Public health

The rapid and somewhat unplanned growth of urban populations in coastal districts has far exceeded the capacity of municipalities to provide the public health basic services like adequate water supply and sewerage. Low income levels and rates of child survival reinforce large family size among the urban poor, exacerbating the conditions of overcrowding and poverty experienced by the growing numbers of people.

In terms of downstream impacts the discharge of municipal waste into surface and near shore waters has resulted in: health risks from the presence of sewage pathogens, eutrophication/oxygen depletion due to nutrients and organic carbon, and contamination of the aquatic food chain leading to toxification of marine organisms and humans.

Wastewater and drainage systems, water treatment facilities and well planned sewage out-falls for the major cities and towns along the coast are urgently needed. Low-cost solutions using bio-remediation and biological filtration have been effective in other parts of the world and need to be explored.

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