical archives, we relate one of those to the 1833 AD MFT rupture. The others may reflect successive ruptures of the Western Nepal Fault System. Our study sheds light on events that have not been recorded in historical chronicles. Those five MMI>7 earthquakes permit addressing the problem of missing slip on the MFT in western Nepal and reevaluating the risk of a large earthquake affecting western Nepal and North India.

MACS-Himalaya: A photogrammetric aerial oblique camera system designed for highly accurate 3D-reconstruction and monitoring in steep terrain and under extreme illumination conditions

NASA Astrophysics Data System (ADS)

Brauchle, Joerg; Berger, Ralf; Hein, Daniel; Bucher, Tilman

2017-04-01

The DLR Institute of Optical Sensor Systems has developed the MACS-Himalaya, a custom built Modular Aerial Camera System specifically designed for the extreme geometric (steep slopes) and radiometric (high contrast) conditions of high mountain areas. It has an overall field of view of 116° across-track consisting of a nadir and two oblique looking RGB camera heads and a fourth nadir looking near-infrared camera. This design provides the capability to fly along narrow valleys and simultaneously cover ground and steep valley flank topography with similar ground resolution. To compensate for extreme contrasts between fresh snow and dark shadows in high altitudes a High Dynamic Range (HDR) mode was implemented, which typically takes a sequence of 3 images with graded integration times, each covering 12 bit radiometric depth, resulting in a total dynamic range of 15-16 bit. This enables dense image matching and interpretation for sunlit snow and glaciers as well as for dark shaded rock faces in the same scene. Small and lightweight industrial grade camera heads are used and operated at a rate of 3.3 frames per second with 3-step HDR, which is sufficient to achieve a longitudinal overlap of approximately 90% per exposure time at 1,000 m above ground at a velocity of 180 km/h. Direct georeferencing and multitemporal monitoring without the need of ground control points is possible due to the use of a high end GPS/INS system, a stable calibrated inner geometry of the camera heads and a fully photogrammetric workflow at DLR. In 2014 a survey was performed on the Nepalese side of the Himalayas. The remote sensing system was carried in a wingpod by a Stemme S10 motor glider. Amongst other targets, the Seti Valley, Kali-Gandaki Valley and the Mt. Everest/Khumbu Region were imaged at altitudes up to 9,200 m. Products such as dense point clouds, DSMs and true orthomosaics with a ground pixel resolution of up to 15 cm were produced in regions and outcrops normally inaccessible to aerial imagery. These data are used in the fields of natural hazards, geomorphology and glaciology (see Thompson et al., CR4.3). In the presentation the camera system is introduced and examples and applications from the Nepal campaign are given.

The Maoist Insurgency in Nepal: 1996-2001

DTIC Science & Technology

2002-04-09

Indian border is 1660 kilometers long and crisscrossed with paths and local roads. The best land routes into Nepal are from the South. The Chinese...offered Mumbai and Kandla as ports for export, but this largesse is offered on the assumption of good behavior and the Indians are quick to punish too...much independence. India has been seen to subsume Sikkim, and coerce Bhutan and Nepal is determined not to be absorbed as an Indian satellite state. This

Scrub Typhus: An Emerging Neglected Tropical Disease in Nepal.

PubMed

Upadhyaya, B P; Shakya, G; Adhikari, S; Rijal, N; Acharya, J; Maharjan, L; Marasini, B R

2016-05-01

Scrub typhus is a neglected tropical disease and is under reported from Nepal. The objective of this study was to investigate the sero-epidemiology of scrub typhus in patients suffering from acute febrile illness. A total of 434 specimens collected from July to November 2015 at National Public Health Laboratory (NPHL) were investigated for detection of immunoglobulin M (IgM) antibody to Orientiatsutsugamushi.The Scrub Typhus Detect TM kit (InBios, USA) was used to detect the antibodies to O.tsutsugamushi in human serum. Randomly selected 10% positive specimens were used for confirmation by dot- enzyme-linked immunosorbent assay and indirect immunofluorescence assay. Of the total, 175 (40.3%) were positive for IgM antibodies to O. tsutsugamushi. Positive results of scrub typhus were highest among female in 11-20 year followed by males in 41-50 years age group. The IgM antibodies to O. tsutusugamushi were positive in specimens of various geographical regions including 30 districts of Nepal. Positive cases were found in various ecological regions of Nepal. Scrub typhus is one of the neglected tropical diseases in Nepal. Patients with acute febrile illness should be investigated for scrub typhus with high priority. There is an urgent need of reliable and affordable diagnostic tests at all level of health facilities of Nepal. Surveillance and public health awareness about the disease transmission and preventive measures needs to be initiated.

High diversity of multidrug-resistant Mycobacterium tuberculosis Central Asian Strain isolates in Nepal.

PubMed

Shah, Yogendra; Maharjan, Bhagwan; Thapa, Jeewan; Poudel, Ajay; Diab, Hassan Mahmoud; Pandey, Basu Dev; Solo, Eddie S; Isoda, Norikazu; Suzuki, Yasuhiko; Nakajima, Chie

2017-10-01

Tuberculosis (TB) caused by Mycobacterium tuberculosis (MTB) poses a major public health problem in Nepal. Although it has been reported as one of the dominant genotypes of MTB in Nepal, little information on the Central Asian Strain (CAS) family is available, especially isolates related to multidrug resistance (MDR) cases. This study aimed to elucidate the genetic and epidemiological characteristics of MDR CAS isolates in Nepal. A total of 145 MDR CAS isolates collected in Nepal from 2008 to 2013 were characterized by spoligotyping, mycobacterial interspersed repetitive unit-variable number tandem repeat (MIRU-VNTR) analysis, and drug resistance-associated gene sequencing. Spoligotyping analysis showed CAS1_Delhi SIT26 as predominant (60/145, 41.4%). However, by combining spoligotyping and MIRU-VNTR typing, it was possible to successfully discriminate all 145 isolates into 116 different types including 18 clusters with 47 isolates (clustering rate 32.4%). About a half of these clustered isolates shared the same genetic and geographical characteristics with other isolates in each cluster, and some of them shared rare point mutations in rpoB that are thought to be associated with rifampicin resistance. Although the data obtained show little evidence that large outbreaks of MDR-TB caused by the CAS family have occurred in Nepal, they strongly suggest several MDR-MTB transmission cases. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

What Caused the Winter Drought in Western Nepal during Recent Years?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wang, S-Y; Yoon, Jin-Ho; Gillies, R.

Western Nepal has experienced consecutive and worsened winter drought conditions since 2000 culminating in a severe drought episode during 2008-2009. In this study, the meteorological conditons and a historical pespective of the winter droughts in western Nepal were analyzed using respectively instumental records and a paleoclimatic drought index. Althought decadal-scale drought conditions were found to be recurrent in the paleoclimate record, the severity of the recent decadal drought (since 2000) clearly stands out in the 700 years of record and, this is suggestive of potential anthropogenic influences in the recent decades. Meteorological diagnosis using atmospheric reanalysis in the recent decadesmore » revealed that (1) winter drought in western Nepal is linked to the Arctic Oscillation and its decadal variability, which initiates a tropospheric short-wave train across the Europe, Eurasia and South Asia, and that (2) the persistent warming of the Indian Ocean likely contributes to the suppression of rainfall through enhanced local Hadley circultion. It is therefore conceivable that the recent spells of decadal drought in Nepal drought are symptomatic of both natural variability and anthropogenic influences.« less

Exploring migration intention of nursing students in Nepal: A mixed-methods study.

PubMed

Poudel, Chandra; Ramjan, Lucie; Everett, Bronwyn; Salamonson, Yenna

2018-03-01

The objective of this study was to assess the migration intention of students enrolled in pre-registration nursing programs in Nepal, and to explore factors influencing this intention. Using an embedded mixed methods design, 799 nursing students were surveyed, followed by 12 semi-structured face-to-face interviews. The result showed that the majority (92.5%) expressed some intention to migrate, with three quarters of these listed furthering their study abroad as the primary reason. In the multiple regression analysis, those with lower professional identity, and those who reported nursing was not their first choice were likely to express migration intention. Interview data identified low salaries, unemployment, poor working conditions, insufficient postgraduate education, and a lack of professional autonomy in Nepal as reasons for their intention to migrate. Increasing opportunities for nurses to undertake postgraduate education in Nepal, promoting a positive image of nursing, and facilitating a supportive learning environment during undergraduate nursing education could help address the potential loss of nurses from Nepal. Copyright © 2017 Elsevier Ltd. All rights reserved.

75 FR 17289 - Citrus Seed Imports; Citrus Greening and Citrus Variegated Chlorosis

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-06

..., Malaysia, Mauritius, Mexico, Myanmar, Nepal, Pakistan, Papua New Guinea, Philippines, R[eacute]union..., Madagascar, Malawi, Malaysia, Mauritius, Mexico, Myanmar, Nepal, Pakistan, Papua New Guinea, Philippines, R...

Epidemiology, Impact and Control of Rabies in Nepal: A Systematic Review.

PubMed

Devleesschauwer, Brecht; Aryal, Arjun; Sharma, Barun Kumar; Ale, Anita; Declercq, Anne; Depraz, Stephanie; Gaire, Tara Nath; Gongal, Gyanendra; Karki, Surendra; Pandey, Basu Dev; Pun, Sher Bahadur; Duchateau, Luc; Dorny, Pierre; Speybroeck, Niko

2016-02-01

Rabies is a vaccine-preventable viral zoonosis belonging to the group of neglected tropical diseases. Exposure to a rabid animal may result in a fatal acute encephalitis if effective post-exposure prophylaxis is not provided. Rabies occurs worldwide, but its burden is disproportionately high in developing countries, including Nepal. We aimed to summarize current knowledge on the epidemiology, impact and control of rabies in Nepal. We performed a systematic review of international and national scientific literature and searched grey literature through the World Health Organization Digital Library and the library of the National Zoonoses and Food Hygiene Research Centre, Nepal, and through searching Google and Google Scholar. Further data on animal and human rabies were obtained from the relevant Nepalese government agencies. Finally, we surveyed the archives of a Nepalese daily to obtain qualitative information on rabies in Nepal. So far, only little original research has been conducted on the epidemiology and impact of rabies in Nepal. Per year, rabies is reported to kill about 100 livestock and 10-100 humans, while about 1,000 livestock and 35,000 humans are reported to receive rabies post-exposure prophylaxis. However, these estimates are very likely to be serious underestimations of the true rabies burden. Significant progress has been made in the production of cell culture-based anti-rabies vaccine and rabies immunoglobulin, but availability and supply remain a matter of concern, especially in remote areas. Different state and non-state actors have initiated rabies control activities over the years, but efforts typically remained focalized, of short duration and not harmonized. Communication and coordination between veterinary and human health authorities is limited at present, further complicating rabies control in Nepal. Important research gaps include the reporting biases for both human and animal rabies, the ecology of stray dog populations and the true contribution of the sylvatic cycle. Better data are needed to unravel the true burden of animal and human rabies. More collaboration, both within the country and within the region, is needed to control rabies. To achieve these goals, high level political commitment is essential. We therefore propose to make rabies the model zoonosis for successful control in Nepal.

Earlier Initiation and Use of a Greater Number of Iron-Folic Acid Supplements during Pregnancy Prevents Early Neonatal Deaths in Nepal and Pakistan

PubMed Central

Nisar, Yasir Bin; Dibley, Michael J.

2014-01-01

Introduction Early neonatal deaths account for 75% of neonatal deaths globally. Antenatal iron-folic acid (IFA) supplementation has significantly reduced the risk of early neonatal deaths in China and Indonesia. We investigated the impact of antenatal IFA supplements on the risk of early neonatal deaths in Nepal and Pakistan during the last decade. Methods Data from the most recent singleton live-births of 8,186 from two Nepal Demographic and Health Surveys (DHS) and 13,034 from two Pakistan DHS were selected for the current study. The primary outcome was early neonatal deaths and the main study variable was antenatal IFA supplementation. Analyses used multivariate Cox proportional regression, adjusted for the cluster sampling design and for 18 potential confounders. Findings The adjusted risk of early neonatal deaths was significantly reduced by 51% (aHR = 0.49, 95% CI = 0.32–0.75) in Nepal and 23% (aHR = 0.77, 95% CI = 0.59–0.99) in Pakistan with any use of IFA compared to none. When IFA supplementation started at or before the 5th month of pregnancy, the adjusted risk of early neonatal mortality was significantly reduced by 53% in Nepal, and 28% in Pakistan, compared to no IFA. When >90 IFA supplements were used and started at or before 5th months, the adjusted risk of early neonatal deaths was significantly reduced by 57% in Nepal, and 45% in Pakistan. In Nepal 4,600 and in Pakistan 75,000 early neonatal deaths could be prevented annually if all pregnant women used >90 IFA supplements and started at or before the 5th month of pregnancy. Conclusions Any use of IFA supplements was significantly associated with reduced risk of early neonatal deaths in Nepal and Pakistan. The greatest mortality sparing effect of IFA on early neonatal deaths in both countries was with early initiation and use of a greater number of supplements. PMID:25398011

Nutritional assessment of community-dwelling older adults in rural Nepal.

PubMed

Ghimire, Saruna; Baral, Binaya Kumar; Callahan, Karen

2017-01-01

Demographic transition in Nepal, like in many developing countries, has resulted in a burgeoning elderly population whose health status is not currently monitored. One pillar of health is adequate nutrition. Yet, little is known about the nutritional health status of the elderly in Nepal. The financial, material, and personnel limitations in Nepal's health delivery services necessitate health screening instruments that require minimal clinical staff and resources. To our knowledge, no such nutritional assessment tool has been validated in Nepal. Therefore, our aims are two-fold: To assess the nutritional status of the elderly population in one typical Nepali village, Okharpauwa, in Nuwakot District, Nepal; and concurrently, to validate the Mini Nutritional Assessment (MNA) tool. A cross-sectional field study was conducted with a sample of 242 elderly people in Okharpauwa, Nepal to obtain prevalence of malnutrition. Differences in demographic and lifestyle factors between these who were malnourished, those at risk of malnourishment, and those who had adequate nutritional status were analyzed. The MNA tool was evaluated using receiver operating characteristic (ROC) curve analysis; sensitivity, specificity, and diagnostic accuracy were calculated. 111 males and 131 females, with a mean age of 69.8±7.4 years, participated in this study. The mean BMI of the participants was 21.4±3.9 kg/m2; the mean MNA score was 19.3±4.2. BMI was significantly correlated with the total MNA score (r = 0.58; p<0.001). The diagnostic accuracy, sensitivity and specificity of MNA were 81%, 86% and 67% respectively. Of the 242 elderly sampled, 24% were malnourished and 65% were at risk of malnutrition. Malnutrition was more prevalent among females (29%) than males (18%), and most prevalent among the marginalized Dalit ethnic group (40%). Elderly persons who were married and literate had better nutritional health than their counterparts. The MNA appears to be a valid and sensitive tool for rapid nutritional screening of the elderly in Nepal. The prevalence of malnutrition was high among Nepalese elderly in the Okharpauwa VDC, which requires urgent health monitoring and management attention.

Modernity, Education and Its Alternatives: Schooling among the Urban Poor in Kathmandu

ERIC Educational Resources Information Center

Valentin, Karen

2011-01-01

Ideas of linear progress and predictability are essential to globally circulated ideas of educational planning, but do not necessarily correspond with the realities and priorities of ordinary people whose life trajectories often shape very differently. Thus, shedding light on the contradictory ideas about education and divergent expectations as to…

Regional analysis of distribution of pre and post 2015 Nepal Earthquake landslides

NASA Astrophysics Data System (ADS)

Valagussa, Andrea; Frattini, Paolo; Crosta, Giovanni; Valbuzzi, Elena

2016-04-01

A magnitude 7.8 earthquake struck Nepal on April 25, 2015. Three landslide inventories have been prepared in four districts: Dhading (1885 km2), Sindhupalchok (2488 km2), Rasuwa (1522 km2) and Nuwakot (1194 km2), that are located north of Kathmandu. These inventories extend 14 to 138 km SE from the epicenter of the main shock (April 25, 2015), 4.5 to 143 km NW from the epicenter of the main aftershock (May 12, 2015), and 34 to 136 km from the Main Frontal Thrust. The first inventory is a coseismic and post-seismic landslide inventory based on multi-temporal images (Google Earth, Google Crisis maps, Bing maps), and helicopter-based video. The second one is a pre-event shallow landslide inventory. In these two inventories the most abundant landslide types are: debris flows, shallow translational slides, and rockfalls. The third is a deep seated landslide inventory, in which the most represented landslide types are rock avalanches, slumps, rockslides and deep-seated gravitational slope deformations (DSGSD). All the landslides have been mapped as individual polygons. For the analysis we focus our attention on four districts: First we studied how the landslide frequency density changes as a function of topographic parameters (i.e. slope gradient, slope aspect, and elevation). The analyses have been based on the ASTER Global Digital Elevation Model (ASTER GDEM). For coseismic and post-seismic landslides we observed that the mean slope gradient at which the landslide occurs is higher with respect to the two other inventories (50° and 30/40° respectively). The slope aspect of coseismic and post-seismic landslides is also different, with a larger frequency of landslides towards SW, whereas in pre-event landslides the most common slope aspect is SE. This could be related to the direction of the seismic wave. At least the coseismic and post-seismic landslides occur, in mean, at an elevation lower than the pre-event landslides. We also analyzed the relationship between the landslide frequency density and the lithology in which each landslide occurs to better understand if a particular geological suite is more prone to give landslides, both in seismic and non-seismic conditions. The landslide density for the Deep Seated Landslides and the Pre-Event Shallow landslides does not shows particular changes with the lithology in which the landslide occurred. The Deep Seated Landslides seem to be more abundant in marbles with respect the others lithologies. The pre-event landslides seem to be more abundant in gneiss and shale. Different observations could be done for the coseismic and post-seismic landslides, which show a high value of density (5.13 landslides per km2) for schist, limestone and quartzite. Instead, the granites have a lower number of landslides, as observed for the two other inventories.

Attitudes toward wife beating: a cross-country study in Asia.

PubMed

Rani, Manju; Bonu, Sekhar

2009-08-01

Using demographic and health surveys conducted between 1998 and 2001 from seven countries (Armenia, Bangladesh, Cambodia, India, Kazakhstan, Nepal, and Turkey), the study found that acceptance of wife beating ranged from 29% in Nepal, to 57% in India (women only), and from 26% in Kazakhstan, to 56% in Turkey (men only). Increasing wealth predicted less acceptance of wife beating, except in Cambodia and Nepal. Higher education level was negatively associated with acceptance in Turkey and Bangladesh. Younger respondents justified wife beating more often, with some exceptions, showing persistent intergenerational transmission of gender norms. Working women were equally or more likely to justify wife beating compared to nonworking women. Men were significantly more likely to justify wife beating in Armenia, Nepal, and Turkey. Targeted proactive efforts are needed to change these norms, such as improving female literacy rates and other enabling factors.

Japanese encephalitis in a French traveler to Nepal.

PubMed

Lagarde, S; Lagier, J-C; Charrel, R; Quérat, G; Vanhomwegen, J; Desprès, P; Pelletier, J; Kaphan, E

2014-02-01

Japanese encephalitis is frequent in Asia, with a severe prognosis, but rare in travelers. Culex mosquitoes transmit Japanese encephalitis virus. Risk factors are destination, duration of stay, summer and fall seasons, outdoor activities, and type of accommodation. We report the case of a French traveler to Nepal with neutralization-based serological confirmed Japanese encephalitis. He presented classical clinical (viral syndrome before an encephalitis status with behavioral disorder, global hypotonia, mutism, movement disorders, seizure, and coma), radiological (lesions of thalami, cortico-spinal tracts, and brainstem) and biological features (lymphocytic meningitis). Nowadays, the presence of Japanese encephalitis virus in Nepal, including mountain areas, is established but Japanese encephalitis remains rare in travelers returning from this area and neurologist physicians need to become familiar with this. We recommend vaccination for travelers spending a long period of time in Nepal and having at-risk outdoor activities.

Determinants and promotion of oral hygiene behaviour in the Caribbean and Nepal.

PubMed

Buunk-Werkhoven, Yvonne A B; Dijkstra, Arie; Bink, Pim; van Zanten, Sarah; van der Schans, Cees P

2011-10-01

The purpose of this study was to identify predictors of oral hygiene behaviour (OHB) based on the Theory of Planned Behaviour (TPB) among dental care seekers in two cultural different regions: the Caribbean (Aruba/Bonaire) and Nepal. In addition, measures of oral health knowledge (OHK) and the expected social outcomes of having healthy teeth (ESO) were investigated. The main effects of the predictors as well as their interactions with region (Caribbean vs. Nepal) were examined. The interaction term contributed significantly to the amount of explained variance. In the Caribbean, OHB was determined by Attitude and Social Norms, and in Nepal by Perceived Behaviour Control and ESO. On the basis of these findings, quite different oral health care interventions are called for in developing and underdeveloped countries. © 2011 FDI World Dental Federation.