SAN Notes2
SAN Notes2
SUBJECT: SANITATION
SANITATION
1. Introduction
Unsanitary conditions and contaminated drinking water exert a crippling toll on both
the health of the human population and the environment. Approximately 40 percent of
the world’s population does not have access to improved sanitation. In addition to the
indignity suffered by those lacking sanitation facilities, millions of people in the
developing world die each year from diseases contracted through direct and indirect
contact with pathogenic bacteria found in human excreta. Infectious diseases such as
cholera, hepatitis, typhoid, and diarrhea are waterborne, and can be contracted from
untreated wastewater discharged into water bodies. More than half of the world’s
rivers, lakes, and coastal waters are seriously polluted from wastewater discharge
(UN Environment Programme, 2002). The cost of inadequate sanitation translates
into significant economic, social, and environmental burdens. Sanitation coverage
has lagged behind water provision since the first International Decade of Water and
Sanitation (1980–1990).
Even in this age when people are living longer than ever and medicines exist to treat
vast numbers of diseases, a simple illness like diarrhoea continues to be a major
killer in the developing world because the rather basic, but extremely important,
problem of how to deal with excreta remains unresolved. There is a prevailing view
that certain non-medical interventions pertaining to technology and behavioural
changes can tackle health problems associated with sanitation. Yet the value of such
interventions is not clear. For example, what is the correlation between number of
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toilets (a typical intervention) and sanitation-related diseases? If a programme
brochure states that “last year the programme provided nearly a million latrines”
(WSSCC, 2004) in a particular state, can we expect that there were a million less
episodes of illness and a reduction in deaths by water-borne diseases in that state?
Since at least Dr Snow’s famous pump studies in Victorian London people have
known about water-borne diseases. In other parts of the world, knowledge may not
have been codified but people have kept their excreta away from living areas. Yet
there probably is no single perfect sanitation for all social (including financial) and
geographical situations. Furthermore, not all seemingly connected technological
advances will help and develop sanitation. As Susan Chaplin (Chaplin 1999) points
out, unlike the case of development of sanitation services in 19th century Europe,
modern medical practices have actually contributed to the lack of proper sanitation.
This is because when there are any disease outbreaks, it is possible to contain them
and those who can afford it, can be treated. So, for example, no thought need be
given to what practices caused the disease outbreak in the first place. Or to what
measures need be taken to prevent further outbreaks for all social groups.
2. The meaning of sanitation
The word “sanitation” by itself or in phrases like “water and sanitation sector”, “basic
sanitation facilities” is used regularly in various United Nations, Asian Development
bank, World Bank and other aid programmes. Yet what exactly is sanitation?
Dictionaries such as the Collins give the meaning as “the study and use of practical
measures for the preservation of public health.” referring to measures taken to
prevent the transmission of diseases and ensure public and private health. In the
developed world, the term is commonly used in food processing; and hotel and
hospital maintenance. In the developing world, or more pertinently, the world of
development, sanitation has come to mean something slightly different but connected
to: excreta disposal facilities. Specifically, “sanitation” refers to the methods of
hygiene relating to the safe collection, removal and disposal of human excreta and
wastewater. Therefore, while the phrase, “control sanitation-related diseases”, by the
ordinary dictionary meaning should refer to all diseases, what it actually means is
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water-borne and faecal diseases. And “sanitation technology” encompasses
everything from small portable disaster area toilets to large sewage treatment plants
designed to treat domestic wastewater of thousands.
Sanitation is derived from a Latin word: Sanitas” which means Health. Sanitation
has been in practice for a long period of time since man started living in groups.
Even in the biblical context people practiced sanitation. (Deuteronomy 23:13)
3. Environmental sanitation
This is a process of collection, storage, treatment and disposal of human excreta and
domestic wastes in a safe and hygienic manner which is affordable and sustainable.
It is also defined as the process of changing the environment so that it does not
constitute a health hazard to man. The areas which fall under Environmental
sanitation are:
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iii. Detention time: Is the total time of a fraction of a liquid remains in a tank before it
flows out in continuous flow system. This is dependent on the volume of the
reservoir and quantity flow- Volume/flow.
iv. Drain: A smaller pipe owned by an individual or a group of houses used for
drainage of one building or a number of buildings within the same plot to a sewer
v. Earth closet: Means a pail closet
vi. Effluent: Liquid outflow from a septic tank, Aqua privy or sewage treatment
works.
vii. Excreta: This is human wastes excreted from the body consisting of urine and
faeces.
viii. Latrine: Any excreta disposal facility
ix. Bucket latrine: Means a pail closet furnished with means for sprinkling earth,
ashes or any other material for the purpose of absorbing or covering the
excremental matter.
x. Night soil: Contents of the bucket latrine, cesspool usually collected when it is
dark.
xi. Scum: Lighter materials including fats and greasy which float on top of sewage.
xii. Sewage: A mixture of soil water, waste water and trade effluent.
xiii. Sewer: A large duct conveying sewage to the final disposal point and is usually
owned by the Council or local authority
xiv. Sewerage: This is a system of pipes or sewers installed usually underground to
carry sewage away from residential and industrial areas to sewage treatment
works.
xv. Sludge: A term describing thick porridge like material that settles at the bottom of
the tank after decomposition.
xvi. Soil pipe: A pipe conveying water containing excremental mater
xvii. Soil water fitments and fittings: Facilities for the conveyance or which receive
soil water such as urinals and water closets.
xviii. Soil water: - Water discharged from water closets and urinals containing
excremental matter.
xix. Waste pipe: A pipe for conveying waste water.
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xx. Waste water: Discharges of non excremental character from sinks bathrooms
and wash - hand basins. Also known as sullage or grey water.
xxi. Waste water fitments & fittings: These are facilities such as sinks, wash-hand
basins and bath-tubs designed for the conveyance of non - excremental matter.
xxii. Zooglea film: Complex populations of organisms that form a ‘slime growth’ on the
trickling filter media and break down the organic matter in waste water. These
slimes consist of living organisms feeding on the wastes in waste water, dead
organisms, silt and other debris.
5. Objectives of sanitation
The main objective of a sanitation system is to protect and promote human health.
This is done by providing and maintaining a clean environment without faecal
contamination and by adopting measures that break the cycle of disease
transmission. The other objectives are resource management and environmental
considerations. To achieve the direct effects of containment and reduction of
pathogenic organism the system should be technically appropriate, economically
viable, socially acceptable, and institutionally manageable which are factors that all
affect the health outcomes. The objectives are explained here below starting with
human health.
- Cholera
- Typhoid and paratyphoid fevers
- Poliomyelitis
- Schistosomiasis
- Hookworms( anklostomiasis)
- Tapeworms ( Taenia saginata and Taenia solium)
- Salmonella food poisoning
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- Amoebic dysentery
- Bacillary dysentery
- Infective Hepatitis
- Roundworms ( ascaris lumbricoides)
Hands
During personal toilet, most people soil their hands to some extent with their own
excrement, certain intestinal worms and other diseases can thus be conveyed from
the soiled hands to the food or utensils which they handle. Some people may also
get infected through leaking contaminated fingers.
Arthropods or flies
These carry infection from the human excreta they feed on and contaminate milk or
other foods on which they land, thus when such food is consumed, the micro
organisms in it infect man. This is probably the commonest method of conveying
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excremental diseases in Zambia and may account for most sporadic outbreaks of
Typhoid, fever, dysentery and possibly poliomyelitis.
Soil or dust
After drying human excrement can be blown as dust onto food or drink about to be
consumed or can be inhaled by man, thus conveying diseases such as intestinal
worms, dysentery or gastro-enteritis to man. Also some people may get infection
through eating raw soil.
Tapeworms are contracted by man through the consumption of under- cooked beef
or pork containing bladder worm cysts. These cysts after being swallowed by man
grow into tapeworms in the bowels. Segments break off the bowels in the excrement,
thus polluting the soil/land frequented by these animals. The animals become
infected by the small larvae which burrow through the walls of the animals stomach
and bowel and settle in the muscle fibres as bladder worm cysts.
NB: For easy remembering on how disease is transmitted, use 5 Fs, i.e food, flies,
fluids, fields and fingers. See diagram below.
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VIP –latrines handling food or eating or feeding
New
Fields
Host
Man is the reservoir of most of the diseases of excremental nature which incapacitate
him/her. These diseases are however controllable through good sanitation. However,
the following factors are necessary for the disease to be transmitted.
How the disease causing organisms will leave the reservoir of infection
Mode of transmission
How the disease will be transmitted from the reserviour to the potential new host.
How it will come about e.g. contaminated food, water.
A susceptible host
A person who has the potential of developing the clinical symptoms of the disease.
N.B. The absence of a single one of these six conditions makes the spread of the
disease impossible.
Excreta generated from Ecological Sanitation (ECOSAN) can be used for manure
and soil conditioning. Electricity can be generated from excreta. Effluent from sewage
treatment plants can be used for fertigation. Recharge of streams can be done using
effluent.
According to the World Toilet Organisation (WTO), the average person goes to the
toilet six times a day – 2,500 times a year – and women spend three times longer in
toilets than men because of biological differences. It is important that women are
consulted in the design of toilets to ensure that facilities meet their needs and are
safe, clean and pleasant to use. Improved sanitation is about much more than
building toilets; infrastructure needs to be accompanied by education to help change
attitudes and behaviour.
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Without the health risks associated with poor disposal of excreta, sanitation would not
be meaningful to talk about. The following are therefore some of the reasons for
proper disposal of excreta.
Human excreta and other consumer wastes during decomposition produce offensive
smells and also intolerable nuisances which offend the eye.
Pigs may feed on contaminated human faeces, while cattle may feed on
contaminated grass and grounds, thus carrying tape worms such as Taenia saginata
and Taenia Solium.
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The problems of Sanitation cannot be achieved by one organization / institution
alone. The following are some of the institutions involved in sanitation:-
The ministry is involved in providing funds to train health personnel and employing
them so that they can deliver health and hygiene education in the communities. The
ministry also advises on policy and legal framework on issues related to sanitation.
This ministry through the councils is responsible for formulating policies, by- laws,
legislation and strategies for water and sanitation; monitor and evaluate water and
sanitation programmers, source funds for water and sanitation and provide water and
sanitation services through local authorities.
This is responsible for allocating funding for huge capital investment in the sector of
water and sanitation. It is also responsible for monitoring expenditure on large capital
investment involving sanitation projects.
Their major roles are: ensuring that water sources are adequate and safe; charge for
sewerage facilities in form of house water bills since the sewage produced by the
house will be proportional to the water consumed and provide water and sanitation
(sewerage) services.
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It is responsible for regulating the provision of water supply and sanitation services
throughout the country. It gives guidelines to sanitation providers to the peri- urban
and urban service providers. It also examines suggestions for improvement and
advises on disposal of wastes without polluting water sources.
These implement the already set sanitation and water regulations and put in place
the necessary and adequate facilities for health promotion schemes. They conduct
or initiate projects especially in the rural and peri-urban areas.
7. Private sector e.g Andrew curt, Process carriers provide sanitation services
to the public at a fee.
These include Universities, Colleges and secondary schools which provide education
by training human resources for water and sanitation sector. Also conduct research
on water and sanitation.
This Act gives order to the local authorities to provide water & sanitation services to
the public. It is controlled by the Ministry of Local Govt and Housing.
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8.1. Dry systems
These require little or no water to function. They may be final disposal points / on-site
or conservancy type. Latrines falling under this category are explained below.
This is a shallow pit or hole dug into the ground for the purpose of disposing excreta.
This method is named after the way the cat behaves when defecating.
i. Measurements:
30 cm x 30 cm x 40 cm deep
ii. Operation
After excavating the pit, the soil is left on the side for covering excreta.
Decomposition takes about 6-8 weeks. Aerobic bacteria digest the excreta.
This system is ideal for people when they are out in the bush for hunting, in the fields,
gardens or temporal building sites.
iv Advantages
- easy to operate
- it is affordable
- prevents smell nuisance if properly used and maintained
- matches well with our way of defecating in a squatting position.
- Any type of anal cleaning material can be used.
- It prevents contamination of both surface and underground water if properly
sited.
v. Disadvantages
Introduction
This is a multiple latrine where a trench is dug and a number of partitions placed over
it. A super structure is made out of local materials.
i. Measurements;
ii. Operations
Excreta is deposited in the trench by the user who may be expected to scoop a few
drops of soil in the trench to cover up the faucal matter.
- Military camps
- Scout camps
- Church gatherings e.g. camping
- Temporal building sites
- Mining sites
iv. Advantages
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v. Disadvantages:
Introduction
This is the cheapest and most basic form of improved sanitation available at
house hold level. It comprises basically of three parts namely the:
Pit;
Slab; and
Superstructure.
1. Superstructure
The superstructure is the structure above the ground level sometimes called the
house. The functions of the super structure are to:
The superstructure should be 1.8-2m high. This is to allow for privacy even in a
standing position.
Burnt bricks
Concrete blocks
Iron sheets
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Old drums
Stones
Sacks
Plastics
Reeds
Ordinary and
2. Slab
The slab is the structure that covers the pit. The functions of the slab are to:
Slabs are constructed using various materials depending on the capacity of the
household or institution to finance the project. Slabs can be made of:
Concrete
Logs
Planks
Iron Sheets
ii. Measurements
Slabs have various measurements due to the materials used for construction. The
measurements for various types are as outlined below:
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6cm thick for the sanplats; and
16-30cm thick for wooden type.
The slab may extend from the slab by 8cm
3. The pit
The pit is a hole dug in the ground. The functions of the pit are to:
receive excreta
store excreta
serve as a digestion chamber for excreta.
The shape of the pit can be square, rectangular or circular.
i. Measurements
The depth of the pit may range from 2.5m – 5m deep or 3m-6m. The diameter of
the pit may range from 82cm – 1m.
4. Pit-lining
This protects the pit from collapsing. In unstable soils the whole pit must be lined
with a honey- comb wall towards the bottom.
i. Measurements
The pit-lining is usually 60cm minimum. The first 60cm should be water tight. In
loose soils are very loose, lining of the whole pit with a honey comb wall is
required.
Concrete bricks;
Bamboos;
Stones;
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Bottles (glass)
Old drums.
i. Windows
Windows are required for ventilation and lighting. Openings of 200mm x 100mm
should be created or preferably towards the roof you leave it open (400mm x
200mm).
ii. Orifice
The function of the orifice is to direct excreta into the pit. The size of the orifice
should 38cm long and 18cm wide.
Iii.The base
This serves as a base on which the slab rests. It should be above the ground
level. It should be 10 – 15cm thick and 20 – 30 cm high. Materials used to
construct the mound are Stones, bricks, rough cut logs and plain concrete.
iv.The mound
The function of the mound is to protect the pit and the base from collapsing due to
run off rain water, which might otherwise enter and destroy the pit. The mound
should extend 20 – 60 cm from the superstructure. The materials that can be used
to construct the mound is excavated soil from the pit. This may also be
consolidated with a stone facing.
6. Site selection
7. Situations / locations
The ordinary pit-latrine can be used both in rural and urban areas as long as
abundant land for digging pits is available on permanent premises.
In deciding on the volume of the pit, it is necessary to first consider whether the pit
will be dry or wet (that is, will penetrate the water table or not).Decomposition
starts as soon as excreta is deposited in the pit, as a result the sludge
accumulation becomes smaller than the total amount of excreta deposited.
According to studies carried out in other parts of the world, it is recommended that
for designing purposes a figure of 30 litres per person per year may be used when
soft anal cleansing materials are used in wet pits. Where hard materials are
used, the figure must be increased by 50% to make 60 litres in the same type of
pits.
In dry pits, digestion of solids is less rapid and less complete. For designing
purposes 0.03-0.08m3 per person per year is recommended when soft anal
cleansing materials are used. The figure must be increased by 50% when various
hard anal cleansing materials are used.
1.33- is a constant
ORDINARY PIT-LATRINE
ROOF
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WINDOW
SUPERSTRUCTURE
GROUND LEVEL
MOUND
SLAB ORIFICE
PIT
LINNING BASE
3M TO WATER TABLE
WATER TABLE
This is a system of excreta disposal is also known as box-and-can privy, pail closet or
earth closet. It is a dry excreta disposal system which has a bucket that receives
excreta.
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i.Size of the bucket
The bucket is provided with handles for lifting. Tight fitting lids are provided.
ii.Locations
Rocky areas
Towns where there are no sewers and space is limited
Temporal building sites
The double bucket system is used; a new bucket is replaced when the other one with
contents is taken away. The task method is used in some countries. When buckets
are collected the contents are emptied into a tanker which takes them for disposal.
Buckets are then taken for cleaning. Some countries use human carriers where a
person uses a rod on the shoulder to carry two buckets, one in front and the other
one behind. At the depot buckets are washed and disinfected.
The bucket is placed in the collection chamber situated below the squatting plate.
The chamber is built of brick or concrete and is so shaped as to help centre the pail.
Some chambers open to the rear of the latrine into the service lane used for
collection. The chamber must be fly proof. Sometimes ventilation is required for the
chamber. The vertical distance between the bottom of the slab and the rim of the
bucket should not be greater than 2.5cm.
The superstructure is identical to the ordinary pit-latrine except that the floor is raised
above the collecting chamber and the ground level. Floors sometimes are designed
in such a manner so as to separate solid feaces from urine and ablution water, which
tend to fill up buckets quickly and to keep their contents in a semi-liquid state. Urine
and other liquid wastes are directed to soak ways and or to an impervious catch pit,
which is emptied periodically.
vi. Disadvantages
Smell nuisances;
Unsightly conditions;
Spillage of contents during collection;
vii.Advantages
Comment
The bucket latrine in theory sounds as though it fulfils all sanitary requirements and
yet in practice it does not.
BUCKET LATRINE
ROOF
23
WINDOW
SUPERSTRUCTURE
ORIFICE
REAR DOOR
VAULT
BUCKET
HANDLE
GROUND LEVEL
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or eliminated through the incorporation of a vertical vent pipe with a fly screen at the
top (Morgan, 1977). Wind passing over the top of the vent pipe causes a flow of air
from the pit through the vent pipe to the atmosphere and a down draught from the
superstructure through the squat hole or seat into the pit. This continuous flow of air
removes smells resulting from the decomposing excreta in the pit and vents the
gases to the atmosphere at the top of the vent pipe rather than through the
superstructure. The flow of air is increased if the doorway of the superstructure
faces the prevailing wind (Mare, 1984). If a door is fitted it should be kept shut at all
times (except when entering or leaving) to keep the inside of the latrine reasonably
dark, but there should be a gap, normally above the door, for air to enter. The area of
this gap should be at least three times the cross sectional area of the vent pipe.
The superstructure can be constructed in the form of a spiral. This excludes most of
the light whether a door is fitted or not. The defecation hole must be left open to allow
the free passage of air. The vent pipe should extend at least 50 cm above the latrine
superstructure except where the latter has a conical roof, in which case the pipe
should extend as high as the apex. Air turbulence caused by surrounding buildings or
other obstructions may cause reverse air flow, leading to foul odours and flies in the
superstructure. If mean wind speeds are about 2 m/s, as is fairly common in rural
areas, air speeds in the vent pipe are about 1 m/s (Ryan & Mara, 1983). Air flow may
also occur at lower wind speeds because of solar radiation heating the air in the vent
pipe, the air to rise. The vent pipe should then be placed on the equator side of the
superstructure. It may be painted black to increase solar absorption, if the material of
the pipe is not itself black.
In latrines relying on solar radiation for ventilation, foul odours are sometimes
experienced in the superstructure at certain times of the day (usually early morning).
This occurs where the outside air temperature is colder than the air in the pit, which
may prevent the air circulating. Very little can be done to prevent this, other than
sealing the defecation hole at night. In addition to removing odours from the pit, the
screened vent pipe significantly controls flies. In Zimbabwe, Morgan (1977) compared
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the number of flies leaving the squat hole of a VIP latrine with the number leaving a
simple pit latrine. The results are shown in the table below
Flies are attracted to the pit by the odour coming from the vent pipe but are unable to
enter because of the screen. A few flies enter the pit through the squat hole or seat,
and lay eggs in the pit. New young flies attempt to leave the pit by flying towards the
light. If the latrine superstructure is kept sufficiently dark, the major source of light is
at the top of the vent pipe, but the screen prevents the flies from escaping there and
they eventually fall back into the pit to die.
Well-constructed and maintained VIP latrines combat all the problems associated
with simple pit latrines, except mosquitoes. However, they are considerably more
expensive than simple pits, since a ventilation pipe and full superstructure are
required. Because the defecating hole is directly over the pit they accept any form of
anal cleaning material without blocking. Routine operation is limited to keeping the
superstructure clean, ensuring that the door (where fitted) is kept closed, occasionally
checking that the fly proof netting on top of the vent pipe is not blocked or broken,
and pouring water down the vent pipe once a year to remove spiders' webs.
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Although it is usually best to provide large deep pits, this may not be possible where
rock or ground water lie within one or two metres of the ground surface. A variation of
the VIP latrine suitable for such situations has two shallow pits side by side under a
single super structure. The pits are usually lined with bricks or blocks. Each pit may
have its own squat hole or seat. Alternatively, slabs may be movable, one with a hole
for the pit in use and a plain slab for the other pit. Whichever design is used, only one
hole must be available for defecation at any time. The latrine may be provided with
two ventilation pipes (one for each pit) but more usually only one is fitted, to the pit in
use.
The hole for the ventilation pipe for the pit not in use is sealed. As with single VIP
latrines, the superstructure must be kept partially dark at all times to discourage flies.
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single-pit VIP latrines, and require a greater operational input from the user,
particularly in changing over pits. Some societies have shown resistance to handling
the decomposed contents of the pit but this can often be overcome with education
and time. Allowing people to see (and handle) the contents of a pit as it is emptied is
the strongest persuader for those concerned.
All projects involving the construction of double-pit latrines must allow for a prolonged
support programme. Householders need to be reminded to change pits at the right
time and should be assisted in doing so. This assistance will probably have to be
available for at least the first two pit changes to ensure that the complete cycle is
covered.
SCREEN
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ROOF
WINDOW
VENT PIPE
SUPERSTRUCTURE
GROUND LEVEL
MOUND
SLAB ORIFICE
PIT
LINNING BASE
3M TO WATER TABLE
WATER TABLE
Introduction
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Ecological sanitation (ECOSAN) is a latrine that converts faeces and urine from
harmful products to a productive asset over time through proper storage and the
effective destruction of harmful pathogens. The latrine recognises faeces and urine
as a resource which when properly used can increase crop yields, strengthens soil’s
water holding capacity and facilitates the growth of trees. It also an effective means of
eliminating harmful excreta from the environment. This is an ancient idea, which is
gaining a new audience.
Principles of ECOSAN
i.ECOSAN TYPES
THE ARBORLOO
This is the simplest type of latrine. It has a slab cover on unlined pit about 0.75m
deep, and a movable superstructure. Households are required to add a mixture of soil
and ash after using the latrine to reduce odour and to dry the pit contents so that flies
are not attracted. It also raises the Ph level, which in turn accelerates the destruction
of microorganisms. When the pit is ⅔ full, the slab is removed; the pit is topped up
with garden compost or grass and leaves. A tree or banana can be planted and
watered. The Arborloo is suitable in areas where people practice shifting cultivation.
FORSA ALTERNA
The Forsa Alterna has two partially lined shallow pits with one movable latrine slab.
Each is used alternatively, that one pit is filling whilst the contents of another are
maturing into compost. After filling the slab is removed to the second pit and the first
is covered with soil and left to compost. When the second pit is full the process is
repeated after the contents from the first are removed for use in the garden.
Potentially this latrine offers a good solution in per-urban setting where space is
limited.
SKYLOO
A 0.5m high vault, which is built above the ground level. and has a superstructure.
The faeces drop through a small hole into the bucket or vault. The latrine offers good
solution in rocky areas and where the water table is high.
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8.1.7. Chemical closet
Introduction
A chemical closet is a conservancy latrine that is suitable for planes, long distance
buses and railway wagons. The chemical closet can also be used in camping
expeditions as well as during functions when any other forms of sanitation cannot be
used.
i. Operation
A chemical closet is filled with chemicals to musk the smell. The common chemical
used is caustic soda. Excreta are deposited in the water tight tank. Just like the water
closet, the chemical closet has all the features that are identical to the water closet.
ii. Maintenance
The chemical closet requires emptying in short intervals. Cleaning and refilling of
chemicals must be done on a daily basis.
iii. Advantages
It is potable
iv. Disadvantages
Frequent dislodging is very risky for the workers engaged in this task;
Likelihood of ground and surface water contamination;
Burning of the bottom of a person when chemical splash;
Smell nuisances if chemicals are absent;
It is an expensive type of technology as all the parts are purchased including
chemicals; and
It cannot withstand abuse.
However, it should be noted that the chemical closet can either be fixed or portable.
References
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1. Garg,S.K. (2001). Sewage disposal and air pollution engineering:
Environmental engineering II. Khama Publishers
7. Government of the Republic of Zambia. (1995). Public Health Act. Cap 295.
Lusaka: Ministry of Justice.
8. Rukunga, G.K. (2001). Environmental Health for East Africa. Nairobi. Kenya.
10. NGO- WASH Forum. (2008). The state of sanitation in Zambia. Lusaka
Zambia: UNICEF.
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