@JeremiahSuit@realMaalouf Absolutely correct! When I visited Cairo in the 90s, I noticed a lack of garbage cans in public. When I saw my Egyptian colleague tossing her trash into the street, I questioned her. She basically shrugged her shoulders and said that it's just what they do.
Awful as it is, you are absolutely correct. I grew up next door to a family like this. The younger brother was healthy and he must have had a rough childhood. The parents were nice people, but looking back, I believe that they were both drinkers. They had to send the child to an institution when he was 16 because he was no longer controllable. He died a few years ago and luckily he didn't outlive his parents.