Antananarivo — About a third of Madagascar's 20 million people do not have access to water for washing and most of the rest share unsanitary toilet facilities, according to a July 2011 World Bank Water and Sanitation Programme (WSP) report. The threat of diarrhoea and other diseases is particularly acute in some of the poorer suburbs of the capital Antananarivo.
"There is no formal waste disposal for the moment in Antananarivo," Sylvie Ramanantsoa, a representative from Water and Sanitation for the Urban Poor (WSUP) in Madagascar, told IRIN, and raw sewerage tends to end up downstream in the Ikopa river, the country's second largest.
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