Kumar Prince, Arshad Fatima, Shaheen Sean Kaisser, Nadeem Arsalan, Islam Zarmina, Essar Mohammad Yasir
Faculty of Medicine, Dow University of Health and Sciences, Pakistan.
Faculty of Medicine, Allama Iqbal Medical College, Lahore, Pakistan.
Ann Med Surg (Lond). 2022 Apr 28;77:103688. doi: 10.1016/j.amsu.2022.103688. eCollection 2022 May.
Karachi is the largest city and premiere industrial and financial center of Pakistan yet is subjected to major infrastructure deficits. Of primary concern is poor water sanitation which has predisposed a weak healthcare system and its citizens to increased infectious diseases. In Karachi, causes of this include a mismanaged sewage system, poor urban planning, and overcrowding. Several reasons such as lack of funding, corruption, and mismanagement have exacerbated circumstances placing extra strain on Karachi's already scarce water supply. In addition, lack of maintenance and regulation of the existing system has led to increased contaminated water delivery to citizens. Consequently, outbreaks of various water borne diseases such as typhoid, , malaria, diarrhea etc have severely impacted healthcare of citizens, especially with the COVID-19 pandemic. The situation is worsened by Karachi's rapidly growing population and lack of awareness among citizens regarding safe drinking water. Prior socioeconomic disparities, and illiteracy complicate access to medications and appropriate healthcare services. However, despite weak efforts from the government, several national and international organizations continue to strive to improve access to clean, drinkable water.
卡拉奇是巴基斯坦最大的城市以及首要的工业和金融中心,但却面临着严重的基础设施短缺问题。最主要的担忧是糟糕的水卫生状况,这使得原本就薄弱的医疗系统以及市民更容易感染传染病。在卡拉奇,造成这种情况的原因包括污水处理系统管理不善、城市规划糟糕以及过度拥挤。诸如资金短缺、腐败和管理不善等几个原因加剧了这种情况,给卡拉奇本就稀缺的供水带来了额外压力。此外,对现有系统缺乏维护和监管导致输送给市民的受污染水增加。因此,伤寒、疟疾、腹泻等各种水传播疾病的爆发严重影响了市民的医疗保健,尤其是在新冠疫情期间。卡拉奇迅速增长的人口以及市民对安全饮用水缺乏认识,使情况更加恶化。先前的社会经济差距和文盲状况使获取药物和适当医疗服务变得更加复杂。然而,尽管政府的努力薄弱,一些国内和国际组织仍在继续努力改善清洁饮用水的供应。