Many schools in Kenya are coping with a 100% or more increase in student numbers that are triggered by the new government's free and compulsory primary education policy. Average class sizes have risen while facilities remained the same. With the influx of so many new children, latrine use might go up to 200 pupils per latrine. Poor hygiene at schools may add to the region's health problems, where already over 85% of illnesses reported at local clinics are water-related.