Sanitation
and
                                                                       Hygiene
                                                                    Supplementary Material for
                                                                     the Upper Primary Stage
                               18148
                                       ISBN No. 978-93-5007-857-0
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                                 Page 22 / Price `45.00
                                      Code 18145
                               ISBN 978-93-5007-848-8
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                      Sanitation
                              and
                        Hygiene
                   Supplementary Material for
                    the Upper Primary Stage
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                                                                          ISBN 978-93-5007-857-0
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                   Training, 2017
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                                              Foreword
              The National Council of Educational Research and Training (NCERT) developed
              supplementary reading materials on Sanitation and Hygiene for primary and
              upper primary stages, based on the outline provided by the Ministry of Drinking
              Water and Sanitation (MODWS). For primary stage, a supplementary material
              in the story form titled, Simmi’s Journey Towards Cleanliness has already been
              published.
                  The present material is for upper primary stage. The objective of this
              material is to build awareness in children about practices related to hygiene and
              sanitation and help them imbibe these practices in their daily life. It focuses on
              the importance of sanitation and hygiene, improper sanitation including open
              defecation and their impact on health. The book also discusses various types
              of wastes and important sanitation schemes including Swacch Bharat Mission.
              Children can read this book independently and develop healthy hygienic and
              sanitation practices.
                  The material was developed with the help of practicing teachers and
              teacher-educators. I appreciate the efforts made by Saroj Yadav, Dean (Academic),
              Professor and other team members in developing this material. It is hoped that
              children and teachers will find the material useful. Comments and suggestions
              are solicited for bringing out improvement in the material.
              New Delhi						 Hrushikesh Senapaty
              July 2017							 Director, NCERT
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                                                Preface
              The supplementary material Sanitation and Hygiene has been developed
              for students in upper primary stage (Classes VI–VIII) with the objective to
              encourage them to understand the importance of hygiene. The material will
              help students inculcate hygiene practices in their daily life. Such practices will
              go a long way in protecting themselves from infections and infectitious diseases.
                  It is envisaged that after going through this material children will acquire
              knowledge, attitude, skills of good hygiene behaviour and healthy living and
              appreciation for the importance of drinking safe water, good hygiene practices
              and use of safe sanitation facilities. This material will also help them realise
              that every member of the family has a responsibility to maintain hygiene and
              sanitation. It is hoped that the material will motivate students to undertake
              individual and collective actions by proper disposal of human and animal
              wastes, proper use of toilet and avoid open space defecation.
                  I thank the members of the Development Team for their valuable
              contribution in our endeavour to provide good quality material for school
              system. I also thank the Ministry of Drinking Water and Sanitation, Government
              of India for their support. I especially thank H.K. Senapaty, Director, Professor
              NCERT for his administrative support and keen interest in the development of
              the material.
                  We look forward to feedbacks from students, teachers and parents for
              further improvement of this material.
                                                                                  Saroj Yadav
                                                                Professor and Dean (Academic)
                                                                                      NCERT
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                                      Development Team
              Members
              Anjni Koul, Professor, Department of Education in Science and Mathematics,
              NCERT, New Delhi.
              C.V. Shimray, Associate Professor, Department of Education in Science and
              Mathematics, NCERT, New Delhi.
              R. Joshi, Associate Professor (Retired), Department of Education in Science and
              Mathematics, NCERT, New Delhi.
              Shivani Goswami, PGT Biology (Retired), Mother’s International School, New
              Delhi.
              Member Coordinator
              Saroj Yadav, Professor and Dean (Academic), NCERT, New Delhi.
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                                       Acknowledgments
              National Council of Educational Research and Training (NCERT) is grateful to
              the members of Development Team for their contribution in the development
              of this book.
                  Special thanks are due to Dinesh Kumar, Professor and Head, DESM for
              providing administrative and academic support.
                  We are thankful to the Ministry of Human Resource Development,
              Ministry of Drinking Water and Sanitation and UNICEF for initiating the idea
              and assigning the task to NCERT.
                  The council also gratefully acknowledges the support provided by
              administrative staff of Dean Academic, Rani Sharma, PA (Dean), Nitin Kumar
              Gupta, DTP Operator, Fajruddin, Illustrator and Kamal Kishore, Layout Designer
              and Ilma Nasir, Editorial Assistant (Contractual). Thanks are due to Azara,
              Junior Research Fellow for reading the material and for her valuable suggestion.
                  The efforts of the Publication Division, NCERT in bringing out this material
              are also appreciated.
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                                               Contents
              	Foreword	                                                       iii
              	Introduction	                                                   1
              1.	 Sanitation and Hygiene	                                      3
              	 1.1	Sanitation	                                                3
              	 1.2	Hygiene	                                                   4
              	    1.3	 Meaning of wash	5
              2.	 How Improper Sanitation and Poor Hygiene Practices Affect Us? 8
              	    2.1	 Scenarios of open defecation and their impact	        10
              	    2.2	 What are germs?	                                      14
              3.	 Open Defecation	                                            16
              	    3.1	 What is open defecation?	                             16
              	    3.2 	 Why should I stop open defecation?	                  16
              	    3.3 	 Why do some people defecate in the open?	            16
              4.	 What is Open Defecation Free?	                              18
              	    4.1 	 Defecation by pets and stray animals	                19
              5.	 Improved Sanitation	                                        20
              6.	 The F diagram 	                                             21
              	    6.1 	 What are barriers?	                                  23
              7.	 Types of Waste	                                             24
              8.	 Important Sanitation Schemes in India	                      25
              	8.1	Swachh Bharat Mission	                                     26
              	Exercises	                                                     28
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                                      Introduction
            Sanitation and hygiene are two major factors that affect our health. We know
            that health is a state of well being and is essential for a purposeful existence.
            Good health is not only freedom from sickness and diseases but a complete
            absence of anxiety, social and psychological tensions. If there is any deviation in
            harmonic functioning of our body, our health gets affected and we may get sick.
                The factors that may affect our health are:
                1.	Nutrition
                2.	 Sanitation and hygiene
                3.	 Genetic disorders or defects	
                4.	 Social and psychological factors
                In this material the focus will be on sanitation and hygiene. Let us begin
            exploring how clean our surroundings are, by completing Activity 1. In this
            activity if you get all your answers Yes, we can say that your locality have
            achieved a good level of sanitation and hygiene. Even if you get any one of your
            answers as No, it means that your surrounding needs attention individually, by
            the community and by the government/public agencies.
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                                                        Activity 1
             Tick (ü) Yes or (û) No for the following statements:
                                                                                         Yes   No
                1.    Waste is not dumped in and around your:
                      • Home
                      • School
                2.    Solid waste is segregated and collected from:
                      • Home
                      • School
                3.    Tap water is available in your:
                      • Home
                      • School
                4.    The source of drinking water is a handpump/open well/pond/lake or river:
                      • Home
                      • School
                5.    Toilet facility is available at your:
                      • Home
                      • School
                6.    People in your neighbourhood do not defecate in open. Faeces
                      and urine of human and animals (including cattle, pets and stray
                      animals) are not seen in your neighbourhood.
                7.    There is a proper drainage system for safe disposal of liquid
                      wastes in your neighbourhood.
                8.    The waste water from households in your neighbourhood
                      does not get spread over in open areas.
                9. You wash hands with soap before and after taking meals/after
                   using toilet facility.
               10. You take bath regularly and wear clean clothes.
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                                Sanitation and Hygiene
            Maintaining proper sanitation and good
            hygiene practices are necessary for
                                                                          Toilet
            healthy living.
                 1.1 Sanitation
                 Sanitation means all measures that
                 promote:
                 •	 	proper disposal of human and
                    animal wastes (solid as well as
                                                                           If you don’t
                    liquid wastes). It also includes                      have one, ask
                    disposal of hazardous wastes from                          for it.
                    hospitals/industries/other sources.
                 •	 	use and proper maintenance of
                    toilets.
                 •	 	avoiding of open defecation.
                                    A Case Study from Assam
               Safe and clean water and
               sanitation facilities are a basic
               right of all people, including
               people with disabilities. Jimoni
               Nath, a 12 years old is a resident
               of Bamunijhar village in Sipajhar
               in Assam. She has been confined
               to a wheelchair due to a physical
               disability. A faculty member
               of Shishu Sarothi, a centre for
               rehabilitation and training for multiple disabilities decided to help
               Jimoni and others like her. A team of Shishu Sarothi tried to innovate
               and create user friendly toilets for people with such disabilities.
               Besides, they also took the responsibility of training as how to use
               such toilets. They used bamboo, a commonly available material, for
               constructing the toilets. This made not only Jimoni’s life easier but
               also for others like her.
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                      Maintaining proper standards of sanitation are necessary for improving
                 and protecting health and wellbeing of the people.
                      Sanitation includes steps to ensure access and use of toilets by everyone.
                 It also includes ways to separate human excreta from coming in contact
                 with other individuals. One of the important factors to maintain proper
                 sanitation is to end the practice of ‘open defecation’. This may be done by
                 involving individuals and community members to build, maintain and use
                 toilets. Therefore, sanitation is often associated with our surroundings or
                 environment.
                 1.2 Hygiene
                 Hygiene is a set of practices performed for the preservation of health.
                 Hygiene is often associated with our body. According to the World Health
                 Organisation (WHO), “Hygiene refers to conditions and practices that
                 help to maintain health and prevent the spread of diseases.”
                      One of the most effective ways to protect ourselves and others from
                 diseases is to adopt good practices of personal hygiene. These may include:
                 •	 taking bath at least once a day.
                 •	 washing hands
                     ¾¾ after using the toilet.
                     ¾¾ before preparing food or serving food.
                     ¾¾ before and after eating food.
                     ¾¾ if someone around you is infected with cold or any other infectious
                         disease.
                     ¾¾ after handling pets and domestic animals.
                 •	 brushing teeth in the morning and before going to bed.
                 •	 rinsing mouth after every meal.
                 •	 wearing clean clothes.
                      We will now try to find out
                 how improper hygiene can affect
                 our health negatively. Have you
                 come across a person with a
                 strong unpleasant body smell. You
                 must have experienced this in a
                 crowded places such as bus, train,
                 etc. You may have also felt that
                 your body is smelly sometime.
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                                  Steps of Proper Hand Washing
                   Wet hands         Apply enough              Rub hands          Palm to palm
                   with water.      soap to cover all         palm to palm.        with fingers
                                     hand surfaces.                                interlaced.
                   Rinse hands     Dry thoroughly with         Use towel to        ...and your
                   with water.      a single use towel.       turn off faucet.   hands are safe.
                      When we do not take regular bath our body smells because of sweat.
                  This is particularly true in summer. The foul smell is due to the action of
                  bacteria on sweat.
                      Similarly, washing hands is essential to remove harmful germs, if
                  any, sticking to our hands. These germs may stick to our body during
                  our day to day activities. These germs are so small that we cannot see
                  them. Regular washing of hands helps to remove these germs, some of
                  which could be a source of disease such as common cold and diarrhoea.
                  Wearing washed and clean clothes also protects us from harmful germs.
                      When we eat, some tiny food particles remain trapped in the mouth
                  in between the teeth. The action of bacteria on them may give rise to
                  bad breath. Bad breath may also be due to diseases of the teeth, gums
                  and mouth. Regular brushing of teeth and rinsing of mouth removes the
                  food particles to a large extent. If bad breath continues, one must visit the
                  dentist.
                  1.3 Meaning of WASH
                  So far we have learnt about the importance of sanitation and hygiene. Did
                  you realise that without water we cannot maintain sanitation and hygiene?
                  Water, Sanitation and Hygiene are collectively termed as WASH (Wa —
                  Water; S — Sanitation; H — Hygiene). Since water, sanitation and hygiene
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                                                      Activity 2
              The following pictures depict some practices that we commonly observe.
              Try to group them as good practices and bad practices. Tick () for good
              practices and cross () for bed practices.
                      Brushing teeth            Washing hands with soap               Trimming nails
                    Throwing trash from moving vehicles                   Spitting on road
                 Disposing garbage in dustbin        Washing clothes                Rinsing mouth
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                  are interdependent, these are grouped together as WASH. Remember
                  each one of them is dependent on the presence of the other.
                      For example, proper sanitation cannot be maintained in toilets without
                  water. Similarly, water is essential for personal hygiene such as, washing
                  hands, taking bath, etc. If there are no toilets, people are compelled to
                  defecate in the open. This practice of defecation in the open may affect
                  health in many ways. The faecal matter and the germs it contains get
                  washed away when it rains. This may get carried to nearby water sources
                  such as ponds, lakes, streams, rivers, etc., and contaminate water. In many
                  cases, the toilets are not constructed as per desired norms. In such cases,
                  it may so happen that these toilets directly discharge into water bodies.
                  Open defecation may also be a cause of water contamination.
                                               Do you know?
                       According to a report of the United Nations International Children’s
                       Emergency Fund (UNICEF) published in 2016, it is estimated that
                       about 5.2 lakh children under 5 years of age die annually from
                       diarrhoeal disease, that means, 1400 every day. Of these most are in
                       developing countries.
                       WA       WATER          Barriers can stop the transmission of
                                               disease; these can be primary (preventing
                                               the initial contact with the faeces) or
                       S        SANITATION     secondary (preventing it being ingested by
                                               a new person). They can be controlled by
                       H        HYGIENE        water, sanitation and hygiene interventions.
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               How Improper Sanitation and
             Poor Hygiene Practices Affect Us?
            We have discussed the meaning of sanitation and
            hygienic practices. We have also discussed about some
            of the practices essential for maintaining sanitation and
            hygiene. If we do not adopt proper hygiene practices
            and maintain sanitation in our surroundings, we may
            contact some disease and fall sick. There are several
            ways by which we can be affected. Human faeces as
            well as faeces of other animals could be a source of
            many diseases such as, cholera, typhoid, infectious
            hepatitis, polio, etc.
                                Menstrual Hygiene Management (MHM)
               Menstrual hygiene is an issue associated with women and adolescent
               girls. Lack of correct information makes people across the society
               uncomfortable to talk about the subject. Good menstrual hygiene
               is crucial for the health and dignity of girls and women. Everyone
               in the society including the male members must understand that
               this is a natural process and not a matter of shame. It is therefore,
               necessary that the subject be discussed
               without any taboos. Adolescent girls
               particularly need support and guidance
               at the initiation of menstruation. It is
               essential that at this time, schools and
               family provide them a safe environment
               that offers protection and guidance
               to ensure their basic health and well-
               being. Knowledge about handling of
               sanitary napkins/homemade pads and
               their proper disposal is essential for
               maintenance of hygiene.
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                Washing clothes/
                utensils/cattle near
                open well/ponds
                lakes contaminates
                the water source.
                Plenty of waste
                and faecal matter                    Spread of infectious
                allows growth of       Poor          diseases like diarrhoea,
                flies, mosquitoes,     sanitation    typhoid, cholera, polio,
                cockroaches,           conditions.   hepatitis, etc.
                rodents, etc.
                People practicing
                open defecation
                may release harmful
                germs in the
                surrounding.
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                  2.1 Scenarios of open defecation and their impact
                  Let us consider a few scenarios that may give us an idea how open
                  defecation can affect our health.
                 Scene I
                 A person infected with diarrhoea defecates in the open in a
                 grass field. Later in the day a house maker goes to the same
                 field to collect green fodder for her cattle. Unknown to her, the
                 infected faecal matter may come in contact to her clothes and
                 body parts. The harmful germs get transferred to her dress and
                 body. On returning home, her children hugs her and ask for
                 food. She may serves food to her children and other members
                 of the family without properly washing her hands. In the process
                 harmful germs may enter the body of the children and family
                 members and make them sick.
                 Scene II
                 A group of children are playing game in a nearby ground. They
                 may be playing a game of cricket/hockey/volleyball/football
                                  or a traditional game like seven times (pithu)
                                  or with glass marbles. During the play, the
                                  material used in the game, say the ball or the
                                  glass marble goes out of the play area and
                                  rolls over the faecal matter of a person who
                                  have defecated in open. The harmful germs
                                  get stuck to the ball or the marble. The harmful
                                  germs then get transferred to those children
                                  playing the game and make them sick.
                                               10
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                 Scene III
                 The shoe lace of a child going to school or any person walking
                 on a road gets loose. The string of the lace comes in contact with
                 faecal matter or urine of an infected person who have defecated
                 on the roadside. The harmful germs get transferred to the hands
                 of the child or the person when she/he ties the lace. The harmful
                 germs may enter the body of the child or the person if she/he
                 does not wash her/his hands immediately.
                 Scene IV
                 A person infected with diarrhoea
                 uses a public toilet. She/he
                 opens the door by holding the
                 door handle and/or unlatching
                 the bolt with unwashed hands.
                 In the process, she/he transfers
                 harmful germs to the latch/
                 door handle. The next person
                 using the toilet locks the door by
                 holding the handle/latch when it is
                 still wet. Harmful germs may get
                 transferred to her/his hands and
                 make him/her sick.
                                                11
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                 Scene V
                 A large number of persons including
                 some infected with diarrhoea defecate
                 in the open close to a vegetable
                 field near a pond or an open well.
                 The rain water or the water used for
                 irrigating the crop spread the faecal
                 matter to the vegetable crop and also
                 contaminate the water of the pond/
                 well. The people harvesting the crop
                 or using water from the pond/well
                 may get infected with harmful germs
                 and get sick.
                  Project
                                 Visit to a Garbage Dumping Site
              Visit with your friends a garbage dumping site in your neighbourhood. Make a list
              of your group’s observations based on the following:
                   (a)	 Did you see flies, birds or any other animals thriving on the garbage? Make
                        a list of them.
                   (b)	 What types of wastes are thrown in the garbage dump?
                   (c)	 Were the wastes contained within the boundary of the dumping site or
                        scattered all around it?
                   (d)	 Was the visit to the site uncomfortable? Make at least two observations.
                   You may add your own observations other than those mentioned above. Prepare
              a brief report about your visit and suggest ways to improve the sanitary conditions.
                There are many more ways in which                               Ouchh!!
                we may get infected with disease                            Mind  your step.
                causing germs due to the practice of
                open defecation. In addition to this,
                we may also get infected with disease
                causing germs by coming in contact
                with domesticated animal dung, faecal
                matter of pets or stray animals, rodents
                and birds.
                It is, therefore, essential that we wash our hands as frequently as possible
            to avoid entry of harmful germs to our body from different sources.
                                                      12
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                                             Activity 3
              Think of a scene about how open defecation can affect our health. Write
              down the scene.
              ____________________________________________________________
              ____________________________________________________________
              ____________________________________________________________
              ____________________________________________________________
                                   Malnutrition and Stunting
               A poor and nutrition deficient diet
               or certain digestive conditions do
               not allow the body to get enough
               nutrition. The digestive conditions
               may be due to poor sanitation. If the
               conditions like improper nutrition or
               digestive conditions continue over a
               long period malnutrition may occur.
                   Stunted growth, also known as
               stunting and nutritional stunting,         Doctor checking for malnutrition
               is a reduced growth rate in human
               development. It is a primary manifestation of malnutrition and recurrent
               infections, such as diarrhoea.
                   Every year in India, 26 million children are born into families that
               practice open defecation. Close to 0.7 million children die within 28
               days of birth. Lack of safe sanitation and poor hygiene causes frequent
               diseases which often lead to malnutrition and stunted growth.
                Adequate sanitation and the practice of good hygiene, for example,
            washing hands frequently with soap particularly before taking food and after
            defecating and using toilet by everyone, can be a major preventive measure
            of malnutrition and stunting.
            In conclusion, safe sanitation prevents diseases by:
                •	 isolating the user from their own and other people’s faeces.
                                                  13
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                •	 preventing the carriers of disease causing germs (e.g., flies, mosquitoes,
                     cockroaches) from contacting the faeces and subsequently transmitting
                     diseases to humans.
                •	 preventing the faeces from contaminating our surroundings.
            It is important to understand that sanitation can act at different levels,
            protecting the individual, the household, and the community from germs and
            infection.
                 2.2 What are Germs?
                 Sometimes when any food falls on
                 ground, elders usually advise us not to
                 eat it as germs may be present on it.
                 This is because germs are found in air,
                 water, soil, food, plants, animals, and
                 on any surface including our body. But
                 we cannot see these germs without
                 the help of a magnifying device.
                 During rainy season you might have
                 noticed that bread gets spoilt easily.
                 Its surface gets covered with grayish
                 white patches. If you observe these patches through a magnifying glass,
                 you may observe tiny, blackish, grayish rounded structures. These are
                 fungi.
                     Similarly, tiny organisms can be seen in water as well. For example,
                 take a few drops of water from a pond or a well and spread it on a
                 glass slide and observe under a microscope. You may find tiny organisms
                 moving in the water. Obviously, these organisms are so small in size
                 that they cannot be seen without a microscope. The germs present in
                 food, the fungus on bread and the tiny organisms in water are known as
                 micro-ogranisms or microbes. Some of these microbes may cause disease
                 and are called germs. Usually most of the germs do not harm us because
                 our immune system protects us against them. But the same germs can
                 cause disease if our immune system is weak.
                     There are also some microbes that are beneficial in many ways. Some
                 of them help in setting of curd and baking of bread and cake. Do you
                 know that a large number of microbes reside in our body? Some of these
                 help in the digestion of the food we eat.
                                                  14
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                 How germs spread?
                 Germs can spread in several ways. Some common ways are:
                  •	 Nose, mouth or eyes to hands and then to others.
                  •	 Food to hands.		             •	    Hands to food.
                  •	 Animals to people.		         •	    People to animals.
                  •	 Infected child to hands to others.
                  •	 Through air, water and disease carriers.
                                             Direct contact
                                                 By air
                                                                      Indirect
                                                                      contact
                                                                                 Healthy
                                                 By food                         person
                                                 Mosquito/
                                                  insect
                           Infected person
                                                              Rabid animal
                                                      15
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                                 Open Defecation
                 3.1 What is open defecation?
                 Open defecation is the practice of                   Do you know?
                 defecating outside in the open rather         Even a drop is dangerous.
                 than using a toilet. The germs in the         One gram of faeces may contain 
                 faeces and urine often find their way         10,000,000 viruses, 1,000,000
                 into sources of water and food which          bacteria, 1,000 parasites cysts
                                                               and 100 parasite eggs.
                 may lead to disease.
                 3.2 Why should I stop open
                 defecation?                                        More to know
                 Open defecation causes public health
                 problems in areas where people             Problem of Open defecation
                 defecate in fields, along railway lines,   in the World and in India
                 open spaces near dwelling places,          About one billion people or 15
                 near ponds and rivers.                     per cent of the global population
                     Some of the health problems that       follows the practice of open
                 may arise due to open defecation           defecation        (WHO/UNICEF
                 have been discussed earlier.               report 2014).
                 3.3 Why do some people                          India has the highest number
                 defecate in the open?                      of people practicing open
                 There are many reasons why some            defecation, around 500 million.
                 people defecate in the open. The           Out of these, about 52 per cent
                 reasons may include one or more            of them reside in rural areas
                 of the following:                          while 7.5 per cent is estimated
                 •	 Some household do not have              to be in urban areas.
                     toilets and cannot afford to                A study by Water Aid
                     build one.                             estimated as many as 157 million
                 •	 In some cases toilet is available       Indian or 41 per cent of Indians
                     but is of low quality and are not      living in urban areas, live without
                     well maintained.                       adequate sanitation.
                                                            (Source: Swachhata Status Report 2016
                 •	 People prefer not to use toilets
                                                            Ministry of Statistics and Programme
                     to delay the toilet pit filling up,    Implementation, Government of India
                     in the case of a pit latrine.          2016, p69–70.)
SANITATION AND HYGIENE.indd 16                                                                  8/24/2017 4:28:38 PM
                 •	 Toilets are not available at the workplace or public places, e.g., during
                     farming activities.
                 •	 Some people are ignorant about the benefits of using toilets.
                 •	 Cultural or habitual preference for defecation in the open.
                 •	 Sometimes the toilet buildings are encroached upon and are used for
                     some other purpose.
                 In view of the above it is imperative that concerted efforts be made
                 to bring about behavioural change among large section of people who
                 are defecating in the open and not using toilets. This can be achieved if
                 children from very beginning are trained in proper use of toilets.
                                                                                  You
                                                                                 too!!
                                                   17
SANITATION AND HYGIENE.indd 17                                                            8/24/2017 4:28:40 PM
                  What is Open Defecation Free?
            The Government of India has defined, Open Defecation Free (ODF), as the
            termination of faecal-oral transmission, defined by no visible faeces found in
            the environment or surroundings and every household and public/ community
            institutions are using safe technology options for disposal of faeces.
                This will be possible only when no one defecates in the open.
                This definition is part of the Swachh Bharat Mission (Clean India Campaign).
            The fundamental idea is that no one should defecate in the open, and always
            use toilets.
                                 How to Dispose Faeces from Used
                                      Diapers and Nappies?
               Now-a-days diapers are being used for babies, for sick patients and
               also for aged people. In many households homemade nappies are
               used for infants. In either case, it is important to get rid of faeces
               from the diaper/nappies by dropping it in the toilet. This will reduce
               foul odors and spread of germs. One can use the sticky tape sections
               of the diaper to wrap it up properly in a used paper before throwing
               it in a garbage bin. One should never throw used diapers in an open
               area because these are harmful for environment. After handling a
               used diaper/nappies wash hands with soap. Proper sanitation habits
               are very important.
SANITATION AND HYGIENE.indd 18                                                           8/24/2017 4:28:44 PM
                  4.1Defecation by pets and stray animals
                  All animals other than human beings defecate in the open. However,
                  some of them like pets and domesticated animals being closer to human
                  population can be a source of disease causing germs. You may have seen
                  people taking their pets such as dogs to defecate in the open. This is
                  quite a common practice in urban areas. You might have also come across
                  faeces of stray animals in the neighbourhood, in the streets or in the open
                  fields. These faeces from animals can also carry disease causing germs.
                  The germs can spread to humans just as human faeces transmit diseases.
                  One of the essential conditions to make India open defecation free is to
                  provide improved sanitation facilities including toilets.
                                                   19
SANITATION AND HYGIENE.indd 19                                                            8/24/2017 4:28:45 PM
                                 Improved Sanitation
            An improved sanitation facility is the one that hygienically separates human
            faeces and urine from human contact. Usually this include:
              (a)	 A flush toilet connected to a piped sewer system.
              (b)	 A flush/pour-flush toilet connected to a septic tank or pit latrine.
              (c)	 A composting toilet — a dry toilet that treats human excreta, by
                   composting or managed aerobic decomposition. These toilets generally
                   use little or no water and may be used as an alternative to flush toilets.
SANITATION AND HYGIENE.indd 20                                                            8/24/2017 4:28:47 PM
                                              The F Diagram
             The F diagram depicts how germs spread and how that can be prevented.
             The letter ‘F’ in F diagram refers to fluids, fingers, flies, and fields; the modes
             through which the diseases from faecal matter can spread.
               (a)	Through fluids mainly water: Germs from faeces on the ground can get
                    into the water (fluids) that may be used for drinking.
                                                            fluids     Treat, transport and
                                                                       store the water safely
                                                                       W
                        Protect the
                        water source   W                               Wash hands
                                               Wash                   before eating
                 Separate faeces             hands after
                                       S                              or preparing
                 from water sources          defecation    fingers        food
                                                    H                       H              Store and
                                                                                           cook food
                                                                                 food       carefully
                                                                                                H
                                                                      Cover
                                       faeces                 flies   food                              faces
                                                                       H
                                                S
                                                                        S
                                           Separate                   Control               Wash hands
                                           faeces                      flies          H   before eating or   H   Wash hands
                                           from the                                        preparing food
                                           environment
                                                           fields                         Peel and wash
                                                                                               food
                                                           floods
                                                                        S
                                                                      Drainage
                                  Primary barrier                                Secondary barrier
                                           Common modes of transmission of disease causing germs
SANITATION AND HYGIENE.indd 21                                                                                                8/24/2017 4:28:50 PM
               (b)	 Through fingers: Through fingers, or hands that haven’t been washed
                    after going to the toilet. These dirty hands can transmit the germs on
                    the foods to be eaten.
               (c)	 Through flies: Flies can transfer germs from faeces to food. So it’s
                    important to keep flies and other insects out of the kitchen or where
                    food is kept.
               (d)	 Through fields or floors: Germs can seep into the crops and other
                    sources of food, or come into homes through animals or poultry, if
                    faeces are not disposed of properly. To prevent field contamination, it’s
                    important that faeces are disposed in the toilets.
                                                 Activity 4
              Let us test our knowledge about types of barriers. Tick (ü) the correct
              type of barrier in the following situations:
                                                                     Primary   Secondary
                        Not letting flies come in contact with the
               1.
                        faecal matter.
               2.       Not letting flies sit on the food.
                        Keeping water bodies clean by not letting
               3.
                        it come in contact with faecal matter.
               4.       Washing hands after defecation.
               5.       Washing hands before eating.
               6.       Washing fruits before eating.
               7.       Washing vegetables before making salad.
               8.       Controlling the cockroach population.
               9.       Covering the food properly.
               10.      Using toilet properly.
                                                         22
SANITATION AND HYGIENE.indd 22                                                             8/24/2017 4:28:51 PM
                  6.1 What are barriers?
                  We have seen that diseases can get spread from the faecal matter through
                  different sources classified as the Fs. Therefore, in order to prevent such
                  spread of diseases, we need to create some efforts or interventions to check
                  the spread of diseases through all the Fs. These are called barriers. Based on
                  where we create the barriers, they are grouped into two types:
                      (i)	 Primary barriers (PB): We can create barriers between unclean
                            fluids, fingers, flies and fields by eliminating open defecation.
                      (ii)	 Secondary barriers (SB): We can create barriers between
                            unclean fluids, fingers, flies and the food we eat, by maintaining
                            hygiene and keeping our surroundings, our hands and our foods
                            clean and safe.
                  We therefore need to ensure that effective barriers exist in our activities
                  and surroundings that can prevent the transmission of germs from faeces
                  to human.
                                                     23
SANITATION AND HYGIENE.indd 23                                                               8/24/2017 4:28:51 PM
                                   Types of Waste
            Faecal matter is not the only waste
            that can affect our health. In fact,
            waste is any material, solid or
            fluid/liquid that is thrown away as
            unwanted material.
            As per physical properties, waste
            can be categorised as solid and liquid
            wastes.                                           Non-             Biodegradable
                                                          Biodegradable
                 (a) Solid waste
                 Any waste other than human
                 faeces, urine and waste water, is
                 called solid waste. Solid waste generally includes—household waste,
                 garden waste, cattle dung and waste from cattle sheds, agro waste,
                 broken glass, scrap metal, waste paper, plastics, cloth, rubber, waste
                 from markets and shopping areas, hotels, hospitals, etc.
                 Some of the above wastes which are products of plants and animals are
                 called biodegradable while the products from non-living are categorised
                 as non-biodegradable.
                 •	 Biodegradable: Waste that are completely decomposed by
                     biological processes either in presence or in absence of air are called
                     biodegradable, e.g., kitchen waste, animal dung, agricultural waste, etc.
                 •	 Non-biodegradable: Waste which cannot be decomposed by
                     biological processes is called non-biodegradable waste e.g., broken
                     glass, plastics, etc.
                 (b) Liquid waste
                 Used and unwanted water is called waste water. Waste water is of two
                 types:
                 •	 Black Water: Waste water generated in the toilets is called black water.
                     It contains harmful germs.
                 •	 Greywater: Waste water generated in the kitchen, bathroom and laundry
                     is called greywater. It may also contain harmful germs. Greywater can
                     be reused for gardening and toilets after simple treatment.
SANITATION AND HYGIENE.indd 24                                                             8/24/2017 4:28:54 PM
                   Important Sanitation Schemes
                             In India
            The period 1981–1990 was celebrated worldwide as the International Decade
            of Water and Sanitation. It reflected global concern about sanitation.
                In India, sanitation services in urban areas are provided by municipal
            bodies. In rural areas these services are provided through state government
            departments and gram panchayats. In rural areas, the Government of India
            started the Central Rural Sanitation Programme (CRSP) in 1986, followed by
            the Total Sanitation Campaign (TSC) in 1999, and the Nirmal Bharat Abhiyan
            in 2012. The objective of all these schemes was to encourage rural households
            to build and use toilets, so to accelerate sanitation coverage. Households were
            provided financial incentives for this.
                                            Advanced Greywater Treatment
                 Planter Bed
                                                                      Greywater sources
               To groundwater
                                 Overflow
                                                                 Sand-filter          Septic tank
                                               Pump-pit
               According to the Ministry of Drinking Water and Sanitation (MDWS),
            Government of India’s Baseline Survey 2013, the above efforts resulted in
SANITATION AND HYGIENE.indd 25                                                                      8/24/2017 4:28:56 PM
            India’s sanitation coverage in rural areas to reach close to 40 per cent. This
            progress however was not satisfactory as most of the efforts focused more
            on construction of toilets and not enough on ensuring their use. The Swachh
            Bharat Mission launched by the Government is an effort to address this issue.
                8.1 Swachh Bharat Mission
                On 2nd October 2014,
                the Prime Minister, Shri
                Narendra Modi, launched
                the Swachh Bharat Mission
                (SBM). The Mission is being
                                                   LoPN          Hkkjr
                implemented both in urban
                and rural areas, and aims to
                create an Open Defecation         Ek Kadam Swachhata Ki Aur
                Free India by 2nd October
                2019, which is the 150th birth
                anniversary of Mahatma Gandhi,
                the Father of the Nation. It also
                aims at creating cleaner cities,
                towns and villages across the
                country.
                     The Swachh Bharat Mission
                logo consists of Gandhiji’s
                spectacles and the slogan, Ek
                Kadam Swachhata Ki Aur. The
                Swachh Bharat Mission aims to
                provide toilet facilities to all,
                and promote their use at all
                times. Under the programme,
                the     government       provides
                incentives to households to
                build and use toilets.
                     Cleanliness of homes and
                surroundings and public places
                like schools, hospitals, offices,
                bus stands, railway stations and markets, etc., are also important components
                of the Mission. Good hygiene practices like hand washing after defecation
                                                  26
SANITATION AND HYGIENE.indd 26                                                            8/24/2017 4:29:00 PM
                  and before meals are being promoted.
                  Hand washing facilities in schools are
                  being set up so that children can wash
                  their hands before and after having
                  their mid day meal.
                      The Swachh Bharat Mission has
                  created a lot of excitement and
                  enthusiasm among citizens. Students
                  in particular have come forward and
                  are participating in awareness and
                  cleanliness activities across the country.
                  Government departments, public and
                  private enterprises, civil society, youth
                  organisations and the general public
                  are participating in the activities. Various events are being held in which
                  mass participation in cleanliness activities and its promotion is seen. Many
                  celebrities have also supported and participated in the programme.
                                                   Keep your surroundings
                                 clean               clean, practice good
                                  city    Open
                                     Defecation
                                      Free India
                                                   sanitation and hygiene
                                                                                     clean
                                                          y
                                                   Health                            india
                                                     India         SwaCch   Green
                                                           Use
                                                         Toilets
                                                                   Bharat    india
                                                              27
SANITATION AND HYGIENE.indd 27                                                               8/24/2017 4:29:04 PM
                Gandhiji was a devoted campaigner for cleanliness and
                sanitation. He made cleanliness and sanitation an integral
                part of the way of living. His dream was total sanitation
                for all. According to him, cleanliness was most important
                for physical well-being and healthy environment.
                To read more about Gandhiji’s efforts on sanitation
                you may read the book Bahuroope Gandhi written by
                Anu Bandopadhyaya in 1964. Read the book online by
                following this link: mkgandhi.org/bahurupi/bahurupi.htm
                                            EXERCISES
            Answer the following questions:
            	   1.	
                  Why is sanitation so important for us? Mention any two reasons.
            	   2.	
                  What are the common sources of germs? Name any two.
            	   3.	
                  List any three ways by which germs may spread.
            	   4.	
                  Give two examples each of biodegradable and non biodegradable wastes.
            	   5.	
                  No one should defecate in open. Justify the statement.
            	   6.	
                  People usually let their pet dog to defecate in open. Suggest a way to
                  prevent them from littering public places.
            	 8.	 How has the surrounding of your home and school changed after the
                  launch of Swachh Bharat Mission?
            	 9.	 If you have participated in an event on Swachh Bharat Mission write your
                  personal experience.
            	10.	 What do you understand by open defecation free?
            Extended Activities
            	 I.	 Every citizen of the country needs to contribute towards the success
                  of Swachh Bharat Mission. Discuss with your friends what steps need be
                  taken to ensure that:
                  •	 everyone uses toilets all the time, and
                  •	 wastes are disposed off in such a manner that it enhances cleanliness.
                                                       28
SANITATION AND HYGIENE.indd 28                                                          8/24/2017 4:29:05 PM
               	 II.	 Solve the crossword.
               		Across
                      1.	 Undigested and unabsorbed solid waste excreted.
                      2.	 Practice of keeping oneself clean.
                      3.	 Waste water generated in the toilets.
                      4.	 Waste that completely gets decomposed by biological processes.
               		Down
                      1.	 Proper disposal of human and animal wastes.
                      2.	 The collective term for water, sanitation and hygiene.
                      3.	 Can be transmitted to others by coughing or sneezing.
                      4.	 A common digestive disorder associated with unhygienic conditions.
                   1                                     2
                           A                                 S
           5
               B                                 W
                   3             6
                       H             G                           E
                                         4
                                             W
                                                             T
                                                                 S
                                                 8
                                                     D
                                         7
                                             B                       E                      E
                                                             N
                                                                     29
SANITATION AND HYGIENE.indd 29                                                             8/24/2017 4:29:06 PM
             	 III. 	 Several terms related to Swachh Bharat Mission are hidden in the figure.
                      Spot at least five. One example is shown for you.
                                 W   C   L   E    A    N       T   W   B    P    Z
                                 O   A   B   C    I    D       K   M   L    N    B
                                 D   G   K   A    T    E       W   T   A    G    M
                                 K   E   T   N    O    F       A   E   C    E    S
                                 I   H   Y   G    I    E       N   E   K    R    A
                                 L   A   D   O    L    C       E   S   W   M     N
                                 I   N   U   D    E    A       W   D   A    B     I
                                 C   D   N   B    T    T       O   U   T    A    T
                                 N   W   G   T    L        I   E   S   E    I    A
                                 W   A   T   E    R    O       S   T   R    E    T
                                 E   S   R   N    Y    A       F   I   D    P    O
                                 I   H   R   N    Y    A       F   I   D    P    O
                                 R   E   C   Y    C    L       E   N   R    T    N
             	   IV.	 Try to do!
                      1.	Depict Swacch Bharat Mission as you perceive in the form of cartoon/
                          drawing.
                      2.	 Write a slogan on Swacch Bharat Mission.
                                                      30
SANITATION AND HYGIENE.indd 30                                                            8/24/2017 4:29:06 PM
                                 Page 22 / Price `45.00
                                      Code 18145
                               ISBN 978-93-5007-848-8
Cover 2 and 3.indd All Pages                              8/24/2017 4:53:11 PM
                                                                    Sanitation
                                                                             and
                                                                       Hygiene
                                                                    Supplementary Material for
                                                                     the Upper Primary Stage
                               18148
                                       ISBN No. 978-93-5007-857-0
Cover 1 and 4.indd All Pages                                                                     8/24/2017 4:51:58 PM