‘S’ (M13) is a 29-year old migrant worker from Thanjavur, India, who worked in Singapore for 4.5 years in both the construction & waste management industries. ‘S’ recently returned to India for treatment after a diagnosis at SGH revealed that he was suffering from end stage renal failure (ESRF). He received this diagnosis after visiting the hospital for blurred vision and while admitted at SGH he was informed that his kidney disease was at Stage 5 (end stage) and that he was in need of immediate dialysis to prolong his life.