Health

Open defecation, its negative effects on environment, humans

defecation

Open defecation is an awful practice where people defecate in bushes, rivers and open spaces outside designated toilets. In this report, DOOSUUR IWAMBE examines the attitude of some people in Nigeria, who in most cases defecate in open spaces and streams that serve as sources of drinking water without recourse to the environmental and health consequences of their actions.

The practice of open defecation is a global developmental and health issue facing developing nations. It is an ancient practice where people excrete in bushes, rivers, lakes, streams and other open spaces outside the designated toilets.

This can occur deliberately due to unwholesome cultural practices, superstitions, and personal unhygienic behaviours. It can also be as a result of unavailable or lack of access to modern toilet facilities.

While some communities go through this practice due to lack of basic social amenities, some rural communities tie this practice to their culture and tradition, hence making it a big challenge to overcome.

The United Nations had in 2010 declared access to safe drinking water and sanitation a human right, but this is not yet in force in Nigeria.

For example, Pika like many other communities in Nigeria practicing open defecation is a community in Benue state ravaged by poverty and all forms of environmental and economic retardation.

It is a community where the practice of open defecation is viewed as a normal practice. Located about few miles away from Makurdi, Mbatiav, Gboko Local Government Area, life for the people of Pika is apparently pathetic.

Like many other disadvantaged communities in Benue state where the presence of government is not felt in any way, the people have for many years relied on wells and stream water for their subsistence life.

The women in the communities have to struggle daily, walking long distances to the stream to fetch water for drinking, cooking and other household chores.

Most importantly, lack of portable water has posed many health challenges to the people in rural areas in the state, as children and even adults have contracted water borne diseases such as cholera and typhoid fever among others due to the common practice of open defecation.

The people of the community depend on the local stream as their only source of water, filling an all-purpose gap, from bathing, laundry and cooking to drinking, without any form of purification.

On the average, women and young children in Pika community have to visit the stream six to seven times daily. Sadly, the residential area is quite distant to the stream.

Left with no alternative, day and night, people have to pass through bush paths to scoop the oily, dirty, coloured and smelling water from the stream to meet their basic domestic needs.

Speaking with the Daily Times, a Roman Catholic priest, Rev. Fr. Dennis Ortese Yiyeh, who resides in the community, said that water poverty has posed a threat to the people of the community leaving them with no other alternative, but to defecate in the open.

“The children have to wake very early and trek down to the river every day. In few cases, some children get injured in the process. It is important to fetch this water before going to school because their parents depend on them.

‘’On average, women and young children have to visit the stream six-seven times daily. The water from the river smells sometimes because the common practice here is open defecation and when it rains, the water wash the faeces back to the stream that serves the entire community.

‘’Sadly, that is how we eat and drink our faeces. Some of us are aware of the health implications of this, but since there is no other alternative; we use the water like that,’’ he bemoaned.

Another resident, 18-year-old Sewuese Agede, who was shy to open up to our correspondent said that she has grown used to the practice of open defecation because that is what she grew up to know, hence it is the common practice in the community.

“I was born in this community and the farthest place I have ever been to is Makurdi. We do not have enough toilets here because our parents do not have the money to build luxury toilets. Open defecation is a common practice here. We no longer see it as a bad thing.

‘”Aside that, as you can see for yourself, there is no source of good water in this village. The well we used was dug by a Good Samaritan and once the dry season sets in, it dries up.

We all depend on the small stream, which is a little bit far from here for our daily chores. Even if we have standard toilets, the possibility of keeping it clean is not there since the water to do so is not enough,’’ she opined.

Nigeria’s age-old culture of open defecation has stubbornly held sway in many parts of the country, in spite of the rapid urbanisation being witnessed across the land.

It is a mark of bad governance that a practice that should rightly belong to the past is still in the ascendancy, despite the havoc it wreaks on society.

Describing open defecation as a mark of underdevelopment would be stating the obvious. Yet, as backward as it may seem, open defecation is sadly, not limited to rural communities alone, but is also widely practiced in urban areas, where many slums have sprung up and people tend to build houses with no thought for the provision of adequate sanitation or toilet facilities.

According to 80-year-old Alhaja Suliat Ogunbola, one of the oldest traders at Ogbere Idi Osan Market in Ona Ara Local Government Area of Oyo state, she, like the other women in the market, would love to use the market toilet facilities, but for fear of infection, they resort to their old ways of open defecation.

“Who doesn’t want to use a decent toilet? Let the government provide a more decent one and make sure there is water supply to prevent us from contracting diseases while trying to defecate.

Don’t forget we are women and could easily contract disease from dilapidated toilets. Some of us urinate anywhere we can find a space and get infected in the process,’’ Alhaja Suliat explained.

Speaking with the Daily Times during a visit to the market, the traders called on Oyo state government to come to their aid by constructing more toilets for them in the market.

“There is the need for more toilets to be built to cater for our needs and that of our customers and I think this has been a major challenge for us,” Mercy Orimolade, who equally lamented scarcity of water for usage in the available toilets, said.

She added that for fear of infection, she usually uses a bowl instead of sitting directly on the toilet. ”I find this routine very tough to do at my age, but it is still better for me than to risk my health.’’

Thomas Pev, a computer expert attributed the habit of open defecation to the poor housing scheme in Nigeria. “If Nigerians have access to decent housing, no one will think of defecating in the open,” he said, adding that “though I have not lived in a house without toilet facility, I have practiced open defecation just to have a feel of it.”

Raphael Adejoh, a student with Nasarawa state University, Lafia, on a visit to Abuja, says in his opinion the practice can be stopped by strict compliance to metropolitan codes and this can be achieved through campaign for attitude and behaviourial change, appealing to home owners to incorporate functional toilet facilities in their houses.

Adejoh added that if government can criminalise open defecation, it will further force behaviour and attitude change, but this he said can be enforced when provisions for public and mobile toilets have been made.

According to the United Nations Children’s Fund (UNICEF), for Nigeria to end open defecation by 2030, the country must provide additional two million toilets per year between 2019 and 2025.

The 2018 Water, Sanitation and Hygiene (WASH) national outcome routine mapping, the World Health Organisation/United Nations Children’s Fund (UNICEF) joint monitoring programme for water supply and sanitation survey revealed that Nigeria ranks second among countries practicing open defecation globally, after India.

The survey stated that Nigeria’s current delivery of improved toilet is approximately pegged at 160, 000 per year.

The implication of this, according to the survey is that one out of every four children under five years of age would exhibit severe stunting, while one in 10 would be wasted, due to frequent episodes of diarrhoea and other Water, Sanitation and Hygiene (WASH) related illnesses.

If Nigeria can add two million toilets per year between 2019 and 2025, the target of universal basic sanitation would be achieved, thereby saving the country N455 billion, representing 1.3 per cent of its GDP that is lost to poor sanitation, the survey stated.

WASH specialist at UNICEF, Bioye Ogunjobi, at a media dialogue on: “Sanitation, clean Nigeria: Use the toilet campaign” sponsored by the European Union and UKaid in collaboration with UNICEF, in Oyo state said that 1, 020 children die in Nigeria from diseases caused by poor sanitation.

Ogunjobi said 47 million Nigerians, representing 24.4 per cent of the population still do open defecation and 32 million people in Nigeria are still using unimproved toilet, adding that “almost 80 million people need support of an improved latrine/toilet,” he added.

He said 10.3 per cent of people living in the North West practice open defecation; 17.9 per cent of people living in the South South practice open defecation; 21.8 per cent of people living in the North East practice open defecation; 53.9 per cent living in the North central practice open defecation; 22.4 per cent of people living in the South East practice open defecation and 28.0 per cent of people living in the South West practice open defecation.

While one out of four Nigerians practice open defecation, Ogunjobi said in the North Central, it is one out of two persons. He added that only 13 out of the 774 local government areas in Nigeria are certified open defecation free.

He however, urged the government to increase sanitation budgetary allocation while the private sector would compliment government’s efforts in curbing open defecation.

How flies’ perch on fasces, carry some amount to your food – Doctors

According to Dr. Towoju Olumunyiwa, a medical practitioner, who advised Nigerians to adopt good hygiene and stop open defecation, stated that open defecation has become a worrisome practice in Nigeria.

He said that bad habit is a major cause of many water-borne, food-borne and environmental diseases, adding that it can also lead to the outbreak of diarrhoea, cholera, typhoid and dysentery.

The medical practitioner said this practice was polluting the soil, water resources, environment and the air. “People defecate on the walk ways, under the bridges and at any available space. That gives room for the spread of diseases; when people defecate in the open, there is every tendency that flies will feed on these faeces.

“Flies perch on faeces and the fly carries away some amount of the faeces on their bodies. In addition, the flies perch on food, which may later be eaten by another person. The germs in the faeces are passed onto the food. There is need for people to build toilets in their houses to maintain proper hygiene,’’ he said.

Also, Dr. Bola Badmus of Wuse General Hospital, Abuja said that life without a toilet is more than an inconvenience.

According to her, open defecation increases the incidents of diarrhoea, cholera, malnutrition, and more, raising the rates of stunting, disease, and death.

‘’That, in turn, impact everything from productivity to economic growth. There is also need for people to attune themselves to modern practices and desist from open defecation because as we have noticed, even where toilets are provided, some people either because of ignorance or cultural background believe that open defecation is healthier or more convenient for them. It is wrong to defecate in the open because it has a lot of consequences” she added.

She stressed the need to carry out public awareness campaigns by going round to educate owners of public buildings like plazas, shopping malls as well as filling stations on the need to ensure they have toilet facilities and ensure these facilities are open to the public.

Nigeria loses N455bn of GDP to poor sanitation annually – Survey

Nigeria is losing a whopping sum of N455 billion out of N143, 213, 450, 337.56 trillion ($397, 270, 000), representing 1.3 per cent of its Gross Domestic Product (GDP) annually, due to poor sanitation and a third of that cost to open defecation, a survey has revealed.

This according to reports constitutes one per cent of Nigeria’s GDP. Open defecation costs Nigeria over $1 billion a year, the GDP of Gambia. Losses are due to premature deaths, health-care costs, and reduced time and productivity.

The survey added that if Nigeria loses N455 billion each year due to the lack of sanitation and needs only N95.9 billion per year to eliminate open defecation, the economic gains could be about $1.026 billion (N359.1bn) each year.

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Ihesiulo Grace

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