In addition to the fact that some people still lack toilets, there is also the issue of public facilities especially for women. These are rarely available even in major cities, causing considerable hardship in some situations. The lack of toilets at schools also holds back girls from acquiring an education and from meeting their basic needs. An associated problem is the entry of faecal material in drinking water which is responsible for millions of cases of stomach disease and gastroenteritis. When sewerage affluents mix with drinking water it creates diarrhoeal disease especially for children. The burden of such disease, which includes cholera and typhoid as well as polio, also carried by water, is extremely high in Pakistan. More than twenty-two percent of infant deaths in the country are caused by diarrhoea. The problem is more common in households which lack basic sanitation. Apart from all this, extreme weather events are also causing irreparable damage to weak sanitation systems. Other countries have launched major initiatives to reduce open defecation by teaching communities how to build toilets. In Pakistan, we have seen initiatives like the Salman Sufi Foundation’s Saaf Bath that aim at providing safe public toilets in major urban areas in the country. A long-term financial project needs to be planned out to further such initiatives and, more importantly, to build toilet facilities for those living in the rural areas.
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