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The 3,000-odd buildings in the area are largely dilapidated and in urgent need of repairs; safe drinking water and sanitation is scarce as well.that the origin of slums, subsequently the red-light areas of Mumbai including Kamathipura is related to land acquisition, from the indigenous locals who were evicted from their farmlands and cattle-fields and forced themselves to live in congested conditions, for the development of the industrial harbor city.When they are allowed to leave the set-up, they are most probably a victim of life-threatening diseases like AIDS, without any place to go.In all probability, they will continue in the area and start soliciting and earning.
Initially known as Lal Bazaar, it got its name from the Kamathis (workers) of other areas of the country, who were labourers on construction sites.
In the 19th and early 20th centuries, a large number of women and girls from continental Europe and Japan were trafficked into Kamathipura, where they worked as prostitutes servicing British soldiers and local Indian men.
Gradually, social stratification also took place: A busy road in Kamathipura was known as Safed Gully (White Lane) owing to the European prostitutes housed here during the British Raj. The most well-known brothel in the area, Pila House, is the hybridisation of its original word: Playhouse.
There is little interaction between areas, which makes it harder for social organizations to organize them into a movement or union.
Further, lack of public opinion, political leadership or social activism which is empathetic towards them means a tough time forming unions.