Irfan Masih, a Christian sanitation worker, died at a hospital in Sindh on 1 June after he was refused treatment by the duty doctors. Sanitation jobs are considered 'unclean' and are often reserved for religious minorities. He fell unconscious after inhaling toxic fumes from a manhole he was cleaning without using protective equipment. When he arrived at the hospital he was covered in sludge. The doctors refused to treat him because he was unclean, and asked family members to clean his body first. Then the oxygen cylinder which was ordered was found to be empty, and before another could be delivered, Mr Masih died. The Christian community in Pakistan faces widespread institutional discrimination in religious, societal, economic and political spheres. Many Christians are employed in ‘unclean’ occupations, and employers have been accused of allowing them to work in highly dangerous conditions with little or no protective gear. Three hospital employees and three employees of the local municipal committee have been arrested. The staff allege that Mr Masih was already dead when he was brought to the hospital.