Recommendations for Structural Changes (Long-Term Prevention) To reduce disease spread at future gatherings, consider implementing these structural changes: 1. Improve Hygiene Facilities & Handwashing Compliance ✅ Install more handwashing stations , including near the toilets, kitchen, and eating areas. ✅ Use foot-pump sinks or soap dispensers to make washing hands more convenient. ✅ Provide hand sanitizer at multiple locations for when soap and water aren’t available. 2. Strengthen Food Safety & Storage ✅ Store dishes and cutlery in closed cupboards in the Breakfast Barn to protect from flies and dust. ✅ Set up a server system where designated people serve food instead of self-serve buffets. ✅ Ensure raw vegetables are properly washed and prepared on clean surfaces with separate knives/cutting boards. ✅ Regularly sanitize the white plastic jerrycans (empty, rinse, and clean with diluted vinegar or bleach). ✅ Do not keep leftovers for more than 24 hours without refrigeration. ✅ Use tupperware and stickers with the day of the week for leftovers ✅ Avoid saving high-risk foods (e.g., dairy-based sauces, cooked grains, or anything left out for too long). ✅ Serving Leftovers Safely: Reheat leftovers to at least 75°C (167°F) before serving again. Do not serve lukewarm food , as it increases the risk of bacterial growth. When in doubt, throw it out —especially if food has been sitting at room temperature for too long. 3. Reduce Toilet-Related Contamination ✅ Increase toilet cleaning frequency , especially wiping down seats and handles with disinfectant. ✅ Always keep toilet lids closed after use to reduce fly attraction. ✅ Replace shit tons before they are completely full to reduce exposure to waste. ✅ Continue using sawdust generously to limit odors and flies. 4. Improve Bathing & Water Use ✅ Drain and clean the bathtub frequently with disinfectant before refilling. ✅ Consider heating the bathtub water to at least 60°C (140°F) before use, as this kills bacteria. 5. Reduce Flies & Insect Transmission ✅ Continue using mosquito nets around food areas in the Breakfast Barn. ✅ Set up fly traps or screens near food preparation areas. ✅ Maintain strict waste management , especially around food scraps and composting toilets.