Today is World Toilet Day. The concept of a World Toilet Day can make children giggle, some adults blush, and others want to change the subject, but the title is designed to address this serious subject directly. No one can afford to be squeamish, to make jokes, or change the subject about the fundamental issue of adequate sanitation because 2 and a half billion people live without it, causing about 700,000 premature deaths each year, and it is getting worse. We have made some progress, but the number living without access has increased by 700 million people. There are now more people on Earth with a cell phone than a toilet. The consequences of insufficient access to sanitation facilities and poor hygiene are severe. Countries where open defecation is more prevalent have found its way to the United States media recently, reporting on the horrific murder and rape of two young girls that could have been prevented in India if they didn't need to sneak out into the night to relieve themselves in an open field, leaving them vulnerable to attack. A heartbreaking study linked the root cause of India's malnutrition crisis to a lack of adequate sanitation. It found that many of the 162 million children under the age of 5 who are malnourished in India are suffering less from a lack of food and more from poor sanitation. Those children who do survive are left with mental and physical burdens for their entire lives.…
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