Latin America

Brazil: Water and Sanitation

BioSand water filter success

Maria Joseph and her family live in a Brazilian village where finding safe drinking water is a big challenge. But thanks to Samaritan’s Purse Canada, it’s a challenge Maria has overcome. For the past eight years, her home has had a BioSand water filter, a Canadian invention that’s a key part of the Samaritan’s Purse Turn on the Tap campaign. Made of concrete, metal, and plastic piping, and containing sand and gravel, the filter almost instantly transforms the nearby river’s muddy water into something clear and safe.

“My family hasn’t suffered with diarrhea for many years,” Maria says.

Since 1997, Samaritan’s Purse Canada has helped provide drinkable water about 100,000 families worldwide. It’s hard to over-estimate the difference safe water can make to a family struggling to survive. Millions of people have no choice but to drink water from ponds, puddles or rivers polluted by livestock. The results are often catastrophic. In the developing world, someone dies from water-related diseases every 20 seconds. If they survive, diarrhea and skin ailments keep many from working or attending school. It’s a vicious cycle that guarantees poverty through multiple generations. That’s why Turn on the Tap is a priority for Samaritan’s Purse. BioSand Water Filters cost about $100 each, require little maintenance and don’t need an energy source. Best of all, each filter can supply the daily needs for up to 10 people.

Contributed by Samaritan's Purse Canada 

Nicaragua: Rotavirus vaccines

Nicaragua: Water and sanitation

Tackling rotavirus and diarrhea through integration

In 2006, a cross-sector coalition that includes experts from Ministry of Health departments of hygiene, epidemiology, child health, nutrition, and information worked to halt deaths from diarrheal disease in Nicaragua through a comprehensive approach. This team combined efforts with NicaSalud (a local coalition of nongovernmental organizations), PATH, UNICEF, and others to engage public-sector clinics and train health care workers throughout the country on zinc and new, low-osmolarity oral rehydration solution. A parallel demonstration project by vaccine manufacturer Merck & Co., Inc., and the ministry aimed to show the feasibility of rotavirus vaccine introduction in a low-resource setting and to record its public health impact.

The introduction of the rotavirus vaccine in 2006 marked the first time in history that a developing country took up a vaccine in the same year as its adoption in the United States. More than 85 percent of vaccine-eligible children were reached in the project’s first year. Since rotavirus vaccine introduction in Nicaragua, hospitalizations due to rotavirus dropped by 60 percent, and emergency-room visits have been slashed in half!

Citing cross-disciplinary cooperation as fundamental to the program’s achievements, the MOH credited the alliance with building awareness of zinc treatment, ORT, and rotavirus vaccines. Nicaragua’s strategy for integrated training on diarrheal disease control illustrates how a coordinated approach can strengthen the health system.

Contributed by PATH.

 

Building access to clean water

Maria, her husband Juan, and their five children knew the harmful effects of dirty, contaminated water in their village of Bijagua, Nicaragua. They used to bring the household water for cooking, bathing, drinking, and washing in buckets from a stream ten minutes away from their home—the same stream where cattle roamed. The children were constantly sick with diarrhea, and getting the water each day was a real burden.

"Our daughter spent so much time carrying water, she was falling behind in her school work. We always worried about her walking alone in the dark of the early mornings and evenings. There are poisonous snakes around here," said Maria.

Episcopal Relief & Development partnered with El Porvenir, an organization that works in Nicaraguan communities to develop water, sanitation, and re-forestation projects. The program also provided Maria and her community with education and training on properly maintaining the water system, water hygiene, and protecting children and families from preventable, water-related diseases. Instances of water-borne illnesses were also tracked by local health monitors. Now Bijagua has safe water and residents can stay healthy. "Our daughter is excelling in school now that she doesn’t have to carry buckets of water. And the children don’t have diarrhea anymore," Maria stated.

Contributed by Episcopal Relief & Development

Bolivia: Water and Sanitation

Environmental Innovation in Bolivia

The world water crisis often focuses on clean water for people to drink.  It’s a huge problem, for sure, and the reason Water For People came to existence.  But safe water is necessary for so many other important activities—such as washing hands and flushing toilets.  Without enough water to go around, something’s got to give.

At Demetrio Canelas Colegio in peri-urban Cochabamba, Bolivia, over 750 students, ranging from kindergardeners to highschoolers, share four toilets for girls and four toilets for boys.   The school has improved sanitation—a sector definition for technologies that, at least in theory, are private and separate poop from human contact.  But whether there is enough water to go around to flush those toilets and keep the poop off little hands is another story.

Las Maicas, the community in which Demetrio Canelas is located, is not connected to any municipal water supply. The local government provides the equivalent of one tanker truck of water per week, free of charge, to the school.  The underground storage tank at the school, however, is too small to store all of the water.  The school constantly suffers from water shortages. And “improved sanitation,” more often than not, looks not so improved.

The headmaster of Demetrio Canelas is a tireless advocate for the environment. Frustrated by the deterioration he sees each year, he launched a tree-planting campaign and tied professors’ performances to including environmental education and activities in their curricula.  He was also interested in building ecological-sanitation toilets to replace the chronically dirty water-based ones and sought out Water For People’s peri-urban team. After several meetings with the Parent-Teacher Association, it became clear that people were not interested in ecological, or dry, composting toilets.  Choice and community interest and approval are fundamental to sustainability, so staff and partners came up with an alternative solution. 

A 10,000 liter storage tank was built. The larger tank size means that the school won’t waste the remaining water that their current storage tank can hold. Moreover, the new tank is also connected to a filtered rainwater harvesting system, meaning that for several months out of the year, supply will be abundant. During construction, the smallest kindergardners were measured, and steps of various heights were placed around the tank to make sure height doesn’t keep kids from washing their hands. Over 30,000 Bolivian children die each year from diarrheal illnesses, but handwashing is a key barrier to keeping poop, and the microbes in it, from entering their systems.  Last year, when hygiene was emphasized during the swine flu scare, childhood diarrheal illnesses dropped by about 15% in Bolivia. Washing hands works, but there’s got to be clean water around to do it. 

The water tank reflects Bolivia’s growing commitment to recycling as well. It is not reinforced concrete, nor ferro-cement, but rather uses PET bottles filled with soil as bricks.  Each child brought two bottles to school as part of a recycling campaign, and skilled masons are transforming Coke bottles once providing soda to essential foundations that now provide safe water for drinking, washing hands, and flushing toilets.

Contributed by Water for People

[Video] A Common Disease, A Promising Solution

Description

No children should die of diarrhea and, with a coordinated package of proven interventions, they don't have to. Rotavirus vaccines are among the newest tools in the fight against diarrheal disease and the only way to prevent severe infection. Follow their trail as they show dramatic impact in Nicaragua and demonstrate their potential for saving young lives in Africa and Asia.

[Story] Success Story: A coordinated approach to fighting diarrhea in Nicaragua

More than a million doses of rotavirus vaccine help the country control a severe diarrheal disease outbreak.

When an outbreak of rotavirus nearly crippled Nicaragua’s health system six years ago, several Ministry of Health (MOH) departments formed a dedicated alliance to reduce the burden of diarrheal disease, including a unique team of experts on hygiene, epidemiology, nutrition, and child health.

[News & Event] Haiti's Latest Crisis: Death from Diarrhea

CBS News, February 2010

The acute phase of destruction in Haiti is over, but the second phase of the emergency is still taking its toll: respiratory infections, malnutrition, diarrhea due to unsafe water, and a lack of appropriate food for young children are now the biggest killers as Haiti struggles to recover.

Read the full article.

[News & Event] We have changed the history of my country

ONE, October 2009

Dr. Amador, Director of Health Systems and Technology in Nicaragua at PATH, blogs about the incredible strides his country has made in the fight against diarrheal disease, thanks to PATH's partnership to provide the rotavirus vaccine and other lifesaving interventions. A short video and slideshow are included.

Read the full article.

[News & Event] Living Proof Project: A Rotavirus Vaccine's Remarkable Impact

Bill and Melinda Gates Foundation, September 2009

The Bill and Melinda Gates Foundation's Living Proof Project seeks to show Americans that U.S. investment in global health is working. This four minute video spotlights the impact of rotavirus vaccine in Nicaragua.

[Press release] New data on rotavirus vaccine from Mexico and Africa show lifesaving impact and effectiveness in the developing world

Thu, 01/28/2010

 

For the first time ever, studies in Mexico and Africa, published in the New England Journal of Medicine, demonstrate a reduction in diarrheal disease deaths following rotavirus vaccine introduction in Mexico and vaccine efficacy among impoverished populations in Malawi and South Africa. The findings from these studies informed the World Health Organization’s (WHO) recent recommendation that rotavirus vaccines be included in every nation’s immunization program.

[News & Event] Guyana tackles second biggest killer of children

GAVI Alliance, April 2010

The government of Guyana introduced rotavirus vaccines into their national immunization programs this week. Guyana is the fourth GAVI-eligible country to introduce the vaccine and follows in the footsteps of Bolivia, Honduras, and Nicaragua.

Read the full article.

[Press release] Guyana tackles second biggest killer of children

Fri, 04/30/2010

 

The government of Guyana introduced rotavirus vaccines into their national immunization programs this week. Guyana is the fourth GAVI-eligible country to introduce the vaccine and follows in the footsteps of Bolivia, Honduras, and Nicaragua.

Read the full press release here.

[Blog post] Sustainable sanitation in Peru

Unimproved latrine

To me, a sustainable sanitation service, in very general terms is one where everybody can get access to a toilet and toilet services -- of their choice -- forever. 

A lofty goal, for sure, but one that sets in motion very different types of programs than a goal to give X Community a certain number of toilets at one point in time.  This goal is shaping our sanitation work in Peru, which began with a sanitation market analysis in a region outside of Arequipa, in southern Peru, and implies working in a way that local systems-financial services, construction, ongoing maintenan

[Story] Innovation and a Nod to the Environment Help School Hygiene in Bolivia

Students painting tank

The world water crisis often focuses on clean water for people to drink.  It’s a huge problem, for sure, and the reason Water For People came to existence.  But safe water is necessary for so many other important activities—such as washing hands and flushing toilets.  Without enough water to go around, something’s got to give.