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African Water Development Report 2006 - United Nations Economic ...

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The situation for adequate sanitation is bleaker.Only about 36 per cent of the people in sub-SaharanAfrica have access to improved sanitationfacility, even though the increase over 1990 isabout 4 per cent (table 1.4) In Northern Africa,the sanitation figure for 2002 is 73 per cent,showing an increase of 8 per cent over 1990 (table1.5). In both cases of water supply and sanitationcoverages, the disparity between urban and ruralareas is quite high.Table 1.4: Sanitation Coverage in 1990 and 2002 in Sub-Saharan Africa:1990 - Population (thousands) 2002 - Population (thousands)Total served unserved % served% house% houseTotal served unserved % servedconnect.connect.sample size (percentage in parenthesis)sample size (percentage in parenthesis)Urban 141’445 76’380 65’065 (93) 54 (86) 22 241’439 132’791 108’648 (99) 55 (91) 21Rural 362’929 87’103 275’826 (96) 24 (92) 1 443’334 115’267 328’067 (99) 26 (92) 1Total 504’374 163’483 340’891 (95) 32 (90) 7 684’773 248’058 436’715 (99) 36 (92) 8Source: WHO/UNICEF JMP, 2005 - http://www.wssinfo.org/en/332_san_africaTable 1.5: Sanitation Coverage in 1990 and 2002 in Northern Africa:1990 - Population (thousands) 2002 - Population (thousands)Total servedunservedconnect.nect.% house% house con-% servedTotal served unserved % servedsample size (percentage in parenthesis)sample size (percentage in parenthesis)Urban 57’349 48’173 9’176 (99) 84 (99) 63 76’101 67’730 8’371 (99) 89 (99) 71Rural 60’719 28’538 32’181 (99) 47 (100) 15 71’217 40’594 30’623 (99) 57 (99) 20Total 118’068 76’711 41’357 (99) 65 (99) 38 147’318 108’324 38’994 (99) 73 (99) 46Source: WHO/UNICEF JMP, 2005 - http://www.wssinfo.org/en/332_san_africaINTRODUCTION - WATER FOR SUSTAINABLE SOCIO-ECONOMIC DEVELOPMENTSanitation and Health – Have <strong>African</strong>Germs Become Harmful to <strong>African</strong>s?There is a saying often repeated when one doesnot want to abide by hygienic practices that “<strong>African</strong> germs are not harmful to <strong>African</strong>s”. Itmade sense to some extent if considered fromthe point of view of immunity, since most childrengrew up playing on soils contaminated byhuman and animal faeces. It now seems thingshave definitively changed due to changing lifestyles.The immunity of present day children toenvironmentally induced diseases has reduceddue to improved housing conditions and parentalprotection, but making them more vulnerableto faecal-oral diseases at the slightest exposure.There is ample epidemiological evidence thatsanitation is as effective in preventing disease asimproved water supply, but sanitation involvesmajor behavioural changes and significant householdcost. Access to sanitation facilities and improvementof environmental hygiene would nodoubt reduce transmission of faecal–oral diseasesby preventing human faecal contamination ofwater and soil right at the source. Given the gender-baseddivision of work with regard to waterfetching, women and girls are the most exposedto many water-related preventable diseases as theyare more likely to be in direct contact with contaminatedwater. Children are the main victimsof diarrhoea and other faecal–oral diseases, andalso the most likely source of infection. Childfriendlytoilets, and the development of effectiveschool sanitation programmes, are important andpopular strategies for promoting the demand forsanitation facilities and enhancing their impact.Adequate quantities of safe water and good sanitationfacilities are therefore necessary conditionsfor healthy living, but their impact will depend

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