This story was produced by Grist and was co-published with The Asian Dispatch . It is part of the Grist series Vital Signs , exploring the ways climate change affects your health. This reporting initiative is made possible thanks to support from the Wellcome Trust.

The beeping of old dialysis machines at the National Kidney Center in Kathmandu never stops. Nurses in dark blue scrubs rush around tending to the 55 people having their blood cleaned at any given time while cleaners squeeze by carrying stained sheets and buckets of bloody catheters. The facility, located alongside a major thoroughfare in the Nepalese capital, runs three dialysis sittings daily. That’s as many as 165 patients every day. Most visit three times a week, and will do so for the rest of their lives. “Otherw

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