In 2021, news and reports highlighted several instances where individuals were "forced" into such conditions due to systemic failure or intentional abuse. Human Rights & Systematic Abuse (2021)
In countries like India, this practice is deeply tied to the caste system. Members of the lowest castes (historically termed "untouchables" or Dalits) have been socially and economically forced into these roles for generations. The 2021 Context: forced human toilet stories 2021