61.   Latvian health officials reported Wednesday that the number of dysentery cases in the country quadrupled last year, due to poor hygiene.

62.   Malnutrition and poor hygiene are most often the cause of such illnesses.

63.   She blamed the cholera on poor hygiene standards.

64.   The agency said low pay for toilet cleaners had previously led to slack management, causing poor hygiene conditions and widespread complaints.

65.   The disease is spread by poor hygiene, and doctors have urged the public to wash hands frequently.