Rose George

“The 1.8 million child deaths each year related to clean water and sanitation dwarf the casualities associated with violent conflict. No act of terrorism generates economic devastation on the scale of the crisis in water and sanitation. Yet the issue barely registers on the international agenda.”

“Asking how astronauts go to the bathroom is one of the most common questions put during NASA or space museum outreach sessions. To cope with the curiosity, for a while the agency posted a video that featured a fully-clothed volunteer showing exactly how it was done: with a mirror, sometimes. Young is often asked about it. "Interest from the public is strange. Women don't care. They think, they worked it out and that's that. Men have an almost unhealthy interest. Children are interested in the poop factor." What everybody should actually be interested in is the drinking pee factor.”

“Mr. Wang had found my interest in fen, the Mandarin word for excrement, peculiar. Nonetheless, he tried to be helpful. He would point out when he spotted a truck full of fen looming behind, though its odor preceded it by far. He would alert me when he saw a tiny figure in a roadside field bearing a tank and hose, spraying--by the smell of it--the contents of his toilets on his cabbages. This practice would horrify any public health professional, given the disease-load of feces, but it's what happens to 90 percent of China's excrement, and has been done forever. There are reasons not to eat salads in China, and why the sizzling woks are so sizzling.”

“It drips on her head most days, says Champaben, but in the monsoon season it's worse. In rain, worms multiply. Every day, nonetheless, she gets up and walks to her owners' house, and there she picks up their excrement with her bare hands or a piece of tin, scrapes it into a basket, puts the basket on her head or shoulders, and carries it to the nearest waste dump. She has no mask, no gloves, and no protection. She is paid a pittance if she gets paid at all. She regularly gets dysentary, giardia, brain fever. She does this because a 3,000-year-old social hierarchy says she has to.”

“If the cultural standing of excrement doesn't convince them, I say that the material itself is as rich as oil and probably more useful. It contains nitrogen and phosphates that can make plants grow and also suck the life from water because its nutrients absorb available oxygen. It can be both food and poison. It can contaminate and cultivate. Millions of people cook with gas made by fermenting it. I tell them that I don't like to call it "waste," when it can be turned into bricks, when it can make roads or jewelry, and when in a dried powdered form known as poudrette it was sniffed like snuff by the grandest ladies of the eighteenth-century French court. Medical men of not too long ago thought stool examination a vital diagnostic tool (London's Wellcome Library holds a 150-year0old engraving of a doctor examining a bedpan and a sarcastic maid asking him if he'd like a fork). They were also fond of prescribing it: excrement could be eaten, drunk, or liberally applied to the skin. Martin Luther was convinced: he reportedly ate a spoonful of his own excrement daily and wrote that he couldn't understand the generosity of a God who freely gave such important and useful remedies.”

“This is why the Liberian waiter laughed at me. He thought that I thought a toilet was my right, when he knew it was a privilege."It must be, when 2.6 billion people don't have sanitation. I don't mean that they have no toilet in their house and must use a public one with queues and fees. Or that they have an outhouse, or a ricety shack that empties into a filthy drain or pigsty. All that counts as sanitation, though not a safe variety. The people who have those are the fortunate ones. Four in ten people have no access to any latrine, toilet, bucket, or box. Nothing. Instead, they defecate by train tracks and in forests. They do it in plastic bags and fling them through the air in narrow slum alleyways. If they are women, they get up at 4 A.M. to be able to do their business under cover of darkness for reasons of modesty, risking rape and snakebites. Four in ten people live in situations where they are surrounded by human excrement because it is in the bushes outside the village or in their city yards, left by children outside the backdoor. It is tramped back in on their feet, carried on fingers onto clothes, food and drinking water."The disease toll of this is stunning. A gram of feces can contain 10 million viruses, 1 million bacteria, 1,000 parasite cysts, and 100 worm eggs...”