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Adequate sanitation, together with good hygiene and safe water, are fundamental to good health and to social and economic development. That is why, in 2008, the Prime Minister of India quoted Mahatma Gandhi who said in 1923, “sanitation is more important than independence”. Improvements in one or more of these three components of good health can substantially reduce the rates of morbidity and the severity of various diseases and improve the quality of life of huge numbers of people, particularly children, in developing countries. Lack of sanitation leads to disease, as was first noted scientifically in 1842 in Chadwick's seminal “Report on an inquiry into the sanitary condition of the labouring population of Great Britain”. A less scientifically rigorous but nonetheless professionally significant indicator of the impact on health of poor sanitation was provided in 2007, when readers of the BMJ (British Medical Journal) voted sanitation the most important medical milestone since 1840.

Increase in Infectious Diseases as a Result of Poor Environmental Sanitation in the Tamale Metropolis