On an ordinary weekday at the shrine of Shah Dola in the Punjabi city of Gujrat, hundreds of worshippers come to celebrate the life of one of Pakistan's most revered Sufi saints.
Some choose to show their respect by dancing wildly - in a state of ecstasy.
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| Women unable to conceive come to pray at the temple |
According to a legend dating back hundreds of years a woman who's unable to conceive will become fertile by offering prayers here. But at a price.
The couple can expect their first-born to be handicapped - a rat child with a tiny head. And it must be handed over to the shrine.
The legend is very much alive. One woman, who had come to pray for a son, said God would punish anyone who did not honour their commitment.
Deliberately deformed
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| "Rat children" grow up with mental and physical handicaps |
Many of the children handed over to the shrine or those claiming to represent it end up on the streets.
At the main bus-stand in Gujrat we quickly came across a group of several rat-children with their owners.
They all have the distinctive shrunken heads; they're severely handicapped and can't even speak.
With their owners close behind, they approach passengers sitting in their minibuses waiting to leave. They demand money and they get it.
High value beggars
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| It is widely believed that the handicapped are closer to god |
Anusheh Hussain, head of Sahil, an organisation fighting against child exploitation in Pakistan says the rat-children can be sold for large sums of money:
"One has heard that these children are sold from anywhere between 40,000 - which is approximately 10 dollars - to 80,000 rupees per child" she says. "On average they will be able to make, through begging, around 400 to 500 rupees a day, which makes it a very lucrative business considering that's twice the amount a civil servant makes."
Healthy babies
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| There is suspicion that healthy babies are deformed and sold for begging |
Pirzada Imtiaz Syed, a trade union leader based in Gujrat, he says he has heard of many cases of abuse:
"I have not seen this myself but I have heard from many people that they use iron rings which are placed on the baby's head to stop it growing. I believe there are about 10,000 rat children in Pakistan controlled by a mafia of beggars who are all over the country. These children are also physically and sexually abused."
Medieval contraptions
The allegation that the children are being deformed using medieval contraptions is of course denied by those associated with the shrine in Gujrat. They say the rat-children are suffering from a genetic disease.
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| Dr Qasim Mehdi: theories of genetic disease are medically impossible |
"In order for a disease to be genetically inherited you have to have a disease running in the family" he says.
"The point is that these children are not related to one another by any stretch of the imagination. Our investigation shows that they come from very different backgrounds, from very different families. So if there is no blood relationship between any two individuals and between even an incident where a father or son or uncle was involved, it cannot be a genetically inherited disease."
'Crime against humanity'
The government says it is very concerned but claims that, following action by the authorities in the 1980s, the gangs operating at the shrine were removed and there are now no children being deliberately deformed in this way.
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| The government says children are no longer being deliberately deformed |
"We will certainly go after these people" he says, "they are criminals and if you can give me any idea as to their whereabouts then we can ask the police to investigate. It's a crime against humanity."
![[ image: Women unable to conceive come to pray at the temple]](http://news.bbc.co.uk/olmedia/120000/images/_122670_women_praying_at_temple_150_29-06-1998_grab.jpg)

![[ image: It is widely believed that the handicapped are closer to god]](http://news.bbc.co.uk/olmedia/120000/images/_122670_rat_child_on_street3_150_29-06-1998.jpg)
![[ image: There is suspicion that healthy babies are deformed and sold for begging]](http://news.bbc.co.uk/olmedia/120000/images/_122670_baby_and_mother_150_grab_29-06-1998.jpg)
![[ image: Dr Qasim Mehdi: theories of genetic disease are medically impossible]](http://news.bbc.co.uk/olmedia/120000/images/_122670_Dr_Qasim_Mehdi_150_grab_29-06-1998.jpg)
![[ image: The government says children are no longer being deliberately deformed]](http://news.bbc.co.uk/olmedia/120000/images/_122670_rat_child_dancing_150_grab_19-06-1998.jpg)