The Niger Delta in southern Nigeria has a population of over 30 million people, over half of whom live under the poverty level. Their health is significantly impacted by poor sanitation, which affects their ability to work, attend school, and improve their quality of life. Villages are sprinkled throughout a region of rivers, and creeks, islands, and mangrove forest, off the power grid, and only accessible by water. Generally latrines empty directly into the water, close to where villagers bath and wash clothes. There is no apprehension of the health implications.