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    Hudson Valley Addiction Resources https://midhudsonaddictionrecovery.com We are an addiction resource center hepling men, women, and families find Hudson Valley drug rehabs and alcohol treatment in the Hudson Valley. The outlook is grim, that’s why drug rehabs in the Hudson Valley and throughout New York are offering more personalized services to help addicts and alcoholics. With crisis interventions and inpatient/outpatient programs, New York drug treatment centers personalize the treatment experience for maximum success. Before entering a treatment program, intake specialists take down a detailed history of the individual’s drug history, including their drug of choice. There are many different classes of drugs that a person can get addicted to. rehab centers in dutchess county, hudson valley rehab, alcohol rehab poughkeepsie
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    Garden State Treatment Center is a Joint Commission (JCAHO) accredited facility, which shows our commitment to continue elevating our standards and providing superior treatment for substance abuse. If you’re addicted to drugs, what do you do? Once you’ve found the courage to ask for help, the solution is in the form of an addiction treatment program. Finding the best New Jersey drug rehab. can be a difficult task. Addiction to drugs creates a miserable existence full of pain and suffering, making the search for the best drug rehabs in the area difficult if you’re not focused and prepared for the important decisions that lie ahead. Although you can detox from drugs, that only treats the physical symptoms, while the compulsion to continue using grows within you.
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    Garden State Treatment Center https://www.gardenstatetreatmentcenter.com Garden State Treatment Center is a Joint Commission (JCAHO) accredited facility, which shows our commitment to continue elevating our standards and providing superior treatment for substance abuse. If you’re addicted to drugs, what do you do? Once you’ve found the courage to ask for help, the solution is in the form of an addiction treatment program. Finding the best New Jersey drug rehab. can be a difficult task. Addiction to drugs creates a miserable existence full of pain and suffering, making the search for the best drug rehabs in the area difficult if you’re not focused and prepared for the important decisions that lie ahead. Although you can detox from drugs, that only treats the physical symptoms, while the compulsion to continue using grows within you. new jersey drug rehab, new jersey alcohol rehab, new jersey addiction treatment
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  • “If you say, ‘I feel exhilarated, unbounded, and joyful,’ and I were to examine your blood, I would find high levels of interleukin and interferon, which are powerful anticancer drugs.” — Deepak Chopra
    “If you say, ‘I feel exhilarated, unbounded, and joyful,’ and I were to examine your blood, I would find high levels of interleukin and interferon, which are powerful anticancer drugs.” — Deepak Chopra
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  • Substance Detectors - These police dogs also use their sense of smell to help police, but in a different way from tracking dogs. Substance dogs focus on detecting a specific substance. Some dogs specialize in recognizing bombs or explosives. These brave dogs are trained not only in detecting the explosive, but also how to respond (very carefully!) and safely let their officer partner know where the explosive is located. Other dogs may focus on illegal drugs. These dogs help save officers from having to slowly search by hand through luggage or a car or other areas by quickly determining if an illegal substance is near.
    Substance Detectors - These police dogs also use their sense of smell to help police, but in a different way from tracking dogs. Substance dogs focus on detecting a specific substance. Some dogs specialize in recognizing bombs or explosives. These brave dogs are trained not only in detecting the explosive, but also how to respond (very carefully!) and safely let their officer partner know where the explosive is located. Other dogs may focus on illegal drugs. These dogs help save officers from having to slowly search by hand through luggage or a car or other areas by quickly determining if an illegal substance is near.
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    German Shepherds were first bred as working dogs primarily to herd sheep and protect them from predators. Today they are used widely as police dogs and sometimes military dogs. They are also excellent scent dogs where they are trained to sniff out drugs, bombs, and in search and rescue missions.
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    Smelling, Seeing, Hearing Dogs have very good senses. They have an excellent sense of smell which has made dogs good at tracking as well as sniffing out illegal items like drugs or bombs. Some dogs are specifically bred to increase their sense of smell. Dogs also have an excellent field of vision allowing them to see almost in a complete circle. Their hearing is very sensitive as well and has a large frequency range. This enables dogs to hear sounds that are much higher than humans. Their great hearing makes them good guard dogs.
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  • On this page:
    Symptoms of diarrhoea
    Diarrhoea can be dangerous for babies and young children
    Causes of acute diarrhoea
    Causes of chronic diarrhoea
    Diagnosis of diarrhoea
    Treatment for diarrhoea
    Risk of spreading infection
    Dietary adjustments may help diarrhoea
    Where to get help
    Things to remember
    Food nutrients are absorbed in the small intestine. The waste is pushed into the large intestine (*****) where water is removed. The resulting faeces is stored temporarily within the ****** then passed out of the body through the ****. Faeces are usually firm, moist and easy to pass. Diarrhoea is the frequent passing of loose, watery and unformed faeces.

    Acute diarrhoea is the sudden onset of three or more loose stools per day, lasting less than 14 days. The most common cause of acute diarrhoea is an infection of the intestines, such as gastroenteritis or food poisoning. Viruses are responsible for most cases. The intestinal lining becomes irritated and inflamed, which hinders the absorption of water from food waste. In severe cases, the intestinal lining may even leak water.

    Generally, acute diarrhoea resolves after a day or two. Chronic diarrhoea, which lasts four weeks or more, can be caused by a range of conditions that affect the intestines, including inflammatory ***** disease (IBD).
    Symptoms of diarrhoea
    The symptoms associated with diarrhoea include:
    abdominal cramps
    abdominal pains
    urgency to go to the toilet
    frequent passing of loose, watery faeces
    nausea
    vomiting.
    Serious symptoms of diarrhoea
    In most cases, acute diarrhoea is self-limiting and will resolve by itself within a day or two.
    However, contact your doctor immediately if you experience serious symptoms including:
    blood in the faeces
    pus in the faeces
    painful passage of faeces
    repeated vomiting
    inability to increase fluid intake
    reduced or absent urination
    fever (temperature greater than 38 ºc).
    If you have a serious chronic medical condition, such as kidney or heart failure, even one day of diarrhoea can be dangerous. It’s safer to see your doctor as soon as possible.
    Back to top
    Diarrhoea can be dangerous for babies and young children
    Acute diarrhoea can be life threatening to babies and young children. This is because their smaller bodies are more vulnerable to dehydration. If your baby or young child develops diarrhoea, seek medical attention straight away.
    Back to top
    Causes of acute diarrhoea
    A bout of diarrhoea can be caused by a wide range of disorders, infections and events including:
    food poisoning
    gastroenteritis
    tropical diseases, such as typhoid and cholera
    anxiety or emotional stress
    overconsumption of alcohol
    medications, particularly antibiotics.
    Common infectious agents
    Contaminated food and water are common causes of acute diarrhoea. Some of the infectious agents known to cause diarrhoea include:
    viruses – such as calici virus, adenovirus and rotavirus
    bacteria – such as E. coli, Campylobacter, V. cholerae, Shigella, Salmonella and Staphylococcus aureus
    parasites – such as Giardia lamblia, Cryptosporidium parvum and tapeworm.
    Back to top
    Causes of chronic diarrhoea
    Some of the causes of chronic diarrhoea include:
    coeliac disease – which reduces the intestine’s ability to absorb food
    chronic constipation – the ***** is blocked by hard, impacted faeces, but some liquids manage to seep past the blockage. this condition, called ‘spurious’ or ‘overflow’ diarrhoea, is more common in the elderly
    hormone disorders – such as diabetes or hyperthyroidism (overactive thyroid gland)
    cancer – such as ***** cancer
    inflammatory ***** disease – including ulcerative colitis and Crohn’s disease
    irritable ***** syndrome – symptoms include abdominal pain, bloating, and alternating constipation and diarrhoea
    lactose intolerance – the inability to digest the milk sugar lactose
    medications – including antibiotics, antacids that contain magnesium, laxatives, and drugs for treating hypertension (high blood pressure) and arthritis.
    Back to top
    Diagnosis of diarrhoea
    Successful treatment depends on diagnosing the cause. Investigations may include:
    medical history
    physical examination
    blood tests
    laboratory analysis of stool sample
    colonoscopy (the insertion of a slender instrument into the **** so that the doctor can look at the ***** lining).
    Back to top
    Treatment for diarrhoea
    Always see your doctor if you experience serious symptoms. Babies and young children with diarrhoea need prompt medical attention.
    Treatment for diarrhoea depends on the cause, but may include:
    plenty of fluids to prevent dehydration
    **** rehydration drinks to replace lost salts and minerals. These drinks are available from pharmacies. An alternative is one part unsweetened pure fruit juice diluted with four parts of water
    intravenous replacement of fluids in severe cases
    medications such as antibiotics and anti-nausea drugs
    anti-diarrhoeal medications, but only on the advice of your doctor. If your diarrhoea is caused by infection, anti-diarrhoeal drugs may keep the infection inside your body for longer
    treatment for any underlying condition, such as inflammatory ***** disease.
    On this page: Symptoms of diarrhoea Diarrhoea can be dangerous for babies and young children Causes of acute diarrhoea Causes of chronic diarrhoea Diagnosis of diarrhoea Treatment for diarrhoea Risk of spreading infection Dietary adjustments may help diarrhoea Where to get help Things to remember Food nutrients are absorbed in the small intestine. The waste is pushed into the large intestine (bowel) where water is removed. The resulting faeces is stored temporarily within the rectum then passed out of the body through the anus. Faeces are usually firm, moist and easy to pass. Diarrhoea is the frequent passing of loose, watery and unformed faeces. Acute diarrhoea is the sudden onset of three or more loose stools per day, lasting less than 14 days. The most common cause of acute diarrhoea is an infection of the intestines, such as gastroenteritis or food poisoning. Viruses are responsible for most cases. The intestinal lining becomes irritated and inflamed, which hinders the absorption of water from food waste. In severe cases, the intestinal lining may even leak water. Generally, acute diarrhoea resolves after a day or two. Chronic diarrhoea, which lasts four weeks or more, can be caused by a range of conditions that affect the intestines, including inflammatory bowel disease (IBD). Symptoms of diarrhoea The symptoms associated with diarrhoea include: abdominal cramps abdominal pains urgency to go to the toilet frequent passing of loose, watery faeces nausea vomiting. Serious symptoms of diarrhoea In most cases, acute diarrhoea is self-limiting and will resolve by itself within a day or two. However, contact your doctor immediately if you experience serious symptoms including: blood in the faeces pus in the faeces painful passage of faeces repeated vomiting inability to increase fluid intake reduced or absent urination fever (temperature greater than 38 ºc). If you have a serious chronic medical condition, such as kidney or heart failure, even one day of diarrhoea can be dangerous. It’s safer to see your doctor as soon as possible. Back to top Diarrhoea can be dangerous for babies and young children Acute diarrhoea can be life threatening to babies and young children. This is because their smaller bodies are more vulnerable to dehydration. If your baby or young child develops diarrhoea, seek medical attention straight away. Back to top Causes of acute diarrhoea A bout of diarrhoea can be caused by a wide range of disorders, infections and events including: food poisoning gastroenteritis tropical diseases, such as typhoid and cholera anxiety or emotional stress overconsumption of alcohol medications, particularly antibiotics. Common infectious agents Contaminated food and water are common causes of acute diarrhoea. Some of the infectious agents known to cause diarrhoea include: viruses – such as calici virus, adenovirus and rotavirus bacteria – such as E. coli, Campylobacter, V. cholerae, Shigella, Salmonella and Staphylococcus aureus parasites – such as Giardia lamblia, Cryptosporidium parvum and tapeworm. Back to top Causes of chronic diarrhoea Some of the causes of chronic diarrhoea include: coeliac disease – which reduces the intestine’s ability to absorb food chronic constipation – the bowel is blocked by hard, impacted faeces, but some liquids manage to seep past the blockage. this condition, called ‘spurious’ or ‘overflow’ diarrhoea, is more common in the elderly hormone disorders – such as diabetes or hyperthyroidism (overactive thyroid gland) cancer – such as bowel cancer inflammatory bowel disease – including ulcerative colitis and Crohn’s disease irritable bowel syndrome – symptoms include abdominal pain, bloating, and alternating constipation and diarrhoea lactose intolerance – the inability to digest the milk sugar lactose medications – including antibiotics, antacids that contain magnesium, laxatives, and drugs for treating hypertension (high blood pressure) and arthritis. Back to top Diagnosis of diarrhoea Successful treatment depends on diagnosing the cause. Investigations may include: medical history physical examination blood tests laboratory analysis of stool sample colonoscopy (the insertion of a slender instrument into the anus so that the doctor can look at the bowel lining). Back to top Treatment for diarrhoea Always see your doctor if you experience serious symptoms. Babies and young children with diarrhoea need prompt medical attention. Treatment for diarrhoea depends on the cause, but may include: plenty of fluids to prevent dehydration oral rehydration drinks to replace lost salts and minerals. These drinks are available from pharmacies. An alternative is one part unsweetened pure fruit juice diluted with four parts of water intravenous replacement of fluids in severe cases medications such as antibiotics and anti-nausea drugs anti-diarrhoeal medications, but only on the advice of your doctor. If your diarrhoea is caused by infection, anti-diarrhoeal drugs may keep the infection inside your body for longer treatment for any underlying condition, such as inflammatory bowel disease.
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  • Project Data Sheet
    Project Name
    Melamchi Water Supply Project
    Project Number
    31624-023
    Country
    Nepal
    Project Status
    Active
    Project Type / Modality of Assistance
    Loan
    Source of Funding / Amount
    Loan 1820-NEP: Melamchi Water Supply Project
    concessional ordinary capital resources lending / Asian Development Fund
    US$ 120.00 million
    Loan 8191-NEP: Melamchi Water Supply Project
    OPEC Fund for International Development
    US$ 13.70 million
    Loan 8235-NEP: Melamchi Water Supply Project
    Nordic Development Fund
    US$ 10.50 million
    Loan: Melamchi Water Supply Project
    MOF, Japan
    US$ 18.00 million
    Japan Bank for International Cooperation (ODA)
    US$ 47.50 million
    Loan 3110-NEP: Melamchi Water Supply Project - Additional Financing
    concessional ordinary capital resources lending / Asian Development Fund
    US$ 25.00 million
    Strategic Agendas
    Environmentally sustainable growth
    Inclusive economic growth
    Drivers of Change
    Private sector development
    Sector / Subsector
    Water and other urban infrastructure and services / Urban policy, institutional and capacity development - Urban water supply

    Gender Equity and Mainstreaming
    Description
    The main objectives of the Project are to alleviate the chronic water shortage in Kathmandu Valley on a sustainable, long-term basis, and to improve the health and well-being of its inhabitants. The Project also seeks to develop a comprehensive institutional framework for urban water management within the valley. The Project comprises (i) infrastructure development; (ii) social and environmental support; (iii) institutional reforms; and (iv) project implementation support.
    Project Rationale and Linkage to Country/Regional Strategy
    Kathmandu Valley is the country's single largest urban economy and is critical to Nepal's economic growth. Water is central to the well-being of the population and the key to its productive capacities. However, current water services are grossly inadequate and unreliable causing many people to resort to tankers supplies, bottled water, and both deep and shallow wells. The trend has led to serious environmental concerns as shallow wells are becoming increasingly polluted and deep aquifers are being mined to produce additional water. Poor water quality impacts sharply on public health. In terms of access to water (in the dry season) and quality of water, the effects are greatest on the health of the poor. The Project provides the required opportunity to address both the acute socioeconomic distress caused by the lack of adequate safe water to Kathmandu Valley residents, and the institutional challenges to provide water and wastewater management services on a sustainable basis.
    Impact
    Health and well-being of the people in Kathmandu Valley improved.
    Project Outcome
    Description of Outcome Shortage of potable water in Kathmandu Valley alleviated.
    Progress Toward Outcome Development outcome is expected to be achieved as per revised schedule by end of 1st quarter of 2019 - 25,915 m of main diversion, 1457m adit and 204 m of H/W diversion tunnel excavation has already been achieved to off-take water from Melamchi river. At Head Works, Open Cut excavation out of 102,000 cubic metre completed to construct diversion weir, desilting basin etc to divert water to Melamchi-Sundarijal tunnel. 667.3 Km of distribution pipe out of 677 Km inside valley completed while 77 Km Bulk Distribution System pipe (Sundarijal WTP to 10 Reservoirs around valley) laying completed. 9.9 km of BDS line from Sundarijal WTP and Mahankal Chaur Reservoir is also tested. Construction of 10 Reservoirs around the valley ongoing under additional financing are at the verge of completion.
    Implementation Progress
    Description of Project Outputs
    A. Melamchi Valley (Suproject 1)

    A.1. Raw water diverted from Melamchi Valley to Kathmandu Valley by development of infrastructure, i.e. tunnel, road and water treatment plant.

    A.2. Social and Environmental Support provided in Melamchi Valley.

    A.3. Efficient project management established and capacity building attained

    B. Kathmandu Valley Subproject (Subproject 2)

    B.1. Institutional reforms achieved and efficiently operated

    B.2. Water distribution and wastewater system improved by provision of capital works

    B.3. Social and environmental support provided in Kathmandu Valley

    Status of Implementation Progress (Outputs, Activities, and Issues)
    A. Melamchi Valley (Subproject 1)

    A.1 MWSDB terminated the previous contract for the Melamchi tunnel on 26 September 2012 due to unsatisfactory performance of the then contractor. As of the date of termination, the physical progress (tunnel excavation) was 22% (6.3 km out of 27.5 km. Rebidding for the Melamchi tunnel Contract started in November 2012. MWSDB issued the letter of acceptance to the winning contractor on 21 June 2013, the contract was signed with Cooperativa Muratorie Cementisti di Ravenna (CMC) of Italy on 15 July 2013, and the letter to commence was issued on 1 October 2013. The initial progress of the new contractor of the Melamchi tunnel is encouraging in terms of mobilization of key personnel, equipment, machinery, materials and start-up activities. Advance payment was made to the contractor in October 2013 and steady progress was achieved until the progress was adversely affected by 25 April 2015 Earthquake and short of construction materials and fuel due to closure of southern Border. However, completion of tunnel excavation with cumulative total of 27,576m tunnel length has been achieved as of 12 April 2018. After several backstopping and monitoring from employer and ADB regarding cash flow problem of contractor, the final works on tunnel smoothed and as of 15 September 2018, 13.7 km invert lining is finished with 12.1 km remaining. Works at H/W with alternative diversion pipe and temporary diversion weir as well as vent shaft works are ongoing. It is expected to be completed by 1st quarter of 2018.

    The water Treatment Plant (WTP) to utilize water from Melamchi tunnel has been implemented with JICA funding. MWSDB and the contractor signed the WTP contract on 10 July 2013. WTP is 100% completed and tested.

    Upgrading construction works in UAR 02 were earlier disturbed due to concerns of some local residents. Now, the works of UAR 02 have been completed.

    Construction of 18-km main access road was completed and opened up between Melamchi Pul Bazar and Timbu.

    A.2. Resettlement Plans and Environmental Management Plan (EMP) were prepared and are under implementation for both Subproject 1 and 2 following the split into two distinct subprojects in 2009. Activities undertaken in Subproject 1 (in Melamchi valley) include several activities for social and economic development of the areas in the Melamchi Valley such as (i) construction of health centers and provision of essential drugs; (ii) construction of school buildings and provision of educational kits to schools; and (iii) a forest nursery in Timbu.

    The social uplift program (SUP) under the MWSP is being implemented to promote widespread, ongoing, and meaningful participation of key stakeholders. Compliance with Resettlement Plan and Environmental Management Plan (EMP) is monitored by the MWSDB with support from the design and supervision consultant (DSC). Further, services of a Safeguards and Social Development Support consultant (SSDS) have also been taken for monitoring at a second level. MWSDB has been specifically asked to ensure compliance with effluent discharge standards.

    A.3 MWSDB is the main agency for project management of Melamchi Subproject 1 (Melamchi tunnel construction). Inputs of project management consultant finished. MWSDB is supported by new design and supervision consultant (DSC). Improved coordination and communication among MWSDB, new DSC, the new contractor (CMC), and the safeguards and social development support consultant (SSDS) noted. All the parties are coordinating to improve the pace, quality, safety, and safeguards compliance of the works. The DSC is taking more proactive role and is actively supporting MWSDB to (i) ensure implementation of the agreed action plans, (ii) decide expeditiously the contractual matters such as claims, variations, etc., (iii) ensure coordination with DSC, contractor, local residents, army and other relevant government authorities, and (iv) monitor processing payments to the contractor in a timely manner. Semi-annual safeguard monitoring reports are regularly being submitted and disclosed.

    B. Kathmandu Valley Subproject (Subproject 2)

    B.1. For Subproject 2, a Project Implementation Directorate (PID-KUKL) has been established since 2009 with staffing from Department of Water Supply & Sanitation and KUKL, which has been carrying out the activities of Subproject 2.

    KUKL has recruited capacity building and public-private partnership (CBP) team in November 2010. With support from this team, KUKL is working to achieving the targets of lease and license agreements. KUKL submitted to WSTFC a new proposal for increase in tariff, which was approved by WSTFC on 14 July 2013 with conditions to be fulfilled by KUKL for service improvement. This will help KUKL in improving its operations and service delivery to citizens.

    B.2. Under Subproject 2, distribution network improvement works are expected to reduce water losses, improve service delivery by enhanced hours and higher pressure of water supply for consumers. The PID for Subproject 2 has awarded 47 contracts out of which 39 contracts have been completed and 8 contracts are about to complete. There are no major issues with implementation of this Subproject. Most of the contracts were completed in 2013 and the remaining contracts by are expected to be completed by end of 2018. Advance preparation of designs and bidding documents for the "Kathmandu Valley Water Supply Improvement, Project," (L2776-NEP) enhanced the readiness of the project. The distribution network improvement works in Kathmandu Valley are being carried out with the objectives of reduction of non-revenue water and improvement of service delivery to the citizens.

    B.3. Substantial improvement in water supply is expected after completion of the Melamchi tunnel by 2016. Safeguards unit has been fully staffed with social development officer, environmental officer, and legal officer. This unit is supervising compliance with safeguards of ongoing physical works with support of supervision consultant.

    Resettlement Plan and Environment Management Plan (EMP) have been prepared and are being implemented. Several teams of consultants have been recruited in accordance with staggered schedules. Semiannual safeguard monitoring reports and environmental report are regularly being submitted and disclosed.

    Geographical Location Ambathan, Bagmati Zone, Bansbari, Bhotechaur, Chandeni, Deupur, Gyalthum, Jaisithok, Kabhre Palanchok, Lamidada, MahankalChaur, Manohara, Melamchi, Nakkhu, Phatkeswor, Ribarma, Sagarmatha Zone, Sindhu, Sundarijal, Timbu, Tinkune
    Safeguard Categories
    Environment A
    Involuntary Resettlement A
    Indigenous Peoples C
    Summary of Environmental and Social Aspects
    Environmental Aspects Environmental Impact Assessment (EIA) studies (2000, 2001, 2002) were carried at the time of approval of the Project. In the earlier phase of implementation, compliance with the requirements was regularly monitored by the consultant CEMAT/Schemes JV in association with EEC who submitted their final Environmental Management Plan (EMP) report in 2009. In December 2009, Safeguard and Social Development Support (SSDS) ICON-CMS JV consultant was mobilized. At the first level, MWSDB and DSC are monitoring compliance with environmental safeguards. As the second level, SSDS consultant is monitoring the compliance with EMP such as monitoring water quality, noise quality and air quality, fish population and diversity assessment, measurement of discharge, staff gauge reading and nursery establishment. Environmental monitoring and reporting is ongoing.
    Involuntary Resettlement Involuntary resettlement follows the requirements of ADB and the Government. ADB Policy and Land Acquisition Act (LAA) 2034 (1977 A.D.) are being complied with, such as the provisions related to compensation standards and benefits, compensation for lost assets at market value, provision for alternative land and compensation for standard crops and trees. MWSDB prepared a Resettlement Policy Framework (RPF), approved by the Cabinet in 2057 (2000 A.D.), to cover resettlement-related needs of Project affected persons (PAPs). The Resettlement Action Plan (RAP) compensation and mitigation measures include the following: compensation upon acquisition of land, crop and trees and house or commercial enterprises, mitigation for the loss of water due to diversion to Melamachi River, displacement allowances, rehabilitation measures, loss of government property, loss of community facilities and resources, community losses, and general counseling. Land acquisition process is completed and resettlement monitoring and reporting is ongoing.
    Indigenous Peoples
    Stakeholder Communication, Participation, and Consultation
    During Project Design The Project was designed with extensive participation of stakeholders, including beneficiaries, adversely affected people, village development committees and ward representatives, district development committees and municipal officials and representatives, ministries concerned and MWSDB, the private sector, external funding agencies, NGOs, and consultants.
    During Project Implementation The Project is encouraging direct participation of beneficiaries through social uplift program implementation, representation of adversely affected people in the compensation determination committee, and representation of Kathmandu Valley beneficiaries in water users associations. The Project is also undertaking consensus building at all levels on issues such as water services, environmental and social mitigation and compensation, and employment.
    Business Opportunities
    Consulting Services The selection and engagement of all remaining consulting services to be financed by ADB shall be in accordance with the provisions of Schedule 4, Section D, paras. 10 to 12 of the Amended and Restated Loan Agreement and with the ADB's Guidelines on the Use of Consultants (2007, as amended from time to time) using the quality-and cost-based method.
    Procurement Procurement of all remaining goods and works to be financed out of proceeds of the Loans will be in accordance with ADB's Procurement Guidelines (2007, as amended from time to time).
    Responsible ADB Officer
    Castro-Wooldridge, Vivian
    Responsible ADB Department
    South Asia Department
    Responsible ADB Division
    Urban Development and Water Division, SARD
    Executing Agencies
    Kathmandu Upatyaka Khanepani Limited (KUKL)
    Tripureshwar, Kathmandu, Nepal
    Melamchi Water Supply Development Board
    H.P. Sharma
    Kathmandu, Nepal
    Ministry of Physical Infrastructure and Transport
    Deep Basnyat
    CPMO@DWSS.MOS.COM.NP
    Kathmandu, Nepal
    Ministry of Urban Development
    Mr. Kishore Thapa
    Singhadurbar, Kathmandu, Nepal
    Timetable
    Concept Clearance 08 Mar 1999
    Fact Finding 03 Jul 2000 to 24 Jul 2000
    MRM 15 Sep 2000
    Approval 03 Jul 2008
    Last Review Mission -
    PDS Creation Date 12 Feb 2007
    Last PDS Update 25 Sep 2018
    Loan 1820-NEP
    Milestones
    Approval Signing Date Effectivity Date Closing
    Original Revised Actual
    21 Dec 2000 24 Jan 2001 28 Nov 2001 31 Mar 2007 30 Jun 2019 -
    Financing Plan Loan Utilization
    Total (Amount in US$ million) Date ADB Others Net Percentage
    Project Cost 303.50 Cumulative Contract Awards
    ADB 120.00 21 Dec 2000 126.65 0.00 93%
    Counterpart 118.00 Cumulative Disbursements
    Cofinancing 65.50 21 Dec 2000 130.19 0.00 96%
    Category
    Sector
    Safeguards
    Social
    Financial
    Economic
    Others
    Rating
    Satisfactory
    Satisfactory
    Satisfactory
    Satisfactory
    -
    Satisfactory
    Loan 3110-NEP
    Milestones
    Approval Signing Date Effectivity Date Closing
    Original Revised Actual
    11 Feb 2014 07 Apr 2014 25 Apr 2014 30 Jun 2017 30 Jun 2019 -
    Financing Plan Loan Utilization
    Total (Amount in US$ million) Date ADB Others Net Percentage
    Project Cost 38.08 Cumulative Contract Awards
    ADB 25.00 11 Feb 2014 18.24 0.00 81%
    Counterpart 13.08 Cumulative Disbursements
    Cofinancing 0.00 11 Feb 2014 18.28 0.00 81%
    Category
    Sector
    Safeguards
    Social
    Financial
    Economic
    Others
    Rating
    Satisfactory
    Satisfactory
    Satisfactory
    Satisfactory
    -
    Satisfactory
    Loan 8191-NEP
    Milestones
    Approval Signing Date Effectivity Date Closing
    Original Revised Actual
    22 Nov 2000 21 Sep 2001 01 Jul 2002 30 Jun 2003 31 Dec 2008 31 Dec 2008
    Financing Plan Loan Utilization
    Total (Amount in US$ million) Date ADB Others Net Percentage
    Project Cost 13.70 Cumulative Contract Awards
    ADB 0.00 22 Nov 2000 0.00 13.70 100%
    Counterpart 0.00 Cumulative Disbursements
    Cofinancing 13.70 22 Nov 2000 0.00 13.70 100%
    Loan 8235-NEP
    Milestones
    Approval Signing Date Effectivity Date Closing
    Original Revised Actual
    03 Jul 2008 03 Jul 2008 03 Jul 2008 31 Jul 2013 30 Sep 2015 11 Nov 2015
    Financing Plan Loan Utilization
    Total (Amount in US$ million) Date ADB Others Net Percentage
    Project Cost 10.50 Cumulative Contract Awards
    ADB 0.00 03 Jul 2008 0.00 10.06 100%
    Counterpart 0.00 Cumulative Disbursements
    Cofinancing 10.50 03 Jul 2008 0.00 10.06 100%
    Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

    The Public Communications Policy (***) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.

    The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

    In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

    Project Data Sheet Project Name Melamchi Water Supply Project Project Number 31624-023 Country Nepal Project Status Active Project Type / Modality of Assistance Loan Source of Funding / Amount Loan 1820-NEP: Melamchi Water Supply Project concessional ordinary capital resources lending / Asian Development Fund US$ 120.00 million Loan 8191-NEP: Melamchi Water Supply Project OPEC Fund for International Development US$ 13.70 million Loan 8235-NEP: Melamchi Water Supply Project Nordic Development Fund US$ 10.50 million Loan: Melamchi Water Supply Project MOF, Japan US$ 18.00 million Japan Bank for International Cooperation (ODA) US$ 47.50 million Loan 3110-NEP: Melamchi Water Supply Project - Additional Financing concessional ordinary capital resources lending / Asian Development Fund US$ 25.00 million Strategic Agendas Environmentally sustainable growth Inclusive economic growth Drivers of Change Private sector development Sector / Subsector Water and other urban infrastructure and services / Urban policy, institutional and capacity development - Urban water supply Gender Equity and Mainstreaming Description The main objectives of the Project are to alleviate the chronic water shortage in Kathmandu Valley on a sustainable, long-term basis, and to improve the health and well-being of its inhabitants. The Project also seeks to develop a comprehensive institutional framework for urban water management within the valley. The Project comprises (i) infrastructure development; (ii) social and environmental support; (iii) institutional reforms; and (iv) project implementation support. Project Rationale and Linkage to Country/Regional Strategy Kathmandu Valley is the country's single largest urban economy and is critical to Nepal's economic growth. Water is central to the well-being of the population and the key to its productive capacities. However, current water services are grossly inadequate and unreliable causing many people to resort to tankers supplies, bottled water, and both deep and shallow wells. The trend has led to serious environmental concerns as shallow wells are becoming increasingly polluted and deep aquifers are being mined to produce additional water. Poor water quality impacts sharply on public health. In terms of access to water (in the dry season) and quality of water, the effects are greatest on the health of the poor. The Project provides the required opportunity to address both the acute socioeconomic distress caused by the lack of adequate safe water to Kathmandu Valley residents, and the institutional challenges to provide water and wastewater management services on a sustainable basis. Impact Health and well-being of the people in Kathmandu Valley improved. Project Outcome Description of Outcome Shortage of potable water in Kathmandu Valley alleviated. Progress Toward Outcome Development outcome is expected to be achieved as per revised schedule by end of 1st quarter of 2019 - 25,915 m of main diversion, 1457m adit and 204 m of H/W diversion tunnel excavation has already been achieved to off-take water from Melamchi river. At Head Works, Open Cut excavation out of 102,000 cubic metre completed to construct diversion weir, desilting basin etc to divert water to Melamchi-Sundarijal tunnel. 667.3 Km of distribution pipe out of 677 Km inside valley completed while 77 Km Bulk Distribution System pipe (Sundarijal WTP to 10 Reservoirs around valley) laying completed. 9.9 km of BDS line from Sundarijal WTP and Mahankal Chaur Reservoir is also tested. Construction of 10 Reservoirs around the valley ongoing under additional financing are at the verge of completion. Implementation Progress Description of Project Outputs A. Melamchi Valley (Suproject 1) A.1. Raw water diverted from Melamchi Valley to Kathmandu Valley by development of infrastructure, i.e. tunnel, road and water treatment plant. A.2. Social and Environmental Support provided in Melamchi Valley. A.3. Efficient project management established and capacity building attained B. Kathmandu Valley Subproject (Subproject 2) B.1. Institutional reforms achieved and efficiently operated B.2. Water distribution and wastewater system improved by provision of capital works B.3. Social and environmental support provided in Kathmandu Valley Status of Implementation Progress (Outputs, Activities, and Issues) A. Melamchi Valley (Subproject 1) A.1 MWSDB terminated the previous contract for the Melamchi tunnel on 26 September 2012 due to unsatisfactory performance of the then contractor. As of the date of termination, the physical progress (tunnel excavation) was 22% (6.3 km out of 27.5 km. Rebidding for the Melamchi tunnel Contract started in November 2012. MWSDB issued the letter of acceptance to the winning contractor on 21 June 2013, the contract was signed with Cooperativa Muratorie Cementisti di Ravenna (CMC) of Italy on 15 July 2013, and the letter to commence was issued on 1 October 2013. The initial progress of the new contractor of the Melamchi tunnel is encouraging in terms of mobilization of key personnel, equipment, machinery, materials and start-up activities. Advance payment was made to the contractor in October 2013 and steady progress was achieved until the progress was adversely affected by 25 April 2015 Earthquake and short of construction materials and fuel due to closure of southern Border. However, completion of tunnel excavation with cumulative total of 27,576m tunnel length has been achieved as of 12 April 2018. After several backstopping and monitoring from employer and ADB regarding cash flow problem of contractor, the final works on tunnel smoothed and as of 15 September 2018, 13.7 km invert lining is finished with 12.1 km remaining. Works at H/W with alternative diversion pipe and temporary diversion weir as well as vent shaft works are ongoing. It is expected to be completed by 1st quarter of 2018. The water Treatment Plant (WTP) to utilize water from Melamchi tunnel has been implemented with JICA funding. MWSDB and the contractor signed the WTP contract on 10 July 2013. WTP is 100% completed and tested. Upgrading construction works in UAR 02 were earlier disturbed due to concerns of some local residents. Now, the works of UAR 02 have been completed. Construction of 18-km main access road was completed and opened up between Melamchi Pul Bazar and Timbu. A.2. Resettlement Plans and Environmental Management Plan (EMP) were prepared and are under implementation for both Subproject 1 and 2 following the split into two distinct subprojects in 2009. Activities undertaken in Subproject 1 (in Melamchi valley) include several activities for social and economic development of the areas in the Melamchi Valley such as (i) construction of health centers and provision of essential drugs; (ii) construction of school buildings and provision of educational kits to schools; and (iii) a forest nursery in Timbu. The social uplift program (SUP) under the MWSP is being implemented to promote widespread, ongoing, and meaningful participation of key stakeholders. Compliance with Resettlement Plan and Environmental Management Plan (EMP) is monitored by the MWSDB with support from the design and supervision consultant (DSC). Further, services of a Safeguards and Social Development Support consultant (SSDS) have also been taken for monitoring at a second level. MWSDB has been specifically asked to ensure compliance with effluent discharge standards. A.3 MWSDB is the main agency for project management of Melamchi Subproject 1 (Melamchi tunnel construction). Inputs of project management consultant finished. MWSDB is supported by new design and supervision consultant (DSC). Improved coordination and communication among MWSDB, new DSC, the new contractor (CMC), and the safeguards and social development support consultant (SSDS) noted. All the parties are coordinating to improve the pace, quality, safety, and safeguards compliance of the works. The DSC is taking more proactive role and is actively supporting MWSDB to (i) ensure implementation of the agreed action plans, (ii) decide expeditiously the contractual matters such as claims, variations, etc., (iii) ensure coordination with DSC, contractor, local residents, army and other relevant government authorities, and (iv) monitor processing payments to the contractor in a timely manner. Semi-annual safeguard monitoring reports are regularly being submitted and disclosed. B. Kathmandu Valley Subproject (Subproject 2) B.1. For Subproject 2, a Project Implementation Directorate (PID-KUKL) has been established since 2009 with staffing from Department of Water Supply & Sanitation and KUKL, which has been carrying out the activities of Subproject 2. KUKL has recruited capacity building and public-private partnership (CBP) team in November 2010. With support from this team, KUKL is working to achieving the targets of lease and license agreements. KUKL submitted to WSTFC a new proposal for increase in tariff, which was approved by WSTFC on 14 July 2013 with conditions to be fulfilled by KUKL for service improvement. This will help KUKL in improving its operations and service delivery to citizens. B.2. Under Subproject 2, distribution network improvement works are expected to reduce water losses, improve service delivery by enhanced hours and higher pressure of water supply for consumers. The PID for Subproject 2 has awarded 47 contracts out of which 39 contracts have been completed and 8 contracts are about to complete. There are no major issues with implementation of this Subproject. Most of the contracts were completed in 2013 and the remaining contracts by are expected to be completed by end of 2018. Advance preparation of designs and bidding documents for the "Kathmandu Valley Water Supply Improvement, Project," (L2776-NEP) enhanced the readiness of the project. The distribution network improvement works in Kathmandu Valley are being carried out with the objectives of reduction of non-revenue water and improvement of service delivery to the citizens. B.3. Substantial improvement in water supply is expected after completion of the Melamchi tunnel by 2016. Safeguards unit has been fully staffed with social development officer, environmental officer, and legal officer. This unit is supervising compliance with safeguards of ongoing physical works with support of supervision consultant. Resettlement Plan and Environment Management Plan (EMP) have been prepared and are being implemented. Several teams of consultants have been recruited in accordance with staggered schedules. Semiannual safeguard monitoring reports and environmental report are regularly being submitted and disclosed. Geographical Location Ambathan, Bagmati Zone, Bansbari, Bhotechaur, Chandeni, Deupur, Gyalthum, Jaisithok, Kabhre Palanchok, Lamidada, MahankalChaur, Manohara, Melamchi, Nakkhu, Phatkeswor, Ribarma, Sagarmatha Zone, Sindhu, Sundarijal, Timbu, Tinkune Safeguard Categories Environment A Involuntary Resettlement A Indigenous Peoples C Summary of Environmental and Social Aspects Environmental Aspects Environmental Impact Assessment (EIA) studies (2000, 2001, 2002) were carried at the time of approval of the Project. In the earlier phase of implementation, compliance with the requirements was regularly monitored by the consultant CEMAT/Schemes JV in association with EEC who submitted their final Environmental Management Plan (EMP) report in 2009. In December 2009, Safeguard and Social Development Support (SSDS) ICON-CMS JV consultant was mobilized. At the first level, MWSDB and DSC are monitoring compliance with environmental safeguards. As the second level, SSDS consultant is monitoring the compliance with EMP such as monitoring water quality, noise quality and air quality, fish population and diversity assessment, measurement of discharge, staff gauge reading and nursery establishment. Environmental monitoring and reporting is ongoing. Involuntary Resettlement Involuntary resettlement follows the requirements of ADB and the Government. ADB Policy and Land Acquisition Act (LAA) 2034 (1977 A.D.) are being complied with, such as the provisions related to compensation standards and benefits, compensation for lost assets at market value, provision for alternative land and compensation for standard crops and trees. MWSDB prepared a Resettlement Policy Framework (RPF), approved by the Cabinet in 2057 (2000 A.D.), to cover resettlement-related needs of Project affected persons (PAPs). The Resettlement Action Plan (RAP) compensation and mitigation measures include the following: compensation upon acquisition of land, crop and trees and house or commercial enterprises, mitigation for the loss of water due to diversion to Melamachi River, displacement allowances, rehabilitation measures, loss of government property, loss of community facilities and resources, community losses, and general counseling. Land acquisition process is completed and resettlement monitoring and reporting is ongoing. Indigenous Peoples Stakeholder Communication, Participation, and Consultation During Project Design The Project was designed with extensive participation of stakeholders, including beneficiaries, adversely affected people, village development committees and ward representatives, district development committees and municipal officials and representatives, ministries concerned and MWSDB, the private sector, external funding agencies, NGOs, and consultants. During Project Implementation The Project is encouraging direct participation of beneficiaries through social uplift program implementation, representation of adversely affected people in the compensation determination committee, and representation of Kathmandu Valley beneficiaries in water users associations. The Project is also undertaking consensus building at all levels on issues such as water services, environmental and social mitigation and compensation, and employment. Business Opportunities Consulting Services The selection and engagement of all remaining consulting services to be financed by ADB shall be in accordance with the provisions of Schedule 4, Section D, paras. 10 to 12 of the Amended and Restated Loan Agreement and with the ADB's Guidelines on the Use of Consultants (2007, as amended from time to time) using the quality-and cost-based method. Procurement Procurement of all remaining goods and works to be financed out of proceeds of the Loans will be in accordance with ADB's Procurement Guidelines (2007, as amended from time to time). Responsible ADB Officer Castro-Wooldridge, Vivian Responsible ADB Department South Asia Department Responsible ADB Division Urban Development and Water Division, SARD Executing Agencies Kathmandu Upatyaka Khanepani Limited (KUKL) Tripureshwar, Kathmandu, Nepal Melamchi Water Supply Development Board H.P. Sharma Kathmandu, Nepal Ministry of Physical Infrastructure and Transport Deep Basnyat CPMO@DWSS.MOS.COM.NP Kathmandu, Nepal Ministry of Urban Development Mr. Kishore Thapa Singhadurbar, Kathmandu, Nepal Timetable Concept Clearance 08 Mar 1999 Fact Finding 03 Jul 2000 to 24 Jul 2000 MRM 15 Sep 2000 Approval 03 Jul 2008 Last Review Mission - PDS Creation Date 12 Feb 2007 Last PDS Update 25 Sep 2018 Loan 1820-NEP Milestones Approval Signing Date Effectivity Date Closing Original Revised Actual 21 Dec 2000 24 Jan 2001 28 Nov 2001 31 Mar 2007 30 Jun 2019 - Financing Plan Loan Utilization Total (Amount in US$ million) Date ADB Others Net Percentage Project Cost 303.50 Cumulative Contract Awards ADB 120.00 21 Dec 2000 126.65 0.00 93% Counterpart 118.00 Cumulative Disbursements Cofinancing 65.50 21 Dec 2000 130.19 0.00 96% Category Sector Safeguards Social Financial Economic Others Rating Satisfactory Satisfactory Satisfactory Satisfactory - Satisfactory Loan 3110-NEP Milestones Approval Signing Date Effectivity Date Closing Original Revised Actual 11 Feb 2014 07 Apr 2014 25 Apr 2014 30 Jun 2017 30 Jun 2019 - Financing Plan Loan Utilization Total (Amount in US$ million) Date ADB Others Net Percentage Project Cost 38.08 Cumulative Contract Awards ADB 25.00 11 Feb 2014 18.24 0.00 81% Counterpart 13.08 Cumulative Disbursements Cofinancing 0.00 11 Feb 2014 18.28 0.00 81% Category Sector Safeguards Social Financial Economic Others Rating Satisfactory Satisfactory Satisfactory Satisfactory - Satisfactory Loan 8191-NEP Milestones Approval Signing Date Effectivity Date Closing Original Revised Actual 22 Nov 2000 21 Sep 2001 01 Jul 2002 30 Jun 2003 31 Dec 2008 31 Dec 2008 Financing Plan Loan Utilization Total (Amount in US$ million) Date ADB Others Net Percentage Project Cost 13.70 Cumulative Contract Awards ADB 0.00 22 Nov 2000 0.00 13.70 100% Counterpart 0.00 Cumulative Disbursements Cofinancing 13.70 22 Nov 2000 0.00 13.70 100% Loan 8235-NEP Milestones Approval Signing Date Effectivity Date Closing Original Revised Actual 03 Jul 2008 03 Jul 2008 03 Jul 2008 31 Jul 2013 30 Sep 2015 11 Nov 2015 Financing Plan Loan Utilization Total (Amount in US$ million) Date ADB Others Net Percentage Project Cost 10.50 Cumulative Contract Awards ADB 0.00 03 Jul 2008 0.00 10.06 100% Counterpart 0.00 Cumulative Disbursements Cofinancing 10.50 03 Jul 2008 0.00 10.06 100% Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative. The Public Communications Policy (PCP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced. The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures. In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
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