The puzzle of persistent undernutrition in India is largely explained by open defecation, population density, and lack of sanitation and hygiene. The impact on nutrition of many faecally-transmitted infections, not just the diarrhoeas, has been a blind spot. In hygienic conditions much of the undernutrition in India would disappear.
Robert Chambers (r.chambers@ids.ac.uk) is with the Institute of Development Studies, University of Sussex, UK and Gregor von Medeazza (gvonmedeazza@unicef.org) is Water, Sanitation and Hygiene Specialist with UNICEF India.
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