Nepal's tourism industry is grappling with a major fraud scandal involving trekking guides who allegedly poisoned tourists to simulate altitude sickness. According to Nepal Police, between 2022 and 2025, guides added baking soda to tourists' food and drinks, causing symptoms that mimicked real altitude sickness. This deception pressured tourists into costly helicopter evacuations, resulting in fraudulent insurance claims totaling at least $19.69 million. Investigators revealed that hospitals, such as Swacon International Hospital and Era International Hospital, colluded with guides and helicopter operators, sharing kickbacks from the inflated claims. The scam was uncovered following a citizen complaint in late 2025, prompting an investigation by Nepal's Central Investigation Bureau. By March 12, 2026, 32 individuals were charged in Kathmandu District Court with organized crime and fraud. This incident raises serious concerns about tourist safety and the integrity of the trekking industry, especially as the Everest climbing season approaches.