Around six months ago, a shabbily dressed middle-aged antheral walked into the bureau of the Superintendent of Police (Ernakulam Rural), Aluva, connected a sultry day with an envelope held choky successful his hand. The man, who appeared to beryllium successful a hurry, was astatine the constabulary presumption to get a constabulary clearance certificate for an organ donation.
He wanted the constabulary clearance to donate 1 of his kidneys to a patient, wholly unrelated to him. When the inquisitive constabulary officer, who was handling the applications, threw a fewer casual questions astatine the applicant, helium didn’t person immoderate inkling astir what was successful store. “How did you conscionable the prospective recipient?” asked the officer.
The antheral nonchalantly muttered that helium met the patient, who was weeping inconsolably, successful the corridor of a backstage infirmary successful the city. He stated that helium was moved by the suffering of the diligent and made the determination to portion with 1 of his kidneys to prevention the patient’s life.
The serviceman didn’t judge a connection of it, but helium gave the requisite clearance. “I knew the antheral was lying. Now, I americium each the much convinced astir my intuition,” recalls the officer, days aft the constabulary reportedly busted an alleged organ commercialized racket pursuing a bid of raids successful antithetic parts of Kerala.
The raids, conducted connected May 8, crossed the State pursuing an quality input, reportedly exposed the details of a netherworld that thrived connected the plight of patients, who were forced to walk their years successful sickbed waiting for organ donors who whitethorn ne'er crook up.
3,462 patients till May 12
To enactment things successful perspective, a full of 3,462 patients were awaiting organ transplants successful the State, according to the information compiled till May 12, 2026. Most of them, 2,566 patients, request kidney transplants, according to authorities sources.
“The accusation we received was astir immoderate DTP centres progressive successful making fake documents, including the letterheads of authorities officials and people’s representatives. But arsenic the probe progressed, we stumbled upon a web progressive successful forging documents to bypass laws that curb amerciable organ donations,” says a constabulary serviceman progressive successful the investigation.
So far, the constabulary person registered 5 cases and arrested 9 people; six from Ernakulam and 3 from Kollam. Those nabbed see a 53-year-old Muhammed Najeeb, the suspected kingpin of the racket, and his woman Rasheeda, 37. Najeeb allegedly has astir 12 transgression cases against him, including a 2017 execution lawsuit registered successful Mangaluru, accidental constabulary officials.
Letterheads of MPs, MLAs
Sunny Varghese, 56, and his woman Sini Varghese, 50, of Kumarapuram who tally a DTP centre, and Sanoj Kuzhikkadan, 32, the proprietor of a photograph studio, were besides picked up by the police. The constabulary accidental they recovered forged documents specified arsenic letterheads of MPs and MLAs, salient hospitals successful Kochi city, laboratory reports and fake seals from 2 shops successful Kunnathunad and the residence of Najeeb. The raids besides led to the apprehension of Sreeja, an alleged agent; Sudheer, her accomplice; and Vinod, a daily-wage worker. Debin Joseph, autochthonal of Marayoor and an alleged middleman who lured financially susceptible radical into the racket, was arrested connected Thursday.
“We person got grounds that Sreeja was successful interaction with Najeeb. Vinod was arranged arsenic a donor by her and her adjutant Sudheer. Vinod has been accused of selling disconnected his kidney,” an serviceman with the Kilikollur constabulary said.
“Najeeb has allegedly forged documents and committed related crimes crossed districts. We are examining the documents and different grounds seized from them. The extent of the transgression volition go wide lone aft analysing the documents,” Ernakulam Rural Police Chief K. S. Sudarshan, who supervises the investigation, says.
Financially susceptible donors
According to the police, the radical identified financially susceptible donors, promised them ample sums of wealth and fabricated documents to bypass the stringent ineligible scrutiny governing organ transplantation.
Kochi City Police Commissioner S. Kaliraj Mahesh Kumar says hospitals could besides travel nether the scanner arsenic the probe progresses. The lawsuit has erstwhile again raised troubling legal, aesculapian and ethical questions surrounding organ donation successful Kerala. The constabulary fishy the web whitethorn person been progressive for astir 3 years.
“So acold we person identified astir 25 instances of kidney transplants from the documents seized from the accused. The transplants were held successful hospitals successful antithetic parts of the State arsenic per Najeeb’s statement. The veracity of each papers needs to beryllium ascertained,” Sudarshan says.
Investigators equate the web to a “money concatenation network” which thrives connected desperation. “Those successful request of transplants find the agents done patients who person already undergone the procedure. Similarly, donors, who request money, are introduced done erstwhile donors known to them,” the serviceman says.
The complaint decided upon
“It is suspected that Najeeb charged astir ₹20 lakh from a recipient and offered ₹5lakh-10 lakh to the donor. He is besides believed to person borne the donor’s aesculapian expenses and made a nett of astir ₹3-₹5 lakh from each case,” different serviceman associated with the probe says.
The constabulary fishy the web whitethorn person forged “non-suitability certificates” and “certificates of altruism” — 2 cardinal safeguards required nether the Transplantation of Human Organs and Tissues Act for organ donations involving unrelated donors. Possible forgery of certificates to beryllium the narration betwixt a donor and recipient is besides being probed.
The instrumentality prefers organ donation from adjacent relatives successful a bid to forestall commercialized exploitation. If the donor is an unrelated person, one should produce the impervious that adjacent household members of the recipient are medically incompatible, unwilling to donate for morganatic reasons oregon adjacent unavailable for donation. This is established done a non-suitability certificate, according to the provisions of the Act.
At the aforesaid time, the unrelated donor indispensable beryllium that the donation is an wholly voluntary 1 motivated by affection oregon humanitarian interest alternatively than fiscal gains. A certificate of altruism becomes important there.
Dr. Unmesh A.K., Head of Forensic Medicine, Government Medical College, Kottayam and subordinate of Kerala State Organ and Tissue Transplant Organisation, hopes that the probe would bring to airy the amerciable practices progressive successful the organ transplantation.
He recalls proceeding eerily akin stories of compassion portion interviewing donors arsenic portion of the District-level Authorisation Committee that considers applications for organ donation successful Ernakulam and Thrissur. “The alleged agents mightiness beryllium exploiting loopholes successful the existing system,” fears Dr. Unmesh.
The ethical dilemma
He besides points to the ethical dilemma implicit a patient’s concern and the genuineness of a donor, which makes it hard for the aesculapian sheet to instrumentality a telephone sometimes. According to him, the lone sustainable solution is to fortify cadaver organ donation and trim dependence connected surviving donors, who are susceptible to fiscal exploitation.
He besides points retired that the cumbersome documentation process progressive successful organ donation sometimes pushes adjacent genuine donors towards middlemen. “Police verification connected non-related donors has to beryllium made mandatory arsenic aesculapian panels whitethorn not ever beryllium capable to independently verify the certificates oregon the identities that travel earlier them,” Dr. Unmesh suggests.
Dr. Mathew Jacob, pb transplant surgeon with a backstage infirmary successful Kochi, says the doctors sometimes cannot verify each claims of a donor arsenic “some of them travel well-tutored and their stories would dependable genuine.”
“There is simply a immense shortage of organs pledged for donation and patients are hopeless to get a transplant done somehow. The authorisation committees tin cross-check the authenticity of a papers with the authorization which issued it, including the police. I’m not definite if that is happening each time,” helium notes. On hospitals coming nether a unreality each clip specified allegations arise, the surgeon says, “It is not hard for the constabulary to find retired if immoderate infirmary is progressive successful amerciable transplants.”
Hussain Koya Thangal, president of the Kerala Private Hospital Association, maintains that the forum has not discussed the latest allegations and investigations into amerciable organ donation.
Vinu V. Nair. State secretary, Liver Foundation of Kerala, a forum of astir 3,000 organ donors and recipients, believes that much murky deals than the revealed ones are definite to look if the cases are profoundly probed.
‘Agents, the existent culprits’
“The existent culprits successful the ecosystem are the agents. They often enactment from the premises of hospitals and scope retired to those successful request of transplants. While elaborate documentation needs to beryllium implicit for the organ donation, strict scrutiny by the constabulary is indispensable to observe fake documents and mendacious testimonies,” Mr. Nair says. The instauration besides calls for promoting cadaver donation and is readying a State-wide run titled ‘Athmanalam’ with that intention.
Shyam Padman, a Kochi-based lawyer, notes that the “‘rackets thrive successful the tract due to the fact that the ineligible requirements for organ donation are stricter.” “It seems the instrumentality governing organ donation looks astatine each lawsuit with an constituent of suspicion. A legislative involution is required to marque the process of donation much transparent and a hassle-free affair. Also, erstwhile cadaver donation becomes normalised, determination volition not beryllium immoderate rackets,” helium opines.
For the recipients, who opt for the amerciable route, immoderate hazard is worthy taking erstwhile it comes to a beingness and decease situation. And, the amerciable operators exploit the impulse of the hapless patients to survive.

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