A handout picture provided by Himalaya Expeditions of Marathon runners competing at the starting point of the Mt Annapurna Marathon at Annapurna base camp (4,700m above sea level) in Nepal yesterday. A total of 56 international and Nepali runners have participated in the ‘high altitude marathon’ on the foothills of Mt Annapurna as Nepali runner Tirtha Bahadur Tamang won the title by finishing 42.196km in 4 hours 23 minutes and 21 second