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Access to clean water improves life of earthquake survivors
3 November 2005
Solveig Olafsdottir, Balakot
The health situation of earthquake survivors in the town of Balakot in the northwest frontiers of Pakistan has considerably improved over the last few days as they finally have access to clean water in their camps. Cases of waterborne diseases and skin infections have already stabilized after a Swedish/Austrian Red Cross water and sanitation team set up a water purification plant that can serve up to 40,000 people.

Little remains of the buzzing town of Balakot. It is a well known resort to hikers and tourists, situated at the bottom of the Kaghan Valley and surrounded by the scenic mountain range of Hindu Kush. Balakot, with a population of 35,000, and neighbouring villages were almost completely destroyed in the devastating earthquake on 8 October. It is estimated that at least 20,000 of the residents died in the disaster. All that is now left is a tented camp where a few thousand survivors are still fighting for their lives under harsh living conditions.

Most of the tents have been erected in the valley along the river. There, people are busy carrying on with their daily chores as much as they can - washing their clothes, doing the dishes and taking a bath. Although most are aware of the danger of drinking untreated water, it can sometimes be too tempting to draw water from the river rather than walking to the nearest well.

“We use the river water for most things. It is difficult to find clean drinking water but when we can, we go to the well by the mosque,” says Mahroofan, a mother of five who has come to Balakot with her family down from the mountain village of Bagra.

Mahroofan is worried about the sanitation situation – there are no proper toilets in her vicinity. She finds it very difficult to cope, as she constantly has to attend to her sick children and old frail mother-in-law.

“The children and mother have been ill, vomiting and having bad stomach aches,” she says, and adds that it is probably due to the water they are using.

Zainab, who stays in a tent a little further down the river, shares her concern. It took her and her six children three days to walk from the mountain village of Hangrai – yet another place that was completely demolished by the earthquake. She lost her husband, but the family has been receiving help from her two brothers.

“We came to Balakot because there are no facilities and no food left in Hangrai,” she says. “But we have had great problem with getting clean water, so all the children have been sick.”

This is now changing. In the days since the Swedish/Austrian Red Cross water purification plant has been up and running, fewer people have been diagnosed with waterborne diseases such as diarrhoea and skin infections – ailments that can be directly linked to consumption and use of contaminated water.

“A great number of people who seek our assistance are suffering from scabies and upset stomach. In recent days that problem seems to be stabilizing, as we have not had the steep increase of these cases like in the beginning when we first opened the clinic,” says Martha Guixens, doctor at the Spanish Red Cross emergency response health clinic that is also based in Balakot and serves the same population around town.

The Red Cross water and sanitation team has capacity to provide up to 600,000 litres of water per day and serve some 40,000 people, but due to the high death-toll in the area they are only treating water for the remaining population. They have the same main source of water as the others - the river - but from there it goes into three specialized tanks for purification.

“We have set up seven water-points with taps around the camp, and one point for trucks to fill up water-bowsers that distribute clean water to those that stay outside the main area,” says Gerd Toeppner, a water engineer with the Swedish/Austrian Red Cross team. “The quality of the water has been tested, and it is 100 per cent pure so we are satisfied.”

And so are the people in the camp. They no longer need to stock up on water, but can go straight to the tap night or day and get as much clean water as they want.

“There was a real shortage of drinking water, and that created a lot of problems,” says Abdul Khankun, a 70 year old earthquake survivor as he fills up his water bottle.

“Thanks for the Red Crescent and the Red Cross for providing us with clean water.”

The water and sanitation unit has been working with Pakistan Red Crescent volunteers from Balakot. Together they have laid the pipeline throughout the camp, and they have received on-the-job training so that they continue providing clean water to the population once the Red Cross team pulls out in a few months time. The most urgent need for now, however, is to install sanitation facilities and washing areas for the people before winter sets in.

N.B. - The Swedish/Austrian Red Cross water and sanitation ERU is fully financed by the Humanitarian Aid Department of the European Commission (ECHO) which has donated nearly 400,000 Euros.
Little Maria, 6 year old, washes clothes in the river in Balakot (p13717)
People in Balakot have been suffering from diarrhoeal diseases and scabies from drinking and washing in contaminated water (p13715)
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Martha Guixens, doctor at the Spanish RC ERU health clinic says that cases of waterborne diseases have stabilized since the watsan ERU started producing and distributing clean water. (p13716)
Martha Guixens, doctor at the Spanish RC ERU health clinic says that cases of waterborne diseases have stabilized since the watsan ERU started producing and distributing clean water. (p13716)
People in Balakot have been suffering from diarrhoeal diseases and scabies from drinking and washing in contaminated water.(p13715)
Red Cross delegate Joakim Ericsson, in front of a water tank. The Red Cross water and sanitation team has the capacity to provide up to 600,000 litres of water per day and serve some 40,000 people (Wat San Swedish RC)