Masaka, Uganda – Health officials in Masaka City are sounding the alarm over a worsening outbreak of poverty-linked illnesses, with poor sanitation conditions in rapidly urbanising areas creating a public health emergency. Â
Dr. Patrick Kasendwa, Masaka City Health Officer, revealed disturbing findings from recent surveys: Â
"Over 60% of diseases in our clinics stem from poor hygiene, disproportionately affecting children under five and the elderly." The physician noted a dangerous trend of families neglecting basic hygiene due to inadequate home sanitation facilities. Â
Masaka’s rapid urbanisation is causing a crisis due to inadequate infrastructure.  45% of new buildings lack toilets, 30% share overcrowded pit latrines, and open defecation continues in peri-urban areas. Â
Nyendo-Mukungwe Division Mayor Naku Musana expressed frustration: "Despite our warnings, property developers prioritize profits over sanitation. Many new structures violate health regulations but remain occupied." Â
Village Health Teams Overwhelmed Â
Community health workers like Julius Lutankome from Bulando report unprecedented challenges: Â
"We're seeing typhoid, dysentery, and worm infestations spread through contaminated groundwater. The stench from overflowing waste attracts disease-carrying pests." Â
The mayor acknowledged financial constraints: government sanitation funding covers less than 20% of needs, and when funds run out by mid-year, waste piles up on streets for months. Â
Families spend 30% of their income on preventable illnesses, lack clean water, and face eviction threats. Authorities are implementing emergency mobile clinics, community hygiene education, and cracking down on non-compliant developers.4) Temporary waste collection points Â
Long-term solutions include sanitation bylaw revisions, public-private partnerships, slum upgrading, and increased health budgets.