As a result, they do not eat regularly. When these are not available they tend not to eat enough. Fuel procurement is also a major problem. The kerosene supply is limited and collecting fuel wood is very demanding and time-consuming for older people who are already vulnerable and psychologically stressed. The assessment noted that although most villages have received basic medical aid as part of the immediate relief programme, it was very temporary and needs to be stepped up.
Older people are often unable to reach the more distant regular medical facilities.
The crisis has compounded chronic problems common in older people such as arthritis, tuberculosis, visual impairment, asthma, hearing loss and other health disorders. The repeated tremors have left people shaken and frightened. Older people physically injured in the earthquake were found to be suffering from high anxiety, depression and fear, emphasising the need for psycho-social supportive services as well as medical care. Thinking for the future For the future, the issue of safe shelter is critical. The assessment highlights the need to provide simple but durable earthquake-proof structures.