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Make it stand out Caption: 700 women and men received medical care during the 2022 Health Camps in Arnakot and Gorkha, Nepal. Credit: C. Phillips, 2022 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/09e5677d-82af-4f78-bdae-b82a175c652a/health+camp+picture+2.png Nepali Women’s Planetary Health Camp - Make it stand out Caption: Dr. Krishna Pandey providing health care to community members, Arnakot Health Camp, 2022. Credit: C. Phillips, 2022 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/7f6a2b0b-6a91-43e1-b6a4-3dbddc655306/health+camp+picture+3.png Nepali Women’s Planetary Health Camp - Make it stand out Caption: Women and children lining up for a free Health Camp in Arnakot, Nepal, 2022. Credit: C. Phillips, 2022 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/2b91b01f-a7a4-4edd-89aa-9ea81845db52/health+camp+picture+4.png Nepali Women’s Planetary Health Camp - Make it stand out Caption: Destroyed secondary school in Gorkha District. Credit: K. 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Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/aefa5c9d-f2cc-4585-9cf9-2975ac6c0104/karma-flights-computer-lab.jpg ICT Computer Lab https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/789a04ca-4a22-4977-acc8-a9722b41287a/Karma+Flights+MOU+sign.jpeg ICT Computer Lab - MOU between Karma Flight and EduTech https://www.karmaflights.org/maximalconcepts daily 0.75 2023-05-26 https://www.karmaflights.org/feed-5000 daily 0.75 2023-05-26 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1484812538597-SWZO13GU69OQCHRGU249/karma-kids.jpg Feed 5,000 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1484801385410-AKMN57KCBHXQB0H6894Q/ryan+inglis+singer+songwriter+karmaflights+partner Feed 5,000 https://www.karmaflights.org/collaborate daily 0.75 2023-05-30 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1484363762381-K40SR5XFM9KTQOZVMMC6/Gorkha-35.jpg Collaborate With Us https://www.karmaflights.org/edutech-nepal daily 0.75 2023-05-30 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/6bdb3b37-2ee7-4ab8-a3ab-7d5da800c227/edutechnepal1.jpg EduTech Nepal https://www.karmaflights.org/the-clinical-adventurer-program daily 0.75 2024-05-07 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1710151774579-2HTB8WHLNB96KRIP7TYL/Picture1.jpg The Clinical Adventurer Program - La Trobe University Australia 2019 social work students on placement in Nepal La Trobe University Australia 2019 social work students on placement in Nepal https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1710151736071-79CASFCKGS6NU7ERMDP6/Picture2.jpg The Clinical Adventurer Program - Annie Townsend, social work placement supervisor https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1710151736725-IB6VD1RDT8OKVLQNA19C/Picture3.jpg The Clinical Adventurer Program - Bec, social work student from La Trobe University Australia. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1710151736944-TKGSAPY7BZ5DHFODIJHD/Picture4.jpg The Clinical Adventurer Program - La Trobe University Australia 2023 Social Work Students https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1710152017204-61WRVXNNE5PCPUF6YEMF/Picture7.png The Clinical Adventurer Program https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1715092047165-24EKQMRJ5OEE2Y0OPPFV/Picture1.png The Clinical Adventurer Program https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1715092047122-HVBZJO8SJWS4AHZ34YNL/Picture2.jpg The Clinical Adventurer Program https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1715092049836-WN8EC2PNMG5OML2IPH2J/Picture3.png The Clinical Adventurer Program https://www.karmaflights.org/astronomy-outreach-program daily 0.75 2025-01-31 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/82fa227f-08fc-47dd-bf90-98f84205cb17/DSC05316.JPG Astronomy Outreach Program - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.karmaflights.org/l2l daily 0.75 2026-05-18 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/2bdc0480-fb4a-40b4-baff-97b795b04367/thumbnail.jpg L2L Planetary Health Field School 2025 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/01c9d9f0-8124-4aea-8f5d-9e67b8391641/TransectMap.jpeg L2L Planetary Health Field School 2025 - Make it stand out Study map of the transect from Lumbini to Lomanthang https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/8958ae32-c90a-41d1-bb57-e64324e08ffd/Sampleitinerary_route.png L2L Planetary Health Field School 2025 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/0bc36831-5ecd-464d-9f67-0519f296b248/Sample1-Learning+obj.jpeg L2L Planetary Health Field School 2025 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/a951d667-a2ea-4d14-99b5-52a461e47c3b/Sample1-Learning+obj.jpeg L2L Planetary Health Field School 2025 - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/e8a10f38-5042-48a6-a5d1-ec8042052e6b/dougnnut.png L2L Planetary Health Field School 2025 - Make it stand out Perceptual model of Lumbini, Nepal based on student perceptions. Using the Cambridge Doughnut’s online Doughnut Creator, students rated each dimension on a Likert scale from 0-10. (0 represented being well within the safe space - no shortfall or overshoot - 5 indicated the boundary, and 10 denoted a severe shortfall or overshoot). For more information on the Doughnut economic framework : DEAL [Doughnut Economics Action Lab]. (2025) https://doughnuteconomics.org/doughnut Raworth, K. (2017) Doughnut Economics. Seven ways to think like a 21st -century economist. London: Random House Business Books. Rockström, J., Steffen, W., Noone, K., Persson, Å. et al. (20099. A safe operating space for humanity. Nature 461: 472-475 DOI 10.1038/461472a https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101941829-YDBKO36M9BLEYGSWQ4YE/WhatsApp+Image+2026-05-18+at+16.24.28+%281%29.jpeg L2L Planetary Health Field School 2025 In the early morning light near Palpa Durbar, a town in Nepal's middle hills, Mangal Sahi skillfully butchers chicken and buffalo meat at his shop. A lifelong resident of Palpa, he reflects on how much the city has changed; how land prices have soared, the familiar winter fog has vanished, and air pollution has worsened due to an increase in forest fires. He says he has also noticed a rise in health issues such as dengue and diarrhoea compared to the past. Many residents of Palpa lack reliable mains water, though the municipality supplies water every 3-4 days, which residents must store and ration. This is potentially a health concern, as standing water can harbour disease. Photo and text by Alex Pradhan https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101942015-Q0IHTIK1LA1M3715LV2W/WhatsApp+Image+2026-05-18+at+16.24.28+%282%29.jpeg L2L Planetary Health Field School 2025 - Anek_Rajbhandari_L2L_2025_Nepal_P03_IMG_5630 Lubra lies nestled along a flood prone tributary just a couple of kilometres from the main passage of the Kali Gandaki Corridor, an ancient trade and pilgrimage route in the Nepali Himalayas. Lubra is one of the few villages in the world where all residents practice Bon, an animist tradition predating Tibetan Buddhism. The Lama believes road construction throughout Mustang has disturbed the mountain deities. He narrows his eyes as he speaks. "The spirits of the mountains are not happy; the building of the road is a wound upon the land." Meanwhile, reduced snowfall - in parts of Mustang it has not snowed for three years - is causing medicinal herbs to grow scarcer, disrupting the practice of traditional medicine. The pressures of a changing climate, economic development and shifting societal norms form a complex convergence of factors with the potential to disrupt life in villages such as this. The Lama address the possibility of out migration with a simple question: "Where would we go?" https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101946766-WM7AF0A6VPCAX89B2MZJ/WhatsApp+Image+2026-05-18+at+16.24.28+%283%29.jpeg L2L Planetary Health Field School 2025 - Anek_Rajbhandari_L2L_2025_Nepal_P03_IMG_5965 At the confluence of the Kali Gandaki and Jhong Khola in Kagbeni lies a sacred site where locals perform rituals of ancestral remembrance. Beneath its spiritual calm, however, lies a painful memory. In 2023, unprecedented rainfall triggered a devastating flood, inundating the village, destroying 35 homes and wiping out livestock. No lives were lost, but the emotional, economic and cultural damage was immense. Former mayor Phenchok Tseptan recalls how the rising waters were initially underestimated, and now any amount of rainfall is enough to awaken fear and sleepless nights. Increased risk from a changing climate do not only impact ecosystems, it affects people's lives, beliefs and sense of safety. https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101947226-C8NU7KVQ6L1PYQ3I5X0W/WhatsApp+Image+2026-05-18+at+16.24.28.jpeg L2L Planetary Health Field School 2025 - Saniya_Bhusal_L2L_2025_Nepal_P22_20250517_085836 Maheswar Tandulkar walks along an irrigation trench on an urban farm, situated on public lands along the banks of the highly polluted Bagmati River in Kathmandu. The farmers live locally and practice substance farming as well as growing crops for sale. They pay no rent and have no ownership of the land. In September 2024, the Bagmati River flooded after intense monsoon rains, inundating the farms and covering the land with debris. The farmers funded the recovery themselves to prepare for the following year’s planting and harvest. Maheswar Tandulkar claims to have spent 30 000 rupees (200 USD) himself. The water for irrigation comes from wells and public sewers and is carried out 15 days in the month. Photo by Saniya Bhusal, text by Tom White https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101951616-5R4VCQ0OGSE0TZOOWUU3/WhatsApp+Image+2026-05-18+at+16.24.30+%281%29.jpeg L2L Planetary Health Field School 2025 - Chloe_Young_L2L_2025_Nepal_P06_IMG_7147 Agriculture lies at the heart of Nepal’s rural economy, sustaining livelihoods, shaping cultural traditions, and anchoring food security. Yet across the country, from the fertile Terai plains to the arid trans-Himalayan plateau, farming systems are under mounting pressure from climate change. In the Terai, rice and wheat cultivation benefit from fertile soils and irrigation fed systems. Wetland ecosystems such as the Jagdishpur Reservoir exemplifies the tight link between agriculture and ecology: its waters irrigate fields while sustaining migratory birds. Yet fertilizer and pesticide runoff are degrading water quality, undermining both biodiversity and human health. Erratic monsoon rains also disrupt planting cycles, leaving farmers uncertain about yields. For the people who live here, the socio-economic factors that affect health throughout much of Nepal’s population are also present, with women’s health particularly affected by a lack of neo-natal care, malnutrition and the practice of child marriage. Photo by Chloe Young, text by Bishwas Dhungana https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101952015-PYVKWVF3J8QC6VXM6N94/WhatsApp+Image+2026-05-18+at+16.24.30+%282%29.jpeg L2L Planetary Health Field School 2025 - Navya_Kancharla_L2L_2025_Nepal_P13_IMG_9595 The Lo Manthang Health Post is a small government facility providing free healthcare in the ancient capital of Upper Mustang, high on the Tibetan Plateau near Nepal's border with China. Staffed by a small team headed by Urmila Jethara originally from the Bajhang, a Himalayan region of Nepal far to the west of Mustang. The clinic sees up to 10 to 15 patients a day, mostly for persistent coughs, hypertension, diarrhoea and gastritis. The challenges facing the clinic are considerable. Recruiting and retaining staff in such a remote posting is an ongoing struggle. Urmila has stayed in her post since 2022, an unusually long time for such a remote posting. For emergencies - including pregnancy complications, strokes or heart attacks - an ambulance can take five to ten hours to arrive, and another five to ten hours to reach the nearest hospital. Helicopter evacuation is the fastest option, but also the most expensive. Many residents of Lo Manthang place their trust in Amchi medicine, a holistic healing tradition using medicinal herbs, stones and natural remedies. Amchi practitioner Sonam Wangyal Gurung reports a recent rise in mental health disorders, diabetes and hypertension, conditions that rarely present at the government clinic. Patients often only seek help after symptoms have significantly worsened. Any meaningful improvement in healthcare access in this region must recognise both traditional and modern medicine have their place in providing essential, holistic care. Photo and text by Navya Kancharla https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101956476-21PG9RX7OFSG5S1IRLO7/WhatsApp+Image+2026-05-18+at+16.24.30+%283%29.jpeg L2L Planetary Health Field School 2025 - Navya_Kancharla_L2L_2025_Nepal_P13_Muktinath_1 Muktinath, situated at 3,800 metres in Nepal's Mustang region, is one of the world's highest sacred complexes - a rare site of shared reverence between Hindus and Buddhists. To Hindus it is an ancient seat of Vishnu; to Buddhists, an abode of Avalokiteśvara, the bodhisattva of compassion. The temple's 108 spring-fed water spouts, where pilgrims bathe to cleanse themselves of sin and suffering, bind spiritual pursuit to the fragile high-altitude ecosystem that sustains them. Muktinath is also regarded as embodying all five elements earth, water, fire, air and sky in a cosmology that is inseparable from the landscape itself, pointing to a deep entanglement of faith and place At ~3,800 m, stepping beneath 108 gushes of near-freezing water triggers sympathetic spikes: tachycardia, rapid breathing, peripheral vasoconstriction. This ritual immersion in glacial waters at altitude functions as something close to hormesis: a controlled stressor embraced for moral and bodily renewal alike. Pilgrimage, at its core, is an act of radical attentiveness. In an era of climate disruption, that attentiveness may matter more than ever. Photo by Navya Kancharla, text by Kyle Abrahm and Ojaswee Karki https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101957491-QRRG0G8GQAFWURECX8AM/WhatsApp+Image+2026-05-18+at+16.24.30.jpeg L2L Planetary Health Field School 2025 - Celeus_Baral_L2L_2025_Nepal_P05_IMG_7529 An elderly woman in Lo Manthang demonstrates the traditional art of weaving leg warmers from yak wool in Lo Manthang, the walled capital of Upper Mustang. Lo Manthang sits in a Himalayan rain shadow shaped by wind-swept plateaus, deep eroded canyons and minimal rainfall. Founded by Ame Pal and encircled by mud-brick walls built to defend against bandits and rival kingdoms, it was once an independent kingdom. Its extreme isolation has helped preserve Tibetan Buddhist culture, language, customs and daily life. Yet that same isolation has become a growing challenge. With the closure of Tibetan trade routes around 1959, the community shifted from a thriving trade hub to a fragile agro-pastoral economy. Today, springs are drying, pastures are shrinking, and snow leopards - driven by a shrinking prey base - increasingly descend into villages to prey on livestock, creating both economic and social strain. The woman's hands, deftly working yak wool into a traditional garment, represent something larger: a living thread connecting Lo Manthang's people to their heritage. Supporting indigenous crafts such as weaving, beading and painting offers not only a potential option for sustainable livelihoods, but a means of cultural preservation, making tradition a source of both pride and prosperity for future generations. Photo and text by Celeus Baral https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101959702-8MW0XPVU1NZAI3O0SW6G/WhatsApp+Image+2026-05-18+at+16.24.31+%281%29.jpeg L2L Planetary Health Field School 2025 - Nikhil_Sethi_L2L_2025_Nepal_P14_Waste_Management_Site_1 A decommissioned COVID-19 swab collection vehicle sits on the edge of a busy waste management site in Kathmandu. Kathmandu collects and sorts waste across the city before transporting it to landfills on the valley's outskirts. Limited landfill capacity has historically caused backlogs, though recent infrastructure improvements have helped ease the strain. Waste management was a central plank of Balendra Shah's campaign when he stood for mayor in 2022. He was the first independent candidate to win the office. Upon taking office, Shah prioritised resolving Kathmandu's chronic waste accumulation, which had led to over a month of disruptions prior to his inauguration. Shah was elected as Nepal’s Prime Minister in 2026 following an election triggered by series of protests by predominantly young “Gen Z” Nepalis and the resignation of Prime Minister K. P. Sharma Oli. Photo and text by Nikhil Sethi https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101961753-SOOG2ZP03J3QRIBR7KD7/WhatsApp+Image+2026-05-18+at+16.24.31+%282%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101963986-XNXVVK6DRDUFXPPDI9L1/WhatsApp+Image+2026-05-18+at+16.24.31.jpeg L2L Planetary Health Field School 2025 - Nikhil_Sethi_L2L_2025_Nepal_P14_Landslides_outside_of_Pokhara_1 The Seti River Valley is a lush, green expanse sitting just outside Pokhara in Nepal's Gandaki Province. The river flows into Lake Phewa at the city's northern edge, but it carries more than water. During storms, sediment gathers in the valley and flows into the lake, where it settles permanently, slowly filling the lakebed from the northwest. The consequences are serious: reduced lake capacity is limiting irrigation in nearby farmland, while sediment prevents oxygenation of lakebed flora, shrinking fish populations and harming overall biodiversity. Though sedimentation is a natural process, it has been significantly accelerated by road construction in the upper valley and by increasingly concentrated monsoon rainfall driven by climate change. In addition, the construction is a contributing factor in multiple landslides. Several solutions are being employed to slow the flow. Agricultural terraces, primarily built for hillside farming, double as barriers that reduce erosion and allow groundwater recharge. Rainwater pipes channel water downhill in a more controlled, less erosive way. Closer to the lake, dams along the Seti River catch sediment. Some of this is collected and sold as construction material. These measures have had some success, but sediment is still accumulating at an alarming rate. Without more ambitious intervention, Lake Phewa - a body of water central to Pokhara's ecology, agriculture and identity - faces a troubled future. Photo and text by Nikhil Sethi https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101965350-3NRWFHAJA6PHAEYCYF9B/WhatsApp+Image+2026-05-18+at+16.24.32+%281%29.jpeg L2L Planetary Health Field School 2025 - Pratistha_Kattel_L2L_2025_Nepal_P18_IMG_1059 Devotees make offerings during the Rato Machindranath Jatra, one of Nepal's most ancient festivals. The festival traces its roots to the reign of King Narendra Deva in the 6th century, when a 12-year drought gripped the Kathmandu Valley. Legend holds that the sage Gorakhnath, angered by a lack of respect, had subdued the nine Nagas responsible for bringing rain. Only the summoning of Machindranath from Assam in northeast India broke the curse. The rains returned. Each year, as the dry season gives way to the monsoon, chariots are pulled through Lalitpur and Kathmandu to honour that deliverance. The festival's enduring power lies in what it remembers: that human wellbeing depends on natural cycles, and that their disruption carries consequences. Today, Kathmandu regularly ranks among the world's most polluted cities, its air during the dry season reaching hazardous levels. Air pollution can contribute to a host of health problems, including pneumonia, bronchitis, conjunctivitis, and skin allergies in the short term, and more severe conditions such as stroke, heart disease, lung cancer, and kidney disease over time. With its deep-rooted connection to natural cycles - and their disruption - the Rato Machindranath Jatra festival offers a poignant lesson, reminding us of the enduring bond between humans and the environment Photo by Pratistha Kattel, text by Tom White https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101967849-0DUY99QX0V68U46TQ3VA/WhatsApp+Image+2026-05-18+at+16.24.32+%282%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101968969-FD9TN71SH86FBX980U6A/WhatsApp+Image+2026-05-18+at+16.24.32+%283%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101970839-3NMTATGE3MQO5E45Z9KL/WhatsApp+Image+2026-05-18+at+16.24.32+%284%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101973332-QY7F1OPWUU4N83LBC6BF/WhatsApp+Image+2026-05-18+at+16.24.32+%285%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101973892-EDELSEFC5OSJTV0D2VAG/WhatsApp+Image+2026-05-18+at+16.24.32+%286%29.jpeg L2L Planetary Health Field School 2025 https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101977467-OIG4DS9Q3F5OZAGWX3RQ/WhatsApp+Image+2026-05-18+at+16.24.32+%287%29.jpeg L2L Planetary Health Field School 2025 - Rincin_Tamang_L2L_2025_20250603_114751 & Rincin_Tamang_L2L_2025_Nepal_P19_20250603_140902 Sam Dzong lies along the ancient trade route between Tibet and South Asia in Nepal’s storied Upper Mustang district. Situated at an elevation of 4100 m, the village lies north of the 8000m high Annapurna Range, and just below the Tibetan Plateau. Over time, worsening water quality made agriculture and long-term habitation unsustainable. This, and the pull of development has led to the entire community relocating to the purpose built village of Namashung in the next valley. The cause of abandonment is visible in the stream that feeds Sam Dzong. Mineral rich sediment has contaminated the water, rendering cultivation nearly impossible. A makeshift irrigation pipe has been built to bypass the worst of it; enough to grow crops on a small scale, but not enough to sustain a community. Only one field is tended by Chewang Tashi Lama, who still returns to Sam Dzong to grow crops and maintain his family’s home. All across Nepal, farmers and herdsmen relate stories of high intensity precipitation events separated by periods of quiescence. In the past, steady, long-lasting rainfalls would saturate the soil, counterintuitively helping more water get absorbed. The water that gets absorbed feeds the groundwater system, which in turn feeds the mountain springs that are the lifeline for communities in these arid environments. With the current climate crisis, as the groundwater system becomes less vigorous, more minerals and salts are entrained in the waning flow, and when that groundwater emerges as a trickle of a spring, the water quickly begins to evaporate creating a slightly salty tasting ‘mineral water’ that might have the effect of increasing hypertension amongst the people that rely on it for drinking, a more concentrated brine toxic to any crops. The case of Old Sam Dzong demonstrates the human costs of climate change. Water scarcity, soil degradation, and shifting weather patterns continue to displace communities in high-altitude Himalaya today. Photo by Rincin Tamang, text by Hannah Yoon, Rincin Tamang and Tom White https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101978487-CHQVDFNZF8QWJBXE2D8A/WhatsApp+Image+2026-05-18+at+16.24.32+%288%29.jpeg L2L Planetary Health Field School 2025 - Rincin_Tamang_L2L_2025_Nepal_Quartet For over twenty years, Gajendra Sahani and Baile Sahani have made their home in Beni, a quiet town where the rivers meet the hills. Originally from Nawalparasi, close to the Indian border, they have built a life far from where they first began. Each year, when the seasons turn, they set off on familiar paths to Marpha and nearby villages in Mustang, carrying with them the flavours of the plains peanuts, mangoes, and fruits that rarely reach these mountain valleys. Their fruits bring a taste of the lowlands to the mountains. Baile rolled up her sleeves to reveal the tattoos etched onto her arms. One side carries her husband's name, the other her mother-in-law's. Marks of a life shaped early; she was only twelve when she married. The ink, faded but firm, spoke of years gone by, of customs carried through generations. Even now, despite their age, they return to their fields in the Terai during the rainy season to plant seeds, hoping for a good harvest. While their son works as a labourer in the Middle Eastern Gulf, they quietly continue their simple trade in the hills, holding on to the life they’ve built over decades in the villages around the Mustang region. Photos and text by Rincin Tamang https://images.squarespace-cdn.com/content/v1/55ef10dbe4b0251456397683/1779101981738-SX1Z2DEPEF94OXIPJXE8/WhatsApp+Image+2026-05-18+at+16.24.32.jpeg L2L Planetary Health Field School 2025 - Pia_Visaria_L2L_2025_Nepal_P17_IMG_3646 Two women in traditional dress rinse teacups in a mountain stream in Namashung, Upper Mustang, Nepal. life in remote Himalayan communities such as Namashung relies on natural systems for resources such as clean flowing water. This reliance is woven into the most basic routines of domestic life of these villages and the gendered labour of the women within them. As climate change alters precipitation patterns, threatens glacial water sources, and increases the unpredictability of mountain streams, it is communities like this who will feel the most immediate effects of a disrupted water supply.