Only about 40% of people in Sierra Leone have access to a private or shared latrine, where approximately seven families typically share one toilet. According to "The Africa Review", nearly 60% of toilets are pit toilets that easily drain directly into sources of drinking water and more than 30% of people defecate in the open. The water and sanitation systems were damaged after the civil war in Sierra Leone, and have not been rebuilt properly, leaving approximately 43% of Sierra Leoneans without access to clean water. Poor health-care system in the country with the population of six million people also contributes to the outbreak. The UN figures indicate that there is only one doctor per 34,744 people.