As discussed in seminar on Typhoid in Pakistan. ,Typhoid is a major disease burden in Pakistan. It is almost endemic in urban densely populated slum areas of major cities like Karachi, Hyderabad, Lahore, Rawalpindi.(http://Dawn.com /National).The mechanism of safeguarding the water supply of drinking water is deficient. A new safe drinking water policy is bieng announced ( see pg 3 of Dawn newspaper/National) but let us hope this is carried in its true spirit.
The true picture is that the urban workers be they domestic servants, cooks, resturant and eatery workers are never screened for Typhoid and Hepatitis. Inspite of appearing to look modern no safety precautions, screening , vaccinations are carried out. Most are carriers of Typhoid and these bacilli are secreted in stools . As no standard operating procedures are carried for pre food handling there is abundant carraige under finger nails. The excreta contamination of drinking water supply is also massive as most pipes for fresh water supply and waste disposal are running parallel in urban areas with frequent overlapping and mixing of two streams. Also sewerage and waste is bieng disposed without treatment directly into rivers and streams. This is bieng taken directly into drinking water supply. The chlorination and some substandrd cleaning is bieng done. This is never made public and no public interest group or government agency is monitoring this. This has to be made public so that there is pressure from public for improving standards. Only doing conferences and announcements of policies by ministers will not solve the problem. Our whole attitude to safeguarding health of the people has to be more proactive with open access to cleaning procedures with more awareness of these issues. Also the affluent citizens need to take more of these issues up as causes and help the administration and the public health officials in a more problem solving way.
There is a need to take up public health issues as serious priority and increase the budgetary allocation .Also there is a dire need to be more proactive in fighting Hepatatitis and Typhoid.only a thrust on war footing will help fight theses menaces.