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The most affected areas are Bubeke, and Kyamuswa sub-counties, where is lack of clean water and proper sanitation in the district has exposed residents to water-borne diseases that include bilharzia; diarrhea, typhoid, and dysentery.

A report from the district health department shows that although hand washing is one single intervention that is cost effective in disease prevention; it has not been prioritized, leading to an increase in the disease burden.

Some of the Tippy Taps which were installed in public places like markets and schools have either been stolen or vandalized by members of the community.