Why do billions of people still lack basic sanitation

INSUBCONTINENT EXCLUSIVE:
Image copyrightWSUPImage caption Dhaka, Bangladesh: Community leader Nasima shows off her village's new community
toilet Hi-tech loos that use little or no water and can recycle waste products safely and sustainably promise to give
billions of people around the world access to much-needed sanitation
So why do so many still lack this basic amenityAbout 2.3 billion people still lack basic toilets, according to the World Health Organization
(WHO)
And 4.5 billion don't have safely managed sanitation, with waste disposed in a way that won't contaminate drinking water.Each year
contaminated water kills half a million children under five through diarrhoeal diseases, the WHO says.So many inventors, entrepreneurs and
research institutions around the world have been working on hi-tech loos that can function without the need for expensive mains sewerage
systems.Image copyrightWSUPImage caption Millions of people live next to unsanitary open sewers with potentially fatal
consequences One approach is taking chloride from urine, turning it into chlorine with electricity, and using that as a
disinfectant, says Dr Brian Hawkins, a research scientist in nanomaterials at Duke University, North Carolina.Activated charcoal can remove
organic material and nano-membranes replace the need for septic tanks, he says.A solar-powered toilet using this approach, developed at Duke
and nearby universities, is being tested at a cotton mill in Coimbatore, India and a township in South Africa
Currently, it can handle about 15 users a day.New membrane technology means toilets can "get clean water out of human waste, which is pretty
cool", says Dr Alison Parker, a lecturer at Cranfield University in Bedford.But power is needed to push waste through the membranes
So the challenge is making a self-contained loo that doesn't need external electricity.Image copyrightCranfield UniversityImage caption
Cranfield University's clever loo can produce clean water from human waste Her lab's Nano Membrane Toilet
works by "relying on the energy we can get from human waste, burning faeces, and the person lifting the lid and closing it again - so that's
not a huge amount of energy to work with," she says.But reverse electrodialysis, from putting faeces components on one side of the membrane
and urine on the other, "gives us a little extra energy", she says, and is "just enough to give it the boost to do what we need".Heating
urine before it goes through the membrane to be closer to the vapour state makes it more efficient, too, says Dr Parker.More Technology of
BusinessShe says her lab's waterless flush toilet is "basically ready and could be commercialised straight away".A challenge now is making
them feasible for rural areas - the membranes need cleaning every three months, which is more easily achieved in cities.While there is lots
of innovation going on, the key challenge is making sanitation affordable, says Jack Sim, World Toilet Day founder.He remembers growing up
in Singapore in the 1950s and 60s and having to use his village's communal outhouse
It was a "very traumatic" experience, he says, involving buckets and lots of green flies.Moving to public housing with a flushable loo was
"like a miracle", he recalls.Image copyrightJack SimImage caption World Toilet Day founder Jack Sim (r) meets Indian
Prime Minister Narendra Modi He believes people on low incomes need to be convinced to "sacrifice something else and build a
toilet first".But many promising products are now stuck in the "valley of death", says Duke University's Dr Hawkins
This is the space between developing a successful prototype and "getting to a locked-down product you can scale up, mass produce, and find a
market share".The aim is to get the operating expenses of clean toilets down to five cents (3.8p) per person per day, he says.And Neil
Jeffery, chief executive of Water Sanitation for the Urban Poor, a non-profit organisation focusing on African and Indian cities, points
out that it's "not just about the toilets - it's about how you collect waste safely, transport it, treat it, and how it's then used".Most
African cities only have 10-15% of households connected to mains sewerage, he says, with many urban settlements sharing pit latrines instead
When these fill up, a lorry needs to take their contents to a treatment plant.Image copyrightCrane EngineeringImage caption
Crane Engineering's waste treatment trucks will be trialled in 2019 But this can be a costly two- or three-hour drive,
says Mark Hassman, project manager for the Mobile Septage Treatment System at Crane Engineering in Wisconsin.He says the amount of waste
that trucks actually bring to treatment plants is "less than 5% [of the total] in some cities".Instead, they dump it in ditches, mix it with
rubbish and burn it, or "plop it in a ditch, and if it's rainy season, it goes downstream".Mr Hassman has been leading a team designing
trucks that can process 70-80% of the waste on site
So instead of emptying two pits, "they can now maybe do eight in one drive, and that hopefully reduces the cost and enables people to afford
clean pit emptying," he says.He says the trucks are "fairly close" to producing potable water.The trucks will have trial runs in Africa in
2019, and his company is "looking to get these units out there" commercially in 2020.The crucial requirement is to create a market that
enables companies to make a profit from loos that are also affordable for poorer households, he says.Image copyrightCrane EngineeringImage
caption Special treatment trucks can turn human waste into clean water Lack of sanitation also has an
economic impact.The Bill Melinda Gates Foundation, which has been running its Reinvent the Toilet Challenge since 2011, says "more than
reasons why Indian Prime Minister Narendra Modi has committed $20bn to build 111 million latrines by 2019 - "the biggest toilet building
project in the history of mankind", says Mr Sim.The goal of sanitation for all may still be "some years" away
"But I can see this problem being solved in the next decade," he says.Not a day too soon for the billions still suffering
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