KATHMANDU (Nepal) — Just last year, Nepal attracted so many mountain climbers that a human traffic jam of hundreds of hikers in puffy jackets snarled a trail to the top of Mount Everest.

It was unmistakable proof of a tourism industry that had grown incredibly fast — too fast, some would say — and that had become a lifeline for the country. Last year the industry brought in more than US$2 billion (S$2.73 billion) to Nepal, one of Asia’s poorest nations, and employed one million people, from porters to pilots.

The pandemic has stopped all of that.

The trails snaking through the Himalayas are deserted, including those leading up to Everest Base Camp. Fewer than 150 climbers have arrived this fall season, immigration officials said, down from thousands last year.

Countless Sherpas and experienced mountain guides have been put out of work, leaving many to plant barley or graze yaks across the empty slopes to survive.

Many Nepalis fear that the combined effect of the coronavirus and the hammer blow to the economy could set this nation back for years.

“I often think I will die of hunger before corona kills me,” said Mr Upendra Lama, an out-of-work mountain porter who now relies on food handouts to provide for himself and his children. “How long will this go on?”

Although the whole world is asking similar questions, Nepal has few resources to help people cope.

Covid-19 cases are steadily rising, and with around 1,000 intensive-care beds for a population of 30 million, authorities have instructed people who get sick to stay home unless they slip into critical condition. An unknown number may die out of sight and undetected.

The economic wreckage is easier to see. Hotels and the teahouses clinging to the sides of mountains are boarded up. Restaurants, gear shops and even some of the most popular watering holes in the capital, Kathmandu, have closed for the foreseeable future, including the Tom and Jerry pub, which for decades served as a beacon for backpackers.

“There’s no hope in sight,” said the pub’s owner, Mr Puskar Lal Shrestha.

Remittances from Nepalis working abroad have become another casualty. When times were good, millions sent back money from across Asia, especially from Persian Gulf countries. Last year, total remittances were almost US$9 billion. Nepal relies on remittances more than just about any other country.

As the economy ails, hospitals are filling up. Doctors say that the wealthy and the politically connected are monopolising hospital beds, leaving the poor who get sick with nowhere to go.

“Our health system is weak, and the monitoring mechanism is even weaker,” said Dr Rabindra Pandey, who works for Nepal Arogya Kendra, an independent organisation of public health experts.

“Well-connected and wealthy people can easily access private hospitals and afford their fees, but many of the poor are dying.”

With winter fast approaching and the Hindu festival season in full swing, public health experts warn that Nepal’s Covid-19 crisis is about to get worse. And although its reported deaths remain fewer than 1,000, testing remains low and the consensus among Nepali doctors is that virus infections and deaths are many times higher.

The virus has reached its tentacles into rural areas and remote towns that just a few months ago had few or no reported cases. Government officials have been accused of exploiting the pandemic to make money.

A parliamentary committee is looking into accusations that officials close to the prime minister, Mr K.P. Sharma Oli, inflated prices of key medical supplies. The officials have denied the allegations.

Health experts say that many of Nepal’s infections have come from Nepali workers travelling back from India. India is now No 2 in the world in terms of reported Covid-19 infections — right behind the United States.

Nepal lives in India’s shadow. Its economy, strategic affairs and overall health are constantly rearranged by what happens in its huge neighbour to the south.

Partly because of the boost from tourism, Nepal’s economy had been growing faster than India’s, at nearly six per cent in 2019. Usually at this time of year, jet after jet would thread the mountain ranges by Kathmandu’s international airport and disgorge thousands of well-heeled tourists, including many Indians, eager to hike in the Annapurnas or up to Mount Everest base camp.

Last year, more than one million tourists visited. The average spent more than US$50 a day.

Tourism officials expect that at least 800,000 people employed in the tourism industry will lose their jobs.

Among the first to go, officials said, will be the 50,000 or so high-altitude guides, Sherpas and others in the trekking ecosystem.

Some have started protesting on the streets of Kathmandu, urging the government to give them loans to help feed their families and threatening to vandalise the tourism board’s office if they get no relief.

“Guides, once known as the real agents of tourism, have been left in the lurch,” said Mr Prakash Rai, a climbing guide who participated in the recent protests. “We have no means to survive this crisis.” THE NEW YORK TIMES