Showing posts with label giardia. Show all posts
Showing posts with label giardia. Show all posts

Saturday, March 5, 2011

In India, More Women Demand Toilets Before Marriage

Here's an absolutely wonderful article in The Washington Post explaining how the development of water sanitation infrastructure goes hand in hand with social development, namely the empowerment of women.

Moreover, this article hammers home a point that I really struggled to convey to my young male Malian friends: Improving your toilet improves your chance of gettin laid! If you don't have a quality toilet and septic tank, ain't no girl gonna be into you!

Maybe one day I could even disseminate similar sentiments about greywater recycling, urine separating and composting toilets amongst my American brethren... (insh'allah)

Tuesday, September 21, 2010

Help Fund Pilar's Nyegen Project!


Though the eponymous hero of this blog can no longer volunteer his own ditch–digging skills, the brave activists of Operation Sphincter Plug continue their valiant effort to rid the world of gastrointestinal disease. Continuing this imperative work in another village down the road from Sanadougou is Peace Corps Volunteer Pilar Lyons of Pine Bush, New York. Pilar is a civil engineer with a special zeal for water and wastewater infrastructure!

Pilar’s village is much smaller than Sanadougou – only about one thousand people; however, it has even more dire sanitation needs. This particular Minianka village lies atop soft fertile soils adjacent to a series of seasonal ponds with a very high water table – only 1.5 meters below ground in some places. Though this is a prime location for agriculture, since the water table is so high and the soft soils are not supported by solid rock, their “traditional latrines” built from mud and logs often rot and collapse while some unlucky person is squatting on top of them. Even worse, the high water table and soft soils mean that the groundwater which feeds this village's wells is particularly susceptible to contamination from the unlined latrine pits; in other words, their drinking water is directly polluted with human fecal matter. Without any means of containing wastewater, raw sewage flows out into standing puddles in the street which serve as fertile breeding grounds for malaria-spreading mosquitoes, as well as filth flies and cockroaches which carry giardia cysts and amoebas into the people's food and drinking water.

Inadequate sanitation in a Minianka village is not just something icky – it is the reason why giardia, dysentery, hookworm and malaria are absolutely endemic in this society, it why two out of every five children die before the age of five, it is why so many adults cannot work in the fields because they are sapped and emaciated by dysentery. Without the monetary wealth to purchase reinforced concrete and plastic tubing necessay to build adequate sanitation infrastructure, these poor Miniankas are mired in a cycle of filth, disease and poverty.

A few months before I packed my bags for Ameriki, Pilar biked over to the mud mansion of Xanadu with two masons from her village both named Daniel Dembele. They came to inspect the many dozens of nyegens and soak pits we had built throughout town. My main man Sidiki Sogoba taught the two Daniels how he assembles proper latrine platforms so that they could apply this trade in their own community. Sidiki doesn't mind the competition, because "We need so many skilled masons in every village in Mali. Even near Sanadougou, we need so much work that I could never do it all."



Now Pilar and the two Daniel Dembele’s are committed to organizing a village–wide sanitation campaign similar to the one which Sidiki and I conducted in Sanadougou. With your help, they would like to build 30 concrete latrines with lined latrine pits to safely store solid waste and a combintion of soak pits and infiltration trenches to safely store liquid waste underground in such a way that it does not directly contaminate the groundwater and it cannot be spread by flies and vermin to indirectly contaminate the food and water. The villagers who would like to participate in the program will have to procure all of the sand, rocks and gravel and either contribute or pay for all of the necessary labor; 27 percent of the total cost. Funds donated through the Peace Corps Partnership will go to pay for cement, rebar, plastic pipes, plastic sheets and a few masonry tools which the town does not have at their disposal.

If you would like to contribute to Pilar’s nyegen project, click here!

Ini’che kosibe kosibe!!!

Monday, July 19, 2010

Eating With My Hands

To preclude accusations of “cultural imperialism” the educational philosophy of the Peace Corps is all but one of cultural relativism. We are supposed to teach the people of developing countries about which new varieties of sorghum offer the highest yields, how to start a business and manage their accounts, sometimes we work in the classroom as math and science teachers – but we’re supposed to teach only objective truths and we’re explicitly not supposed to tender criticism of our host country’s indigenous culture. Understandably, few self-respecting nations which have lived through the humiliation of Colonialism – particularly those nations which have suffered under the yoke of French overlords who appointed themselves mission civilatrice and sought to discredit and dismantle the beliefs of tribal heritage – would now petition the United States to come and tell them that their culture is wrong.

However, maintaining a position of absolute political correctness is impossible when the prevailing practices in a given field are in fact objectively wrong. When Malians greet me bo swaat 8 in the morning, when bus drivers have filled their car beyond the legal maximum capacity and tell me to cough up more cash so they can bribe the police, when people ask for leaves from my lemon tree so they don’t feel guilty about not buying real medicine for their child in a malarial coma, it would be a disservice for me to just go along with the prevailing practices of this culture and not criticize the way people live in this country to their faces. Of course a liberal would argue that all of the above are the muddling of Western modernity, so all of this present-day African nonsense can be attributed to the corrupting influence of French colonial rule. But some of the most self-defeating customs which people follow here were established long before there even was such thing as a France, it would be obtuse for thinking people to subscribe to the absolutely non-judgmental broadmindedness of mushy-headed liberalism and tell themselves “it’s not wrong, it’s just different.”


Perhaps the most difficult custom for a mushy-headed liberal to digest is the way that Malians eat – because it is an objective truth that the traditional way of eating is one of the most significant vectors of disease transmission in this society. Malians by and large eat their food with their hands, and so long as they are eating with family or friends they eat with their hands from a single communal food bowl. Most Malian men tend to livestock and spread their manure over the fields, almost everyone wipes their butt all women wipe their children’s with their left hand; somehow or another over the course of the day their hands are likely to come into contact with fecal matter. Hardly anyone ever washes their hands with soap, so when Malians eat with their hands from the communal food bowl they share and consume each other’s fecal germs. Hence the primary reason why giardia, dysentery and all other forms of severe diarrhea are endemic in this culture is the purely cultural factor of how one brings food to one’s mouth.

When I arrived in Mali for Peace Corps Training, the language and cultural teachers collected me and my fellow trainees into groups of six, sat us around big aluminum bowls of zamé: fried rice with chunks of beef, cabbage, hot peppers and onions. The object of our lesson that day was to learn to eat our lunch with our hands. This task was not so daunting for a dedicated multiculturalist such as myself; I had spent a month in Sri Lanka where I learned the Indian subcontinent’s method of folding one’s four fingers into a V-shape to scoop up a mouthful of rice and sauce and pushing it towards one’s mouth with the thumb – the Sri Lankan finger scoop method could be so refined that at the end of a meal an apt practitioner should have their palm perfectly clean. In my prior experience, eating with my hands was something exotic and worldly.

“Exotic” – yes, but “worldly” is not the first word that usually comes to mind as a Westerner watches Malians eating with their hands. Unlike the Sri Lankans and their graceful finger scoop, a Malian is wont to grab a heaping handful of rice with their right hand, squeeze it in their palm, open their mouth as wide as they can and place their palm to their bottom lip as they shove the handful of rice into their gaping gullet, then thrust the entirety of their four fingers deep into their mouth so they can suck off every last drop of sauce. If they are the staple dish of grayish-green millet goop called toh, Malians will cup their hand a little more as they dip the millet goop balls into a separate bowl of sticky sauce made from baobab leaves, dried fish and peanut oil – the sucking of the fingers remains the same. All of this is done as quickly as possible with no conversation between wolfing down handfuls of food, because the faster one eats the more they can consume. After they have eaten their fill, a Malian licks his or her saucy hand clean in a manner not unlike that of a cat preening the fur on their head.

I went with the flow as I tried to integrate into the family of Karitie Sanogo and Durcas Dembele and their Minianka subgroup of the Bambara tribe. I found eating with my hand sloppy, and it was quite impractical if I was eating lunch alone and trying to read a book. But when I sat down with a group of men around the communal food bowl, I thought “When in Rome…” and shoveled away. I feared that eating with a fork or a spoon would set this hairy, light-skinned Jewish boy apart as an even more distinct Other.

Cheap aluminum forks and spoons are widely available at any sizeable market for no more than the price of a small box of tea, so there were some times though when I wondered how Malians had never developed the custom of eating with utensils by their own initiative. On special occasions Durcas would cook spaghetti seasoned with a bit of tomato paste and a heaping volume of peanut oil, and since food here is served directly from the kitchen with no time to cool off people would begin to dig in while the oil on the spaghetti was still scalding hot. The oil would be so hot that even the old men with their thickly-calloused hands would be wincing at the touch. And long strands of spaghetti are not designed to be eaten manually; every time the men around me would reach down for another painful handful they struggled to shove eight inches of floppy, steaming noodles into their mouths – at least half of the spaghetti strands would be dangling out of their mouths as they chewed, splattering hot burning oil all over their faces and all over their clothing. All of the men seemed to be in such pain and discomfort that it was hard to believe that any of them really enjoyed eating this impractical delicacy.

After a few experiences with this nonsense, the third time that Durcas prepared spaghetti I came equipped with a fork and showed them a much more efficient way of twirling it into practical, bite-sized portions. “You see, not long after the Italians learned how to make spaghetti they invented these things called forks so that they could it without burning their hands and making a mess with the sauce.”

“Maybe they eat with forks in Italy” I was reprimanded, “but here in Mali we eat with our hands.”

“Suite yourself” I thought, and twirled my spaghetti with a fork as all the other men in the family continued scalding their hands.

So long as we weren’t eating spaghetti covered in scalding-hot oil, I thought that eating manually from the communal food bowl didn’t have to be a bad thing, for I could use every meal as a forum to inculcate proper hygiene by washing my hands with soap and water and insisting that every man I ate with do the same. This should be no minor formality in a society of people who wash after defecating by sticking their left hand up their asshole, scrape their rectum with an extra-long pinky nail, and then flush their asshole clean with water from a plastic teapot. Malian culture stresses that anal cleansing is to be conducted exclusively with the left hand – “the good hand”, and that one eats with only the hand on the right – “the rice hand”. But all of this business about separating the right hand from the left comes to naught only a few seconds after anal cleansing when Malians “wash” both hands with only water from that same plastic teapot which was up their asshole only moments ago. Before eating from the communal food bowl, they will pass a calabash or tin can full of water around in a circle starting with the eldest so that everyone can mush their left and right hands together in the increasingly-filthy water. In this culture where just about everyone is completely ignorant of modern germ theory, people think this is actually a hygienic practice.

The fact of the matter is that the prevalent Malian “hand-washing” practices is one of the primary reasons why the population of Mali suffers from more giardia and dysentery than almost any other culture in the world, it goes a long way in explaining why 2 out of 5 children in this country die before the age of 5 and why life expectancy is only 45 years for men, 48 for women. If a circle of men are mushing their shitty hands together in the same calabash of water then after the calabash has gone around everyone has the fecal matter of other men on his hands. And if these men are then eating with their hands from the same bowl of rice or toh, over the course of a meal they are most likely consuming each other’s fecal matter. The Minianka village in which I have lived for two years is an unwittingly coprophagic culture, for a person to eat with their hands from a communal food bowl without having adequately washed their hands is to directly subject other people to the consumption of human feces.

I don’t think that it is going too far out on a limb to say that traditional Minianka eating habits are not just distasteful to the cultural norms to which I am accustomed but objectively wrong. Let’s say that I had in my possession a syringe containing Ebola – wouldn’t it be immoral for me to inject it into an innocent bystander and infect them with the deadly virus? Or if someone knew that they were infected with HIV, wouldn’t it be immoral for them to exchange bodily fluids with another person and subject them to that deadly disease? Knowing that the consumption of human feces is a surefire way to make someone sick, wouldn’t it be wrong to furtively slip a fresh stool from a cholera patient into someone else’s milkshake? How about if someone with dysentery wipes their ass with their hand and then puts his hand in someone else’s rice bowl? Even if someone has yet to be diagnosed with a particular malady, in this day and age when (at least in the Western world) people understand how diseases are transmitted it is unambiguously wrong to engage in practices known to spread serious illness. Ignorance might obviate moral culpability, but it does not change the fundamental wrongness of a practice which inflicts harm upon others.

Where the Peace Corps Volunteer comes into the equation to break the cycle of disease and poverty is to simply eat with the people and still live up to our own standards of cleanliness. Accepting the fact that the Minianka villagers of Sanadougou crouch around a communal food bowl to eat with their hands, I made my point of washing my hands with soap before eating and insisting that all the other men eating with me do the same. I even bought this nifty plastic contraption to replace the calabash so that everyone could wash their hands with a clean, non-toilet plastic teapot over a receptacle without dirtying their hands in other people’s filth. I was eating with the Director of the elementary school Karitie Sanogo and two bachelor teachers Lazar Balo and Boubacar Coulibaly – if there was anyone in this society who could understand proper hygiene it should be this literate elite – and even if they preferred to not wash their hands with soap they grudgingly obliged to accommodate this foreigner’s eccentric ways.


That is not to say that I didn’t have any trouble getting my eating partners to wash their hands. Karitie and the teachers were generally cooperative, but they would have guests come to eat from the food bowl on a regular basis. When we passed the soap and water around the circle, guests would usually just rinse their hands with the water and mush them together like usual. I would nag them about the soap, and they would usually retort, “In our country, we don’t wash our hands with soap – we wash our hands with water.”

“I know – and that’s why so many people in your country die from dysentery. In my country, no one ever gets sick with dysentery – it just doesn’t happen because we wash our hands with water and soap.”

Some men simply refused. “SHUBAGAW!!!” they hollered – “evil sorcerers”. Though they publicly identify themselves as Muslims or Christians, the people in Sanadougou cling tenaciously to their animist superstitions; not knowing anything about germs or viruses, they believe that illness and disease come from these evil sorcerers' black magic spells. And according to ancient lore, washing your hands with water protects oneself from such malevolent witchcraft – soap, however, negates water’s protective powers and renders one vulnerable to sorcerers and their evil ways. Grown adults seriously believe in this twaddle, to such an extent that they would raise the tone of the conversation into a shouting match.

“NO!!! I REFUSE to use soap!!! EVIL SORCERERS!!!”

“Evil sorcerers ARE NOT REAL!!! THEY DON’T EXIST!!!

At this point in the conversation, Karitie would look his guest sternly in the eye and lash them in Minianka “If you’re going to eat with the American, you have to wash your hands with soap. Just do it.”

In a society where old men are considered to be a depository of all knowledge and wisdom, people thought it was downright subversive for 24-year-old me to tell a 50-year-old cekoroba how to wash his hands. This went for anyone. Even on the occasion when the chief of the village or the Mayor of the entire Commune would come to eat with Karitie and me, without batting an eyelash I directed the upper crust of society to scrub their hands with soap. And they were duly offended. No one likes to be told that they’ve been eating shit their entire life – let alone by a foreigner half their age.

I ate like this for about a year, getting in fights with Karitie’s houseguests and winning so long as Karitie was there himself to provide the moral support. But on some occasions he would be gone on business and I would be eating alone with the teachers Lazar and Boubacar – neither of which had any desire to be cursed by evil wizards any more than the next guy, they were only washing their hands to humor their boss. One night Lazar looked me defiantly in the eye, mushed his hands in a pot of water and plunged them into the bowl full of rice, “You can’t make me wash my hands with soap.”

“You’re right. And I can’t eat with you, because I don’t want to eat rice with your shit all over it.” I got up and walked home to cook dinner by myself. Durcas was so thoroughly insulted that I had walked away from her afternoon’s work that she gave Lazar an earful; from then on before eating he would dip his hands into the soap dish while casting me the stink eye.

I put up with this shit for quite a while, but after a year of struggling to convince my eating partners about the merits of soap from time to time I would still find myself running to the nyegen with giardia. I was filtering and treating every drop of water that went into my body, so the only way I could possibly be getting giardia was from the food I was eating. I began to watch the other men eating from the food bowl more closely, and I realized that that a lot of them were merely feigning to apply soap; most dinner guests – and Lazar of course – were meekly touching the bar of soap with the tip of their forefinger and calling it a day. Apparently they thought that hand-washing with soap was just some sort of Tubab eating ritual (though it isn’t – we don’t eat with our hands from any sort of communal anything). No matter how many times I tried to explain how soap actually has chemical properties which detach particulate matter from one’s skin and kill the microorganisms which cause diarrhea, they thought that I was just spouting off American mythology equivalent to their own folklore about witches and wizards. No matter how hard I tried, it seemed that science, reason and the moral power of example had no use on these people – and that for me to eat with my hands from a food bowl meant that I would inevitably be eating other people’s feces.

I thought long and hard about this. Eating from the communal food bowl was more than just a ritual in Minianka society. Even though conversation has nothing to do with it, eating together with another person is the most basic social activity which I could partake with another Minianka man as a sign of friendship and camaraderie. To be a part of this society meant eating with the same food as them, to eat from a food bowl with another is to treat them as one’s equal. To eat alone would be interpreted as a strong demonstration that I truly wished to set myself apart from this society.

I called to seek the wisdom and sagacity of my elders, and my dad recounted a conversation we had had when I was a senior in high school driving around New England looking at colleges. I had made a point of checking out schools where Greek life was small to nonexistent, because I didn’t want to be faced with the choice of either joining a fraternity or having no social life.

“Don’t worry about it, Zac, even if you go to Dartmouth or Cornell that doesn’t mean you have to join the Deltas. There are better ways of creating lasting bonds with friends than running some dehumanizing hazing gauntlet.”

“If I did want to join a fraternity, what would I have to do in order to pledge?”

“Let’s put it this way: if you’re invited to join a secret society and you’re told you have to eat a brother’s feces, just say nothing more and walk away. If you have to eat someone’s shit in order to be a member of a society, there can’t be any compelling reason for you to be a part of it.”

Thus I concluded that I could no longer eat from the communal food bowl.

I came to Karitie and Durcas’ house one day with my own plastic bowl and explained that from that day onwards I could only eat alone. They really didn’t know what to make of it – no one had ever done or said anything like this before. I didn’t have the heart to explain to them the real reason why I couldn’t eat from the men’s bowl, I feared they would interpret it as a grave insult and they would disregard anything else I had to say. So I offered a little white lie that my doctor told me I needed to lose weight and that I should start exercising portion control: “It’s not that I don’t like eating your rice and peanut butter sauce, it’s that I love it so much that if you put the whole bowl in front of me I’m going to eat the whole thing!”

But Karitie and Durcas are intelligent people. Eventually they figured it out.

For the rest of the year, guests to their food bowl would make a stink about me eating alone. People would accuse me of being an elitist or a racist; they would ask “You think you’re better than us?” I didn’t want to make a big deal of it, but in regards to the very significant matter of hygiene I certainly did think so – I knew so, it was a fact.

And eventually I realized that since I was eating by myself, and conversation has nothing to do with the Malian eating ritual anyway, I might as well bring a book or magazine with me to read while I ate from my private food bowl. But it was difficult to turn the pages when I had peanut butter sauce all over my right hand, so I started bringing a spoon with me to all of my meals. Eventually I dropped the eating with my hands business altogether, because I had discovered a much cleaner, more efficient and hygienic manner of bringing food to my mouth.

The more I thought about it, there is really no compelling reason for me or for anyone else to eat with their hands, that it’s simply a primitive practice employed by those cultures who have yet to embrace modern sanitation. Hand-washing with soap is a harm-reduction practice which can reduce the spread of disease among cultures that eat with their hands much like if heroin addicts were to shoot up with clean needles instead of sharing them – but the harm can be eliminated if people would stop shooting heroin altogether. I resolved to never eat with my hands again.

Once I started eating with utensils again, Durcas remarked that I was “eating like a Tubab.”

“No matter how long you look at it, a tree stump will never turn into a crocodile”, I replied. The one and only proverb in the Bambara language means that some things just don’t change.

And eventually I noticed that Karitie, Lazar and Boubacar had given up on washing their hands with soap. It was plainly obvious that they had been going through that charade the whole time to humor me – not because they were actually serious about adopting this practice. Despite a whole year of my lectures about the giardia, the fecal-oral cycle and disease prevention, the most educated men in the entire community were still content to be ingesting each other’s fecal matter.

“No matter how long you look at it, a tree stump will never turn into a crocodile”, Karitie said.

I was really disappointed with this outcome, both with my host family and with myself. I interpreted it as my greatest failure in two years of Peace Corps service.

The people of this village requested a Peace Corps Volunteer to help them build the capacity to improve their water and sanitation, so the United States government decided to take this former lifeguard with three years experience testing and chlorinating the pool water, they trained me to build concrete wells, latrines and wastewater receptacles, and sent me to Sanadougou. With the help of the Water Committee and my expert mason counterpart, we secured roughly $6,000 in USAID , NGO and private donor grants to build 112 latrines, 96 soak pits, 3 infiltration trenches and 6 top-well platforms in families’ homes, we built a row of latrines at the secondary school, we built a row of latrines at le Bureau de la Mairie, we even repaired and reorganized a broken solar water pump-to-tap system so that the people of Sanadougou could enjoy clean, potable drinking water. After all the work that we did, Sanadougou is now a visibly cleaner place. Though I have no way of compiling exact statistics, our work to improve this community’s infrastructure should lead to a significant decrease in the transmission of diarrheal diseases.

Though as I prepare ready to leave for America, I fear that all my work has come to naught because I wasn’t able to make a dent in Sanadougou’s eating habits. The World Health Organization estimates that if people would only wash their hands with soap it would reduce the incidence of diarrheal disease by 43 percent. Even if Engineers Without Borders were to expand the solar pump-to-tap system and bring running water directly to every family’s kitchen, even if some charity were to give the people of Sanadougou a lifetime supply of bottled Evian so long as people keep on eating the way that they do now they are still going to be consuming each other’s shit. Until people in Mali are willing to change their habits, giardia and dysentery are going to forever remain facts of life and children in this town are still going to die from simple bouts of diarrhea.

The fact of the matter is that sometimes tree stumps do, in fact, turn into crocodiles. There’s a word for this phenomenon: “progress”. Hundreds of years ago, the disparate Slavic tribes from which I am descended, the Franks, Teutons, Angles and Celts all lived in earthen huts, they farmed the little food they had with simple hand tools made of iron and wood, they lived in poverty not unlike that of the present-day Miniankas. They didn’t have toilets, they didn’t have toilet paper, and they ate their potatoes with their hands, so the tribes of Europe suffered from endemic giardia and dysentery and they had a life expectancy about as low as that of the Miniankas today. But sometime around the 10th century the French and Italian nobility popularized a simple technology which made eating all the more cleaner: the fork. It took a few more centuries for the peasants and lowly serfs to follow in kind, but eventually all the people of Europe adopted this new custom which not only made eating easier and more pleasurable but also reduced the incidence of disease.

There was also a time in the not-so-distant past when Europeans didn’t quite understand disease transmission either; they thought that sickness was spread by the Devil, the cold and the wind. There was a time when angry mobs massacred Jews by the hundreds because they could think of no other explanation for why the plague had come to their city, they burned so-called witches at the stake for causing outbreaks of cholera – very few Westerners took the time to question whether the spread of disease had anything to do with the complete and utter lack of sanitation in the cities where people lived amongst and ate and drank their own filth.

Now America, Europe, Japan, Australia and all the countries of the developed West have established a culture in which it is absolutely unacceptable for people to eat most foods with our hands, we all eat from our own separate bowls and separate plates with our own separate sets of utensils. And even though a surprising number of Westerners are not conscientious about washing their hands on their way out of the bathroom, we have developed our cultural habits to the point where even if you invite someone over for dinner and they did have microscopic pathogens crawling all over their hands, it wouldn’t really matter because at no point over the course of the meal is your guest ever going to put their hands in your food. As a result, giardia, dysentery and cholera are all but nonexistent in Western societies, it would be a freak occurrence if a child were to die from diarrhea, and we can expect to live to a ripe old age in our late 70s. It is only a rare occasion when someone falls so sick that they cannot work, and since we are so much healthier and more productive we have so much more wealth and a superior standard of living.

When I try to explain this to Malians, they typically respond along the lines of “Well, you Americans are healthy because you have so much money and you can buy so much more medicine” – they think that every time we contract dysentery we just pop some expensive pills and that’s the end of it. I insist that Americans don’t ever contract dysentery to begin with and few will believe me – gastrointestinal disease is simply accepted as a fact of life in these parts. More worldly Malians might understand that everyone in America has flush toilets and tap water in their home, but they can still attribute that to our superior wealth – it seems that no one is willing to be critical enough of their own culture to realize that maybe our superior health has more to do with our superior hygiene and superior methods of disease prevention, and that they could improve their own health if only they adopt new methods of eating.

The people of Mali have a choice; either they can overcome the pagan superstitions about evil sorcerers and start washing their hands with soap, or they can start eating from separate food bowls, or they can start eating with forks or spoons or chopsticks or spatulas or flat-nosed screwdrivers - anything besides the hands; even better, they can adopt some combination of all of the above. Or they can continue what they’re doing and forever remain mired in this endless cycle of disease. This kind of change is not something that white-skinned NGO workers can do for them – changing the habits and customs of Malian culture is something that only Malians can do for themselves. And when they do take this great leap forward, the people of Mali will finally understand that development is not just about building roads and factories but that it is also about changing behavior, that positive change doesn’t require massive foreign aid and that it can be done on the cheap or for free, and that the future of their society truly rests in their own hands.


Friday, May 21, 2010

Triumph



It took nine excruciating months – more than twice as long as estimated. There were so many, many, many setbacks, and at times I was tempted by the prospect of accepting a half-built, grotesque failure for what it was and quitting. But when the Continental Army was facing hypothermia and starvation at Valley Forge, did Washington say to his troops “being a British subject isn’t all that bad… let’s just go home…”? When the Nazis ran a surprise winter counteroffensive in the Ardennes forest and decimated Allied battalions, did Eisenhower tell his soldiers “Whatever… it’s just the fate of the free world… Let’s pack our bags and fuck it…”? When Han Solo was frozen in a solid block of carbonite, did Luke tell Chewbacca “Well, we can’t fly without a pilot… maybe we should just succumb to the Empire”?

No.

And likewise, even after the village of Tonto surrounded by an endless expanse of sand proved incapable of finding enough sand to make bricks, Zac Mason did not give up. And even when handed a budget for two latrines and a wall and he came back from vacation to see that his construction crew had built three latrines behind his back – and the wall only went up to his ankles, Zac Mason did not give up. And then when the project was 90 percent done but the village of Tonto could not get the subcontractor to finish the job for a whole three months because some pinhead thought that it would be a good idea to pay the subcontractor in full in advance, Zac Mason did not give up. He wanted to kneel down so that he could smash his head against that ankle-high brick wall, but he did not give up.

But Zac Mason could not just build the nyegens himself. No, after throwing his back out carrying a ton and a half of cement from his porch to inside his house, there is no way that Zac Mason could ever have possibly done so much physical labor with his enfeebled spinal cord. Rather, Zac Mason set out twisting arms and working The System so that – despite the fact that Tonto increased the size of this project by 50 percent and threw out the budget that they had originally agreed to – they would still be held to the terms of their contract. Zac Mason had to twist those arms very hard.

And in the end, after a period of time comparable to the gestation of a human being, my own baby is finally finished. And now the students of the Tonto Secondaire Cycle are able to poop and pee within the confines of a modern, sanitary latrine complex. Exceeding all expectations, we have three latrines – one for boys, one for girls, and one for teachers. And we have a barrel with a spigot that the students are going to fill with water so that they can wash their hands – the traditional government of Tonto tells me that they are going to have the women provide home-made soap, and I can only hope that they will in fact do so. And the students are even more responsible for cleaning and maintaining their latrines from now until kingdom come. And so long as the students and adults of Tonto take responsibility for the proper use and upkeep of these nyegens, this construction project will have laid the groundwork for public sanitation and co-education.



Friday, February 26, 2010

Solar Pump Repair and Maintenance Project



In 1998 the World Vision NGO financed the installation of a solar pump system in the town of Sanadougou. The aim of this project was very straightforward; in this growing market town of more than 4,000 people where the bulk of the population regularly suffers from giardia, dysentery and worms inadvertently contracted by drinking from unsanitary wells, public health could be drastically improved with access to potable drinking water. World Vision hired Bamako contractors to build a groundwater pump, and two water storage towers to be powered by an array of solar panels. The contractors built a pump-serviced livestock-watering trough in the adjacent vicinity of the complex as well as 7 tap posts strategically-located throughout the town; altogether, there are 17 taps – 3 of the posts have room for 3 individual taps while the 4 other posts have only 2 taps. As promising as this system might have been at the onset, the entire system is now essentially useless due to lack of maintenance and necessary repairs. In response to these pressing needs, the Sanadougou Water Committee has petitioned their Peace Corps Volunteer to help them institute a plan to repair and reorganize the entire system.

The solar panels, the pump and storage towers are perfectly fine, but the entire system as a whole is seriously malfunctioning due to breakages at the livestock watering trough and in a way-station in the metal pipe connecting the water pump to the taps in the Filablena neighborhood. These parts cannot be shut off and flow at the maximum rate at all times.



The ever-flowing watering trough and broken way-station overload the capacity of the entire system, directly exhausting the supply of potable drinking water and often leaving the taps dry. Even when there is water left for human consumption the water pressure is significantly diminished, which allows for rust to develop and diminish water quality. Furthermore, the perpetually-flowing components create vast puddles of standing water which serve as a fertile environment for mosquito breeding. Note that the picture above was taken during dry season on a day when most of the overflow had evaporated in the 105-degrees Fahrenheit heat – during cold and wet season, the puddle of overflow from the livestock-watering trough expands almost all the way to the leafless tree in the center-left of the photograph.

The Water Committee has analyzed these broken parts and they have given them to local plumbers to try to weld them back together, but the plumbers have returned to say that these parts are beyond repair; Peace Corps Assistant Water and Sanitation APCD Adama Bagayoko has analyzed these parts as well and independently concluded that the only course of action is to purchase entirely new components. I apologize that I am unable to find the English translations, but specifically, the parts we need are (in French): une ventousse, un compteur, une vanne, un raccord union, une coude MF, un reducteur, une vanne p26, le clapet vapere. We plan on buying these broken parts from the Bamako suppliers SETRA, and we will hire the local welder Smeila Fané to reassemble the malfunctioning parts and weld them onto the rest of the solar pump system. To our understanding, there is no evidence of malfeasance or negligence for the broken parts – this is merely repair which should be expected in such a large system after 12 years of running and is now long overdue.

However, even if we were to replace the broken components at the livestock-watering trough and the way-station, this solar pump system would still be operating well below capacity and with little benefit for public health; only 3 out of 17 taps are currently operational. The problem with the taps is that they are simply too easy to break; children are used to pumping water with the vertical pump handles with such strenuous work that they have to jump up and down to obtain water, and though the horizontal handles to the tap system can be opened with the flick of a wrist, this is a point which apparently has not been conveyed as children have broken all of the tap handles.



Though the direct cause of this problem was of course the children themselves, this result was inevitable when World Vision built this system with the flimsiest, most fragile handles available. And since these little pieces of metal are now gone, the entire solar pump system is now effectively useless, completely wasting the charitable donations of well-minded humanitarians to the tune of about a million dollars. Well, to be fair, it wasn't a total waste - now for a million dollars the cows of Sanadougou could drink better-quality water than their human masters.



Since the townsfolk of Sanadougou cannot access the potable drinking water provided by the solar water pump, they resort to unsanitary, uncovered wells for their supply of drinking water. These traditional wells – which are really little more than holes in the ground – are home to vibrant populations of worms, snails, amoebas, giardia cysts, and in some cases even frogs and fish. In some locations – particularly during rainy season – these unimproved wells are directly polluted with wastewater and contaminated with human fecal matter. The fact that the people must fall back on such substandard water sources is the prime reason why giardia and dysentery are endemic in this community, and why diarrhea is after malaria the most common preventable cause of infant and child mortality.

Of the 3 taps that are functional, they are functional only because certain individuals have put in their own money to buy their own private taps with locks; one being the tap shared by the Peace Corps Volunteer, the doctor and kindergarten teachers, and the other two are adjacent to mechanic shops where they are used to clean motorcycles with potable drinking water. What differentiates the sites of these taps and the other are the functioning ones are used exclusively by a small number of relatively wealthy people who are both willing to spend money on clean water and also confident that their resources will be used almost exclusively by themselves with few (if any) free-riders. Asides from the tap managed by the Volunteer, the two other functioning taps provide little public health benefits to the population as this potable drinking water is used almost exclusively for cleaning motorcycles. As regrettable as this situation might be, it aptly demonstrates the universality of a saying from the American West, that “water flows uphill towards money”; as the rest of the community pays nothing, they are unable to obtain potable drinking water even from the tap system installed next to their homes at great cost.

When World Vision built the solar pump > tap system a decade ago, the NGO agreed to finance the totality of the initial startup costs only because the Mayor agreed that the citizens of Sanadougou would pay for maintenance and operating costs on a pay-as-you-go basis. However, such payments never happened since the taps were free for all to use and break anonymously; and since no one at le Bureau de la Mairie or the Water Committee could possibly know who was and who was not drawing water from the taps, they could not change anyone; without any accrual of maintenance costs, the system of course degraded into oblivion.

With this history in mind, the Sanadougou Water Committee unanimously resolved to 1) replace the broken taps and 2) begin a payment program so that the Committee will be able to garner revenue to finance inevitable maintenance and repairs in the future. The Committee decided that they cannot do only one of these things, they must do both at the same time. And in this way they will capitalize on the opportunity granted them by the need for repairing the solar pump system to fundamentally overhaul its use under the guidance of the Water Committee.

First of all, we need to get new taps that cannot break so easily. After children broke the last tap next to my house I bought a new tap with a hole through the handle so that it can be locked by the user. By limiting the access to this tap to the holder of the three keys, only I, the doctor and the kindergarten teachers next to me could get access to potable water. However, the doctor and kindergarten teachers were really bad about locking the tap after using it. And even when it was locked, children would come to the tap and try to open it – though they could not access water, they could break the handle in trying. After six months, even this tap deteriorated to the point that it could no longer be used.



A month ago I bought another new tap which can only be opened with a key – though unlike the previous model, the key goes directly into the head itself and there is no external handle at all. In other words, there is really no external part on this tap that can be broken by children. What is more, there is only one key to each tap – which means that responsibility unambiguously falls on him or her to maintain it and that they cannot pass the buck to someone else. This model seems promising enough to serve as a model for refurbishing the remaining 14 taps which are currently useless because their handles have been broken off.



Having showed this new tap to the Water Committee, we agreed that we must pair the repairs of the broken livestock-watering trough and way-station with the replacement of all the broken taps with new lockable taps with keys to ensure that the human population can have a sustainable supply of potable drinking water. As my homologue Sidiki Sogoba jokes, “Otherwise, we would spend a lot of money to help only the cows.” And this is the crux for our plan to reorganize the solar pump > tap system. Part of Sanadougou’s community contribution will be to purchase 17 new lockable taps at 3,000 CFA a piece, and these are going to be paid for neighborhood by neighborhood. Likewise, since each tap comes with exactly one key, the Water Committee is going to decentralize the daily operation and maintenance of each tap neighborhood by neighborhood.

Under our plan, each individual tap will be the responsible of exactly one person to whom the Water Committee and village chief – in consultation with the neighborhood – will assign the sole key. For example, the tap post in the neighborhood of Jigila has room for two taps, so we will assign the key to one to the butigitigi whose shop is directly adjacent to the tap post and the other key to a woman next door. Since water collection is primarily the duty of women in Malian culture, we are going to emphasize the assignment of keys to women whenever possible. Very rarely do men ever draw water, so only in circumstances such as this where there is a man who can in fact be counted on to always be next to the tap will we assign keys to men. The Committee agreed that the key criteria in assigning keys should be individuals’ proximity of their home to the tap, reliability of being at that location at any given time, maturity, ability, responsibility, trustworthiness, and of course their interest in volunteering for such a duty. We also agreed that persons of great importance in this community e.g. the chief of the village, the Mayor, the imam and the pastor should expressly not be assigned keys, for their other duties would make them unreliable to be in the vicinity of the tap at all times.

The kletigi – “holder of a key” – would be a position of great responsibility and great power. They have to be willing to open the water tap for all people at all times, to make sure that children to not play with the taps, and to moreover keep a record of who draws water from that tap and how much. Ultimately, the crux of the position of kletigi will be to collect money from every person in the neighborhood who draws water from that tap. The Water Committee agrees unanimously that we have to establish some sort of a payment system to pay for the maintenance and operational costs of the entire solar pump > tap system so that the next time that a pipe leaks or a tap needs replacement, the Committee will have money on hand to pay for any necessary repairs. In so many words, the Sanadougou Water Committee understands that potable drinking water is a valuable commodity that cannot be procured for free, and thus they have taken it unto themselves to transform this useless, broken-down NGO “cadeau” into a functioning utility that bends to the laws of market economics and finance its maintenance and operating costs through user fees.

The Water Committee still needs to work out how exactly they are going to conduct the payment program. There is one camp in the Committee that argues that people should pay a small price i.e. 5 or 10 CFA for every bucket of water so that payment is perfectly conditional to use; another camp in the Committee argues that such a scheme would be impractical to implement and so water tap subscribers should pay a flat monthly rate. The eventual payment policy will probably allow for users to pay for water either by the bucket or by a flat monthly rate. One area of agreement is that on every market day the Committee should assign one kletigi to man the taps next to the market so that they can draw water and collect money from all of the market vendors and customers who would otherwise consume water as free-riders. Each individual kletigi would be responsible for keeping accounts of how much money they collected from each individual and to forward those user fees to the Treasurer of the Water Committee. Another issue that has yet to be decided is whether the kletigi’s should receive any compensation for their work, for the Committee acknowledges that their duties can be an inconvenience, and I voiced wariness that any individual kletigi might pocket user fees which are meant to pay for maintenance and repairs.

One could pose the question of moral hazard in this situation; e.g. “The NGO built this solar pump system on the premise that the village would provide maintenance indefinitely thereafter – why should a foreign development agency pay for the maintenance costs that the villagers agreed to pay themselves?” I can commiserate with this argument; however, it is overlooking a number of important facts: 1) the Mayor's Office which made this original agreement and the Water Committee that wants to revamp the solar pump system are completely separate entities; 2) the World Vision NGO originally built this entire system with easily-breakable taps completely inappropriate for public infrastructure in an African village; 3) the NGO completely dropped the ball in organizing a payment system; 4) the village has never had any experience repairing or maintaining a running water system before. Not to be paternalistic, but the NGO must have had unreasonably great expectations that the Mayor’s Office could be able to effectively manage this complex system without any background experience and without any guidance, training or even suggestions. From my own experience, I can say that World Vision made an enormous mistake by entrusting this responsibility to the Mayor's Office and not the independent Water Committee, because in a rural village it is the traditional, informal government that actually wields all substantial power over public infrastructure - and the Mayor is really just a figurehead who gets paid to be everybody's friend. And le Bureau de la Mairie in question frankly has no genuine interest in managing the public drinking water system. As the Committee explained to me, it was precisely in the Mayor's best interest to just yes the NGO about instituting a payment system and do nothing once they packed up and left, because whereas presiding over a giant new cadeau and not asking anything of anybody is a boon to re-election (even if it evenually falls apart without maintenance), asking the people to pay for public services with user fees or taxes is decidedly not in the best interest of any self-interested public office-holder. Yes, eventually the Water Committee and le Bureau de la Mairie have to be able to eventually manage this system entirely by themselves – but in the meantime, now that one of the two groups has put forward a proposal to get serious about organizing these waterworks and fix what is broken, I think that it is perfectly reasonable to match their own repairs with $483.72 to rebuild a functioning system requisite for sound management.

Altogether, this project will allow the Sanadougou Water Committee to take the long-neglected solar pump system and overhaul it into a functioning water utility, re-organizing it with respect to market forces to benefit the public good. It will respond to the Committee’s desire to repair and reorganize the waterworks by raising funds through the Peace Corps Partnership to pay for new parts for the broken livestock-watering trough and way-station. The Committee will pay for the transportation of the materials from Bamako to the village of Sanadougou, they will hire a local plumber to assemble the parts and a local blacksmith to weld the necessary pieces together. They Committee will also raise money from the villagers to purchase new, lockable heads for the 14 broken taps. And the Committee will follow up by instituting a payment system – probably monthly for certain subscribers, daily for all others, so that they can gain the necessary revenues to pay for maintenance and operating costs in the future. Even after the initial repairs are complete, we will spend the rest of my service working to strengthen the Committee’s accounting and budgeting skills. And if this works out, the Sanadougou Water Committee should be able to build the capacity to effectively manage the solar pump and tap system indefinitely without any need for further foreign intervention.

If you are interested in making a financial contribution to repair and maintain the people of Sanadougou's drinking water infrastructure, click here. This project should be on the Peace Corps Partnership website within a few weeks.


Monday, April 13, 2009

My Augean Stables

In previous episodes of this adventure serial, our hero was inspired by his kitty cat digging cat holes in his litter box to dig a big deep hole in back of his nyegen. The American reader who has lived all of his or her life micturating and stircumating into a porcelain toilet flowing into a septic tank or a municipal sewer system might not understand the import of this action, but as a brief primer let me introduce you to the mechanics of a pit latrine.


First, I must emphasize the not-so-obvious reality that in some parts of the world a pit latrine is considered newfangled technology. In the year 2009 there remain many societies in which few people have bothered to build any sort of infrastructure to dispose of human waste in a sanitary matter. What that means is that everyone in a small village poops in the woods, in the fields, or on certain designated rocks or directly into the water. In more densely populated towns and cities, that means that people just pull down their pants and shit in the street where other people are selling and selling food. Oftentimes if a society lacking in sanitation infrastructure is located near a pond, a lake, a stream or a river, that means that everyone in this rural society disposes of their solid and liquid waste in the very same body of water which also serves as either their own or another human community's sole supply of drinking water - putting that society at grave risk of cholera outbreaks. This is the absolute nadir of public sanitation.

There are other cultures which have collectively decided that defecation out in the open, in and near water and food supplies is a hazard to public health if not humiliating to everyone in that society. And so they have developed their sanitation practices somewhat and built designated areas which are reserved exclusively for the depositing of feces and urine. In the Bambara and Minianka cultures of Mali families often build their own structure known as a bokeyuro – euphemistically, a “traditional nyegen”, but literally, a “pooping place”. It is what it sounds like; an area demarcated by a mud brick wall inside which people poop. The chief advantages of a bokeyuro over open defecation are that 1) fecal matter is controlled to some degree – people are no longer shitting all over the place, but rather in one place; 2) it spares its users the indignity of shitting in the street for all the world to see. The primary disadvantage of having everyone in a family of 35 shitting in one place is that it very quickly becomes full of shit – and a concentrated smorgasbord for filth flies, cockroaches, pigs and every disease vector which enjoys eating human feces.

The bokeyuro and its close relative, the sugunyekeyuro – “peeing place” – are not confined to undeveloped rural villages; I have been to a number of sketchy bars and restaurants in densely-populated urban areas where – upon asking for the nyegen – I have been shown to a seemingly empty room. Seeing no toilet seat, no urinal, no chamber pot or even a hole in the ground, I was at first confused as to what I was supposed to do. But after noticing a foul-smelling puddle on the floor it became quite apparent that the standard protocol in this establishment was to just do as one likes so long as it’s confined to this one closed container – and to leave the mess for someone else to clean up. The only aspect of a “traditional nyegen” which could be fairly called a virtue is that at least no one can see the user as they suffer the indignity of using it.

After many generations of building and managing “traditional nyegens”, proprietors of bokeyuros became disillusioned with the fact that they had to sweep up floors full of shit and piss every day. And so they discovered that if you dig a hole in that designated shitting place and bury a clay pot up to its brim, the pot fills up more slowly and one does not have to sweep up shit so often, and moreover the chamber pot can be closed with a lid. Eventually this semi-buried chamber pot evolved into what is known as a “pit latrine”, which is exactly what it sounds like – a hole in the ground on top of which people squat and poop, though a hole which leads to an underground pit which is so voluminous that it can store many months if not multiple years’ worth of fecal matter. Due to the fact that the shit is safely stored underground, a pit latrine is the simplest technology to contain and concentrate human solid waste in order to reduce fecal-oral disease transmission. In Mali the pit latrine is called a nyegen, and especially in rural villages a nyegen is more often than not constructed out of logs, dried mud and mud bricks.




Though a major step up from open defecation, a "traditional nyegen" has many faults to its design. The first and most significant is that the vast majority of nyegens are built out of mud - which is a perfectly adequate construction material so long as you don’t mind seeing your nyegen disintegrate under the heavy rains and having to rebuild it all over again every year. When I was living in Sinsina last rainy season I woke up during a torrential downpour one night and came out with my raincoat and headlamp prepared for a nocturnal stircumation - when I realized that the nyegen which I had struggled so hard learning to use over the past month had collapsed into the pit. It wasn’t a very fun night.

Most nyegens are not closed properly - if at all. Just as all of that fecal matter is concentrated in one place, so is the stench – and all of the insects and vermin which are attracted by it. And if flies are feasting upon human waste, they can transmit those pathogens equally well if they are from waste on top of a soccer field, the central market square or from inside an unclosed nyegen.

Pit latrines without proper coverings are also hazardous to small house pets. One Peace Corps Volunteer who failed to properly cover her nyegen suffered the fate of curious kitten peering into the hole and falling into the pit. She tried hoisting down a bucket, but the kitten could not be made to understand that it was supposed to climb in. Every time that the Volunteer crouched down over the hole she would hear her kitten mewing – and she knew that she was peeing all over it – until the mews became weaker and weaker and the poor critter eventually died of starvation.

Moreover, the greatest weakness of a latrine is that the latrine pit is ultimately going to fill up without some sort of outlet. This does not necessarily have to happen, for if a given latrine is seldom used and it also serves as a food source for a considerable population of worms, flies, cockroaches and dung beetles, the mass of the pit’s contents could technically decompose faster than it accumulates. But more often than not it is the other way around. Even a latrine pit is used only for the disposal of solid waste, eventually there is going to be a big stinking mass of human feces and someone has to perform the unenviable task of jumping into that latrine pit and shoveling out its contents. This job is so objectionable and yet so necessary in a society with pit latrines that Indian civilization created an entire caste of persons – the Dalits – who are born to the foul and dangerous occupation of shoveling other people’s shit.

Latrine pits fill up particularly fast if they are misused for the disposal of wastewaters which stifle aerobic decomposition and turn the nyegen into a stinking cesspool which serves as a breeding ground for pathogens, is never going to evaporate, and is difficult to remove. It’s most likely no big deal if a little bit of pee trickles into the poop pit because while squatting you had to #1 and #2 at the same time; it only becomes a problem if this happens to a great extent on a regular basis. What’s really bad is if a family dumps their average weekly 1,600 liters of greywater produced from washing persons, dishes and clothing into the latrine pit – in which case it is going to fill up in no time at all.

One means of significantly reducing the quantity of mass inside a latrine pit and requiring less-frequent shoveling sessions is to separate the solid waste from the liquid waste. Malian cultures which developed mud nyegens found this out pretty quickly, which is why just about every nyegen in this country is made with a second hole on the bottom of one of the mud brick walls which allows wastewater to flow out. These outflow holes work just fine in terms of reducing unpleasant latrine-emptying labor. However, simple outflow holes kind of defeat the entire purpose of containing disease-spreading pathogens, for even if the squatting hole is aptly closed there is now raw, untreated sewage lying in the open where it is accessible to every species of disease vector known to mankind.


Some families - especially those who live in the outskirts of town next to their fields and gardens -simply place their nyegen in a remote corner of their concession so that their wastewater can flow out to a lightly-trafficked part of their living space. My host family’s nyegen water empties out in back of their house where no one has to see or smell it. The agglomerate of mud and sewage which has been generated in back of the nyegen after years of use also serves as their pigs’ favorite location for recreation, so every time the mucky sow and her piglets trot by we get a whiff of general nastiness (this is also serves as a prime reason to never eat pork in this country).


Though when I walk into the center of town where the concessions are closer together and there is no field or garden into which the wastewater can flow out, every family’s greywater and urine flows directly into the street where everybody walks, their children play and their animals roam. To say that the streets of Sanadougou are "foul" or “disgusting” would be a gross understatement.

On a typical day when I have to walk to the center of town and buy some sugar at the butigi, this is what the streets look like:


If you’ve never before lived in Mali or a similar underdeveloped country, you might be wondering: “What the Hell are those big crater-looking things on either side of the road?” Those, my friends, are puddles of human liquid waste.


Ewwwwwwww....


Ewwwwwwwwwwwwwwww....


Ewwwwwwwwwwwwwwwwwwwwwwww.....

Sometimes people will dig a little hole to “contain” their wastewater so that instead of spilling all over the street it sits in a relatively smaller, fetid and actually more hazardous cesspool.


Ewwwwwwwwwwwwwwwwwwwwwyuckkkkkkkkkwwwwwwwwww….


Ewwwwwwwwwwwwgrossssssswwwwwwwwwwwwwwwwwwwwwww…
Oftentimes people use their wastewater ditches for garbage disposal too.


Ewwwwwwwwwwwwwwwwwwrrrrrretttttttcchhhhhhhhhgagggggggggggggggggggggg…


Some of these nasty puddles are really, really big. Karitie Sanogo stands in the background for perspective.


Ewwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww......

Even my Minianka neighbors who believe that diseases come from wizards and evil spirits understand that these wastewater puddles are really, really bad because they serve as breeding grounds for filth flies and mosquitoes. They believe that the wizards turn into flies and buzz over to place their curses in other people’s food. The Miniankas are like ¾ of the way there…


The worst part about standing wastewater is that it threatens the health of everyone in the community – not just those who produced this uncontained pee and greywater. Let’s say that the Sogoba family is currently sharing a really bad case of amoebic dysentery; most of their diarrhea fell down into the nyegen pit, but little Bakary missed the hole and splattered all over the floor and so his mother washed the floor down with water and it flowed out the drainage hole into the street. A female filth fly is hungry and thirsty, so she sticks her proboscis into the Traorés’ effluent of human waste – while she’s at it, she will stick her front two legs into the water and pick up whatever unicellular amoeba have been previously evacuated by the Traoré family.

Let’s say the Dembele family does everything right; they get their drinking water from the hand pump in the village square, they filter their water and treat it with chlorine bleach, they wash their hands with soap after going to the bathroom and before eating. As the family gathers around the communal food bowl for dinner, the female fly which was just drinking from the Traorés’ cesspool swoops down and lands in the Dembeles’ tigadegana. Now the Dembele’s peanut butter sauce is spiced with a dash of Bakary Traoré’s diarrhea with a few young amoebas to boot. Now the Traorés and the Dembeles all have amoebic dysentery! This is why improving sanitation on the household level alone does not suffice to improve a family’s health – sanitation campaigns must be conducted on the community scale.

So this is where I, Zachary Mason a.k.a. Madu Sogoba, Peace Corps Volunteer, come into the picture. Before anything else, after being roused into action by the hardest-working man in the sanitation business, my kitty cat of soul James Brown, I took the initiative of spending a week in back of my nyegen digging a big fat hole. As this was the first time that anyone in Sanadougou had ever seen a white person doing manual labor, the week that I dug that hole behind my nyegen was a major spectacle.

However, what sets the hole in back of my nyegen apart from the couple-inch craters which my neighbors have made to create stinking cesspools of slime is that there’s a more planning and a little bit of industrial-age materials involved in my creation.

What I have made here is the pinnacle of water sanitation technology appropriate for a rural Malian village: a soak pit - or in the local vernacular, a wuluwuludinge. Instead of any old hole, it’s a hole filled with rocks with a plastic tube leading from the outflow hole in the nyegen. It’s not quite finished - but that’s the point; over time I’m going to fill it completely with more rocks, cover it with sturdy black plastic, line the plastic tube with cement, and cover the entire thing up with mud so that looks no less wholesome than the rest of my garden. But in the meantime it serves as an excellent teaching tool for all of the people who walk by and ask me “what the Hell is that?” I invite all of the curious onlookers into my concession to inspect my new wuluwuludinge, show them what its purpose is and how it works, and offer to help them build one behind their own nyegen(s).

A soak pit really isn’t all that complicated. The purpose of this contraption is to thoroughly contain human wastewater so that it flows directly underground with absolute minimal interaction between other humans, livestock, and disease-transmitting insects. If one were to put a plastic pipe directly between the nyegen and the ground without a storage cavity, the water would not be able to seep quickly enough into the soil. Thus a soak pit serves as rudimentary septic tank; the first thing that it does is provide sufficient volume for the wastewater produced by a given family to sit in a contained location, and as the wastewater sits there, donné donné it will seep into the soil surrounding it. The pit should be filled not with concrete rubble or mud bricks but only with sedimentary rocks which can be permeated with water and still maintain their form. And every couple of years the owner of a soak pit should open it up, let the rocks out in the sun for a day to dry and clean them off so that they remain permeable.

My water sanitation how-to books say that soak pits can also be built in rural villages with indigenous materials; if there is bamboo available it can be hallowed to serve the same function as the plastic pipe, and then instead of plastic sheeting the hole can be covered with straw, corn husks or leaves. If available locally, bamboo and agricultural refuse is available, these materials could be economically-preferable to plastic piping and sheeting because it can be absolutely free of charge; however, organic materials eventually rot and need to be replaced – whereas plastic is relatively durable.

So not only am I teaching people about the merits and joys of soak pits – I’m also in the process of organizing a project to build a preliminary stage of 30 of these babies throughout the village of Sanadougou. The scheme Peace Corps has for project funding is that the local community has to pay at least 30 percent of the total project cost (which can be paid in raw materials, tools and services as well as cash) and USAID funds up to 70 percent. I had a series of meetings with my boss, the dugutigi of Sanadougou and his posse of old men and le Bureau de la Mairie, and we worked out a deal that if individual families can provide for all of the rocks, sand, and either pay for or provide in-kind all of the skilled and unskilled labor that goes into the making of a soak pit, then the American people will chip in for all of the plastic piping and sheeting.

What’s more, we’re going to throw in a brand new, cement-floored nyegen! One can certainly build a soak pit in back of a traditional Malian mud nyegen, but when the rains come all of that mud on the floor is going to rapidly fill up the pit and clog the pipe. There are about a dozen latrines in this village made with at least cement floors, and for those all that we need to do is make sure there’s a cover over the hole and dig a soak pit in the back and its disease-transmitting days are effectively over. But if we’re going to build a soak pit in back of Sanadougou’s more numerous mud nyegens we are going to have to remake the flooring with cement if not rebuild the nyegen from scratch.

And thus my job nowadays entails walking down Sanadougou's filthy streets, stopping to chat with my fellow villagers and talking to them about their nyegens and wastewater, to measure the dimensions of what needs to be dug, and let them know about an offer they can't refuse: you get off your butt and provide the labor, rocks and sand, and then the American people will provide you with $80 worth of cement, rebar and plastic and we're going to build a brand new cement nyegen which they'll never have to rebuild it again. There will be no sewage spewing out into the streets, filth flies and mosquitoes will have less stagnant water to lay their eggs in, and maybe just maybe pathogens will be reduced to such an extent that you will be able to discern a measurable improvement in their families' health. I think that's a pretty good deal.

After 8 weeks of canvassing and meeting with dozens upon dozens of families, however, results have been quite underwhelming. One guy down the street has dug 3 holes and filled 2 of them with rocks, another guy on my street has accumulated a pile of rocks in front of his nyegen, and after shaming them into action my host brothers have made a half-assed effort at digging a hole. A lot of people seem to be completely indifferent to the fact that their children are playing in, their livestock are drinking from, and they are inevitably ingesting their own and other people's wastewater.

I was trying to persuade one family which just so happens to supplement their farming income with a "pharmacy"; a mud hovel with bootleg Chinese manufactured medications which are in all likelihood nothing but sugar pills. They also have among the worst, most disgusting cesspools in the entire village (their twin nyegenji puddles are pictured above). Time and time again they would laugh me off, "Oh Tubabuke, don't you see that we have so many better things to do like drinking tea and selling medicine?"

They didn't even give me direct eye contact until I started talking dollars and cents. Walking by one day I mentioned to the pharmacist "I've got a headache and I would really like to buy some medicine - but I'm going to buy my pills from the other pharmacist down the street because his sewage isn't spilling out into the street and so his medicine is probably a lot cleaner". As I continued along my way I could hear the gears churning in his head...

Despite the lack of worldly-physical action, in spirit everyone seems to be behind me. I'm told every day "May Allah help you in your good work!"

"Allah-u-akbar; however, He's not going to clean up our village. But you can give me a hand..."

Monday, April 6, 2009

There's a Mean New Sheriff in Town


Snoop Doggy Dogg is now five months old and he is the rowdiest, most playful puppy ever! He is so disproportionately shaped it is kind of hilarious – his legs and his midsection have yet to catch up with his head and his tail, so every time he sees me coming he gets so excited that he wags his tail so hard that his entire body wags back and forth to counter the momentum! Because when Snoop Doggy Dogg sees me coming he knows that we’re going to wrestle!!!

Snoop Dogg is not only the pokiest puppy ever in the whole wide world, but he is also as dumb as rocks. One of our favorite games is Snoop will try to chew my toes and I’ll kick him in the face and then he’ll try to chew my toes again and I’ll kick him in the face... We could play for hours and it’ll never get old. When our wrestling gets really intense Snoop will try to jump on my legs and knock me down, and so I’ll do the old “Boop – got your nose!” trick and hold him by the snout and if I pin his legs down with the other he doesn’t know what to do and he wriggles helplessly and whimpers.

As dumb as he might be, Snoop is actually quite artful when it comes to wrestling other doggies. The other four puppies in his litter have been distributed to human families throughout the neighborhood, so when we go for a walk and Snoop sees one of his brothers he goes ballistic and gallops down the street to pounce on them and knock them over into the death position.



Snoop fights dirty. One of his best moves is to wait until one of his brothers is squatting to take a poop and he’ll start galloping and with a running start he’ll leap and knock ‘em over! The other puppies don’t see it coming and are incapable of mounting a defense! For such a dumbass he’s a brilliant tactician.

So I was walking with Snoop down the road to my jatigi’s house, past the clinic where all the moms come to bring their shriveled little babies dehydrated from giardia diarrhea or amoebic dysentery, past the brand new schoolhouse and nyegens that the Japanese NGO just built and past the field where the kids run and play and defecate.

Karitie was right – the elementary schoolchildren continue to shit outside even when there are brand new, nice and clean nyegens open and available for their evacuating pleasure. And it’s really funny watching these kids try to hide themselves out of sight and pulling their pants down far enough to hide their little butts – they don’t want anyone to see that they’re taking a dump, and they’ll go out of their way to crouch down low in the field so that no one can see them, but they won’t walk 20 meters further to the nyegen where they could do their business behind closed doors. Often I will walk by and the kids will be shitting right next to the brand new nyegens. The issue isn’t that there aren’t enough nyegens per head or that they are improperly maintained (I have already taken care of that). The issue is that kids in Mali grow up the first four or five years of their lives naked from the waist down and their parents just let them shit wherever they feel like it, and when they start going to school at age six its difficult to get them to change gears and undo the most terrible of ingrained habits.

“Open defecation” – the technical term we sanitarians use for shitting in a field – is just about the worst behavior which kids could possibly conduct on the elementary school grounds in terms of disease transmission. This isn’t an issue of cultural relativism – it’s an issue of life and death. Sanadougou is a village where the 2nd highest cause of child mortality is diarrhea, a symptom of bacterial or parasitic infection which is transmitted by fecal contamination of water sources or the simple hand-to-mouth route. Allowing Malian kids to take a dump in the same field where their friends play soccer is like allowing prostitutes in Mozambique to sell sex without a condom, it’s like allowing American kindergarteners to bring a semiautomatic rifle to show-and-tell – this behavior is downright dangerous and it is irresponsible for adult members of this society to let it continue without punishment.

“I know it is very bad, that is why I teach the children to poop in the nyegens!” Karitie says.

“Well apparently your lessons haven’t been absorbed very well because your students are still shitting in the field.”

“We teachers have more important things to teach the children such as spelling and mathematics! You don’t have to teach class, so you should teach them that pooping in the field is bad.”

“Will you let me teach the first-graders a class on how to go to the bathroom?”

“No, now they must become literate. But from now on when you see children pooping in the field you should beat them! I, as Director of the Schools of the Commune of Sanadougou, grant you explicit permission to use corporal punishment to instill discipline.”

“NO!!! If I did that then the Peace Corps would like court-martial me or something.”

In truth, when I see these kids crapping in public I should beat them. However, I do not believe in using violence unless it is absolutely necessary and instead prefer to combat unsanitary behavior through the hard power of economic incentives and the soul power of satyagraha i.e. active non-violent resistance. Without a mechanism for negative reinforcement these hazardous habits will continue unabated, so I need to develop some non-violent means of associating the act of open defecation on the elementary school recreation field with the due consequences of filthiness and public humiliation. These negative repercussions need to be hammered in so deeply that the association between open defecation and shame is internalized and they will cease such atrocious behavior on their own.

I will never beat the kids in my village but I will let my puppy play with them. Forget about Pavlov’s dog – the schoolchildren of Sanadougou elementary are getting to know Madu’s dog!

It turns out that building a lifeguard chair on the field next to the schoolhouse is unnecessary because I have a perfectly expansive view of that field from my concession. While I’m working in the garden or even while I’m reclining under my gwa shoving mangoes into my face I can spot these evildoing dirty-bombers with ease.

Now I’m beginning to conduct an experiment in social psychology and public sanitation in which every time I see kids defecating out in the open, I rile up Snoop Doggy Dogg and get him in a playful wrestling mood. And I open the gate and lead him towards the schoolyard.

“See that little boy squatting in the field? He’s your new friend! He wants to play with you!”

Snoop then goes galloping into the sunset to show these kids some tough love – tough puppy love, that is!



Awwwwwwwwwwwwwww