Sanitation
Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage.[1] Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems aim to protect human health by providing a clean environment that will stop the transmission of disease, especially through the fecal–oral route.[2] For example, diarrhea, a main cause of malnutrition and stunted growth in children, can be reduced through adequate sanitation.[3] There are many other diseases which are easily transmitted in communities that have low levels of sanitation, such as ascariasis (a type of intestinal worm infection or helminthiasis), cholera, hepatitis, polio, schistosomiasis, and trachoma, to name just a few.
Not to be confused with Sanitization.
A range of sanitation technologies and approaches exists. Some examples are community-led total sanitation, container-based sanitation, ecological sanitation, emergency sanitation, environmental sanitation, onsite sanitation and sustainable sanitation. A sanitation system includes the capture, storage, transport, treatment and disposal or reuse of human excreta and wastewater.[4] Reuse activities within the sanitation system may focus on the nutrients, water, energy or organic matter contained in excreta and wastewater. This is referred to as the "sanitation value chain" or "sanitation economy".[5][6] The people responsible for cleaning, maintaining, operating, or emptying a sanitation technology at any step of the sanitation chain are called "sanitation workers".[7]: 2
Several sanitation "levels" are being used to compare sanitation service levels within countries or across countries.[8] The sanitation ladder defined by the Joint Monitoring Programme in 2016 starts at open defecation and moves upwards using the terms "unimproved", "limited", "basic", with the highest level being "safely managed".[8] This is particularly applicable to developing countries.
The Human Right to Water and Sanitation was recognized by the United Nations (UN) General Assembly in 2010. Sanitation is a global development priority and the subject of Sustainable Development Goal 6.[9] The estimate in 2017 by JMP states that 4.5 billion people currently do not have safely managed sanitation.[9] Lack of access to sanitation has an impact not only on public health but also on human dignity and personal safety.
Environmental aspects[edit]
Indicator organisms[edit]
When analyzing environmental samples, various types of indicator organisms are used to check for fecal pollution of the sample. Commonly used indicators for bacteriological water analysis include the bacterium Escherichia coli (abbreviated as E. coli) and non-specific fecal coliforms. With regards to samples of soil, sewage sludge, biosolids or fecal matter from dry toilets, helminth eggs are a commonly used indicator. With helminth egg analysis, eggs are extracted from the sample after which a viability test is done to distinguish between viable and non viable eggs. The viable fraction of the helminth eggs in the sample is then counted.
Costs[edit]
A study was carried out in 2018 to compare the lifecycle costs of full sanitation chain systems in developing cities of Africa and Asia. It found that conventional sewer systems are in most cases the most expensive sanitation options, followed, in order of cost, by sanitation systems comprising septic tanks, ventilated improved pit latrines (VIP), urine diversion dry toilets and pour-flush pit latrines.[65] The main determinants of urban sanitation financial costs include: Type of technology, labour, material and utility cost, density, topography, level of service provided by the sanitation system, soil condition, energy cost and others (distance to wastewater treatment facility, climate, end-use of treatment products, business models, water table height).[65]
Some grassroots organizations have trialled community-managed toilet blocks whose construction and maintenance costs can be covered by households. One study of Mumbai informal settlements found that US$1.58 per adult would be sufficient for construction, and less than US$1/household/month would be sufficient for maintenance.[66]
Society and culture[edit]
There is a vast number of professions that are involved in the field of sanitation, for example on the technical and operations side: sanitation workers, waste collectors, sanitary engineers.
