And people eat with their hands a lot too. This is why its considered disgusting to eat with the left hand in many places. Right hand for eating, left hand for washing your ass.
One of the benefits of having travelled a lot in Asia is you will never again be phased by running out of toilet paper.
Genuinely curious.
Nowadays many people are westernized enough that they have switched to eating w/ utensils (either chopsticks or fork/spoon, depending on type of cuisine, and the Chinese segment of the population have been using chopsticks all along), but eating with the hands is still quite common.
The houses where I've spent time in Malaysia had western toilets but often with a bucket & cup or sprayer for cleaning; toilet paper sometimes also present, but not always.