Dire hygiene spells new threat for Morocco quake survivors

In her earthquake-hit Moroccan town, Zina Mechghazzi has improvised a sink by placing a pink bucket and a bar of soap on the dusty ground amid the ruins.

"I haven't taken a shower in seven days," said the woman from Amizmiz at the foot of the High Atlas range, about 60 kilometres (40 miles) southwest of Marrakech.

"I've only washed my armpits and changed my clothes."

Over a week since a 6.8-magnitude quake devastated parts of central Morocco, many worry that the dire living conditions and poor hygiene spell new threats for the survivors.

The disaster killed nearly 3,000 people and injured thousands more when it hit in Al-Haouz province, south of the tourist hub Marrakesh, on September 8.

Many survivors have stayed close to their ravaged villages and now sleep in improvised shelters and simple tents provided by Morocco's civil protection service.

Later, Mechghazzi was kneading dough to make bread, sitting on a stool next to a stove out in the open.

When she was finished, she washed the flour off her hands with untreated water from a dirty five-litre jug, shrugging that "we have to adapt".

With only a few houses left standing and habitable in Amizmiz, functioning bathrooms and toilets have become a luxury, and they are often overcrowded.

Mechghazzi pointed to an empty lot nearby where a stand of olive trees now provide the only, limited privacy as a child was relieving himself behind a tent.

During the day, temperatures in Amizmiz still top 30 degrees Celsius (86 degrees Fahrenheit), but nights bring biting cold and damp in the mountain area.

"Winter is coming, the situation is difficult, especially with the children," said Rabi Mansour, holding a four-month-old baby, her fourth child.

"Problems caused by rain and cold will be a challenge."

A pregnant woman, who only gave her first name, Hassna, and who is just days away from giving birth, said she was terrified.

"I never thought I would give birth in these conditions," she said.

"I don't have much water, it's hard to go to the bathroom, and I'd rather not even think about how I'm going to manage. It stresses me out so much."

A few tents away, first aid was being provided to people with injuries or sickness.

"We have a foot infection, a tooth abscess, a stomach problem, and others are here for medication," said one responder, working under an awning serving as a clinic.

For those villagers who were badly injured or disabled in the quake, the question of hygiene facilities and health services is especially important.