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Allergies - looking for infomation on Air quality in Nepal & Tibet

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Travel to Nepal/Tibet & to Everest base camp has been #1 on my bucket list since I was a child. Now at 60 ish I can afford it. I went to Tanzania a few years ago in February, and due to air quality/pollution, allergies went into hyper-drive caused mostly by lots of smoke and traffic congestion in populated areas in and nearby Arusha. Surprisingly the Hospital there was very nice & helpful. (Yeah, it was that bad) I was good in the Serengeti. This was an issue I never seen addressed on the forum on either of these places - Africa or Asia (except for cities in China) . "Dusty" is expected and manageable.

FYI - The only other place I cannot go is inside any of the "Las Vegas" casinos for the same reason. Otherwise, life is good everywhere else.

In general, I do not expect the greatest of air quality in Asia. But, this is a costly trip to go on and really don't want to end up being sick like before. Can anyone who has been to Nepal &Tibet provide any insight on this issue? How bad is it - or do I have to settle on Nat Geo on the TV

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