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The number of Americans infected with hepatitis A has grown nearly 300% in just three years, health officials reported Thursday. The World Bank-funded Slum Sanitation Project of the municipal corporation is picking up pace in Mumbai but it could be years before it begins to actually make a difference. M-East has expanded over the last 15 years but has remained on the periphery of the city’s consciousness as well as its governance systems.

Seven people have died over the past three months while lining up to use the toilet. But given that the ward has expanded with new residents – both legal and illegal migrants as well as those displaced from other parts of Mumbai – the demand for basic civic services has only increased. The residents of the Rafiq Nagar slum say that the municipal pipeline is “laid for show”. Water pipes have been installed and reinstalled, but we don’t get water. Swachh Bharat Abhiyaan is a laughable thing here,” said Amita Bhide, dean of the institute’s School of Habitat Studies and head of its M-East ward project.

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Govandi, Mankhurd and surrounding areas are the centres for such activity. Then some people pulled me up and I passed out. While non-governmental organisations step in to construct community toilets, local MLAs and MPs also contribute money from their area development funds to build toilet blocks in these slums.

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