Table 5.9: Water Quality of Shallow Tube Wells in the Terai RegionSites (District)Chloride(mg/l)Ammonia-N(mg/l)Nitrate-N(mg/l)Iron(mg/l)Manganese(mg/l)Coliformcfu/100mlPanchgacachi (Jhapa) 15.4 0.70 0.2 6.0 0.8 11.1Baijnathpur (Morang) 16.4 0.50 0.2 4.5 0.5 15.9Bayarban (Morang) 17.6 0.50 2.4 6.0 0.6 0.5Takuwa (Morang) 21.0 1.00 1.0 10.4 0.4 45.9Shreepur Jabdi (Sunsari) 37.2 0.90 0.2 8.0 0.6 25.5Bandipur (Siraha) 195.6 0.70 3.5 0.4 0.4 1.0Naktiraipur (Saptari) 54.5 1.20 0.3 12.0 1.3 16.0WHO Standard 250.0 1.24 10 3.0 0.5 nilcfu = coliform units, mg/l = milligram per liter, WHO = World Health OrganizationSource: ENPHO (1990)and floods have often caused turbidity of river water.In the absence of proper protection, drinking watersources are polluted due to the floods duringsummer rainfall, which add turbidity and variousnutrients to the river water.SanitationSanitation can be measured in terms of availability ofsewerage and toilet facilities. Access of householdsto sanitation facilities increased from 6% in 1991 to25% in 1999 and 46% in 2001. However, the majorityof the population still practices open defecation. Thisis the major reason for the contamination of watersources, particularly in rural areas. There is a markedvariation in access to sanitation between rural andurban areas. In urban areas, access to sanitationincreased from 34% in 1991 to 67% in 1999, but inrural areas only from 3% to <strong>18</strong>% (NPC 1992; NPC1997; RWSSP 1999).On the basis of water use per person per day,NPC (1997) estimated the wastewater generated tobe 90% of the total per capita water consumption ofboth rural (45 liters per capita) and urban (60 litersper capita) areas. This means an estimated totalwastewater generation per day of 807 million liters inrural areas and 174 million liters in urban areas. Asthere are no treatment plants outside the valley, thiswastewater is assumed to be discharged directly intoTable 5.10: [Theoretical] Sewerage Coverage in NepalDescription 1999 2000 2001Total Length of Sewers (km) 220 225 232Interceptors 33.7 38.7 40Laterals <strong>18</strong>6.3 <strong>18</strong>6.3 192Number of Treatment Plants 4 4 4Population Served 390,000 400,000 420,000Population Coverage (%) 40 40 40Source: NWSC (2001) p. 11.water bodies. There are effectively no wastewater orsewage treatment facilities in Nepal. Nominally thereare four treatment plants in the country, all in thecities of Kathmandu Valley, but of these four, one ispartly functioning and the remaining three are notfunctioning at all (Table 5.10). Thus in parts ofKathmandu Valley, there are sewerage lines, but thesewerage is discharged directly into the river. In 2001it was planned to bring the defunct seweragetreatment station at Dhobighat into operation andconstruct an additional sewer line to extend theservice in urban areas. However, as of 2006, thetreatment station is still not in operation. In othercities and towns, there is storm drainage but nosewerage system.Public Health ImpactsWater pollution is the most serious public healthissue in Nepal. There is a vital connection betweenwater and health. The rivers have become majorplaces for urban solid waste disposal and dumping,and for industrial effluents, all of which areresponsible for deteriorating the river water qualityand contributing to waterborne diseases. In majorurban areas, particularly in Kathmandu Valley,vegetables are cleaned with polluted river water, andduring the dry summer season polluted river water isused for bathing and washing clothes, which mayhave adverse effects on human health. Theinadequate amount of drinking water is alsoresponsible for disease.The total treatment capacity of drinking water inNepal is much lower than the average amount ofwater produced (NWSC 2001). This means that thequality of drinking water is substandard. As noted inChapter 2, water-related diseases are among the topten leading diseases in the country. Of these,waterborne diseases (such as diarrhea, dysentery,cholera, and typhoid, resulting from consumption of60 Environment Assessment of Nepal : Emerging Issues and Challenges
contaminated water) and water-washed diseases(due to poor sanitation such as worm infestation andskin diseases) account for <strong>18</strong>% and 27% of the totaloutpatient department (OPD) visits in the countryrespectively (DOHS 2005). The proportion of OPDvisits related to waterborne diseases ranges from ashigh as 24% in Dailekh and Arghakhanchi (hilldistricts) to 14% (Bhaktapur, Lalitpur, Jhapa, Parsaand Rupandehi). The proportion of visits related towater-washed diseases was highest in Parsa (Teraidistrict) at 40%, and lowest in Dadeldhura (hilldistrict) at 12%. These water-related diseases aregenerally caused by poor sanitation and poor waterquality (DOHS 2005). Recent data from theDepartment of Health Services (2005) show that theincidence of diarrhea among children under fiveyears of age is 222 per 1,000, up from 131 per 1,000 in1996 (DOHS 1996). The reported mortality rate due todiarrhea was 0.34 per 1,000 children under five yearsof age in 1996, but has been reduced to 0.05 (DOHS2005). This indicates a greater focus on curativeaspects of the health services than on improvementsin the quality of the water supply. The hospitalrecords for Sukraraj Tropical Infectious DiseaseHospital in Kathmandu show about 16% of all deathsas due to waterborne diseases (STIDH 2004).Figure 5.2 shows the incidence of waterborneand water-washed diseases among outpatient visitsto hospitals (DOHS 2003). Waterborne diseases referto diseases due to consumption of contaminatedwater such as diarrhea, dysentery, and cholera;whereas water-washed diseases are due to poorsanitation conditions. The state of these two types ofwater-related diseases is usually used to describe thesanitation and health of any area. Among the regions,the proportion of water-related diseases is highest inthe Terai.The combined effects of land, soil, water, andair degradation on public health are significant,Figure. 5.2: Proportion of Water-related Diseases toTotal Outpatient Department Visits, NepalOPD = Outpatient DepartmentSource: DOHS (2003)particularly for the rural poor. These effects have agreat impact on their livelihood activities, becausethe poor already suffer from poor health as a result ofinadequate diets, low income, and degraded livingareas.WetlandsNepal’s wetlands provide habitat for a number ofendemic and threatened biological species, as wellas for humans. Many ethnic groups rely on wetlandresources for their livelihood. Wetlands are thereforevaluable for the overall socioeconomic developmentof the country. Unfortunately, most of the wetlandsand their rich biological resources, especially thosein the Terai, are facing several threats due to thegrowing demand of the population for land and avariety of products and services. The threats includesiltation, eutrophication, overexploitation of wetlandresources, over fishing, hunting and poaching,overgrazing, illegal harvesting of wetland resources,encroachment, water pollution, developmentalactivities in adjoining areas, drainage, introduction ofinvasive species, and floods. Due to conflicts amongthe local people in claiming the resources in andaround wetlands, and the absence of an effectivemechanism to ensure the efficient localmanagement of these valuable resources, valuablebiological species are gradually becoming extinct.Wetlands also provide habitat for thousands ofwater birds every year flying over an arduous 2,500-mile migratory journey from Siberia. Unfortunately, acrucial wetland resting point for these migratingflocks is drying up. The Koshi flood plain is flowingbelow its original capacity, at a level that is barelyable to support the local birdlife population, let alonethe 50,000 waterfowl that make up a spectacularmigratory showcase in the Koshi River during thewinter months each year (IUCN 1997).The conservation of Nepal’s wetlands shouldalso call for promoting collaborative efforts such ascommunity forestry programs and buffer zonemanagement programs that have been successful inmanaging natural resources in the country.Aquatic BiodiversityNepal is rich in aquatic floral and faunal biodiversity.Aquatic fauna species include fish, amphibians, andreptiles. Among aquatic fauna species, 34 arethreatened and 61 are insufficiently known (Shrestha1997). In Ilam in the eastern hills, katle(Neolissocheilus hexagonolepis) and silver mahseer(Tor tor) are reported to be endangered andthreatened, respectively (MOFSC 2002). Three fishChapter 5: Water Resources61
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About the OrganisationsAsian Develo
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© 2006 International Centre for In
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AcknowledgementsWe would like to ex
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PM2.5PAHRSSAARCSACEPSEASO 2TSPUKUND
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Chapter 6: Energy Resources 65Intro
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List of FiguresFigure 2.1: People a
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Table 6.1: Energy Consumption and P
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forests are also used for infrastru
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mortality rates for rural and urban
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In most municipalities, hazardous w
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in worsening public health conditio
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Min BajracharyaB. PradhanVehicles a
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Table 9.1 describes the major highl
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earthquakes; and awareness raising
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Sub-regional LinkagesOther developi
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(iv)(v)(vi)plants, and other non-ti
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Table A9.1.2: Industry-Specific Tol
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. Cultural Heritage8. Convention fo
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Appendix 9.3: Some Prominent Enviro
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Some funding arrangements made by t
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(NARDF 2004) for a period of 1 to 3
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Table 10.2: Annual Income and Expen
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From Hands Around Everest bookFrom
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microorganism communities and the n
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subsidies (Mason 1996). All these a
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addressed only part of the problem.
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historical practice of community-ma
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Kathmandu Valley and receives a lar
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cooperative ventures provided neith
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further poaching has not been repor
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http://www.pugwash.org/reports/pac/
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United Nations. 2003. World Populat
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how other countries with substantia
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(i) Broad-based and sustainable eco
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Although progress is encouraging, m
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Nepal’s Changing Pattern of Trade
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Table 12.2: Trade/ GDP RatiosFY1981
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well as other provisions in specifi
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Future Implications for NepalIncrea
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International Trade Forum (ITN). 20
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Time Series InformationGenerally tw
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Table 13.1a: Different Datasets Col
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elevant due to its multidisciplinar
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Judith DobmannThere are many source
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sustainable livelihoods requires an
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population must be assessed. MOEST
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Appendix 14.1: List of Key Environm
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(vii) The EIA report approving agen
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Goal 1: Eradicate extreme poverty a
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Nepal’s Progress Towards the MDGs
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Goal 4: Reduce child mortalityReduc