The Brutality of Sugar: Debt, Child Marriage and Hysterectomies

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But a New York Times and Fuller Project investigation has found that these brands have also profited from a brutal system of labor that exploits children and leads to the unnecessary sterilization of working-age women.

In addition to the short-term risks of abdominal pain and blood clots, a hysterectomy is often accompanied by the removal of the ovaries, which brings about early menopause, raising the chance of heart disease, osteoporosis and other ailments.

Our reporters interviewed people at every stage of the supply chain, including dozens of laborers, contractors, mill owners and former executives at multinational companies.

On a given day, the waiting room is crowded with patients from the countryside sitting nervously on metal chairs or cross-legged on the floor as a loudspeaker blares out names.

She lives in a tiny concrete home atop a hill, overlooking her village and acres of farmland that turns the color of mustard seeds during the dry months.

Contractors, too, have an incentive to find brides, even if it means pressuring parents to marry off young daughters, said Tatwashil Baburao Kamble, the former head of Beed’s child-welfare committee.

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