Thursday, October 6, 2011

India Leads the World in Open Defecation

India's rivers have been turned into open sewers by 638 million Indians without access to toilets, according to rural development minister Jairam Ramesh. He was reacting a UNICEF report that says Indians make up 58% of the world population which still practices open defection, and the sense of public hygiene in India is the worst in South Asia and the world.



India(638m) is followed by Indonesia (58m), China (50m), Ethiopia (49m), Pakistan (48m), Nigeria (33m) and Sudan (17m). In terms of percentage of each country's population resorting to the unhygienic practice, Ethiopia tops the list with 60%, followed by India 54%, Nepal 50%, Pakistan 28%, Indonesia 26%, and China 4%.

18 percent of urban India still defecates in open while the percentage of rural India is as high as 69 percent of the population. It is the key reason why India carries among the highest infectious disease burdens in the world.

The number of open defecators in rural India alone is more than twice those in the whole of sub-Saharan Africa, according to a report by DFID, the UK's Department for International Development.

The World Bank has estimated that open defecation costs India $54 billion per year or $48 per head. This is more than the Government of India’s entire budget for health.

The UNICEF report says that with only four more years to go until 2015, a major leap in efforts and investments in sanitation is needed to reach the targets of Millennium Development Goals.

After the embarrassing headlines, it appears that Minister Ramesh is ready to step up the efforts to improve sanitation. He is quoted by Times of India as saying that "we are going to focus now on `nirmal gram abhiyan' -- today 25,000 nirmal grams are a tiny fraction of 6 lakh villages. These nirmal grams are in Maharashtra and Haryana. Maharashtra is a success of social movements while Haryana an example of determined state government action."


Here's a video report on open defecation in Mumbai, India:

https://youtu.be/pUNm_A1z2BM




Here's a video clip of Indian environment minister Jairam Ramesh saying "if there was a Nobel Prize for dirt and filth, India would win it hands down":




Related Links:

Haq's Musings

Fixing Sanitation Crisis in India

Food, Clothing and Shelter in India and Pakistan

Heavy Disease Burdens in South Asia

Peepli Live Destroys Indian Myths

India After 63 Years of Independence

Poverty Across India 2011

India and Pakistan Contrasted

31 comments:

sumanbasu said...

ok. India is the filthiest, dirtiest, most corrupt country in the world with hungriest, ugliest people performing the most brutal cast and religious practices.

Pakistan must be heaven compared to the hell-hole called India.

Then why do you need to reemphasize it every day, sir?
Should it not be evident?

Riaz Haq said...

Bollywood star Shahrukh Khan to champion sanitation campaign in India, reports The Guardian:

Sanitation and hygiene are sensitive and unpopular subjects, but funding them is essential to fighting disease, ensuring basic rights and meeting millennium development goals.

It is hardly the most glamorous role for Shah Rukh Khan, yet "the king of Bollywood" has agreed to lend his name to the cause of sanitation and hygiene, the laggards in the millennium development goals.

Basic sanitation, covering subjects such as toilets, latrines, handwashing and waste, is not an MDG in its own right, instead falling under MDG7 on ensuring environmental sustainability. But sanitation and hygiene have been the poor cousins in the global Wash (water, sanitation and hygiene) work and programmes, outfunded by as much as 13 to one, even though it could be argued that most water-related diseases are really sanitation-related diseases.

As the UN secretary general, Ban Ki-moon, said in June, sanitation is a sensitive and unpopular subject, so it is unsurprising it fails to garner much public or official attention – although the UN declared access to water and sanitation a fundamental right in 2010 and there is a UN rapporteur on the human right to safe drinking water and sanitation.
----------
The problem is stark. As many as 1.2 billion people practice what the UN politely describes as "open defecation". They go to the toilet behind bushes, in fields, in plastic bags or along railway tracks. The practice poses particular problems for women and girls, who can be subject to physical and verbal abuse or humiliation. Sexual harassment and rape are also a risk for women who wait until dark to relieve themselves.

There is a link between sanitation and girls' education as well. Separate toilets at school mean more girls are likely to attend in the first place, and more are likely to stay on after puberty to complete their education. The UN's Water Supply and Sanitation Collaborative Council (WSSCC), based in Geneva, suggests that some money from education budgets should go towards providing toilets for students and teachers, with separate facilities for girls, to maximise the impact of the increase in education spending.

Better sanitation would also save lives, as 1.6 million children die every year from diarrhoea, a disease that could be prevented with clean water and basic sanitation. The UN says improving the disposal of human waste can reduce illness due to diarrhoea by 34%. When combined with hand-washing, this impact can be doubled.

As Timeyin Uwejamomere wrote on the Poverty Matters blog this week, a lack of basic toilets and waste management is a severe public health hazard, especially in a dense urban environment where diseases like cholera can spread like wildfire. He noted that in sub-Saharan Africa more children die from diarrhoeal diseases caused by a lack of sanitation and safe water than they do from measles, HIV and Aids, and malaria combined.
-------
In a sign that sanitation is receiving greater attention, the WSSCC is holding its first-ever global forum on sanitation and hygiene, starting on Sunday in Mumbai, bringing together activists, business leaders, health professionals and governmental officials. This follows a drive launched by the UN in June to accelerate progress towards the goal of halving, by 2015, the proportion of the population without access to basic sanitation.

Indicative of the increasing focus on water, sanitation and hygiene, the UK's Department for International Development is increasing bilateral aid on the problem. Based on Guardian analysis, spending will go up to £113.8m by 2014-15 from £82.9m in 2010-11, a 32% rise. So hats off to Shah Rukh Khan for his willingness to sign on to the Wash cause.

Najam said...

At Muzdalafa,they have now built many many decent toilets.But on my last Hujj,back in 1997 with some friends,at Muzdalfa ,late at night I noticed 2 Huge Sudanese men and women releasing their pressure few yards away from our temporary resting place
What are they doing? My wife asked.
Never mind,let's move from here .

Riaz Haq said...

Najam,

I think what you saw is the little league compared to the big league of open defecation in India.

Here's a Bloomberg report on sanitation in India:

Until May 2007, Meera Devi rose before dawn each day and walked a half mile to a vegetable patch outside the village of Kachpura to find a secluded place.

Dodging leering men and stick-wielding farmers and avoiding spots that her neighbors had soiled, the mother of three pulled up her sari and defecated with the Taj Mahal in plain view.

With that act, she added to the estimated 100,000 tons of human excrement that Indians leave each day in fields of potatoes, carrots and spinach, on banks that line rivers used for drinking and bathing and along roads jammed with scooters, trucks and pedestrians. Devi looks back on her routine with pain and embarrassment.

“As a woman, I would have to check where the males were going to the toilet and then go in a different direction,” says Devi, 37, standing outside her one-room mud-brick home. “We used to avoid the daytimes, but if we were really pressured, we would have to go any time of the day, even if it was raining. During the harvest season, people would have sticks in the fields. If somebody had to go, people would beat them up or chase them.”

In the shadow of its new suburbs, torrid growth and 300- ­million-plus-strong middle class, India is struggling with a sanitation emergency. From the stream in Devi’s village to the nation’s holiest river, the Ganges, 75 percent of the country’s surface water is contaminated by human and agricultural waste and industrial effluent. Everyone in Indian cities is at risk of consuming human feces, if they’re not already, the Ministry of Urban Development concluded in September.

Economic Drain

Illness, lost productivity and other consequences of fouled water and inadequate sewage treatment trimmed 1.4-7.2 percent from the gross domestic product of Cambodia, Indonesia, the Philippines and Vietnam in 2005, according to a study last year by the World Bank’s Water and Sanitation Program.

Sanitation and hygiene-related issues may have a similar if not greater impact on India’s $1.2 trillion economy, says Guy Hutton, a senior water and sanitation economist with the program in Phnom Penh, Cambodia. Snarled transportation and unreliable power further damp the nation’s growth. Companies that locate in India pay hardship wages and ensconce employees in self- sufficient compounds.

http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aErNiP_V4RLc&refer=exclusive

Moazzam said...

Riaz & Najm:

Amusing!

At least they have learnt how to shun any "mischief".

May be that's why they are next in line for the "super power" slot!

Riaz Haq said...

Moazzam,

India is home to the world's largest population of poor, hungry, illiterate and sick people after 64 years of independence.

I can't imagine a superpower with the excessive baggage of hunger, poverty, illiteracy and disease that India has.

http://www.riazhaq.com/2010/08/63-years-after-independence-india.html

Hopewins said...

Dr. Haq,

Our Pakistani Parliamentarians recently visited India (East Punjab).

And exactly as you have always maintained, they were SHOCKED to see widespread open defecation! Ha!

QUOTE on Page 4: "It was shocking to see so many people defecating on the roadside, and with an abandon that was somehow difficult to imagine for Pakistanis..."

Here is the article:
http://www.rediff.com/news/slide-show/slide-show-1-a-pakistani-s-first-hand-experience-in-india/20121023.htm

Riaz Haq said...

Here's a Reuters' piece on absence of hygiene in India:

My Indian friends and I joke around a lot about me as the typical white American guy visiting India. Cows! Con men! Colors! Most people I’ve met in India have restricted their reactions to my westerner-in-the-east experiences to gentle teasing. When I stuck a picture of a man urinating in public on my Facebook page, calling it one more picture of what you see everywhere you go in India, people weren’t as patient. What was I doing? Insulting the nation? Focusing on the ugly because it’s what all the westerners do when they visit India? Why does India provoke such visceral reactions in visitors?

Public urination, public defecation, dirt, garbage, filth, the poor living on the street — talking about these things, even acknowledging that they’re in front of your face, risks making your hosts unhappy, and possibly angry. It’s the third rail of India, and the voltage can be lethal. That’s why I was surprised when B.S. Raghavan decided to touch it with all 10 fingers.

Raghavan’s column in The Hindu Business Line newspaper begins with this headline: Are Indians by nature unhygienic?

Consider these excerpts:

From time to time, in their unguarded moments, highly placed persons in advanced industrial countries have burst out against Indians for being filthy and dirty in their ways of life. A majority of visitors to India from those countries complain of “Delhi belly” within a few hours of arrival, and some fall seriously ill.

There is no point in getting infuriated or defensive about this. The general lack of cleanliness and hygiene hits the eye wherever one goes in India — hotels, hospitals, households, work places, railway trains, airplanes and, yes, temples. Indians think nothing of spitting whenever they like and wherever they choose, and living in surroundings which they themselves make unliveable by their dirty habits. …

Open defecation has become so rooted in India that even when toilet facilities are provided, the spaces round temple complexes, temple tanks, beaches, parks, pavements, and indeed, any open area are covered with faecal matter. …

Even as Indians, we are forced to recoil with horror at the infinite tolerance of fellow Indians to pile-ups of garbage, overflowing sewage, open drains and generally foul-smelling environs.

There’s plenty more that you can read in that story, but I’ll direct you to the article. I’ll also ask you some questions:

Some people say you shouldn’t point out these problems, and that every country has problems. Do you agree with this statement? Why?
Does anyone disagree with Raghavan’s descriptions of these sights and smells?
Is this even a problem? Or should people get used to it?
Should visitors, especially ones from countries where people are generally wealthier, say nothing, and pretend that they don’t see unpleasant things?

As for me, I can say this: I got used to it, but I would be lying if I said I didn’t notice it. Indians notice it too. Otherwise, people wouldn’t suggest public shaming campaigns against people urinating in public, they wouldn’t threaten fines for doing it, and they wouldn’t respond with relief to plans to finally make sure that toilets on India’s trains don’t open directly onto the tracks. Of course, these are people in India. It’s a family, taking care of business the family way.

As for me, the message usually seems to be: “If you don’t love it, leave it.” It would be nice if there were some other answer. Acknowledging problems, even ones that are almost impossible to solve, makes them easier to confront.


http://blogs.reuters.com/india/2012/11/17/indians-inherently-unhygienic-indian-writer-touches-third-rail/

Riaz Haq said...

Here's a Time magazine story of a finding that Indian children's exceptionally short heights are attributable to poor sanitation in India, not malnutrition:

Children in India are exceptionally short, with their stunted growth historically attributed to malnutrition. However, new evidence is suggesting that food, or lack of it, is not the cause. Noticing that Indian children were smaller than their counterparts in Sub-Saharan Africa — who are, on average, poorer and hence less well fed — researchers have been coming to the conclusion that diseases stemming from poor sanitation are more to blame than diet.

More than half of India’s population — over 600 million people — do not use a toilet because sanitation is inaccessible or unaffordable. At the same time 61.7 million Indian children are stunted, the highest prevalence in the world.

The atrocious hygiene that results from widespread lack of sanitation is made worse by the density of the population. With large numbers of people openly defecating, fecal-oral-transmitted infections are common, leading to diarrhea, with such diseases draining growing children of vital nutrients. Growing up in environments teeming with fecal pathogens has a permanently debilitating effect, experts say. Overtime, a large build-up of fecal germs in the body can also manifest as severe intestinal diseases.

Last month, a group of economists, epidemiologists, pediatricians and nutritionists gathered at a conference in New Delhi to push for recognition of poor sanitation as the cause of child stunting in India. “It was striking that each of them [participants] had something to say about sanitation being important for child health,” Sangita Vyas, of the Research Institute for Compassionate Economics, which coorganized the meeting, told TIME. Such claims emerge at a time when the results of a massive government survey into the availability of sanitation have become available and converged with long-standing epidemiological literature.

Rural Indians remain hard to convince that this is a health epidemic, researchers say, because stunting creeps through communities, affects “everybody on average” and there are “no real dramatic cases,” Princeton University economist Dean Spears, who is currently at the Delhi School of Economics, told TIME. “The sorts of dramatic tragedies that persuade people [to change] don’t happen,” he says.

(MORE: Are Toilets a Feminist Issue? Why the Burden of Bad Sanitation Falls on Women)

A few years ago, a government sanitation program was implemented in half of 60 villages in Ahmednagar, Maharashtra, Western India. After the program, Spears and fellow economist Jeff Hammer found on average, that the height of children in the experimental group had increased by about one centimeter, relative to those in the 30 villages where the program had not been introduced.

“Widespread child-stunting in India is a human development emergency,” Spears says. “It matters for everybody.”


http://world.time.com/2013/09/09/poor-sanitation-not-malnutrition-may-be-to-blame-for-indias-notoriously-stunted-children/

Riaz Haq said...

Here's a NY Times report on salmonella contamination of Indian spices exported to US:

...The United States Food and Drug Administration will soon release a comprehensive analysis that pinpoints imported spices, found in just about every kitchen in the Western world, as a surprisingly potent source of salmonella poisoning.

In a study of more than 20,000 food shipments, the food agency found that nearly 7 percent of spice lots were contaminated with salmonella, twice the average of all other imported foods. Some 15 percent of coriander and 12 percent of oregano and basil shipments were contaminated, with high contamination levels also found in sesame seeds, curry powder and cumin. Four percent of black pepper shipments were contaminated.

Each year, 1.2 million people in the United States become sick from salmonella, one of the most common causes of food-borne illness. More than 23,000 are hospitalized and 450 die. Symptoms include diarrhea, fever and abdominal cramps that begin 12 to 36 hours after infection and can last three to five days. Death can result when infection spreads from the intestines to the bloodstream and affects vital organs. Infants and older people are most at risk.

Mexico and India had the highest share of contaminated spices. About 14 percent of the samples from Mexico contained salmonella, the study found, a result Mexican officials disputed.

India’s exports were the second-most contaminated, at approximately 9 percent, but India ships nearly four times the amount of spices to the United States that Mexico does, so its contamination problems are particularly worrisome, officials said. Nearly one-quarter of the spices, oils and food colorings used in the United States comes from India.

The findings, the result of a three-year study that F.D.A. officials have on occasion discussed publicly and recently published in the journal Food Microbiology, form an important part of the spice analysis that will be made public “soon,” agency officials said.

“Salmonella is a widespread problem with respect to imported spices,” Michael Taylor, deputy F.D.A. commissioner for food, said in an interview. “We have decided that spices are one of the significant issues we need to be addressing right now.”

Westerners are particularly vulnerable to contaminated spices because pepper and other spices are added at the table, so bacterial hitchhikers are consumed live and unharmed. Bacteria do not survive high temperatures, so contaminated spices present fewer problems when added during cooking, as is typical in the cuisine of India and most other Asian countries.
-------------
Salmonella can survive indefinitely on dried spices, and killing the bacterium on the craggy surface of dried peppercorns without ruining their taste is especially challenging.

Government officials in India emphasized in interviews that spices slated for export are often treated to kill any bacteria. Such treatments include steam-heating, irradiation or ethylene oxide gas. But F.D.A. inspectors have found high levels of salmonella contamination in shipments said to have received such treatments, documents show. Much of the contaminated pepper in the 2010 outbreak had been treated with steam and ethylene oxide and had been certified as tested and safe, officials said.

At another spice farm, in the village of Chemmanar, Bipin Sebastian is in the midst of a four-year transition to organic farming in hope of earning a premium price for his pepper, cloves, cardamom, turmeric and coffee. Mr. Sebastian says he has used government subsidies to buy tarps, netting and a machine thresher.

“We used to put our pepper directly on the ground,” Mr. Sebastian said. “Now, we put down tarps and netting over it to protect it from the birds. And I’ve been getting a higher price. It’s been great.”


http://www.nytimes.com/2013/08/28/world/asia/farmers-change-over-spices-link-to-food-ills.html

UNICEFIndia said...

In #India, >620m defecate in open - half the pop! Step forward @UNICEFIndia's inspired #poo2loo campaign http://uni.cf/17hVUrr #toilets4all

Riaz Haq said...

@UNICEFIndia Is Inviting #India to a Poo Party #IndiaElections #Sanitation #hygiene #Toilettes https://news.vice.com/articles/unicef-is-inviting-india-to-a-poo-party … via @vicenews

Anonymous said...

From World Health Organization:

Countries that account for almost three-quarters of the people who practice open defecation:
India (626 million)
Indonesia (63 million)
Pakistan (40 million)
Ethiopia (38 million)
Nigeria (34 million)
Sudan (19 million)
Nepal (15 million)
China (14 million)
Niger (12 million)
Burkina Faso (9.7 million)
Mozambique (9.5 million)
Cambodia (8.6 million).
India
with 626 million people who practice open defecation, has more than twice the number of the next 18 countries combined;
accounts for 90 per cent of the 692 million people in South Asia who practice open defecation;
accounts for 59 per cent of the 1.1 billion people in the world who practice open defecation;
has 97 million people without access to improved sources of drinking water, second only to China.


http://www.who.int/water_sanitation_health/monitoring/jmp2012/fast_facts/en/

Riaz Haq said...

NY Times: India's malnutrition and stunting due to poor sanitation.


SHEOHAR DISTRICT, India — He wore thick black eyeliner to ward off the evil eye, but Vivek, a tiny 1-year-old living in a village of mud huts and diminutive people, had nonetheless fallen victim to India’s great scourge of malnutrition.

His parents seemed to be doing all the right things. His mother still breast-fed him. His family had six goats, access to fresh buffalo milk and a hut filled with hundreds of pounds of wheat and potatoes. The economy of the state where he lives has for years grown faster than almost any other. His mother said she fed him as much as he would eat and took him four times to doctors, who diagnosed malnutrition. Just before Vivek was born in this green landscape of small plots and grazing water buffalo near the Nepali border, the family even got electricity.

So why was Vivek malnourished?

It is a question being asked about children across India, where a long economic boom has done little to reduce the vast number of children who are malnourished and stunted, leaving them with mental and physical deficits that will haunt them their entire lives. Now, an emerging body of scientific studies suggest that Vivek and many of the 162 million other children under the age of 5 in the world who are malnourished are suffering less a lack of food than poor sanitation.

Two years ago, Unicef, the World Health Organization and the World Bank released a major report on child malnutrition that focused entirely on a lack of food. Sanitation was not mentioned. Now, Unicef officials and those from other major charitable organizations said in interviews that they believe that poor sanitation may cause more than half of the world’s stunting problems.

“Our realization about the connection between stunting and sanitation is just emerging,” said Sue Coates, chief of water, sanitation and hygiene at Unicef India. “At this point, it is still just an hypothesis, but it is an incredibly exciting and important one because of its potential impact.”

This research has quietly swept through many of the world’s nutrition and donor organizations in part because it resolves a great mystery: Why are Indian children so much more malnourished than their poorer counterparts in sub-Saharan Africa?

A child raised in India is far more likely to be malnourished than one from the Democratic Republic of Congo, Zimbabwe or Somalia, the planet’s poorest countries. Stunting affects 65 million Indian children under the age of 5, including a third of children from the country’s richest families.....
-------
No Indian city has a comprehensive waste treatment system, and most Indian rivers are open sewers as a result. But Varanasi, India’s oldest and holiest city, is so awash in human waste that its decrepit condition became a national issue in recent elections. The city’s sewage plants can handle only about 20 percent of the sewage generated in the city, said Ramesh Chopra of Ganga Seva Abhiyanam, a trust for cleaning the river. The rest sloshes into the Ganges or fetid ponds and pits.

Millions of pilgrims bathe in the Ganges along Varanasi’s ancient riverfront, but a stream of human waste — nearly 75 million liters per day — flows directly into the river just above the bathing ghats, steps leading down to the river. Many people wash or brush their teeth beside smaller sewage outlets.

Much of the city’s drinking water comes from the river, and half of Indian households drink from contaminated supplies.

“India’s problems are bigger than just open defecation and a lack of toilets,” Dr. Laxminarayan said.


http://www.nytimes.com/2014/07/15/world/asia/poor-sanitation-in-india-may-afflict-well-fed-children-with-malnutrition.html?_r=0

Riaz Haq said...

#Pakistan improving sanitation way faster than #India: Study - The Economic Times http://ecoti.ms/7idC2a

NEW YORK: Pakistan has left India far behind in terms of improving water and sanitation access for their citizens, reveals a new performance index released on Friday.

While Pakistan was ranked five in the new index developed by The Water Institute at the University of North Carolina at Chapel Hill's Gillings School of Global Public Health in the US, India occupied an unenviable 92nd position.

High performers also included China, El Salvador, Niger, Egypt, and Maldives. Russia, the Philippines and Brazil on the other hand, were low performers.


The index compares countries regardless of size and income level. By use this method the report deduced that a country’s gross domestic product does not determine performance in improving water and sanitation access for its citizens.

“This means that even countries with limited resources can make great strides if they have the right programmes in place,” said co-author of the report Jamie Bartram, director of The Water Institute at UNC.

“National governments, NGOs, and aid agencies can direct their resources toward building systems and capacity for action in countries that are lagging, and toward implementation where those capacities are in place and performing,” Bartram noted.

Read more at:
http://economictimes.indiatimes.com/articleshow/47212815.cms

Riaz Haq said...

#Pakistan improving sanitation way faster than #India: Study - The Economic Times http://ecoti.ms/7idC2a

NEW YORK: Pakistan has left India far behind in terms of improving water and sanitation access for their citizens, reveals a new performance index released on Friday.

While Pakistan was ranked five in the new index developed by The Water Institute at the University of North Carolina at Chapel Hill's Gillings School of Global Public Health in the US, India occupied an unenviable 92nd position.

High performers also included China, El Salvador, Niger, Egypt, and Maldives. Russia, the Philippines and Brazil on the other hand, were low performers.


The index compares countries regardless of size and income level. By use this method the report deduced that a country’s gross domestic product does not determine performance in improving water and sanitation access for its citizens.

“This means that even countries with limited resources can make great strides if they have the right programmes in place,” said co-author of the report Jamie Bartram, director of The Water Institute at UNC.

“National governments, NGOs, and aid agencies can direct their resources toward building systems and capacity for action in countries that are lagging, and toward implementation where those capacities are in place and performing,” Bartram noted.

Read more at:
http://economictimes.indiatimes.com/articleshow/47212815.cms

Riaz Haq said...

The WaSH Performance Index is the sum of country performance values in the following components: water access, water equity, sanitation access, and sanitation equity.
Among most top performing countries, neither water nor sanitation dominated the overall Index value, suggesting improvements in water and sanitation do not necessarily come at the expense of the other.
Among the most populated countries in the world, Pakistan, China, and Nigeria were top performers (ranked 5, 11, and 18 respectively). Conversely, Russia, the Philippines and India were bottom performers (ranked 72, 83, and 92 respectively).
The WaSH Performance Index is the sum of country performance values in the following components: water access, water equity, sanitation access, and sanitation equity. Each of the components ranges from -1 to 1 meaning the overall WaSH index value can range from -4 to 4.


Top and bottom performing countries
The top ten and bottom ten countries are a surprising group. Low levels of coverage are often clustered in certain regions – for example, water access is low in sub-Saharan Africa while sanitation access is low in South and Southeast Asia. In contrast, performance values appear to be spread widely within regions. This suggests that country-specific factors, such as the enabling environment, may be driving performance and regions as a whole are not constrained to perform poorly.

Among countries with top ten values, two are low income, five are lower middle income and three are upper middle income. Among countries with bottom ten values, three are low income, five are lower middle income, and two are upper middle income. Top performing countries are located in all world regions with the most from South Asia (n = 4) and Sub-Saharan Africa (n = 2). Among bottom ten countries, three are from East Asia and the Pacific, and four are from Sub-Saharan Africa. A few countries are under-represented in the JMP data sets that we used, notably highly industrialized countries with very high coverage rates (as data may not be collected) and small island developing nations (as few have nationally representative household surveys).


Among the most populated countries in the world, Pakistan, China, and Nigeria were top performers (ranked 5, 11, and 18 respectively). Russia, the Philippines and India were bottom performers (ranked 72, 83, and 92 respectively).

Trends in performance
Tables 8 and 9 show the trend of components for the top ten and bottom ten countries. Six of the top ten have improving trends over time for all components. Conversely, seven of the bottom ten have an unchanged or deteriorating trend for all components. Tables 6 through 9 show that among most top performing countries, neither water nor sanitation components dominated the overall Index value, suggesting improvements in water and sanitation do not necessarily come at the expense of the other.

http://waterinstitute.unc.edu/wash-performance-index-report/

Riaz Haq said...

#American Diplomat calls #Tamils, an #India ethnic group 'dark', 'dirty' http://www.nydailynews.com/news/world/u-s-diplomat-enrages-members-indian-ethnic-group-calling-dark-dirty-speech-article-1.948348 …

A U.S. diplomat's remarks calling Indian Tamils "dark" and "dirty" has national leaders calling for her to be expelled from the country.

Maureen Chao, an American consul diplomat in India, shocked students at SRM University in southern India Friday when she recounted her first trip to the country in 1989.

"I was on a 24-hour trip from Delhi to Orissa. But, after 72 hours, the train still did not reach the destination...and my skin became dirty and dark like the Tamilians," Chao told students, according to the Hindustan Times.

Chao's comments enraged the Tamil community, an Indian ethnic group, with leaders calling for her to be kicked out of the country.

"This remark which smacks of racism is highly condemnable," said Tamil Nadu Chief Minister Jayalalithaa in a letter to the U.S. consul obtained by The Hindu.

"I would like to request you to impress upon Ms. Maureen Chao that she has to withdraw this remark and also apologize for having made such a comment on the Tamils," Jayalalithaa said.

Other political groups, including the Communist Party of India, called for Chao's withdrawal from the consulate.

"The ministry of foreign affairs should call her in person to express its opposition and expel her immediately from the country," said S. Ramadoss, founder of the PMK political group, to the Times of India.

The U.S. Consulate immediately issued an apology of sorts following the uproar over Chao's comments but did not indicate whether she would remain in her assignment.

"Ms. Chao made an inappropriate comment," read a post on the consulate's website. "Ms. Chao deeply regrets if her unfortunate remarks offended anyone, as that was certainly not her intent."

Chao did not outright say she was sorry for what she said.
`

Riaz Haq said...

#India: inherently unhygienic? #Indian writer touches third rail http://reut.rs/1pa6d7h via @Reuters

My Indian friends and I joke around a lot about me as the typical white American guy visiting India. Cows! Con men! Colors! Most people I’ve met in India have restricted their reactions to my westerner-in-the-east experiences to gentle teasing. When I stuck a picture of a man urinating in public on my Facebook page, calling it one more picture of what you see everywhere you go in India, people weren’t as patient. What was I doing? Insulting the nation? Focusing on the ugly because it’s what all the westerners do when they visit India? Why does India provoke such visceral reactions in visitors?

Public urination, public defecation, dirt, garbage, filth, the poor living on the street — talking about these things, even acknowledging that they’re in front of your face, risks making your hosts unhappy, and possibly angry. It’s the third rail of India, and the voltage can be lethal. That’s why I was surprised when B.S. Raghavan decided to touch it with all 10 fingers.

Raghavan’s column in The Hindu Business Line newspaper begins with this headline: Are Indians by nature unhygienic?

Consider these excerpts:

From time to time, in their unguarded moments, highly placed persons in advanced industrial countries have burst out against Indians for being filthy and dirty in their ways of life. A majority of visitors to India from those countries complain of “Delhi belly” within a few hours of arrival, and some fall seriously ill.

There is no point in getting infuriated or defensive about this. The general lack of cleanliness and hygiene hits the eye wherever one goes in India — hotels, hospitals, households, work places, railway trains, airplanes and, yes, temples. Indians think nothing of spitting whenever they like and wherever they choose, and living in surroundings which they themselves make unliveable by their dirty habits. …

Open defecation has become so rooted in India that even when toilet facilities are provided, the spaces round temple complexes, temple tanks, beaches, parks, pavements, and indeed, any open area are covered with faecal matter. …

Even as Indians, we are forced to recoil with horror at the infinite tolerance of fellow Indians to pile-ups of garbage, overflowing sewage, open drains and generally foul-smelling environs.

There’s plenty more that you can read in that story, but I’ll direct you to the article. I’ll also ask you some questions:

Some people say you shouldn’t point out these problems, and that every country has problems. Do you agree with this statement? Why?
Does anyone disagree with Raghavan’s descriptions of these sights and smells?
Is this even a problem? Or should people get used to it?
Should visitors, especially ones from countries where people are generally wealthier, say nothing, and pretend that they don’t see unpleasant things?
As for me, I can say this: I got used to it, but I would be lying if I said I didn’t notice it. Indians notice it too. Otherwise, people wouldn’t suggest public shaming campaigns against people urinating in public, they wouldn’t threaten fines for doing it, and they wouldn’t respond with relief to plans to finally make sure that toilets on India’s trains don’t open directly onto the tracks. Of course, these are people in India. It’s a family, taking care of business the family way.

As for me, the message usually seems to be: “If you don’t love it, leave it.” It would be nice if there were some other answer. Acknowledging problems, even ones that are almost impossible to solve, makes them easier to confront.

Riaz Haq said...

It's no joke. WaterAid says #India has 60.4% people without access to toilet. 36% in #Pakistan #opendefecation https://shar.es/1c08Z4

Noting that the resulting health crisis is a serious matter, the report said that more than 140,000 children younger than five years die each year in India due to diarrhea.
“Nearly 40 per cent of India’s children are stunted; this will affect both their life chances and the future prosperity of India. India also has high rates of maternal and newborn mortality linked to sepsis,” the report said.
The equipment necessary to prevent infection during and after child birth is simple and inexpensive, but requires clean water and soap along with clean surroundings, which are difficult to achieve in an environment contaminated by open defecation and without good hygiene practices such as handwashing with soap by clinic staff and midwives, it said.
Prime Minister Narendra Modi has given the sanitation issue a top political priority, and last year launched Swachh Bharat (Clean India) Mission.
Commenting on Swachh Bharat, which aims to ensure a toilet for every household by 2019 and to educate people about the long-term health and economic benefits of using a a proper sanitation system, the report said that “by simply building the toilets won’t be enough.”
“What will be absolutely crucial is getting local, state and national government to make this a priority, and creating the cultural shift that will ensure that once the toilets are built, they are used by everyone,” it added.

http://www.wateraid.org/what-we-do/our-approach/research-and-publications/view-publication?id=c8e9d0b5-3384-4483-beff-a8efef8f342a

Riaz Haq said...

From WaterAid 2015 Report "It's No Joke: State of the World's Toilets 2015":

India, the world’s second most populous nation, has a well-known problem with sanitation. Cities growing at an incredible pace with unofficial, unserviced slums, combined with cultural preferences for open defecation in fields rather than enclosed spaces, mean India has the World’s Longest Queues for Toilets. If you stretched all 774 million people in India now waiting for household toilets, the queue would stretch from Earth to the moon – and beyond! That queue would take 5,892 years to work through,assuming each person needs about four minutes in the toilet. The resulting health crisis is a serious matter. More than 140,000 children younger than five years die each year in India from diarrhoea. Nearly 40% of India’s children are stunted; this will affect both their life chances and the future prosperity of India. India also has high rates of maternal and newborn mortality linked to sepsis. The equipment necessary to prevent infection during and after childbirth is simple and inexpensive, but requiresclean water and soap, and clean surroundings, which are difficult to achieve in an environment contaminated by open defecation, and without good hygiene practices such as handwashing with soap by clinic staff and midwives. Work is underway in India to end the crisis. Prime Minister Narendra Modi has given the issue high political priority, and in autumn 2014 announced the Swachh Bharat (Clean India) Mission. Swachh Bharat aims to ensure every household has a toiletby 2019 and to educate people about the long-term health and economic benefits of using a toilet. This is an important and long-overdue initiative, and is bringing change to India’s communities. But simply building the toilets won’t be enough. What will be absolutely crucial is getting local, state and national government to make this a priority, and creating the cultural shift that will ensure that once the toilets are built they are used – by everyone.

http://www.wateraid.org/what-we-do/our-approach/research-and-publications/view-publication?id=c8e9d0b5-3384-4483-beff-a8efef8f342a

Riaz Haq said...

The cultural politics of shit: class, gender and public space in India

Full text HTML
PDF
Free access
DOI:10.1080/13688790.2015.1065714
Assa Doron & Ira Raja
pages 189-207

In this article we seek to interrogate the cultural, political and economic conditions that generate the crisis of sanitation in India, with its severe implications for the poor and the marginalized. The key question we ask is how to interpret and explain the spectre of ‘open defecation’ in India's countryside and its booming urban centres. The discussion is divided into three parts. Part one examines the cultural interpretation of ‘shitting’ as symbolic action underpinned by ideas of purity, pollution and ‘the body politic’. Part two takes the political economic approach to gain further insights into contemporary discourse, performance and cultural politics surrounding toilets and open defecation in India. Part three examines civil society activities, state campaigns and media accounts of open defecation to explore the disruptive potency of everyday toilet activities, and how these interplay with issues of class, caste, and gender. Drawing on interviews and a review of ethnographic work, we seek to interrogate the idiom of modern sanitation, with its emphasis on cleanliness, progress and dreams of technology, as a constitutive idea and an explanatory force in Indian modernity.

http://www.tandfonline.com/doi/full/10.1080/13688790.2015.1065714

Riaz Haq said...

More #Indians have died of dog-bites & rabies than #terror attacks in 20 years. #India #Mumbai #terrorism_deaths

http://www.bbc.com/news/world-asia-india-36035456

In March, the civic authorities in one of India's richest cities made a startling disclosure in the country's top court: dog bites in Mumbai had killed more people in 20 years than the two deadly terror attacks in the city - the 1993 serial blasts and the 26/11 attack in 2008.
According to the municipality's petition in the Supreme Court, 434 people had died from rabies - a fatal viral infection which is almost 100% preventable - transmitted by dogs between 1994 and 2015. (In comparison, the two attacks killed 422 people.) More than 1.3 million people had been bitten by dogs in the city during the same period.
Animal rights groups say the comparison with terror attacks is alarmist hyperbole. But in a country where courts are struggling with a chronic backlog of more than 30 million cases, it is intriguing that the top court has been grappling with the issue of stray - or free roaming dogs - and rabies.
Feral dogs
The reasons are simple: India has some 30 million stray mutts and more than 20,000 people die of rabies every year. Last year, Global Alliance for Rabies Control reported that India accounted for 35% of human rabies deaths, more than any other country.
India dog cull causes controversy and heartache
Why stray dogs are Kashmir's latest threat
How far will India's dog-lovers go to save strays?
Many of these deaths are blamed on the strays. Last month, the top court ordered the government in the southern state of Kerala to pay 40,000 rupees ($600; £415) to a man whose wife died after contracting rabies from a dog bite. (A third of Kerala's one million dogs are strays; and nearly half of the 23,000 people bitten by dogs last year contracted rabies, say officials.) Health officials in Kashmir reported that more than 50,000 locals had been bitten by feral strays between 2008 and 2012, and that a dozen people had died of rabies during the period.

Riaz Haq said...

Lack of toilets contributing to rise of #rape in #India – University of Michigan Study. , #opendefecation http://www.rt.com/news/370425-india-toilets-women-rape/#.WFTPBWX7tQ4.twitter …

Women in India who don’t have adequate access to sanitation facilities and are forced to openly defecate are more likely to experience sexual violence, according to a new study.
Approva Jadhav, a researcher from the University of Michigan, said that “open defecation places women at uniquely higher risk of type of sexual violence: non-partner” in the co-authored report.

In their findings, researchers said it was twice as likely for women without access to “household toilets” to face sexual violence than women who do have such access, suggesting that improvement of infrastructure and access to toilets would provide a safer environment for women.

“Women who use open defecation sites such as open fields or the side of a railway track are twice as likely to get raped when compared with women using a home toilet,” the study stated.

“Our findings provide further rationale for NGO’s and the Indian government to expand sanitation programs, and raise new questions about the potentially protective role of sanitation facilities in other contexts beyond India,” the research found.

Almost half of India’s population do not have access to basic sanitation and have to defecate in public and women appear to be affected the most.

“This is an urgent need that cannot be ignored anymore,” Ms Jadhav, lead author of the report, told NDTV. “We need more than anecdotes to bring a policy change.”


By analyzing data from the Indian National Family Health Survey along with an overall representative sample of 75,000 women who answered questions on accessibility to toilets in their homes and experiences of various types of violence, the researchers found that previous sanitation studies did not examine the synonymous link between the two.

The issue of India’s sanitation crisis being linked to sexual violence came to light in 2014 when two teenage girls were raped and hanged in Uttar Pradesh while they were making their way to fields to defecate.

In the slums of Delhi, where communities often have to share public toilets, girls under the age of 10 have been found to be at risk of “being raped while on their way to use a public toilet,” according to a BBC report, which also states that around 300 million women and girls in the country defecate in the open.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100257/

Nitin4U said...

Have a look at this news also, http://www.dawn.com/news/1168181 "More than 40m Pakistanis defecate openly: Unicef"

Considering Pakistan meagre population, in front of India, Pakistan still stands 3rd on the list. As an Indian we always thought Pakistan must be free from a open defecation menace.But Allah's beloved country is also shining in this index along with India.

Countries that account for almost three-quarters of the people who practice open defecation:
India (626 million)
Indonesia (63 million)
Pakistan (40 million)
Ethiopia (38 million)
Nigeria (34 million)


If meagre population size Pakistan can not reduce its share of open defecation it is almost a gigantic task for India. But we found that Pakistanis are busy in pointing there fingers on others instead of doing something good for their country.

And Here is positive news about India,

http://indianexpress.com/article/india/india-others/india-reduces-open-defecation-by-31-per-cent-un-report/.

India is slowly but steadily reducing the stigma of Open Defecation, we also know we have a long way to go.
Have some reality check Sir.

Riaz Haq said...

Nitin: "If meagre population size Pakistan can not reduce its share of open defecation it is almost a gigantic task for India. "

First, Pakistan's population is not "meager" as you claim. It's the 6th largest in the world.

Second, 50% of Pakistanis in the bottom 20% income bracket now have flush toilets and another 20% have regular latrines, according to a recent World Bank report.


https://1.bp.blogspot.com/-zpry75nDbBI/WC8386MjOsI/AAAAAAAAIXs/f0ls-k6p4YU9uEZYoj41kkQKYaM0dSSjgCLcB/s1600/Pakistan%2BPoor%2BHousing.png

http://www.riazhaq.com/2016/11/world-bank-reports-big-jump-in-living.html

Riaz Haq said...

Reflections on India by Sean Paul Kelley

Sean Paul Kelley is a travel writer, former radio host, and before that, an asset manager for a Wall Street investment bank that is still (barely) alive. He recently left a fantastic job in Singapore working for Solar Winds, a software company based out of Austin, to travelaround the world for a year or two. He founded The Agonist, in 2002, which is still considered the top international affairs, culture and news destination for progressives. He is also the Global Correspondent for The Young Turks, on satellite radio and Air America.


If you are Indian, or of Indian descent, I must preface this post with a clear warning: you are not going to like what I have to say. My criticisms may be very hard to stomach. But consider them as the hard words and loving advice of a good friend. Someone who is being honest with you and wants nothing from you.

These criticisms apply to all of India except Kerala and the places I didn’t visit, except that I have a feeling it applies to all of India.

Lastly, before anyone accuses me of Western Cultural Imperialism, let me say this: if this is what India and Indians want, then, who am I to tell them differently. Take what you like and leave the rest. In the end it doesn’t really matter, as I get the sense that Indians, at least many upper class Indians, don’t seem to care and the lower classes just don’t know any better, what with Indian culture being so intense and pervasive on the sub-continent. But, here goes, nonetheless.

India is a mess. It’s that simple, but it’s also quite complicated. I’ll start with what I think are Indias’ four major problems – the four most preventing India from becoming a developing nation – and then move to some of the ancillary ones.

First: Pollution. In my opinion the filth, squalor and all around pollution, indicates a marked lack of respect for India by Indians. I don’t know how cultural the filth is, but it’s really beyond anything I have ever encountered. At times the smells, trash, refuse and excrement are like a garbage dump.

Right next door to the Taj Mahal was a pile of trash that smelled so bad, was so foul as to almost ruin the entire Taj experience. Delhi, Bangalore and Chennai to a lesser degree, were so very polluted as to make me physically ill. Sinus infections, ear infection, bowels churning was an all too common experience in India. Dung, be it goat, cow or human fecal matter, was common on the streets. In major tourist areas filth was everywhere, littering the sidewalks, the roadways, you name it. Toilets in the middle of the road, men urinating and defecating anywhere, in broad daylight.

Whole villages are plastic bag wastelands. Roadsides are choked by it. Air quality that can hardly be called quality. Far too much coal and far to few unleaded vehicles on the road. The measure should be how dangerous the air is for ones’ health, not how good it is. People casually throw trash in the streets, on the roads.

The only two cities that could be considered sanitary, in my journey, were Trivandrum – the capital of Kerala – and Calicut. I don’t know why this is, but I can assure you that, at some point, this pollution will cut into Indias’ productivity, if it already hasn’t. The pollution will hobble Indias’ growth path, if that indeed is what the country wants. (Which I personally doubt, as India is far too conservative a country, in the small ‘c’ sense.)

The second issue, infrastructure, can be divided into four subcategories: Roads, Rails, Ports and the Electric Grid. The Electric Grid is a joke. Load shedding is all too common, everywhere in India. Wide swathes of the country spend much of the day without the electricity they actually pay for. Without regular electricity, productivity, again, falls.

The Ports are a joke. Antiquated, out of date, hardly even appropriate for the mechanized world of container ports, more in line with the days of longshoremen and the like.

Riaz Haq said...

Open Defecation in India: A Major Health Hazard and Hurdle in Infection Control
Paurush Ambesh1 and Sushil Prakash Ambeshcorresponding author2
Author information ► Article notes ► Copyright and License information ► Disclaimer
Sir,

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5020240/

“Cleanliness is next to Godliness”, a proverbial adage that traces its inception to ancient Indian times, is the epitome of irony in the current Indian health situation. The lost Indus Valley Civilization, with modern cities like Harappa and Mohenjodaro, was once the gold standard of sanitation infrastructure. Its extensive and efficient sewage system was not only an exemplary gem, but also a gift of knowledge to entire mankind. However history resides in books and has little relevance to the current situation.

Though over the last 50 years, the general health of Indians has improved and the life expectancy has increased, myriad health and sanitation problems still stare one in the face. The biggest one, open defecation, is the mother of all infection and morbidity. The WHO declared the year 2008 as International Year of Sanitation. It was here that the term ‘Open Defecation’ was widely publicized. Community Led Total Sanitation (CLTS) programs helped spread the term all around the globe.

It is a matter of national concern as India has the most number of people practicing open defecation in the world, around 600 million [1], and is followed by Indonesia, Pakistan, Nigeria and Ethiopia. Still these countries come nowhere close to the staggering number contributed by India.

Most of it occurs in villages with a prevalence of 65% [2]. In urban settings the prevalence is close to 16%. The problem has thick deep roots with a multi-factorial origin. Unavailability of proper toilets or toilets with dimly lit, broken or clogged latrines is common. However, the biggest problem is the mindset of people in both rural and urban settings. Children grow watching parents and grandparents practice open defecation. Most farmers believe that waking up early and defecating in the field, not only adds natural fertilizer to the soil, but also rejuvenates the bowel and the mind.

Open defecation is a major cause of fatal diarrhea. Everyday about 2000 children aged less than five succumb to diarrhea and every 40 seconds a life is lost [3]. It is depressing that all this needless suffering is actually preventable. In densely populated countries like India, the health impact is magnified many fold [4]. There is evidence to suggest that water sanitation and hygiene practices are associated with child linear growth [5]. Children have a tendency to put common things in their mouth. In rural settings where open defecation is prevalent, large amounts of fecal pathogens via human and animal feces, are ingested by children. This creates a massive reservoir of bacteria, parasites and viruses that keep spreading gastrointestinal infection. An eventual result is growth stunting and malnutrition.

Though the health challenges seem to compound with time, the health budget allocation by the Government of India is getting smaller every year. This year also it is quite meager, only about 1% of the Gross Domestic Product. This may put financial constraints on dealing with sanitation linked diseases.

Riaz Haq said...

Open defecation leads to sexual #violence and #rape in #India.There is a rapid and alarming increase in violence against #women in India. #ViolenceAgainstWomen #crime #OpenDefecation #toilets #sanitation

https://www.livelaw.in/open-defecation-and-violence-against-women-socio-legal-perspective/

There is a rapid and alarming increase in violence against women in India. The National Crime Records Bureau has reported 3,09,546 cases on of rapes in 2013, but these statistics do not highlight the varied circumstances in which these offences were committed, including the lack of sanitation facilities and the practice of open defecation. In order to fill this gap, our judicial decisions involve the offence of the rape as defined under Section 376 of the Indian Penal Code (IPC), 1860. However, in the research, only those cases are considered where the offence was committed when the victim went for, was engaged in or was returning from answering the call of nature or relieving herself. This section reproduce...

Riaz Haq said...

#India won't get ODF (Open Defecation Free) status by February 2019: CSE....the rush to achieve targets has led to false claims.
#sanitation #toilets #hygiene #rape #Modi #BJP http://www.ecoti.in/zJBrLY via @economictimes

1,00,000 tonne of excreta every day produced by 720 million people using 144 million household toilets -- just to give a sense of scale, more than 5,200 trucks would be needed every day to transport this amount of excreta!

The CSE has based this estimate on the standard calculation that on an average, an individual produces 128 gram of excreta every day.

Riaz Haq said...

Postponing India’s census is terrible for the country
But it may suit Narendra Modi just fine

https://www.economist.com/asia/2023/01/05/postponing-indias-census-is-terrible-for-the-country


Narendra Modi often overstates his achievements. For example, the Hindu-nationalist prime minister’s claim that all Indian villages have been electrified on his watch glosses over the definition: only public buildings and 10% of households need a connection for the village to count as such. And three years after Mr Modi declared India “open-defecation free”, millions of villagers are still purging al fresco. An absence of up-to-date census information makes it harder to check such inflated claims. It is also a disaster for the vast array of policymaking reliant on solid population and development data.

----------

Three years ago India’s government was scheduled to pose its citizens a long list of basic but important questions. How many people live in your house? What is it made of? Do you have a toilet? A car? An internet connection? The answers would refresh data from the country’s previous census in 2011, which, given India’s rapid development, were wildly out of date. Because of India’s covid-19 lockdown, however, the questions were never asked.

Almost three years later, and though India has officially left the pandemic behind, there has been no attempt to reschedule the decennial census. It may not happen until after parliamentary elections in 2024, or at all. Opposition politicians and development experts smell a rat.

----------

For a while policymakers can tide themselves over with estimates, but eventually these need to be corrected with accurate numbers. “Right now we’re relying on data from the 2011 census, but we know our results will be off by a lot because things have changed so much since then,” says Pronab Sen, a former chairman of the National Statistical Commission who works on the household-consumption survey. And bad data lead to bad policy. A study in 2020 estimated that some 100m people may have missed out on food aid to which they were entitled because the distribution system uses decade-old numbers.

Similarly, it is important to know how many children live in an area before building schools and hiring teachers. The educational misfiring caused by the absence of such knowledge is particularly acute in fast-growing cities such as Delhi or Bangalore, says Narayanan Unni, who is advising the government on the census. “We basically don’t know how many people live in these places now, so proper planning for public services is really hard.”

The home ministry, which is in charge of the census, continues to blame its postponement on the pandemic, most recently in response to a parliamentary question on December 13th. It said the delay would continue “until further orders”, giving no time-frame for a resumption of data-gathering. Many statisticians and social scientists are mystified by this explanation: it is over a year since India resumed holding elections and other big political events.