(Dhaka, April 6, 2016) – The Bangladesh government is failing to adequately respond to naturally occurring arsenic in drinking water across large areas of rural Bangladesh, Human Rights Watch said in a report released today. Approximately 20 years after initially coming to international attention, an estimated 20 million people in Bangladesh – mostly rural poor – still drink water contaminated over the national standard.

The 111-page report, “ Nepotism and Neglect: The Failing Response to Arsenic in the Drinking Water of Bangladesh’s Rural Poor ,” documents how Bangladesh’s health system largely ignores the impact of exposure to arsenic on people’s health. An estimated 43,000 people die each year from arsenic-related illness in Bangladesh, according to one study. The government identifies people with arsenic-related illnesses primarily via skin lesions, although the vast majority of those with arsenic-related illnesses don’t develop them. Those exposed are at significant risk of cancer, cardiovascular disease, and lung disease as a result, but many receive no health care at all.



“Bangladesh isn’t taking basic, obvious steps to get arsenic out of the drinking water of millions of its rural poor,” said “Bangladesh isn’t taking basic, obvious steps to get arsenic out of the drinking water of millions of its rural poor,” said Richard Pearshouse , senior researcher at Human Rights Watch and author of the report. “The government acts as though the problem has been mostly solved, but unless the government and Bangladesh’s international donors do more, millions of Bangladeshis will die from preventable arsenic-related diseases.”

Bangladesh isn’t taking basic, obvious steps to get arsenic out of the drinking water of millions of its rural poor. Richard Pearshouse Senior Researcher at Human Rights Watch

Human Rights Watch interviewed 134 people for the report, including people suspected of having arsenic-related health conditions and caretakers of government wells in five rural villages, as well as government officials and staff of nongovernmental organizations. It also analyzed data regarding approximately 125,000 government water points installed between 2006 and 2012 (constituting the overwhelimg majority of government water points installed during this period).

Hands of Selina Aktar, a woman in her late 30s with arsenic-related health conditions that first began appearing 20 years ago. While skin abnormalities have long been considered hallmarks of chronic arsenic exposure, the vast majority of exposed individuals will not develop skin lesions but are still at risk of deadly diseases such as cancers, cardiovascular disease, and lung disease. Iruain village of Laksam Upazila in Comilla district, Bangladesh, March 5, 2016. © 2016 Atish Saha/Human Rights Watch Anuwara Begum, in her 60s, cries while remembering her son-in-law, a farmer who died from arsenic-related illnesses. She herself has arsenic-related health conditions, but has never seen a doctor. Iruain village of Laksam Upazila in Comilla district, Bangladesh, March 5, 2016. © 2016 Atish Saha/Human Rights Watch Dhudhu Miya, 50, has been suffering from arsenic-related health conditions for 10 years because of arsenic exposure. Iruain (Laksam Upazila in Comilla District). March 5, 2016. © 2016 Atish Saha/Human Rights Watch A woman bringing drinking water home in the evening. Balia in Ulania Union (in Barisal District). March 17, 2016. © 2016 Atish Saha/Human Rights Watch Abdul Joynal Haoulader, 70, from Balia village. He has been suffering from arsenic-related health conditions for some 20 years. Balia in Ulania Union (in Barisal District), March 16, 2016. © 2016 Atish Saha/Human Rights Watch Jhohora Akhter, 30, draws water from the family well, which is contaminated with arsenic. Jhohora’s mother Jahanara Begum died of arsenic-related health conditions. Her father suffers from diabetes, an illness associated with chronic arsenic exposure. Her brother Ruhul Amin also suffers arsenic-related health conditions. Iruain (Laksam Upazila in Comilla District). March 6, 2016. © 2016 Atish Saha/Human Rights Watch Osman Ghani, 60, and his wife Rehana Begum, 50, from Balia village. Both suffer from arsenic-related health conditions. Balia in Ulania Union (in Barisal District), March 16, 2016. © 2016 Atish Saha/Human Rights Watch A broken-down and unused government tubewell in a school playground. When Human Rights Watch visited Iruain in July 2015, the village was without any government-installed functioning and publicly accessible water points. Iruain (Laksam Upazila in Comilla District). March 6, 2016. © 2016 Atish Saha/Human Rights Watch Rahsidha Begum, 40 years old. She suffers from diabetes and other arsenic-related health conditions. Her husband Muhammod Ali died of cancer following years of exposure to arsenic in drinking water. Iruain (Laksam Upazila in Comilla District). March 5, 2016. © 2016 Atish Saha/Human Rights Watch Shafiulah, 50, and his wife Rashida Begum, both suffer from arsenic-related health conditions. They were both issued with a government booklet to record their health care, but all the pages inside are empty. They have never been given any medicine for their arsenic-related health conditions from government health facilities. Iruain (Laksam Upazila in Comilla District). March 5, 2016. © 2016 Atish Saha/Human Rights Watch A government tubewell installed inside a small tin shed inside the fenced compound of the caretaker’s house, 2015. © 2015 Richard Pearshouse/Human Rights Watch A government tubewell installed inside a private house, 2015. © 2015 Richard Pearshouse/Human Rights Watch An unpainted government tubewell contaminated with arsenic above the national standard in Bilmamudpur, July 2015. © 2015 Richard Pearshouse/Human Rights Watch

Arsenic is found in water from hand-pumped, mostly shallow, tube wells across huge swaths of rural Bangladesh. Although deep wells can often reach groundwater of better quality, government programs to install new wells don’t make it a priority to install them in areas where the risk of arsenic contamination is relatively high.



Moreover, some national and local politicians divert these new wells to their political supporters and allies, instead of the people who most need them.



“If the member of parliament gets 50 percent [of the new allocation] and the upazila [sub-district] chairman gets 50 percent, there’s nothing left to be installed in the areas of acute need,” explained one government official who spoke to Human Rights Watch on condition of anonymity.

Click to expand Image Wells installed by Bangladesh's government between 2006-2012





Human Rights Watch also found a serious lack of monitoring and quality control in arsenic mitigation projects. In a small but significant number of cases, some new government wells are themselves contaminated with arsenic above the national standard. A Human Rights Watch analysis of government data found that 5 percent of the wells reviewed were contaminated above the Bangladesh standard.



The World Bank, which funded the installation of approximately 13,000 rural wells from 2004 to 2010, should promptly and thoroughly investigate whether they are contaminated and, if they are, replace or rehabilitate them. Bangladesh’s international donors have an important role to play, and they should do more, but with more care, Human Rights Watch said.



In 1995, an international conference in Kolkata helped draw the world’s attention to the problem of naturally occurring arsenic in the groundwater across huge swaths of rural Bangladesh. From 1999 to 2006, the government, international donors, and nongovernmental organizations oversaw a concerted effort to mitigate arsenic contamination in Bangladesh’s groundwater.





Under the national well screening (the bulk of which occurred from 2000 to 2003) some 5 million wells across the country were tested with field kits and the pumps painted red or green according to whether they were above (red) or below (green) the national standard. The screening found that wells of an estimated 20 million people yielded water with arsenic above 50 micrograms per liter (the national standard).



Since 2006, however, the urgency of such efforts has dissipated. A nationwide study of drinking water quality in 2013 found a similar result to the earlier screening, a rate of contamination that corresponds to some 20 million people exposed to arsenic above this level.



“Bangladesh should not allow national and local politicians to divert these life-saving public goods to supporters and allies,” Pearshouse said. “Contaminated government tube wells urgently need to be replaced or rehabilitated, before people lose what little faith they have left in the government’s commitment to provide safe water.”

Click to expand Image Human Rights Watch

Statements by people interviewed:

“When it comes to arsenic problems they usually say, ‘We have nothing for your illnesses.’”

–Nouka, a woman living in Balia village with black spots on her shoulders, arms, palms, and the back of her hands



“I’ve never been to a hospital, I’ve never seen a doctor. I take no medication. No one from the government has ever told me anything about arsenic or that I suffer some effects of arsenic poisoning.”

–Astha, a woman in her 40s living in Ruppur village, suspected of having arsenic-related health conditions



“There are no government-installed water sources in this area. Look at my children! Even if we feed them as best we can and look after them well, they will fall sick from arsenic in the water.”

–Khobor, a farmer in his mid-30s in Bilmamudpur village, with arsenic-related skin lesions on his chest and feet



“It has been at least 10 years since arsenic people came from the government to conduct tests and paint the tube wells red or green [to indicate which were above or below the national standard]. I wish they’d come back and do their job properly.”

–Agrahayan, a man in his mid-50s who lives in Ruppur village, suspected of having arsenic-related health conditions



“There are no government-installed tube wells in this village. They installed one in the nearby school but it hasn’t been working for years. They don’t give them to us but I don’t know why. I don’t know who to ask or how to ask.”

–Janala, a woman in her 40s living in Ruppur village, suspected of having arsenic-related health conditions



“Many government tube wells are installed in private homes; the owners bribe government people or use their political connections. We don’t even know where some of them are, they’re so secretive. It makes me very angry to think about this.”

–Khaddro, a farmer in his 30s living in Ruppur village, suspected of having arsenic-related health conditions



“Site selection of new tube wells is essentially all about politics. They give them to their political allies, their supporters, those close to them or those who work for them. It is very frustrating, they don’t consider the real needs of the people.”

–Anonymous government official



“Six people from my household drink from this well. We don’t let others drink from it. My father-in-law is a friend of the upazila [sub-district] chairman. They are in the same political party, so they have a political friendship. We paid 30,000 taka (approximately US$390) to the upazila chairman.”

–Anonymous caretaker of a government tube well