In almost every area Human Rights Watch visited there were huge piles of burning refuse. Some of these refuse heaps were in public spaces, like shopping areas. Others were in fields or in the middle of residential areas. In one area, people were very upset because the refuse heap in the middle of their community was gigantic, spanning a large portion of their community space. On this refuse heap, in addition to household refuse, including diapers and toilet paper, there was a dead dog. Residents expressed concern that the combination of dead animals and human feces would only enhance the risk of disease.