Home Latest News Only 35.8% Households In India Wash Hands With Soap Before A Meal
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Only 35.8% Households In India Wash Hands With Soap Before A Meal

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76th round of the National Sample Survey Organisation revealed that only 36% Indian households wash their hands with soap before a meal.

The National Sample Survey (NSS) 76th round report, 2019, reveals that 25.3 per cent households in rural India and 56 per cent in urban wash hands with soap or detergent before a meal; 2.7 per cent households in India wash hands with ash, mud, and sand before meals.

In rural areas, 70 per cent people wash hands with water without soap or detergent before a meal and in urban areas, 42 per cent of people follow this practice.

What is more alarming is that about 26 per cent people in India don’t wash their hands with soap or detergent after defecation. 13.4 per cent households (15.2 per cent rural and 9.8 per cent urban) wash hands only with water after defecation. Two-third toilets in India have water and soap/detergent available in or around the toilets.

“We need to address the entire sanitation value chain to prevent Covid-19.

This figure was arrived at on the basis of the survey that included a household in this category if majority of the household members usually washed their hands with soap. This means not everyone may not be washing their hands with soap in these homes. More than 60 per cent used only water to wash hands.

Findings of the survey assume significance for India, especially in the context of novel coronavirus outbreak.

According to experts, dirt on our hands can be removed from simple water. But this is not a proper way of maintaining hand hygiene. Despite washing our hands with water, microscopic grimes remain attached. These are the shelters for novel coronavirus and many other pathogens.

For most Indians, this way of sanitization is not a practice. For an outsider or essentially urbane population knowing Indians through books and journals which have documented Mahatma Gandhi’s untiring efforts and emphasis on cleanliness, this would come as a shock.

This is also surprising that successive governments in the past two decades have failed to take this message of cleanliness to the last person in the village. India launched Total Sanitation Campaign (TSC) in 1999, which became Nirmal Bharat Abhiayan (NBA) in 2012 and the Swachh Bharat Mission in 2014.

But years later, an NSSO survey finds that only 25 per cent wash their hands before a meal in rural areas and 56 per cent in urban areas.

The figures are better for practice of washing hands after defecation. Over 74 per cent wash their hands after defecation — close to 67 per cent in rural areas and over 88 per cent in urban areas. However, the problem here with novel coronavirus is that even this minority of non-soap using population 26 per cent of all in case of defecation — can become the hotspot of Covid-19 once the virus travels to these groups.

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The Nipah virus is considered one of the deadliest zoonotic infections globally, not because it spreads rapidly like influenza or COVID-19, but because of its extremely high fatality rate, rapid progression, and severe brain involvement. Medical experts warn that once symptoms escalate, the disease can turn fatal within days. According to available data, the case fatality rate of Nipah virus ranges between 50 and 75 per cent, placing it among the most lethal viral infections known to humans. In this explainer, Dr Dip Narayan Mukherjee, Consultant – Microbiology and Infectious Diseases, CK Birla Hospitals, CMRI, sheds light on why the virus is so dangerous and difficult to control. Why Is the Nipah Virus So Deadly? According to Dr Mukherjee, Nipah’s lethality lies in a combination of delayed symptom recognition, aggressive disease progression, and early involvement of the brain. “Nipah virus often begins with very non-specific symptoms, which makes early detection difficult. By the time it is clinically suspected, the virus may have already affected the brain,” he explains. Early Symptoms Often Go Unnoticed One of the biggest challenges in controlling Nipah virus is that its initial symptoms closely resemble common viral illnesses, leading to delays in diagnosis and isolation. Early symptoms include: Fever Headache Cough Muscle pain General weakness “These symptoms are easily mistaken for flu, viral fever, or respiratory infections,” says Dr Mukherjee. “This delay gives the virus time to progress silently.” Severe Brain Infection Drives High Mortality The most dangerous aspect of Nipah virus infection is its neurological involvement. The virus frequently causes encephalitis, or inflammation of the brain, which significantly increases the risk of death. Neurological symptoms may include: Seizures Confusion and altered consciousness Extreme drowsiness Coma “Once the central nervous system is involved, the disease becomes very difficult to manage,” Dr Mukherjee notes. “At this stage, treatment is largely supportive because there is no specific antiviral therapy available.” This lack of targeted treatment options makes early detection critical. Human-to-Human Transmission Raises Risk While Nipah virus is primarily transmitted from fruit bats, it can also spread from person to person, particularly in healthcare settings. Dr Mukherjee points out that: Caregivers and healthcare workers are at higher risk Exposure to high viral loads can worsen outcomes Inadequate infection control increases transmission risk “Strict adherence to infection control practices is essential. Even a small lapse can result in secondary infections,” he says. Zoonotic Nature Makes Exposure Hard to Predict Nipah virus is transmitted from fruit bats, either directly or through intermediate hosts such as pigs. This zoonotic pattern makes outbreaks unpredictable, especially in regions where humans, animals, and wildlife interact closely. Adding to the challenge: There is no approved vaccine Treatment options remain limited Isolation protocols must be strictly enforced What Can Reduce Nipah Fatalities? According to experts, early action remains the most effective defence against Nipah virus. Key measures include: Early isolation of suspected cases Strict use of personal protective equipment (PPE) Rapid escalation and referral to specialised centres Strong hospital infection control protocols “The earlier the virus is identified and contained, the better the chances of preventing severe disease and fatalities,” Dr Mukherjee emphasises. The Bottom Line Nipah virus continues to be a serious public health threat because of its high fatality rate, neurological complications, and lack of targeted treatment. Its ability to masquerade as a mild illness in the early stages makes vigilance crucial. Health experts stress that awareness, early suspicion, and strict infection control are currently the most powerful tools to reduce deaths linked to this deadly virus. As Dr Mukherjee concludes, “With Nipah, time is the most critical factor. Early recognition can save lives.”
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