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Global Education  /  Global Issues  /  Sanitation

Sanitation

 

Facts

  • World Toilet Day, 19 November, aims to improve toilets for all through:
    • requesting better equality (more facilities for women);
    • more accessibility and special provisions (for the disabled and mothers with babies);
    • improved cleanliness(for everyone);
    • providing more toilets (for the less fortunate).
  • 1.1 billion people, or roughly one sixth of the world's population, do not have access to safe water and 2.6 billion people, or two fifths of the world's population, do not have access to adequate sanitation.
  • Between 1990 and 2004 more than 1.2 billion people worldwide gained access to improved sanitation.
  • Lack of sanitation increases the risk of outbreaks of cholera, typhoid and dysentery.
  • In 2006, 1.8 million children under age 5 (an average of 4900 every day) died from the consequences of unsafe water and inadequate hygiene.
  • For every $1 spent on water and sanitation an average of $8 is saved in health costs and productivity gained.
  • Water, hygiene and sanitation interventions reduce diarrhoea incidence by 26% and mortality by 65%.

Sources
World Health Organization: http://www.who.int
International Year of Sanitation; http://esa.un.org/iys

 

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Background

What is sanitation?

Human waste, (excreta) is smelly, attracts flies, and is personal. Unless it is managed effectively disease can spread quickly, killing thousands. Sanitation is the process of preventing human, animal, and insect contact with excreta to avoid the spread of diseases.

One gram of faeces can contain 10 million viruses, 1 million bacteria, 1 thousand cyst parasites and about a hundred worm eggs so the danger of disease is massive. When any waste is exposed and clean water and hygiene education are limited, all people in the community are vulnerable to illness caused by faeces.

How does sanitation impact people's lives?

Without a clean, safe toilet close to home people are forced to live in an unhealthy and unpleasant environment. Each year 1.8 million children die and many more are sick with diseases such as cholera, typhoid and dysentery because of unclean water and poor sanitation. Having to go to the toilet in the open or sharing facilities with hundreds of others, particularly if you are suffering with diarrhoea, is extremely embarrassing and unsafe for everyone's health. Women and girls are especially disadvantaged because they often have to wait until it is dark, which can lead to illness or the danger of attack. Sickness takes children away from school and adults away from earning an income. Medical expenses make massive demands on the limited incomes of the poor.

Sanitation enhances dignity, privacy and safety, especially for women and girls. Clean, safe toilets and hand-washing facilities at home and school help children's ability to learn. Improved health helps women and men earn a living. Effective sanitation means the environment is safer and cleaner for all activities – children can play, food can be prepared safely, homes can be kept cleaner.

The ladder of sanitation

Sanitation may be as cheap and simple as a protected pit latrine or as expensive and complex as a flush toilet with sewerage. The further up the ‘ladder', the greater the benefits for people and the environment.

The simplest form of sanitation is the pit latrine with a squat slab cover to stop contact with excreta by humans, animals and insects and a shelter around it for privacy and protection. The hole may be lined to prevent it collapsing. Pit toilets are used in rural or wilderness areas. Their advantages are that they are cheap and easy to build and maintain but they can smell and attract flies and the pit must be moved or emptied regularly.

Moving up the ladder is the self ventilated improved pit latrine (VIP). These are a little more expensive and use slightly more complicated technology. A vent pipe higher than the shelter reduces the smells and flies. They are still cheap to build and easy to maintain but are dependent on wind and are dark inside.

The next step is the pour-flush latrine which uses a pan with a water-seal connected to a pit by a pipe. This stops flies and smells from coming out of the pit, but a water source is needed.

Further up the ladder are composting toilets which vary greatly in construction and expense. They all use micro-organisms to break down the waste into organic compost or manure. Various systems of vents or fans may be used to speed up the process of composting. Advantages of composting toilets include reuse of the compost as fertiliser, reduced pollution of ground water and lack of dependence on water, but skilled labour is required for the construction.

At the top of the ladder is a full sewerage system, which is an extensive series of pipes leading to a sewage treatment plant. It is costly to install and maintain such systems and rapid urbanisation is stretching most existing systems beyond capacity.

Hygiene education

The supply of latrines and toilets by themselves will not improve health. All members of the community need to regularly use them and wash their hands after use to break the faecal-oral cycle in the spread of disease. This requires a supply of water. Where toilets have been supplied to communities there sometimes has been reluctance to use them. People may be embarrassed, dislike being enclosed in a smelly environment or the long wait for others. Changing old habits of defecation in open areas is a major part of improving the effectiveness of even simple sanitation systems.

Millennium Development Goal and the International Year of Sanitation

Although water and sanitation have been linked for many years, improvement to water access has made far bigger gains than improvements to sanitation. Over 1.2 billion people lack access to safe water while 2.6 billion lack access to sanitation. This situation is even worse in rural areas where only 53% of the population have access to sanitation while about 80% of the urban population have access to sanitation.

The United Nations Millennium Development Goals and International Year of Sanitation aims to bring this smelly and embarrassing problem into the open in the hope of bringing about the changes needed.

The (MDG) target for sanitation is ‘to halve, by 2015, the proportion of the world's population without sustainable access to basic sanitation.' There are major challenges to bridge the great gap between access in rural and urban areas and meet the needs of rapidly expanding cities.

The International Year of Sanitation will help position the crisis in sanitation more prominently on the global agenda by raising the issue's profile with politicians, civil society, the media and the general public. It aims to raise awareness for the worldwide sanitation crisis; generate political will and concerted action for improving the sanitation situation and increase the willingness of communities, governments and other donors to invest into sanitation

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Australia's response

The Australian Government has long recognized the importance of clean water and sanitation as a cornerstone for development. It integrates water issues into country and regional programs, adopting long-term planning and ensuring active community participation. Some specific programs include:

  • The Water and Sanitation Project (South Asia) to help institutional reform and collaboration in South Asia .
  • The Bangalore Water Supply and Sanitation Project to help prepare a water supply and environmental sanitation master plan for the city's 6 million inhabitants.
  • The Kiritamati Water Supply and Sanitation Project to give support to civil works that extract and deliver water from underground sources and to construct composting toilets that help reduce contamination of groundwater supplies from septic tanks and pit latrines.

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The global agenda

Human Development Report 2006
The 2006 Human Development Report focuses on water and sanitation. "Beyond scarcity: Power, poverty and the global water crisis" highlights that it is not scarcity but unequal power and access to water which condemns the poor to further difficulties. The poor pay higher prices for water than the rich. A bigger percentage of their income is used to pay for water and a bigger percentage of their time is used to collect it than the rich who can just turn on a tap. It clearly outlines the challenge to all as we address our commitment to the Millennium Development Goals....
International Year of Sanitation 2008
The General Assembly of the United Nations through its Resolution A/C.2/61/L.16/Rev.1 dated 4 December 2006 declared 2008 as an International Year of Sanitation (IYS). The United Nations Department of Economic and Social Affairs (UNDESA) is coordinating the International Year of Sanitation. It has prepared an action plan which includes activities to: Raise awareness; Release new and updated publications; Advocate; Monitor Access and Commitments; Advance Implementation; Strengthen Capacities; and Evaluate Costs and Benefits. This website has a brief overview of the need for and benefits of sanitation. It has many useful links to more detailed resources as well as short videos...
United Nations Millennium Development Goals Indicators
The Millennium Development Goals (MDGs), approved by 189 countries in 2000, set out to reduce poverty and hunger, child mortality and the spread of disease and to improve education, gender equality, maternal health, environmental sustainability and global partnerships. Without progress on access to water and sanitation few of the other goals will be achieved....

International Year of Sanitation Logo

Launch of International Year of Sanitation in Australia
Millennium Development Goal (MDG) Number 7 aims to ensure environmental sustainability. Access to basic sanitation is part of this goal which includes reducing by half the proportion of people without sustainable access to safe drinking water and basic sanitation. On 17 June 2008, the Parliamentary Secretary for International Development Assistance, Mr Bob McMullan, officially launched the International Year of Sanitation in Australia.


photo of compost toilet in Kiribati

Compost toilet in Kiribati reduces contamination of the limited supply of underground water from the septic tanks and pit latrine toilets.
John Macklin/AusAID

photo of pour-flush squat toilets

There is enough water for flushing toilets to be built, further reducing the risk of disease. Yusef and others installed theri own toilets after being trained by sanitation experts.
PT HarvestIndo/AusAID

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Last Modified : Monday, 30 June 2008