The health implications of not having proper sanitation services are detrimental, says the writer.
Elmien Claassens
Every person has the basic right to water and sanitation; however, millions of people around the world have this right infringed upon daily.
More than 3.6 billion people globally do not have access to safely managed sanitation services and, for this reason, World Toilet Day was founded in 2001 by philanthropist Jack Sim, and is celebrated annually on November 19.
This day serves as a platform to increase general knowledge on what sanitation is; raise awareness on poor sanitation and lack of toilets globally; as well as to allow people who have good sanitation to recognise the importance thereof.
Securing access to basic sanitation has been acknowledged by many policies, declarations, and agendas, including the United Nations’ Sustainable Development Agenda 2030 which aims to ensure the availability and sustainable management of water and sanitation for all with Sustainable Development Goal 6.
The health implications of not having proper sanitation services are detrimental. Poor sanitation has been the main cause of roughly 432 000 deaths each year, especially in low- and middle-income countries.
According to the UN, more than 700 children under the age of five die daily due to diarrhoeal diseases (such as cholera) as a result of poor sanitation, poor hygiene or unsafe drinking water.
In the South African context, having access to water and sanitation is stipulated as an essential human right as set out in the Constitution.
Among the population of 60.4million people, the total number of people without adequate sanitation is estimated at between 21.8million and 25.5 million.
The millions mentioned above who do not have access to safe sanitation use either the inadequate bucket system, unimproved pit latrines or the veld.
Access to safe sanitation means having a healthy and safe way of disposing of human waste among setting other hygienic environmental conditions by disposing of general waste and making water drinkable.
There is a general misconception about what sanitation is and so it is important to acknowledge that a toilet does not equal safe sanitation.
In many local communities, people do have access to one shared toilet which remains as unjust as not having access to it at all.
Other communities have physical toilets but have a poor drainage system in which the waste still filters into the communities’ water sources.
Some communities continue to use portable toilets and pit latrines and, sadly, we still often read in the news about children falling into pit toilets and dying a very undignified death.
The most well-known consequence of not having safe sanitation is the illnesses that are caused due to open exposure to faeces and contaminated water sources. Some of these illnesses range from mild to severe, including cholera, dysentery, typhoid, intestinal worm infections and polio.
As the lack of sanitation is experienced in mostly poor communities, they often do not have accessibility to established health-care services which can often lead to prolonged illnesses.
Beyond the health implications of poor sanitation, the impact of poor sanitation in communities contributes to many social ills.
Women and girls with no access to toilets must often wait until it is dark outside to not draw attention, which places them in a more vulnerable position to being abused and sexually assaulted.
All of this is because people do not have access to basic sanitation services within their communities.
We might not have everything but we do have social policy which is concerned with how societies across the world meet human needs, including security, education, work, health and well-being.
We have a role to empower individuals and communities, especially the most vulnerable, to know their rights and to push for the realisation thereof.
World Toilet Day is an important awareness campaign to spread the word about the lack of access to sanitation across the globe, as well as locally, and continue to ensure that no human is left behind when it comes to access to safe toilets and sanitation.
Claassens is a Lecturer in the Department of Social Work and Criminology in the University of Pretoria’s Faculty of Humanities.
The Mercury
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