Nepal villagers duped into selling kidneys and told organ would regrow – now country faces new health crisis
In the foothills of the Himalayas, two men lift their shirts to reveal wide scars on their bodies.
Both aged in their 40s, they appear self-conscious – even embarrassed – but they want to share their story.
The men – called Kanchha and Ram – sold their kidneys, driven by financial desperation. Kanchha is still in pain and unable to work because of the side effects from the surgery.
“It’s impossible to count how many have done it,” he says. “Everywhere, this village, that village, so many people have sold their kidneys.”
Ram and Kanchha show their scars
The tell-tale scar, evidence of kidney removal
The village of Hokse in Nepal has a unique and exceptionally troubled history. It’s known as Kidney Valley because someone from almost every household has sold a kidney.
Brokers have been visiting the area for years, persuading people to part with an organ, despite the fact it’s illegal.
Locals have desperately tried to shake that infamy in recent years – they feel duped, damaged by it. Some say they were exploited, some claim they were even told their kidneys would regrow. Some have died as a result of what was done to their bodies.
And now tragically, poverty is fuelling another health crisis in Nepal – with kidneys again at the heart of it.
The village of Hokse in Nepal is known as Kidney Valley
Increasing numbers of Nepalis have chosen to work overseas in the Gulf States and Malaysia to make more money for their families back home. But that’s come with its own jeopardy.
Young, once healthy men are returning to Nepal in desperate need of a kidney transplant. Some scientists say it is the result of exposure to extreme heat and severe dehydration.
Suman showed Sky News his scar
A few years ago, Suman, 31, was so broken financially and emotionally, he considered ending his life. He felt he had “no option” but to travel to India to sell his kidney to a woman pretending to be his sister.
It was a physically excoriating process that has scarred him. He was paid £3,000.
“I felt weak and I lost consciousness,” he says. “When I woke up, it was really hurting. Now I can’t work and I try to tell anyone I can, not to sell their kidney.”
Suman speaks to Sky News
Sky News visited the village of Hokse
Suman was not certain if the doctor knew what he was doing but Indian law is clear – donors must be related and they must present the relevant paperwork.
Organ trafficking remains a major concern in India. It is fuelled by a wide gap in demand and supply.
The lack of donors has given rise to a black market, with doctors and hospitals among those exposed in investigations into “cash for kidney” rackets.
But it is not unique to India. Estimates suggest that globally, one in 10 transplanted organs have been trafficked.
“The agents made fake documents in Kathmandu, including Indian ID cards,” says Kanchha, who also sold his kidney in India.
“My kidney was given to a fake sister. I think the doctor in India knew I’d sold it.”
In Hokse, locals insist no-one sells their kidneys any more – but some are still taking extreme risks to try to improve their lives.
Jit Bahadur Gurung has dialysis three times a week
Jit Bahadur Gurung spent three years working in Saudi Arabia. Aged just 29, he’s had four hours of dialysis – which he does three times a week – at the National Kidney Center in Kathmandu.
He looks fatigued and withdrawn.
“I had to work in extreme heat – around 50 degrees,” he says. “We didn’t have time to have lunch, go to the toilet or drink water.”
Describing the moment he realised something was wrong, he says: “I was overheating. Suddenly I felt my feet swelling and I couldn’t walk. Then I was told my kidney had failed.”
People have been left needing dialysis
On the dialysis ward
Symptoms of kidney failure can often go unnoticed and by the time migrant workers arrive back in Nepal, it’s often too late.
Jit is desperate for a donor. But the donor has to be a relative and there aren’t enough positive matches.
Ishwor is 34 and still searching for his lifeline. He says he worked 16-hour days for seven years in Dubai.
“I was working long hours in high heat without sleep,” he says. “My body started to swell up like I’d been beaten.”
Symptoms of kidney failure can go unnoticed
Dr Pukar Shresth, a pioneering and renowned surgeon at the Human Organ Transplant Center in Nepal, used to only perform transplants on the elderly, but has recently seen young people with scarred and shrunken kidneys.
He noticed a pattern – young men going to work in high heat, with little water and returning with “completely failed kidneys”.
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“It is very grave because about one third of all transplants are these labour migrant workers who have come from abroad,” he says.
“This has caused a huge burden to our health resources health facility because they account for more than 30% of the total transplant number in our country.”
It’s a disproportionate figure since overseas workers represent around 14% of the Nepali population.
Dr Shrestha believes education is key – informing young men going overseas about the importance of having water, taking breaks and a good diet.
Young men are returning with damaged kidneys
A young doctor working alongside him is collecting critical data about where the men have been and what conditions they faced. The men have to have medical tests before they can travel abroad for work, which is why it’s believed they were in good health previously.
The fact is they feel forced to work in some of the world’s hottest places and they have very little agency.
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While some countries like Qatar have reduced the hours people can work in the sun, Nepalis’ suffering hasn’t stopped.
Multiple studies have shown the risk of extreme heat in the Gulf States has only escalated in recent years due to climate change.
And a recent report by Human Rights Watch stated migrant workers are mistreated and viewed as “disposable”.
The hospitals of Nepal are a stark warning shot about the dangers of a warming world and the heavy price being paid by those at the coalface.
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK
Additional reporting by Rachael Thorn, Asia producer
It is one of the most notorious and secret places in Iran.
Somewhere foreign journalists are never allowed to visit or film. The prison where dissidents and critics of Iran’s government disappear – some never to be seen again.
But we went there today, invited by Iranian authorities eager to show the damage done there by Israel.
Evin Prison was hit by Israeli airstrikes the day before a ceasefire ended a 12-day war with Iran. The damage is much greater than thought at the time.
We walked through what’s left of its gates, now a mass of rubble and twisted metal, among just a handful of foreign news media allowed in.
A few hundred yards in, we were shown a building Iranians say was the prison’s hospital.
Behind iron bars, every one of the building’s windows had been blown in. Medical equipment and hospital beds had been ripped apart and shredded.
Debris scattered across what Iran says was the prison hospital
It felt eerie being somewhere normally shut off to the outside world.
On the hill above us, untouched by the airstrikes, the buildings where inmates are incarcerated in reportedly horrific conditions, ominous watch towers silhouetted against the sky.
Evin felt rundown and neglected. There was something ineffably sad and oppressive about the atmosphere as we wandered through the compound.
The Iranians had their reasons to bring us here. The authorities say at least 71 people were killed in the air strikes, some of them inmates, but also visiting family members.
Authorities say this building was the visitor centre
Iran says this is evidence that Israel was not just targeting military or nuclear sites but civilian locations too.
But the press visit highlighted the prison’s notoriety too.
Iran’s critics and human rights groups say Evin is synonymous with the brutal oppression of political prisoners and opponents, and its practice of hostage diplomacy too.
British dual nationals, including Nazanin Zaghari-Ratcliffe were held here for years before being released in 2022 in exchange for concessions from the UK.
Read more:
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Inmates are held in building on a hill above, which has been untouched by airstrikes
Interviewed about the Israeli airstrikes at the time, Ms Zaghari-Ratcliffe showed only characteristic empathy with her former fellow inmates. Trapped in their cells, she said they must have been terrified.
The Israelis have not fully explained why they put Evin on their target list, but on the same day, the Israeli military said it was “attacking regime targets and government repression bodies in the heart of Tehran”.
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The locus of their strikes were the prison’s two entrances. If they were trying to enable a jailbreak, they failed. No one is reported to have escaped, several inmates are thought to have died.
The breaches the Israeli missiles made in the jail’s perimeter are being closed again quickly. We filmed as a team of masons worked to shut off the outside world again, brick by brick.
Israeli-backed American contractors guarding aid centres in Gaza are using live ammunition and stun grenades as starving Palestinians scramble for food, an investigation has claimed.
The Associated Press has reported the accounts by two contractors from the Gaza Humanitarian Foundation (GHF), although the organisation has strongly denied the allegations, describing them as “categorically false”.
GHF was established in February to deliver desperately needed aid to people in the besieged enclave, but its work has been heavily criticised by international aid groups.
It has also been subject to intense scrutiny about its operations, which Sky News previously reported are associated with a significant increase in deaths.
AP’s claims, which have not been independently verified by Sky News, came from GHF contractors who spoke on condition of anonymity as they were revealing their employer’s internal operations.
Palestinians are shown scrambling for aid in the footage provided to AP. Pic: AP
They said they were motivated to speak out as they were disturbed by what they considered dangerous practices by security staff who were often heavily armed.
AP reported the contractors had claimed “their colleagues regularly lobbed stun grenades and pepper spray in the direction of the Palestinians” and “bullets were fired in all directions – in the air, into the ground and at times toward the Palestinians, recalling at least one instance where he thought someone had been hit”.
Contractor: ‘Innocent people being hurt’
“There are innocent people being hurt. Badly. Needlessly,” the contractor told AP.
Videos reportedly provided by one contractor show aid sites, located in Israeli military-controlled zones, with hundreds of Palestinians crammed between metal gates, scrambling to reach aid.
In the background, gunfire can be heard, and stun grenades are allegedly fired into crowds.
Footage provided to the AP news agency allegedly shows tear gas being fired at an aid distribution site in Gaza. Pic: AP
The footage does not show who was shooting or what was being shot at, but another video shows contractors in a compound, when bursts of gunfire can be heard. One man is then heard shouting in celebration: “Whoo! Whoo!”.
“I think you hit one,” another says, followed by the comment: “Hell, yeah, boy!”
The contractor who took the video told AP that colleagues were shooting in the direction of Palestinians.
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According to the Hamas-run Gaza Health Ministry and witnesses, several hundred people have been killed and hundreds more wounded since the GHF sites started operating more than a month ago, amid claims by Palestinians of Israeli troops opening fire almost every day at crowds seeking to reach the aid.
In response, Israel’s military says it fires only warning shots and is investigating reports of civilian harm. It denies deliberately shooting at any innocent civilians and says it’s examining how to reduce “friction with the population” in the areas surrounding the distribution centres.
Bursts of gunfire can be heard in the footage as Palestinians run towards aid being distributed. Pic: AP
GHF attacks ‘false claims’
GHF has vehemently denied the accusations, adding that it has investigated AP’s allegations.
In a statement on X, GHF wrote: “Based on time-stamped video footage and sworn witness statements, we have concluded that the claims in the AP’s story are categorically false. At no point were civilians under fire at a GHF distribution site.
“The gunfire heard in the video was confirmed to have originated from the IDF, who was outside the immediate vicinity of the GHF distribution site.
“It was not directed at individuals, and no one was shot or injured. What is most troubling is that the AP refused to share the full video with us prior to publication, despite the seriousness of the allegations.”
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Safe Reach Solutions, the logistics company subcontracted by GHF, told the AP there have been no serious injuries at any of their sites to date.
But the organisation admitted that, in isolated incidents, security professionals fired live rounds into the ground and away from civilians to get their attention.
A Safe Reach Solutions spokesperson told AP this happened at the start of their operations at “the height of desperation where crowd control measures were necessary for the safety and security of civilians”.
Liverpool star Diogo Jota has died in a car crash.
The 28-year-old Portuguese forward died in the accident in the early hours of Thursday morning near Zamora, in northwestern Spain.
His brother, Andre Silva, was also killed in the crash on the Rias Bajas Highway (A-52) near Palacios de Sanabria, heading towards Benavente.
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Jota’s former teammate: ‘This can’t be real’
The site of the accident on the A52
Follow the latest updates following Diogo Jota’s death
Jota and Silva were driving to Santander to catch a ferry back to England ahead of the start of Liverpool’s pre-season training on Monday, CNN Portugal reports.
The news outlet reports that Jota was advised against flying back to England due to recent surgery.
Police said the accident happened at 12.30am when the Lamborghini the pair were travelling in veered off the road.
Palacios de Sanabria in the north of Spain
“A vehicle left the road and everything indicates a tyre burst while overtaking,” the Guardia Civil in Zamora told Sky Sports News in a statement.
“As a result of the accident, the car caught fire and both people were killed. Pending the completion of forensic tests, one of the deceased has been identified as Diogo Jota, a Liverpool FC player, and his brother, Andre Felipe.”
A Spanish government source told the PA news agency that police were investigating the crash as “a possible speeding incident”.
The aftermath of the crash. Pic: AP
Pic: AP
Police added that no other vehicles were involved in the incident.
Pictures of the aftermath of the crash showed debris scattered along the side of the road, including what appeared to be charred parts of the vehicle.
It comes just 10 days after the player married his long-term girlfriend, Rute Cardoso.
Diogo Jota holds the Premier League trophy aloft after the club’s title win in the 2024/25 season. Pic: Reuters
Diogo Jota walks the pitch with his family in 2022.
Pic: PA
He had three children.
The footballer, who played as a striker for Liverpool, began his career in his native Portugal and played at Atletico Madrid in Spain before moving to England.
He joined the Merseyside club from Wolverhampton Wanderers in 2020.
Former Liverpool manager Jurgen Klopp with Diogo Jota. Pic: PA
Portugal’s Cristiano Ronaldo (left) and Diogo Jota (right) during a training session. Pic: PA
Jota played an important role throughout his five years with the Reds, including scoring six times in Liverpool’s recent Premier League-winning season.
He scored a total of 47 times in 123 matches for the club. He also played 49 times for the Portugal national side, scoring 14 times.
Silva, 25, played for Penafiel, a Portuguese second division club.
Diogo Jota holding the trophy on the team bus during the Premier League winners parade in Liverpool. Pic: PA
Teammates and football legends pay tribute
A statement issued by Liverpool FC said the club was “devastated” by their player’s death.
“The club have been informed the 28-year-old has passed away following a road traffic accident in Spain along with his brother, Andre,” the club said in a statement.
“Liverpool FC will be making no further comment at this time and request the privacy of Diogo and Andre’s family, friends, teammates and club staff is respected as they try to come to terms with an unimaginable loss.
“We will continue to provide them with our full support.”
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Sky’s Greg Milam reports from Anfield Stadium where Liverpool fans are hearing about the death of Diogo Jota.
The Portuguese football federation said it was “utterly devastated by the deaths”.
“Far beyond being an exceptional player, with nearly 50 caps for the national team, Diogo Jota was an extraordinary person, respected by all teammates and opponents, someone with a contagious joy and a reference within his own community.
“We have lost two champions. The passing of Diogo and Andre Silva represents irreparable losses for Portuguese Football, and we will do everything to honour their legacy daily.”
The Portugal and Spain women’s teams held a minute’s silence for Jota and Silva before their match in the Women’s Euros in Switzerland on Thursday evening.
Floral tributes left at Anfield this morning. Pic: Sky
It came after Liverpool’s manager Arne Slot said in a statement: “What can anyone say at a time like this when the shock and the pain is so incredibly raw? I wish I had the words but I know I do not.
“All I have are feelings that I know so many people will share about a person and a player we loved dearly and a family we care so much about.
“My first thoughts are not those of a football manager. They are of a father, a son, a brother and an uncle and they belong to the family of Diogo and Andre Silva who have experienced such an unimaginable loss.”
Jota’s former manager at Liverpool, Jurgen Klopp, offered his thoughts in a post on Instagram.
“This is a moment where I struggle! There must be a bigger purpose, but I can’t see it,” he said.
“I’m heartbroken to hear about the passing of Diogo and his brother Andre. Diogo was not only a fantastic player, but also a great friend, a loving and caring husband and father.
“We will miss you so much. All my prayers, thoughts and power to Rute, the kids, the family, the friends and everyone who loved them.”
Liverpool captain Virgil van Dijk posted on Instagram: “What a human being, what a player, but most importantly what an unbelievable family man.
“You mean so much to all of us and you always will!”
Cristiano Ronaldo, Jota’s captain in the national team, said: “It doesn’t make sense. Just now we were together in the National Team, just now you had gotten married.
“To your family, your wife, and your children, I send my condolences and wish them all the strength in the world.
“I know you will always be with them. Rest in Peace, Diogo and Andre. We will all miss you.”
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Diogo Jota married his long-term girlfriend just two weeks ago
Jota’s Liverpool teammates Darwin Nunez, Cody Gakpo and Dominik Szoboszlai have also paid tribute.
Szoboszlai wrote: “Words cannot describe how heartbroken and devastated we are… Your smile, your love for the game will never be forgotten.
“We will miss you so much, but you will stay with us forever, on and off the pitch.”
Jota’s former teammates Trent Alexander-Arnold, Sadio Mane, Roberto Firmino and Thiago Alcantara have also shared messages on social media.
Mane posted a picture of himself and Jota with heartbreak emojis.
It came as Liverpool legend Kenny Dalglish wrote on X: “You feel helpless, knowing there’s so little we can do to ease the pain for his wife of just two weeks, his three beautiful children.”
Liverpool legend Steven Gerrard shared an image of Jota on Instagram and wrote: “Condolences to his family and friends during this incredibly sad time.”
Liverpool owners Billy Hogan, John Henry and Tom Werner, who are part of the Fenway Sports Group, said: “This tragic situation and the reality of it is truly shocking, devastating and has left us numb with grief.”
Football icon Lionel Messi has also paid tribute, sharing an image of Jota on Instagram with the message “QEPD” – short for the Spanish phrase ‘que en paz descanse’, which translates to “may he rest in peace'”.
European football clubs such as Barcelona and AC Milan have also shared messages, along with basketball player LeBron James and tennis icon Rafael Nadal.
Meanwhile Liverpool FC have opened a physical and digital book of condolence for supporters and members of the public to sign.
The physical book is at the club’s stadium, in the Anfield Road Stand reception area until Sunday evening.
An avid video gamer, Jota also owned an eSports team and regularly streamed on Twitch.
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