About 75% of houses in Kenema city and its environs are without adequate toilet facilities says the District Health Superintendent Olai Sankoh. He made this disclosure while speaking to the press in Kenema city. Mr. Sankoh stressed that this has been a major concern to health authorities in Kenema district because it will lead to poor sanitation in the district which has serious consequences. The District Health Superintendent further states that the Ministry of Health and Sanitation lacks the personnel to cover the entire district. He said they are now working with 21 communities in the rural areas in the district to serve as pilot programmes for future expansion of the campaign. Mr. Sankoh promised that the year 2009 will be totally different as the Health Ministry has prepared more plans to meet the growing health demand in the district. He says his office is collaborating with the Mayor of Kenema City Council (KCC) Chief Brima Kargbo in launching the campaign to discourage open defecation and improve sanitation in the city and its environs and the entire district. However the public is concerned with perennial problems of sanitation in the district. They are calling on health officials to do more in improving environmental sanitation in the coming year as health is wealth.