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7/28/2019 Sanitation Hygiene Quality of Life
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Vivek Rai,
State Consultant
( Water Quality )
Public Health Engineering Department
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The ProblemIn India,
Every year, nearly 4 lakh children under 5 die of
diarrhoeal diseases India contributes 25% of worlds child death
48 per cent of children suffer from malnutrition
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The Root CauseIn the Developing Countries, 80% of the common
diseases result from:-
Poor hygienic practices Contaminated drinking water, and
Lack of environmental sanitation
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Sanitation coverage of 1% and 27% for rural and
urban India in 1981
As per 2001 Censusoverall 36% (rural-22% )
One of the lowest in the world even among
developing countries
Presently 35% rural coverage estimated
Only 45% of primary schools have toilets
Persistent high Infant Mortality Rate
4-5 lakh children below five years of age die due to
diarrhoea annually
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For better and healthy life Prevention of disease
Personal comfort and convenience
Dignity and Privacy of womenAvoid pollution of water sources
Hand washing after defecation & before meal
alone can reduce 60% of water & excreta relateddisease
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Excreta-related Diseases Diarrhoea Cholera Gastroenteritis Food poisoning Bacillary dysenteryAmoebic dysentery Typhoid Poliomyelitis
Hepatitis A & E
Gastric ulcer
Round worm Hookworm
Thread worm
Tape worm
Whip worm, etc. etc.
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Vector-borne diseases Malaria
Filaria
Japanese Encephalitis Dengue
Chikungunya
Kala azar, etc.
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More diseases Skin infections
Eye infections
Ear infections Other infectious diseases like Tetanus, Plague,
Anthrax, common cold, influenza, SARS, Birdflu, Swine flu etc.
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The Solution
PREVENTION
because
PREVENTION IS BETTER THAN CURE
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And Why Better ?
Even with adequate treatment Cure is never aguaranteed result
Many diseases, e.g. the viral infections, have nospecific treatment
Even a so-called common disease may become akiller disease
Many of these diseases have not been eradicated inspite of spectacular progress in the medical sciences
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Contd. Most of these diseases are Diseases of
Poverty affecting the common man whocannot afford expensive diagnosis and
treatment Many of them have no effective vaccine The pathogens of many diseases are rapidly
becoming drug-resistant
The cost of diagnosis and treatment is fastgoing out of reach of the common man Most of the common diseases are infectious
and preventable
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AND.From experience, we know that
PREVENTION through improvement ofenvironmental sanitation and good hygiene is
The easiest, the safest, the cheapest and the most
effective way to control diseases
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A FACT to remember
The Developed countries actually
controlled these common diseasesthrough better sanitation and hygieneeven before the development of the
antibiotics and many other life-savingdrugs.
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PREVENTION: HOW ?By ensuring
Clean Environment
Good hygienic practices
Healthful lifestyle
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A Clean Environment
A Clean Environment is an
environment where the diseaseagents are prevented entry, growthand free movement
A clean environment can be achievedand maintained only through
TOTAL SANITATION
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Transmission of Excreta-related Diseases
Source
water
Flies
Hands
Vegetable etc.
Soil
Food Healthybody
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Transmission of other diseases Through bites of mosquitoes and other vectors (
malaria, filaria, dengue etc.)
Through air, dust or fomites (respiratoryinfections, eye infections etc.)
Through contact ( skin infections, STDs etc.)
Through soil ( Hookworm )
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The Key Hygienic Practices Use of sanitary latrine instead of open
defaecation and urination
Hygienic disposal of children excreta
Proper hand-washing after anal washing orhandling children excreta, after coming in contactwith any fomites, after coughing and sneezing
Compulsory hand-washing before handling food
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Key Hygienic Practices Proper management of solid waste by
composting/recycling/hygienic disposal/less useof non bio-degradable articles
Ensuring water safety i.e., safe source, safecollection, safe transport & storage and safetyduring use
Proper management of waste water by re-
use/recycling/hygienic drainagecontd
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Key Hygienic Practices
Proper washing of vegetables, fruits & utensils infresh running water
Protection of food from dust and fliesAvoiding foods sold open in the market
Use of Improved Chullah to control kitchen smoke
contd
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Hygienic practices Use of footwear while going outdoors
Proper oral and dental care
Avoiding spitting here and there Covering the nose and mouth while sneezing
or coughing
Using bed-nets and other precautions againstmosquito-bites
Contd.
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Hygienic practices Following other essential practices for personal
cleanliness
Immunising children with vaccines according to
the prescribed schedule Maintaining overall cleanliness of the household
and the village surroundings
Once Nirmal Gram status is achieved,
maintaining the status through continuedmonitoring and vigilance
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Healthful Lifestyle Take the right food, i.e., balanced food of the
right quantity at the right time. Chew foods
well. Keep adequate gaps between meals.Avoid excess of fat, sugar, salt, spice, fast foodsetc. as far as practicable
Avoid coloured food and drinks from the
market Drink safe water and enough of it (3/4 litres
per day)
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Healthful LifestyleAvoid tobacco (in any form), drugs, alcohol etc.
As far as practicable, maintain regularity in dailylife
Take right amount of sleep avoiding late hours
Avoid excesses and indiscretions in sex life
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Healthful Lifestyle Take adequate and regular physical exercise.
Avail of the health care facilities likeImmunisation, health check-up etc.
Avoid self-medication without physicians advice.
Avoid mental tension
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Quality of LifeMeasured by-
Infant Mortality Rate, i.e. lower the
IMR higher is the quality of lifeLife expectancy, i.e. higher the life
expectancy, better is the quality of
lifeLiteracy rate, i.e. higher the literacy
rate better is the quality of life
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Better Quality of LifeBetter
SanitationLess Disease
Reduced IMRBetter Quality
of Life
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Better Quality of Life
Better
Sanitation
Less
Disease
HigherExpectancy
Of life
Better Quality
Of life
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Our last chance !
Provisions under TSC offer us the last chance
to ensure sustainable sanitation,And if,
we fail to utilise this last opportunity, justthink about
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Our future
During the past 30/40 years only one disease (small-pox) has been eradicated.
But numerous new and re-emerging disease-agentsare threatening mankind globally.
It has been established that simple hygienicpractices can prevent or keep most of them under
control
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We are doomed if we do not
take a lesson from these facts.
It is for us to decide and design
our own future
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Thanks