EHS518

NATIONAL OPEN UNIVERSITY OF NIGERIA
FACULTY OF HEALTH SCIENCES
COURSE CODE: EHS518
COURSE TITLE: CONCEPT OF COMMUNITY

SANITATION AND DISEASE PREVALENCE
EHS 518 COURSE GUIDE
COURSE
GUIDE
EHS 518
CONCEPT OF COMMUNITY SANITATION AND DISEASE
PREVALENCE
Course Team: Dr. A. A. Madara (Course Developer/Writer)-

University of Abuja
Prof. Abubakar Mustapha Jamda (Course Editor)-
University of Abuja.
Professor Grace C. Okoli-Nnabuenyi (Course
Coordinator & Programme Coordinator)-NOUN
NATIONAL OPEN UNIVERSITY OF NIGERIA

ii
© 2019 by NOUN Press

National Open University of Nigeria
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e-mail: [email protected]
URL: www.nou.edu.ng
All rights reserved. No part of this book may be reproduced, in any

form or by any means, without permission in writing from the publisher.
Printed2018, 2019
ISBN:
iii
CONTENTS PAGE
Introduction…………………………………………………….. iv
What you will Learn in this Course………………….................iv
Course Aims……………………………………………………. v
Course Objectives………………………………………………. v
Working through this Course…………………………………… v
The Course Material……………………………………………. v
Study Unit………………………………………………………. vi
Presentation Schedule…………………………………………… vi
Assessment………………………………………………………. vi
Tutor-Marked Assignment………………………………………. vii
Final Examination and Grading…………………………………. vii
Course Marking Scheme………………………………………… viii
Facilitators/Tutors and Tutorials………………………………… viii
Summary………………………………………………………… viii
iv
INTRODUCTION
EHS 518 titled ―Community Sanitation‖ is a one (1) Unit course with
four (4) Modules and twelve (12) Units.
Community Sanitation is concerned with issues related to adequate

sanitation, together with good hygiene and safe water, are fundamental
to good health and to social and economic development. That is why, in
2008, the Prime Minister of India quoted Mahatma Gandhi who said in
1923, ―sanitation is more important than independence‖ Improvements
in one or more of these three components of good health can
substantially reduce the rates of morbidity and the severity of various
diseases and improve the quality of life of huge numbers of people,
particularly children, in developing countries.
Although linked, and often mutually supporting, these three components

have different public health characteristics. This course focuses on
sanitation. It seeks to present the latest evidence on the provision of
adequate sanitation, to analyze why more progress has not been made,
and to suggest strategies to improve the impact of sanitation,
highlighting the role of the health sector. It also seeks to show that
sanitation work to improve health, once considered the exclusive
domain of engineers, now requires the involvement of social scientists,
behaviour change experts, health professionals, and, vitally, individual
people.
Throughout this paper, we define sanitation as the safe disposal of

human excreta. The phrase ―safe disposal‖ implies not only that people
must excrete hygienically but also that their excreta must be contained
or treated to avoid adversely affecting their health or that of other
people.
WHAT YOU WILL LEARN IN THIS COURSE
In this course, you have the course units and a course guide. The course
guide will tell you what the course is all about. It is general overview of
the course materials you will be using and how to use those materials. It
also helps you to allocate the appropriate time to each unit so that you
can successfully complete the course within the stipulated time limit.
The course guide also helps you to know how to go about your Tutor-
Marked Assignment which will form part of your overall assessment at
the end of the course. Also, there will be regular tutorial classes that are
related to this course, where you can interact with your facilitator and
other students. Please, I encourage you to attend these tutorial classes.
v
COURSE AIMS
The course aims to give you an understanding on the concept of

Emergency Medical Care.
COURSE OBJECTIVE
To achieve the aim set above, there are objectives. Each unit has a set of
objectives presented at the beginning of the unit. These objectives will
guide you on what to concentrate / focus on while studying the unit.
Please read the objective before studying the unit and during your study
to check your progress. The Comprehensive Objectives of the Course
are given below.
By the end of the course/after going through this course, you should be
able to:
 Define the term concept of Community sanitation.
WORKING THROUGH THIS COURSE
To successfully complete this course, you are required to read each

study unit, read the textbooks materials provided by the National Open
University.
Reading the referenced materials can also be of great assistance.

Each unit has self-assessment exercises which you are advised to do and
at certain periods during the course you will be required to submit your
assignment for the purpose of assessment.
There will be a final examination at the end of the course. The course
should take you about 17 weeks to complete.
This course guide will provide you with all the components of the
course how to go about studying and hour you should allocate your time
to each unit so as to finish on time and successfully.
THE COURSE MATERIALS

The main components of the course are:
 The Study Guide

 Study Units
 Reference / Further Reading
 Assignments
 Presentation Schedule
vi
STUDY UNIT
The study units in this course are given below:
Module 1
Unit 1 Concept of Community Sanitation

Unit 2 Disease Prevalence
Unit 3 Measures of Improving Sanitation
Module 2
Unit 1 Sanitary Inspection of Premises/Institution

Unit 2 Sanitation in Market and Temporary Settlement
Unit 3 Disposal of the Dead (DOD)
Module 3
Unit 1 Methods of Cremation

Unit 2 Exhumation and Embalmment
Unit 3 Removal of Corpse
Module 4
Unit 1 Home Burial and Modern Techniques in Achieving

Sanitation-Ecological Sanitation
Unit 2 Community Lead Total Sanitation (CLTS)
There are activities related to the lecture in each unit which will help
your progress and comprehension of the unit. You are required to work
on these exercises which together with the TMAs will enable you to
achieve the objectives of each unit.
PRESENTATION SCHEDULE
There is a time-table prepared for the early and timely completion and
submissions of your TMAs as well as attending the tutorial classes. You
are required to submit all your assignments by the stipulated time and
date. Avoid falling behind the schedule time.
ASSESSMENT
There are three aspects to the assessment of this course.

The first one is the self-assessment exercises. The second is the tutor
marked assignments and the third is the written examination or the
examination to be taken at the end of the course.
vii
Do the exercises or activities in the unit by applying the information and

knowledge you acquired during the course. The tutor-marked
assignments must be submitted to your facilitator for formal assessment
in accordance with the deadlines stated in the presentation schedule and
the assignment file.
The work submitted to your tutor for assessment will count for 30% of
your total course work.
At the end of this course, you have to sit for a final or end of course
examination of about a three hour duration which will count for 70% of
your total course mark.
TUTOR-MARKED ASSIGNMENT
This is the continuous assessment component of this course and it

accounts for 30% of the total score. You will be given four (3) TMAs by
your facilitator to answer. Three of which must be answered before you
are allowed to sit for the end of course examination.
These answered assignments are to be returned to your facilitator.

You‘re expected to complete the assignments by using the information
and material in your readings references and study units.
Reading and researching into you references will give you a wider via
point and give you a deeper understanding of the subject.
1. Make sure that each assignment reaches your facilitator on or

before the deadline given in the presentation schedule and
assignment file. If for any reason you are not able to complete
your assignment, make sure you contact your facilitator before
the assignment is due to discuss the possibility of an extension.
Request for extension will not be granted after the due date unless
there in exceptional circumstances.
2. Make sure you revise the whole course content before sitting or
the examination. The self-assessment activities and TMAs will be
useful for this purposes and if you have any comment please do
before the examination. The end of course examination covers
information from all parts of the course.
viii
COURSE MARKING SCHEME
Assignment Marks
Assignments 1 – Three
3 assignments, best three marks of the
Three count at 10% each–30% of course
marks.
End of course examination 70% of overall course marks
Total 100% of course materials.
FACILITATORS/TUTORS AND TUTORIALS
Sixteen (16) hours are provided for tutorials for this course. You will be
notified of the dates, times and location for these tutorial classes.
As soon as you are allocated a tutorial group, the name and phone
number of your facilitator will be given to you.
These are the duties of your facilitator: He or she will mark and
comment on your assignment. He will monitor your progress and
provide any necessary assistance you need. He or she will mark your
TMAs and return to you as soon as possible.
(You are expected to mail your tutored assignment to your facilitator at

least two days before the schedule date).
Do not delay to contact your facilitator by telephone or e-mail for

necessary assistance if you do not understand any part of the study in the
course material. You have difficulty with the self assessment activities.
You have a problem or question with an assignment or with the grading
of the assignment.
It is important and necessary you acted the tutorial classes because this
is the only chance to have face to face content with your facilitator and
to ask questions which will be answered instantly. It is also period
where you can say any problem encountered in the course of your study.
SUMMARY
Sanitation can be defined as the safe disposal of human excreta. The

phrase ―safe disposal‖ implies not only that people must excrete
hygienically but also that their excreta must be contained or treated to
avoid adversely affecting their health or that of other people.
Finally, you are expected to apply the knowledge you have acquired
during this course to your practical life. I wish you success in this
course.
ix
MAIN
COURSE
CONTENTS PAGE
Module 1 ……………………………………………………. 1
Unit 1 Concept of Community Sanitation………………. 1

Unit 2 Approaches Specific to Urban Sanitation ………. 6
Unit 3 Measures of Improving Sanitation ……………… 11
Unit 4 Control of Sanitation Related Diseases ………….. 14
Module 2 …………………………………………………… 17
Unit 1 Sanitary Inspection of Premises/Institution ……... 17

Unit 2 Sanitation in Market and Temporary Settlement …. 22
Unit 3 Disposal of the Dead (DOD) ……………………. 28
Module 3 …………………………………………………… 32
Unit 1 Methods of Cremation …………………………… 32

Unit 2 Exhumation and Embalmment …………………... 40
Unit 3 Removal of Corpse ……………………………….. 44
Module 4 ……………………………………………………. 50
Unit 1 Home Burial and Modern Techniques in

Achieving Sanitation-Ecological Sanitation ………. 50
Unit 2 Community Lead Total Sanitation (CLTS) ……… 60
x
MODULE 1
Unit 1 Concept of Community Sanitation

Unit 2 Approaches Specific to Urban Sanitation
Unit 3 Measures of Improving Sanitation
Unit 4 Control of Sanitation related Diseases
UNIT 1 CONCEPT OF COMMUNITY SANITATION
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Health Impacts of Sanitation
3.2 Wider Benefits of Sanitation
3.3 Approaches to Sanitation
3.4 Sanitation Marketing
3.5 Community Health Clubs
3.6 Sanitation as a Business
4.0 Conclusion
5.0 Summary
6.0 Tutor-Marked Assignment
7.0 References/Further Reading
1.0 INTRODUCTION
Adequate sanitation, together with good hygiene and safe water, are
fundamental to good health and to social and economic development.
That is why, in 2008, the Prime Minister of India quoted Mahatma
Gandhi who said in 1923, ―sanitation is more important than
independence‖ Improvements in one or more of these three components
of good health can substantially reduce the rates of morbidity and the
severity of various diseases and improve the quality of life of huge
numbers of people, particularly children, in developing countries.
Although linked, and often mutually supporting, these three components
have different public health characteristics. This course focuses on
sanitation. It seeks to present the latest evidence on the provision of
adequate sanitation, to analyse why more progress has not been made,
and to suggest strategies to improve the impact of sanitation,
highlighting the role of the health sector. It also seeks to show that
sanitation work to improve health, once considered the exclusive
domain of engineers, now requires the involvement of social scientists,
behavior change experts, health professionals, and, vitally, individual
people.
xi
Throughout this paper, we define sanitation as the safe disposal of

people.
2.0 OBJECTIVE
By the end of this unit, you will be able to:

 discuss the concept of community sanitation.
3.0 MAIN CONTENT
3.1 Health Impacts of Sanitation
Lack of sanitation leads to disease, as was first noted scientifically in

1842 in Chadwick's seminal ―Report on an inquiry into the sanitary
condition of the laboring population of Great Britain.‖ A less
scientifically rigorous but nonetheless professionally significant
indicator of the impact on health of poor sanitation was provided in
2007, when readers of the BMJ (British Medical Journal) voted
sanitation the most important medical milestone since 1840.
The diseases associated with poor sanitation are particularly correlated

with poverty and infancy and alone account for about 10% of the global
burden of disease. At any given time close to half of the urban
populations of Africa, Asia, and Latin America have a disease
associated with poor sanitation, hygiene, and water. Of human excreta,
faeces are the most dangerous to health. One gram of fresh faeces from
an infected person can contain around 106 viral pathogens, 106–108
bacterial pathogens, 104 protozoan cysts or oocysts, and 10–104
helminth eggs. The major faeco-oral disease transmission pathways are
demonstrated in the ―F Diagram‖, which illustrates the importance of
particular interventions, notably the safe disposal of faeces, in
preventing disease transmission.
3.2 Wider Benefits of Sanitation
In addition to its impact on health, improved sanitation generates both

social and economic benefits. Householders understand these wider
benefits but scientists have only recently begun to study individuals'
motivations for improving sanitation and changing sanitation behavior.
While the main goal of agencies' sanitation programming is to improve
health, householders rarely adopt and use toilets for health-related
reasons. Instead, the main motivations for sanitation adoption and use
include the desire for privacy and to avoid embarrassment, wanting to be
modern, the desire for convenience and to avoid the discomforts or
xii
dangers of the bush (e.g., snakes, pests, rain), and wanting social
acceptance or status. Furthermore, for women, the provision of
household sanitation reduces the risk of rape and/or attack experienced
when going to public latrines or the bush to defecate, and for girls, the
provision of school sanitation facilities means that they are less likely to
miss school by staying at home during menstruation.
The economic benefits of improved sanitation include lower health

system costs, fewer days lost at work or at school through illness or
through caring for an ill relative, and convenience time savings (time not
spent queuing at shared sanitation facilities or walking for open
defecation)
3.3 Approaches to Sanitation
Recently, there has been a shift away from centrally planned provision
of infrastructure towards demand-led approaches that create and serve
people's motivation to improve their own sanitation. Although sound
technological judgment about appropriate solutions remains essential,
appropriate programming approaches are now more important and
contribute most to the success of sanitation work. Some of the most
promising approaches that apply to both rural and urban sanitation are
described below. Regarding the costs of these demand-led approaches,
there are few published comparative studies, but sector professionals
estimate that they cost less than traditional infrastructure provision. For
example, the Water Supply and Sanitation Collaborative Council's
Global Sanitation Fund allows average costs of $15 per person for
demand-led approaches, whereas governmental provision of
infrastructure typically costs tens to hundreds of dollars per person.
3.4 Sanitation Marketing
Sanitation marketing uses a range of interventions to raise householders'

demand for improved sanitation. The approach involves understanding
householders' motivations and constraints to sanitation adoption and use.
These are then used to develop both demand- and supply-side
interventions to ensure that appropriate sanitation products and services
are available to match the demand.
3.5 Community Health Clubs
Community Health Clubs aim to change sanitation and hygiene attitudes

and behaviour through communal activities. The approach has proved
effective and cost-effective in the Makoni and Tsholotsho Districts of
Zimbabwe where villagers were invited to weekly sessions where one
health topic was debated and then action plans formulated. In one year
in Makoni District, for example, 1,244 health sessions were held by 14
xiii
trainers, costing an average of beneficiary and involving 11,450 club

members. Club members' hygiene in both districts was significantly
different from that of a control group, and the study's authors concluded
that if a strong community structure is developed and the norms of a
community are altered, sanitation and hygiene behaviour are likely to
improve.
3.6 Sanitation as a Business
Traditionally, sanitation has been regarded as a centrally provided

service with little role for the creativity or energy of business. However,
the increased demand created by sanitation marketing, CLTS, and
Community Health Clubs can be met by the development of a vibrant
local private sector for producing, marketing, and maintaining low-cost
toilets. For example, in Lesotho the national government organised and
planned workshops for people to review toilet designs and building
methods in its ―local latrine builders‖ programme. The local private
sector can also be encouraged to become involved in pit-emptying, sale
of safely composted human excreta as fertilizer, generation of methane
from biogas toilets, and the operation of public toilets.
4.0 CONCLUSION
Adequate sanitation, together with good hygiene and safe water, are
fundamental to good health and to social and economic development.
That is why, in 2008, the Prime Minister of India quoted Mahatma
Gandhi who said in 1923, ―sanitation is more important than
independence‖ Improvements in one or more of these three components
of good health can substantially reduce the rates of morbidity and the
severity of various diseases and improve the quality of life of huge
numbers of people, particularly children, in developing countries.
5.0 SUMMARY
Throughout this course, we define sanitation as the safe disposal of

people.
6.0 TUTOR-MARKED ASSIGNMENT
1. Define the term sanitation.

2. Write on sanitation marketing.
xiv
7.0 REFERENCES/FURTHER READING
"Sanitation. Definition of Sanitation in English by Oxford

Dictionaries". Oxford Dictionaries English. Retrieved 2017-11-
17.
SuSan, A. (2008). Towards more Sustainable Sanitation Solutions .

Sustainable Sanitation Alliance (SuSanA).
xv
UNIT 2 APPROACHES SPECIFIC TO URBAN

SANITATION
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Approaches Specific to Urban Sanitation
3.2 The Role of the Health Sector in Improving Sanitation
3.3 Constraints to Success in Sanitation
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
For on-site urban sanitation systems, pit-emptying services are common

in middle-income countries where householders can afford the cost, but
less common in poorer countries. However, in Maputo, Mozambique, a
small community-based association has developed a pit emptying/septic
tank desludging service using self-propelled machines to provide service
in unplanned areas of the city. For off-site or centralised systems,
simplified or ―condominial‖ sewerage systems, in which sewers are
placed inside housing blocks and then discharged into conventional
sewers if there are any nearby or led to a simple local wastewater
treatment plant, can provide the same level of service as conventional
sewerage but at around one-third to one-half of the cost.
2.0 OBJECTIVE

 explain the approaches specific to urban sanitation.
3.0 MAIN CONTENT
3.1 Approaches Specific to Urban Sanitation
Most successful demand-led approaches have been developed in rural

contexts. Urban sanitation is much more complex, mainly because of
higher population densities, less-coherent community structures, and the
absence of opportunities for open defecation. Urban sanitation must
extend beyond the household acquisition of a toilet to a systems-based
approach that covers the removal, transport, and safe treatment or
disposal of excreta.
xvi
For on-site urban sanitation systems, pit-emptying services are common

in middle-income countries where householders can afford the cost, but
less common in poorer countries. However, in Maputo, Mozambique, a
small community-based association has developed a pit emptying/septic
tank dislodging service using self-propelled machines to provide service
in unplanned areas of the city. For off-site or centralised systems,
simplified or ―condominial‖ sewerage systems, in which sewers are
placed inside housing blocks and then discharged into conventional
sewers if there are any nearby or led to a simple local wastewater
treatment plant, can provide the same level of service as conventional
sewerage but at around one-third to one-half of the cost.
In densely populated low-income urban areas, community-managed

sanitation blocks, used only by community members who pay a monthly
fee for operation and maintenance, are an option. Public sanitation
blocks that can be used by anyone, normally for a small fee per use, can
be an acceptable alternative provided that they are well operated and
maintained and have 24-hour access. Finally, in less densely populated
low-income urban areas, on-site sanitation for rural areas are often
applicable.
3.2 The Role of the Health Sector in Improving Sanitation
Sanitation promotion is one of the most important roles the health sector
can have in environmental health planning, because behaviors must be
changed to increase householders' demand for and sustained use of
sanitation, especially in rural areas where the pressure for change is
lower. Thus, two of the most promising large-scale sanitation
programmes in Africa are centred around demand creation and are both
led and delivered by the Ministry of Health and its associated structures.
Sanitation can be promoted by the health sector through a stand-alone
programme such as sanitation marketing or CLTS or included in
disease-specific control programmes such as the ‗SAFE‘ approach to
trachoma. Alternatively, it can be incorporated into a wider integrated
community health package such as Ethiopia's HEP (Health Extension
Programme), which was developed in 2004 to prevent the five most
prevalent diseases in the country; safe sanitation and hygiene became a
major focus within HEP because of the recognition that these diseases
are all linked with poor environmental health.
Promotion alone by the health sector may be insufficient, however, to

ensure sanitation adoption and maintenance. A ―carrot and stick‖
approach may be needed in which sanitation coverage is increased
through a combination of community-based promotion and enforcement
of national or local legislation that every house must have a toilet. In
many countries, Environmental Health Officers are responsible for
ensuring the sanitary condition and hygienic emptying of toilets, and
xvii
have the power to sanction dissenting households with fines and court
action. This enforcement role of the health sector is particularly
important in urban areas where high-density living increases the risks of
faecal contamination of the environment and where one person's lack of
sanitation can affect the health of many other people.
The health sector also has an important role to play in advocacy and
leadership. Politicians and the general public listen to doctors. That puts
an onus on the medical profession to speak out on all important health
issues, including sanitation. Historically, this has not happened. Thus, in
2008, The Lancet wrote, ―the shamefully weak presence of the health
sector in advocating for improved access to water and sanitation is
incomprehensible and completely short-sighted‖.
Given the huge potential health-cost savings achieved through improved

sanitation, the health sector should be advocating for stronger
institutional leadership, stronger national planning, and the
establishment of clear responsibilities and budget lines for sanitation.
Unfortunately, although the international health community puts large
human and financial resources into many low- to medium-cost health
interventions such as immunisation and bed net distribution, it has been
slow to act on the evidence showing that sanitation promotion and
hygiene promotion are among the most cost-effective public health
interventions available to developing countries.
Finally, the well-honed epidemiology and surveillance skills of health

professionals must also now be applied to sanitation to establish clear
links between national health information systems and sanitation
planning and financing, which has historically been separate from health
in most countries.
3.3 Constraints to Success in Sanitation
The lack of national policies is a major constraint to success in

sanitation for additional information on this and other constraints).
Governments in general and health ministries in particular cannot play
their key roles as facilitators and regulators of sanitation without policies
that support the transformation of national institutions into lead
institutions for sanitation, that increase focus on household behaviours
and community action, that promote demand creation, and that enable
health systems to incorporate sanitation and hygiene. Other constraints
to success in sanitation are population growth and increasingly high
population densities in urban and peri-urban areas of developing
countries. Furthermore, most of the people who lack improved sanitation
live on less than $2 per day, which makes high-cost, high-technology
sanitation solutions inappropriate.
xviii
Finally, although macroeconomic analysis shows that sanitation

generates economic benefit, the benefit does not necessarily accrue to
the person who invests in the improved sanitation. So the economics at
the household level remain a constraint to success in sanitation—many
people are simply unable or unwilling to invest, given all the other
competing demands on their money. This under-researched topic is
currently under investigation by the WASH Cost Project, which is
studying the life-cycle costs of water, sanitation, and hygiene services in
rural and periurban areas in four countries.
4.0 CONCLUSION
Most successful demand-led approaches have been developed in rural

contexts. Urban sanitation is much more complex, mainly because of
higher population densities, less-coherent community structures, and the
absence of opportunities for open defecation.
5.0 SUMMARY
Urban sanitation must extend beyond the household acquisition of a

toilet to a systems-based approach that covers the removal, transport,
and safe treatment or disposal of excreta.
1. Why is urban sanitation more complex?

2. What are the constraints to success in sanitation?
Human Rights Council Resolution 15/9. Human Rights and Access to

Safe Drinking Water and Sanitation, (2010).
General Assembly Resolution 7/169(2015). The Human Rights to Safe

Drinking Water and Sanitation, (2015).
xix
UNIT 3 MEASURES OF IMPROVING SANITATION
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Control of Sanitation Related Diseases
4.0 Conclusion
5.0 Summary
7.0 References /Further Reading
1.0 INTRODUCTION
The first priority is to provide a sufficient quantity of water, even if its

safety cannot be guaranteed, and to protect water sources from
contamination. A minimum of 15 litres per person day should be
provided as soon as possible. During emergencies, people may use
untreated water for laundry or bathing. Water-quality improvements
should be made over succeeding days or weeks as a matter of urgency.
2.0 OBJECTIVE

 explain the control of sanitation related diseases.
3.0 MAIN CONTENT
Inadequate disposal of human excreta is a major health risk in

emergency situations. Safe drinking water, basic sanitation facilities and
safe disposal of infectious wastes will prevent the spread of disease and
improve health conditions. In all cases, good hygiene practices are key
to preventing disease transmission.
The three top priorities concerning drinking water and sanitation during
an emergency situation are:
 ensuring the provision of enough safe water for drinking and for
personal hygiene to the people affected by the crisis;
 ensuring that all people affected by the crisis have access to
hygienic sanitation facilities;
 promoting good hygiene behaviours.
Following damage to existing sanitation systems or increased pressure
due to large numbers of displaced or homeless people, effective and
xx
well-coordinated action by all those involved in the emergency response

is critical.

contamination. A minimum of 15 litres per person per day should be

emergency situations. It is essential to organise sanitation facilities
immediately, such as designated defecation fields or collective trench
latrines. Emergency facilities need to be progressively improved or
replaced with simple pit latrines, ventilated improved pit latrines, or
poor-flush latrines as the situation develops. All types of latrines need to
be properly cleaned, disinfected and maintained.
The provision of drinking water and sanitation services in health

facilities is a top priority. Safe drinking water, basic sanitation facilities
and safe disposal of infectious wastes will prevent the spread of disease
and improve health conditions.
In all cases, good hygiene practices are key to preventing disease

transmission. Water should be provided in sufficient quantities to enable
proper hygiene. Hands should be washed immediately after defecation,
after handling babies' faeces, before preparing food and before eating.
4.0 CONCLUSION

5.0 SUMMARY

xxi
List three top priorities concerning drinking water and sanitation during
an emergency situation.
7.0 REFERENCE/FURTHER READING
Tilley, E., Ulrich, L., Lüthi, C., Reymond, Ph. & Zurbrügg, C.
(2014). Compendium of Sanitation Systems and
Technologies. (2nd Revised Edition). Swiss Federal Institute of
Aquatic Science and Technology (Eawag). Duebendorf,
Switzerland.
xxii
UNIT 4 CONTROL OF SANITATION RELATED

DISEASES
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION

2.0 OBJECTIVE

 explain know the control of sanitation related diseases.
3.0 MAIN CONTENT

emergency situations. Safe drinking water, basic sanitation facilities and
safe disposal of infectious wastes will prevent the spread of disease and
improve health conditions. In all cases, good hygiene practices are key
to preventing disease transmission.
The three top priorities concerning drinking water and sanitation during
an emergency situation are:
 ensuring the provision of enough safe water for drinking and for
personal hygiene to the people affected by the crisis;
 ensuring that all people affected by the crisis have access to
hygienic sanitation facilities;
 promoting good hygiene behaviours.
xxiii
Following damage to existing sanitation systems or increased pressure

due to large numbers of displaced or homeless people, effective and
well-coordinated action by all those involved in the emergency response
is critical.

The provision of drinking water and sanitation services in health

facilities is a top priority. Safe drinking water, basic sanitation facilities
and safe disposal of infectious wastes will prevent the spread of disease
and improve health conditions. In all cases, good hygiene practices are
key to preventing disease transmission. Water should be provided in
sufficient quantities to enable proper hygiene. Hands should be washed
immediately after defecation, after handling babies' faeces, before
preparing food and before eating.
4.0 CONCLUSION

5.0 SUMMARY

xxiv
List three top priorities concerning drinking water and sanitation during
an emergency situation.
Right to Water and Sanitation Derive from the Right to an Adequate

Standard of Living. http://www. ohchr.org/ EN/News Events/
Pages/ DisplayNews.aspx?Ne wsID=10403&LangID=E
Tilley, E., Ulrich, L., Lüthi, C., Reymond, Ph. & Zurbrügg, C.
(2014). Compendium of Sanitation Systems and Technologies.
2nd Revised Edition. Swiss Federal Institute of Aquatic Science
and Technology (Eawag), Duebendorf, Switzerland.
xxv
MODULE 2
Unit 1 Sanitary Inspection of Premises/Institution

Unit 2 Sanitation in Market and Temporary Settlement
Unit 3 Disposal of the Dead (DOD)
UNIT 1 CONTROL OF SANITATION RELATED

DISEASES
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Sanitary Inspection of Premises/Institutions
3.2 Management of the Urban Drainage System
3.3 School Sanitation
3.4 Adequate Potable Water Supply
3.5 Control of Reared and Stray Animals
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
The characteristics of life in these slums/squatter areas make the

provision of sanitary services particularly difficult. In many cases, the
poor live in neighbourhoods without legal tenure of land or in areas that
authorities have deemed unfit for habitation. These peri-urban
neighbourhoods often remain officially invisible. Their illegal status
means that they are often not taken into account in municipal
programmes to improve or extend services such as water supply, basic
sanitation, garbage collection, flood protection, health care, etc.
This scenario results in poor housing sanitation characterised by
overcrowding, poor ventilation and indoor air pollution, thereby
increasing the disease burden within the population. This also affects
productivity, thus perpetuating the cycle of poverty. Children under the
age of five living in poorly ventilated houses have been shown to suffer
more from upper respiratory problems than those from well ventilated
houses.
2.0 OBJECTIVE

 discuss what is meant by sanitary inspection of
premises/institution.
xxvi
3.0 MAIN CONTENT
3.1 Sanitary Inspection of Premises/Institutions
The environmental sanitation problems are made more acute by rapid

urbanisation and uncontrolled population growth, without
commensurate expansion in sanitary facilities. Consequently,
slums/shanties have emerged in city fringes where the water and
sanitation problems are more pressing. These slums with poor housing
are prominent features in our environment, particularly in cities and
large towns due to poor implementation of town planning laws, poor
land use control, rapid spatial expansion of settlements and inadequate
provision of infrastructure and services. For example, our inability to
adhere to the Federal Capital Territory (FCT) development plan has
created the upsurge of slums and shantytowns in the immediate environs
of the city.
Spontaneous squatter settlement continues to provide shelter for

immigrants in an environment of great overcrowding and appalling
squalor. The characteristics of life in these slums/squatter areas make the
This scenario results in poor housing sanitation characterised by

overcrowding, poor ventilation and indoor air pollution, thereby
increasing the disease burden within the population. This also affects
productivity, thus perpetuating the cycle of poverty. Children under the
age of five living in poorly ventilated houses have been shown to suffer
more from upper respiratory problems than those from well ventilated
houses. These children are also more likely to underachieve in school
when compared with those from improved areas and this often limits
their ability and character in life.
3.2 Management of the Urban Drainage System
The poor surface drainage in urban areas leads to stagnant pools where
mosquitoes and other disease carrying vectors breed. The high
prevalence of diseases such as malaria in many towns and cities partly
results from the poor drainage maintenance system. Often in towns and
cities, public drains are used as substitutes for toilets and waste disposal
facilities. This causes blockage of the drains and is usually responsible
xxvii
for environmental problems such as flooding, erosion and landslide,

which destroy homes built on marginal land, and causes major damage
to public infrastructure and private property.
3.3 School Sanitation
The standard of school sanitation is very poor. Most schools are

overcrowded with dirty environment. Majority of public schools lack
toilet facilities. Toilets when available in schools are not functional due
to lack of water to flush and this often leads to defecation in classroom
corners by pupils. In other instances, where sanitary facilities are
provided, pupils sometimes vandalise them.
Oftentimes, the poor design and material used for building schools
sometimes renders the environment un-conducive for learning especially
during extreme weather conditions. These factors have serious health
implications with attendant social and economic consequences including
school absenteeism.
3.4 Adequate Potable Water Supply
Water is an essential ingredient for the sustenance of life. Water in poor

quality and inadequate quantity continues to pose a major threat to
human health. Conversely, human development and population growth
exert many and diverse pressures on the quality and quantity of water
resources and on access to it. Nowhere are the pressures felt so strongly
as at the interface of water and human health, especially with
indiscriminate dumping of sewage sludge into rivers, non-treatment of
effluents from industries and paving of surfaces thus preventing
recharge of underground water.
The coverage of water supply facilities to the populace is still

inadequate. It is a common phenomenon to see long queues of jerry cans
and buckets in the cities especially during the dry season. According to
the 2003 Nigeria Demographic and Health Survey (NDHS), 65% of the
urban population has access to safe sources of drinking water while
about 70% of the rural population depends mainly on unsafe sources
such as open wells, rivers, streams, etc., for drinking. In areas, which are
served by public water supply, the wholesomeness of the water is
sometimes not guaranteed because of poor maintenance of pipes, which
are prone to constant leakages, with sippage of contaminants.
Unwholesome water plays a significant role in the aetiology of water
borne diseases such as cholera, typhoid and paratyphoid fevers.
An inverse relationship has been observed to exist between hand
washing and diarrhoea. Increased frequency of hand washing after using
the toilet and before handling food, substantially decreases the
occurrence of diarrhoea especially in young children. The proximity of
water also plays an important role in maintaining good personal hygiene
xxviii
and reducing the incidence of diarrhoea and skin diseases. In the words
of Kofi Annan, United Nations Secretary-General, ―Access to safe
water is a fundamental human need and, therefore, a basic human right.
Contaminated water jeopardizes both the physical and social health of
all people. It is an affront to human dignity‖.
3.5 Control of Reared and Stray Animals
Animals are part of man‘s biological environment. A variety of animals

are raised in agricultural, domestic, commercial and other settings with
little or no Government regulation. In most urban centres, occupants in
multi-flat apartments rear all sorts of animals in violation of Public
Health Laws. In most rural areas, animals are common-place, where
they stroll in and out of dwelling homes, resulting in an immense
interaction between man and animals.
Most of the animals are reared in filthy, unhygienic conditions. Some of

these animals are reservoir hosts to a number of zoonotic diseases and
aid the transmission of anthrax, brucellosis, rabies, leptosporosis,
hydatid disease, bovine tuberculosis, etc. Most animals seen around are
supposedly reared however, there is no proper supervision so they roam
about littering the environment with their faecal matter and causing
visual blight as well as being involved in massive destruction of farm
lands/produce.
4.0 CONCLUSION
The Environmental Sanitation problems are made more acute by rapid

urbanisation and uncontrolled population growth, without
commensurate expansion in sanitary facilities. Consequently,
slums/shanties have emerged in city fringes where the water and
sanitation problems are more pressing. These slums with poor housing
are prominent features in our environment, particularly in cities and
large towns due to poor implementation of town planning laws, poor
land use control, rapid spatial expansion of settlements and inadequate
provision of infrastructure and services. For example, our inability to
adhere to the Federal Capital Territory (FCT) development plan has
created the upsurge of slums and shantytowns in the immediate environs
of the city. Spontaneous squatter settlement continues to provide shelter
for immigrants in an environment of great overcrowding and appalling
squalor.
4.0 SUMMARY
The characteristics of life in these slums/squatter areas make the

xxix

What are the problems of environmental sanitation?
Tilmans, S., Russel, K., Sklar, R., Page, L., Kramer, S., Davis, J.
(2015). "Container-Based Sanitation: Assessing Costs and
Effectiveness of Excreta Management in Cap Haitien,
Haiti". Environment and Urbanisation. 27 (1); 89–
104.
Tilley, E., Ulrich, L., Lüthi, C., Reymond, Ph., Zurbrügg, C.

(2014). Compendium of Sanitation Systems and
Technologies (2nd Revised Edition). Swiss Federal
Institute of Aquatic Science and Technology (Eawag),
Duebendorf, Switzerland.
xxx
UNIT 2 SANITATION IN MARKET AND TEMPORARY

SETTLEMENTS
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Definition of Term
3.2 Surface Water Condition
3.3 Ground Condition
3.4 Circulation and Access Network
3.5 Proximity and Access to Services
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
This chapter identifies the essential considerations for the provision of

sanitation technologies in the context of the coastal communities of
Puerto Princesa. These considerations are the basis of the preliminary
evaluation of low-cost sanitation systems. This evaluation identifies
possible options for the case study and discusses the potential and
limitations of these systems. Included in the evaluation are the generic
classification of low-cost technologies provided in the World Bank
studies on appropriate technology for sanitation. Expensive systems
such as the chemical, freeze, packaging and incinerating toilets and the
waterborne sewerage are not included in the comparative analysis.
2.0 OBJECTIVE

 explain sanitation in market and temporary settlement.
3.0 MAIN CONTENT
This chapter identifies the essential considerations for the provision of

sanitation technologies in the context of the coastal communities of
Puerto Princesa. These considerations are the basis of the preliminary
evaluation of low-cost sanitation systems. This evaluation identifies
possible options for the case study and discusses the potential and
limitations of these systems. Included in the evaluation are the generic
classification of low-cost technologies provided in the World Bank
studies on appropriate technology for sanitation. Expensive systems
xxxi
such as the chemical, freeze, packaging and incinerating toilets and the
waterborne sewerage are not included in the comparative analysis.
Considerations in the Provision of Sanitation Systems

In the analysis of sanitation in the coastal communities, conditions were
found to vary among households, depending on the location of their
houses within the coastal area, whether built on dry, transition or water
zones. The following discussion identifies the key considerations for the
choice for sanitation systems in the three zones. These considerations,
include environmental, community-specific physical, social and cultural
factors.
Site Specific Environmental Factors

In this thesis, the environmental factors are the key determinants for
differentiating coastal communities from other types of communities.
These factors, which include the condition of surface water and soil
conditions of the coastal areas, have a direct bearing on the options for
sanitary means of disposing of human waste for the community.
3.2 Surface Water Condition
The condition of Puerto Princesa bay determines the acceptability of the

practice of directly disposing human waste into the water without
treatment. As repeatedly mentioned in this course, this practice is
acceptable if the following conditions are satisfied: first, water is not
consumed for drinking; 2) the feces are always deposited in water and
not on land; and 3) there is sufficient current for dilution. The objective
of these conditions is to ensure that the excreta are disposed of properly
and to prevent the contact of waste to the community.
In the context of the Puerto Princesa Bay, the first requirement is not a
problem since the water of the bay is saline and is not consumed as
drinking water. The water quality of Puerto Princesa Bay, based on the
water test conducted by the National Pollution Control Commission in
March 11, 1988, revealed that the overall water quality of the bay is still
excellent. Although this finding indicates the unpolluted condition of the
whole bay, maintaining the existing ecological balance is necessary.
During the survey, the observed continued practice of disposing of
human waste, wastewater and garbage along the coasts of the bay
indicates an alarming pollution problem. As the community grows, this
traditional habit, which used to be hygienically acceptable and
satisfactory, increases pollution problems. With the second and third
conditions, the practice of direct disposal of human waste in the water
regions is not as critical as that in the transition zones.
In houses built above the deeper waters, waste is always deposited into
the water and not on the land, and there is enough current for dilution.
The problems are more critical in the transition areas where solid
xxxii
wastes, which are non-biodegradable, have accumulated. Compounding

this problem is the extensive usage of water for domestic and personal
washing which is disposed of directly into the ground and surface water.
The accumulated solid wastes block the natural flow of the water
thereby creating pools of stagnant waters and impeding natural flushing
of other biodegradable wastes. Thus, in these areas, excreta are exposed
in the environment.
3.3 Ground Condition
For parts of the community located within the elevated and transition
zones, the ground condition is an important consideration in the
provision of sanitation systems. The topography of the site of the coastal
slums is moderately sloping or rolling. The area is very low with
+3.064m. and +0.21m as the highest and lowest portions respectively
above the Mean Lowest Low Water (MLLW). Thus, even on the
elevated areas, internal drainage or the ability of soil to absorb water is
generally low since the water table is very shallow. The clay soil is deep,
poorly to very poorly drained, fine and loamy in texture. Analysis of
ground conditions has to be considered to avoid groundwater
contamination and pollution of the bay, because these areas have a high
water table and a direct hydraulic connection to coastal waters.
The disposal of human waste into the ground presents a potential hazard
to the health of the community. As discussed in the previous chapter,
people consume water from the well for drinking. The location of the
well is fairly close to the toilets of the nearby households. Groundwater
contamination promotes disease transmission from the disposal site,
through the groundwater to users of well water. Disposing human waste
in the coastal areas without treatment, causes pollution of the bay. The
site's proximity to the shore means that polluted runoff goes quickly to
the coastal water basin with little time for natural purification through
vegetation and soil. Environmental factors such as soil type and
porosity, groundwater level and hydraulics, and distance to surface
water influence the degree of contamination.
In the choice of sanitation technologies, ground conditions, particularly

groundwater level, soil permeability and stability, are important
considerations. Some sanitation technologies, except those which can be
built above the ground, are feasible when the ground water level is
below one meter from the surface. Other options require permeable soil
for soak away of effluent and others require stable ground for
construction. In this context, sanitation technologies can be classified as
those without soil requirements and hence, can be contained above
ground, and those with soil requirements. Systems that can be built
above the ground are technically feasible in the three zones of the
coastal communities. Options include the composting toilets, the vault
xxxiii
and cartage system, the bucket latrines, the shallow sewer system and
the small bore sewer system.
On the other hand, systems that have soil requirements include pit
latrines, aqua privy and septic tank. These systems require soil
conditions characterised as stable, permeable and with low ground water
level. These systems are technically not feasible in coastal communities,
since they cannot be built on sites with adverse ground conditions.
There are cases, however, when some on-site systems are modified to
suit conditions of sites characterised by high groundwater level. In the
case of the pit latrine, the pit can be raised above the ground level or
double pits can be built to increase capacity when excavation is difficult.
This prolongs the useful life of the facility and overcomes the
difficulties with high water table and groundwater pollution. In the
construction of the raised pit latrine, the raised portion should be lined
and rendered to prevent the seepage of foul liquid out of the pit.
Community Physical Factors

Community density, circulation and access networks, and available
services within the community influence the selection of sanitation
technologies. The implications of these factors are discussed below.
Community Density
In selecting sanitation systems, consideration of community density is
critical in settlements with high density, as in the case of Puerto
Princesa. On-site systems such as pit latrines, aqua privies and septic
tanks require adequate space for the infiltration of waste discharged into
them. These systems are not suitable for high density settlements, since
high density poses danger in terms of wells for drinking water and
sanitation facilities to be close together. Water seeping out of pit latrines
which are bacterially and chemically contaminated will pollute the
surrounding groundwater. The effluent from the septic tank, which did
not permeate well through the soil, is still laden with pathogens and
contaminates the nearby supply of drinking water. Hence, these systems
are suitable only in low-medium density areas. Systems suitable for high
density areas include the vault and cartage system, the shallow sewer
system and the small bore sewer.
3.4 Circulation and Access Network
As discussed in the analysis of present conditions in the coastal

communities, the circulation network of the community consists of
narrow footpaths on land and wooden walkways on water supported by
stilts. In the selection of sanitation technologies for the community,
some systems require methods for transporting waste from the place of
defecation to another for waste treatment. In these technologies, waste is
emptied manually or sludge is removed by a vacuum suction tanker or
xxxiv
carts and is taken away for suitable disposal. The existing access
network, consisting of narrow footpaths and walkways on stilts, poses
limitations to the use of technologies requiring the use of trucks or carts
for transporting waste. Access for trucks within the community is
impossible.
In this context, sanitation technologies are classified according to those

with waste transportation requirements and those without, with the
former group at a disadvantage. Systems with waste or sludge transport
requirement include bucket latrines, aqua privies, the septic tanks, the
vault and cartage system and the composting toilets. On the other hand,
those without transport requirement include the pit latrines, the shallow
sewer system and the small bore sewer system.
3.5 Proximity and Access to Services
Households located above the waters have the least proximity to the
different services that are normally situated on the dry and elevated
areas of the site. Unfortunately, households occupying these areas
consist of a large percentage of the community. The proximity and
accessibility of services such as water supply and communal toilets to
the majority of the households affect choice of sanitation options.
4.0 CONCLUSION
In this context, sanitation technologies are classified according to those

with waste transportation requirements and those without, with the
former group at a disadvantage. Systems with waste or sludge transport
requirement include bucket latrines, aqua privies, the septic tanks, the
vault and cartage system and the composting toilets. On the other hand,
those without transport requirement include the pit latrines, the shallow
sewer system and the small bore sewer system.
5.0 SUMMARY
In the choice of sanitation technologies, ground conditions, particularly

groundwater level, soil permeability and stability, are important
considerations. Some sanitation technologies, except those which can be
built above the ground, are feasible when the ground water level is
below one meter from the surface. Other options require permeable soil
for soak away of effluent and others require stable ground for
construction.
TUTOR-MARKED ASSIGNMENT
1. List five waste transportation requirements.
xxxv
2. What do you take into Considerations in the Provision of

Sanitation systems?
6.0 REFERENCE/FURTHER READING
"Diarrhoeal disease". World Health Organisation. Retrieved 2017-11-

17.
Gates Foundation (2010). "Water Sanitation Hygiene Fact Sheet

2010" (PDF). Gates Foundation.
xxxvi
UNIT 3 DISPOSAL OF THE DEAD (DOD)
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Disposal of the Dead (DOD)
3.2 Deceased Pet Dog or Cat
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
To remove dead animals from property, sometimes it's simple, such as

when a raccoon or opossum dies in a yard. Sometimes it's more
complex, such as when a rat dies in the walls, or a squirrel dies in the
attic. Every now and then, people actually call me to remove their
deceased dog or cat.
2.0 OBJECTIVE
By the end of this unit, you will able to:

 explain how to dispose dead animal.
3.0 MAIN CONTENT
3.1 Disposal of the Dead (DOD)
As a wildlife removal expert, I'm often called to remove dead animals

from property. Sometimes it's simple, such as when a raccoon or
opossum dies in a yard. Sometimes it's more complex, such as when a
rat dies in the walls, or a squirrel dies in the attic. Every now and then,
people actually call me to remove their deceased dog or cat. So, how
does one properly dispose of the animal carcass?
Burial: You can bury the dead body on your property. If it's a pet, you
may want to put it in a box (pet coffin) for sentimental reasons. Or you
can just lay the body in the ground. I recommend digging a hole at least
two feet deep, to prevent scavengers from digging it up. You can also
lay stones over the spot to prevent digging.
Incineration: If you have access to an incinerator, you can cremate the

body. This is how the local animal shelter probably does it. Since you
don't own an incinerator, you could attempt a really big bonfire, but I
doubt you'll do that.
xxxvii
Bring it to animal services: Call your local animal services for the
phone number in your county) and ask if they can accept a dead animal
body for proper disposal.
Throw it out: Your local garbage service might well take a dead body,
though perhaps they'll discourage it, especially if the animal is large. But
a mouse, rat, or even squirrel should not be any problem.
3.2 Deceased Pet Dog or Cat
Many people don't know what to do. Your options are similar to what
I've laid out above, but I wrote that about wild animals like raccoons, so
I want to treat it with more care. First, one of your options still remains
to bury your pet, and have a little ceremony. You can bury it on your
property, of if you don't own any land, you can use a friend's property. It
may not be legal in your area to use public land, but if you find a private
spot, who is going to stop you, really? Bury it at least two feet down.
Second, there are many pet cremation services in most cities. Do a
search for pet cremation, and you'll likely find some. Third, your local
department of sanitation (garbage collection) can simply take the body,
if small, with the regular trash, if you're okay with that, and bring it to
the landfill. I would personally be okay with that once I've said goodbye
to my pet and put it in a bag inside a box. If the body is larger, maybe a
dog, larger than 25 lbs, you can arrange with many city's dept. of
sanitation for special pickup. They often offer deceased animal pickup.
Fourth, your local animal services might help, but they often do not take
dead bodies, and you must transport it to their facility. They might
cremate the animal. I do list the county animal services for most US
cities and towns in the red text below the wildlife removal company
listing. Most experts and health officials would definitely agree that you
should not touch the bodies of animals that you found dead especially
with your bare hands. You should always wear a protective glove to
avoid any contamination with bacteria or other viruses that might have
caused their deaths or just simply to maintain your hygiene. There are
actually state regulations that you have to follow in order to bury the
body of whatever animal you may found. Certain laws would tell you
how best to bury them that is why you also have to seek information
regarding these laws. It is also important that you stay clear of any near
water sources when you bury the dead body and you have to make sure
that you are not digging into some utility power lines or pipes because
you might just cause a bigger problem not only for yourself but for all
the people in your neighborhood.
But what if you find something bigger than a bird that has been lying
around in the perimeters of your property? There are four known
methods that you can make use of namely landfills, composting, burial,
xxxviii
and burning. If you are by chance near a landfill, you can check with
your local facility to see if they would allow you to just throw the body
of a dead animal into some backyard pile of landfill materials. Perhaps
the most efficient and the most widely used method is burying the body.
If you have a place of your own and if your local laws permit you to
bury them as long as you follow their guidelines, you can go ahead and
find a perfect place to lay the body and to let it rest in peace. But if the
place is not yours, you can always ask the permission from the owner to
do some digging to bury it. This is most recommended for those who
have pets which might be the most common household dogs or cats that
they feel most attached to so that they can show their proper respect for
their favorite pet for the last time.
Aside from this, you can always opt for cremation. Again for those with
pets, this is most ideal since you can also carry back the ashes with you
if you like, to remember your beloved cats or dogs every time you see
their ashes in their urn. Of course, this might cost some money but it
would be worth it especially with the memento that you would have or
to avoid any danger of contamination with other animals or even
humans.
4.0 CONCLUSION
In conclusion, it may not be legal in your area to use public land, but if
you find a private spot, who is going to stop you, really? Bury it at least
two feet down. Second, there are many pet cremation services in most
cities. Do a search for pet cremation, and you'll likely find some.
5.0 SUMMARY
Aside from this, you can always opt for cremation. Again for those with
pets, this is most ideal since you can also carry back the ashes with you
if you like, to remember your beloved cats or dogs every time you see
their ashes in their urn. Of course, this might cost some money but it
would be worth it especially with the memento that you would have or
to avoid any danger of contamination with other animals or even
humans.
List the various ways in which you can properly dispose dead animal
carcass.
xxxix
Introducing the Sanitation Economy (2007). Toilet Board

Coalition."Sanitation JMP". washdata.org.
General Assembly Resolution 64/292. The Human Right to Water and

Sanitation, (2010), available
from https://s3.amazonaws.com/berkley-
center/100308UNARES64292.pdf
xl
MODULE 3
Unit 1 Methods of Cremation

Unit 2 Exhumation and Embalmment
Unit 3 Removal Corps
UNIT 1 METHODS OF CREMATION
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Method of Cremation
3.2 Cremation, Privatisation, and Secularisation
3.3 Cremated Remains
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
Cremation is the burning of the human body until its soft parts are
destroyed by fire. The skeletal remains and ash residue (cremains) often
becomes the object of religious rites, one for the body and one for the
bones. The anthropologist Robert Hertz has described this as a double
burial, with a "wet" first phase coping with the corpse and its decay, and
a "dry" second phase treating the skeletal remains and ash. The chief
difference between cremation and burial is the speed of transformation:
Corpses burn in two hours or less, but bodies take months or years to
decay, depending upon methods used and local soil conditions. The
method of body disposal least like cremation is mummification, which
seeks to preserve the body rather than destroy it.
2.0 OBJECTIVE

 discuss the methods of cremation.
3.0 MAIN CONTENT
3.1 Methods of Cremation
Alkaline hydrolysis also called aquamation, biocremation, resomation,

flameless cremation, or water cremation) is a process for the disposal of
human and pet remains using lye and heat. The process is being
xli
marketed as an alternative to the traditional options of burial or

cremation.
destroyed by fire. The skeletal remains and ash residue (cremains) often
becomes the object of religious rites, one for the body and one for the
bones. The anthropologist Robert Hertz has described this as a double
burial, with a "wet" first phase coping with the corpse and its decay, and
a "dry" second phase treating the skeletal remains and ash. The chief
difference between cremation and burial is the speed of transformation:
Corpses burn in two hours or less, but bodies take months or years to
decay, depending upon methods used and local soil conditions. The
method of body disposal least like cremation is mummification, which
seeks to preserve the body rather than destroy it.
Ancient Cremation
Archaeological evidence shows cremation rituals dating back to ancient
times. In classical antiquity, cremation was a military procedure and
thus was associated with battlefield honors. Both cremation and the
interment of cremated remains are described in Homer's Iliad and
Odyssey, both dating from the eighth century B.C.E. The seventeenth-
century French painter Nicolas Poussin echoed another classical story in
his masterpiece The Ashes of Phocion, perhaps the most famous of all
cremation-linked paintings, in which a faithful wife gathers the ashes of
her husband, an improperly shamed leader who was cremated without
the proper rites.
The ritual cremation of Roman emperors involved the release of an

eagle above the cremation pyre to symbolise his deification and the
passing of the emperor-god's spirit. The reasons for shifts between
cremation and burial in classical times are not always apparent; fashion
or even the availability of wood may have been involved.
Cremation Cultures
It was in India and in the Indian-influenced cultures of Buddhism and
Sikhism that cremation developed into a central and enduring social
institution. Basic to Hinduism is the belief that the life force underlying
human existence is not restricted to one life but undergoes numerous
transmigrations that may involve nonhuman forms. Hence the "self" and
the identity of an individual are not simply and inevitably linked to any
one body. Cremation became an appropriate vehicle for expressing the
ephemerality of bodily life and the eternity of spiritual life.
Hinduism. For traditional Hindus, cremation fit into an overall scheme

of destiny. Symbolically, the human embryo resulted from the
combination of male seed forming bones and female blood providing
flesh. In this account the spirit enters the fetus through the cranial suture
of the skull, with the growing embryo in a sense being "cooked" by the
xlii
heat of the womb. At the end of life, a symbolic reversal sees the heat of
the funeral pyre separating flesh from bones; the rite of skull-cracking
frees the spirit for its ongoing journey, which is influenced by karma, or
merit accrued during life. The fire itself is the medium by which the
body is offered to the gods as a kind of last sacrifice; cremation should
take place in Banaras, the sacred city through which the sacred Ganges
River flows. It is on the banks of the Ganges that cremations occur and
cremated remains are placed in its holy waters. Hindus living in other
parts of the world also practice cremation and either place cremated
remains in local rivers or send the remains to be placed in the Ganges.
While rites are also performed for set periods after cremation, there is no
monument for the dead, whose ultimate destiny lies in the future and not
in some past event.
Buddhism. Cremation is the preferred funeral rite for Buddhists as well

and is reinforced by the fact that the Buddha was himself cremated.
Tradition tells how his funeral pyre self-ignited, but only after many
followers had come to pay respects to his body. When the flames
ceased, no ash remained—only bones. These remains were divided into
eight parts and built into eight stupas in different territories. This is a
good example of how cremation makes possible a greater variety of
memorialising the dead than does burial. Contemporary Buddhists
practice both cremation and burial.
Evil and Emergency Cremation

Cremation is not only an established social custom but has also been
used on battlefields to save the dead from the ravages of the enemy and
as an emergency measure during plagues, as in the Black Death of the
seventeenth century. The most inescapably negative use of cremation in
human history was during the Holocaust, the Nazi regime's mass murder
of millions of Jews and others, including Gypsies, homosexuals, and the
mentally ill, all deemed culturally unacceptable to Hitler's Third Reich
during World War II. The Nazi concentration camps came to symbolise
the inhumanity of killing men, women, and children and then disposing
of their bodies by cremation or mass burial. In this case, cremation was a
kind of industrial process necessary to deal with the immense number of
corpses that attended Hitler's "Final Solution."
Modern Cremation
With the increasing predominance of Christianity in Europe after the
fifth century C.E., cremation was gradually abandoned in favor of earth
burial as a symbol of the burial and resurrection of Christ. Charlemagne
criminalized cremation in the Christian West in 789 C.E. There were
subsequent countercurrents, including the unusual seventeenth-century
treatise of Sir Thomas Browne on urn burial, and the brief French
revolutionary attempt to foster cremation as a rebuke to Christianity.
xliii
It was not until the nineteenth century, however, that a widespread

interest in cremation resurfaced, prompted by a variety of social,
philosophical, and technological factors. The major social elements
related to massive increases in the population of industrial towns and
major cities, whose cemeteries were increasingly hard-pressed to cope
with the volume of the dead in an era of heightened concern with public
hygiene—corpses buried near the surface of the ground were seen as a
potential health risk. This was also a period of considerable interest in
freedom of thought and creative engagement with ideas of progress.
Traditional religious constraints were not viewed as impossible barriers

to progress. Societies were established to promote cremation in many
influential cities, including London and The Hague in 1874,
Washington, D.C., in 1876, and New York in Italy was a major force in
the renaissance of cremation; Brunetti's model cremator and display of
cremated remains at the Vienna Exhibition are credited with having
prompted Sir Henry Thompson's interest. There was also a congress on
cremation in Milan in. These groups often existed for years before they
achieved the goal of cremation as a legal and established practice.
In Holland, for example, the group did not actually open a crematorium
until. Often there were objections from a variety of Christian churches,
which contended that cremation would interfere with the resurrection of
the body or that cremation spurned the example of the "burial" of Jesus.
Sometimes the reasons were political rather than theological. Catholics
in Italy, for example, found cremation unacceptable because it was
favored and advocated by the anticlerical Free-masons. Indeed, it was
not until the mid-1960s that the Roman Catholic Church accepted
cremation as an appropriate form of funeral for its members.
The preoccupation with technological advancement in the nineteenth

century also spurred the fortunes of cremation. It had become relatively
easy to contemplate building ovens for the combustion of human bodies
as well as architectural features to house them. Machines like the
cremulator, for grinding larger bone fragments into dust, are similarly
industrial in nature. The early crematoria were temporary, little more
than ovens or grandly designed landmarks. In the late nineteenth and
early twentieth centuries they began to resemble church buildings; in the
late twentieth century there was more scope for architects to reflect upon
life and death in these unique structures.
In the late twentieth century cremation became a serious topic of

academic study. It was only at the turn of the twenty-first century that
serious academic interest in cremation—sociological, theological, and
historical—emerged. The numerous journals published by many
cremation societies have also made important contributions,
systematically recording cremation rates, new crematoria, and technical
developments. The Archives of the Cremation Society of Great Britain,
xliv
held at the University of Durham, is one example, as is the Fabretti

Institute of Turin in Italy.
Christian Traditions and Cultures

The most interesting aspect of the relationship between cremation and
society within Western societies derives from the relative influence of
the Orthodox, Catholic, and Protestant traditions. Greek and Russian
Orthodoxy stand in firm opposition to cremation, and cremation rates
are very low in strict Orthodox societies such as Greece. During the
communist era in the former USSR and Eastern Europe, cremation was
often pressed in an ideological fashion, which in turn spurred stronger
opposition from various Christian denominations.
In Western Europe cremation rates vary with the degree of Catholic or

Protestant influence in each country's tradition. In 1999, the cremation
rate in Great Britain and Denmark was 71 percent and 68 percent in
Sweden. In Finland, by contrast, with equally strong Protestant,
Catholic, and Orthodox churches, the rate was only 25 percent. The
Netherlands, roughly equally divided between Protestant and Catholic
traditions, stood at 48 percent. The Catholic influence is more evident in
Hungary (30%), Austria (21%), France (16%), Spain (13%), Italy (5%),
and Ireland (5%).
The United States presents an interesting picture of mixed religious

traditions with an overall cremation rate of approximately 25 percent.
This may seem an unusually low figure, but it encompasses a wide
variation in local practices. Washington, Nevada, and Oregon, have
cremation rates of approximately 57 percent while Alabama,
Mississippi, and West Virginia are about 5 percent.
Social Change and Cremation

In the West, the turn of the twentieth century saw the rise of strongly
motivated individuals, often coalescing into small pressure groups that
were ideologically committed to cremation. After World War II
cremation began to be incorporated into social welfare provisions in
numerous countries. Just as the urban growth of the middle and late
nineteenth century had led to the establishment of many large cemeteries
in European cities, so the later twentieth century was marked by the
growth of crematoria. Cremation was a symptom not only of massive
urbanisation and the drive for social hygiene but also an increased
medicalisation of death. With more people dying in hospitals rather than
at home, their bodies were collected by funeral directors and might be
kept in special premises away from their home.
Indeed the very concept of the "funeral home" developed to mark a

place where a body could be kept and visited by the bereaved family.
Cremation thus was another example of a rising trend of
commercialisation and professionalisation of various aspects of life in
xlv
the West. Cremation was but one aspect of a broader tendency toward
efficiency, scientific technology, and consumer choice. It also served the
psychological function of allaying the fears of those who were haunted
by irrational fears of decay or of being buried alive. Cremation is also
often less expensive than burial.
Although the upward trend in cremation continued unabated through the

late twentieth century, there was a slight ripple of concern emanating
from the environmental community, which pointed to the deleterious
effect of industrial and domestic emission of gases—many communities
have adopted more stringent laws for the running of cremators. On a
populist front, this raised a question mark over the desirability of
cremation. In Great Britain, some minority groups have raised the idea
of "green" woodland burials in which individuals are buried without
elaborate coffins or caskets and in full recognition that their bodies
would soon return to the earth in a form of earth-friendly decay.
3.2 Cremation, Privatisation, and Secularisation
As Christianity achieved dominance in Europe in its first millennium

and firmly established itself geographically in the second, it imposed a
much more formal theology and ritual, not least over death. Catholic
Christianity's funerary rites included preparation of the dying for their
eternal journey, along with masses and prayers for their migrant souls.
Cemeteries were closely aligned with churches, and death rites were
under ecclesiastical control.
With the advent of cremation, there arose a new possibility disengaging

death rites from ecclesiastical control. For much of the late nineteenth
century and the first two-thirds of the twentieth century, the great
majority of cremation rites were set within a religious ritual framework
overseen by the Protestant clergy. Catholic priests were also freed to do
so from the mid-1960s, but by the late twentieth century clerical
involvement in cremation was on the wane. Traditional burial was
conducted under the control of a Christian church, and though remains
might later have been removed to a charnel house (a place for storing
human bones), the transfer was often a non-ceremonial affair. Burials in
some places could also be conducted without church rites, but it was
with modern cremation that a secular process appeared more acceptable.
Often the emphasis on what came to be called "life-centered" funerals
was celebratory, with a focus on the past life of the deceased and not, as
in traditional Christian rites, on the future hope of resurrection.
xlvi
3.3 Cremated Remains
In contrast to the traditional practice of placing cremated remains in urns

and storing them in columbaria (buildings containing niches in their
walls), late-twentieth-century practices in the West have included the
removal of cremated remains from crematoria by family members and
their placement in locations of personal significance. This was the birth
of a new tradition as individuals invented ways of placing remains in
natural environments: mountains, rivers, gardens, or places of recreation
and holiday where the survivors acknowledged that the deceased had
spent pleasant and memorable times.
4.0 CONCLUSION
With the advent of cremation, there arose a new possibility disengaging

death rites from ecclesiastical control. For much of the late nineteenth
century and the first two-thirds of the twentieth century, the great
majority of cremation rites were set within a religious ritual framework
overseen by the Protestant clergy. Catholic priests were also freed to do
so from the mid-1960s, but by the late twentieth century clerical
involvement in cremation was on the wane. Traditional burial was
conducted under the control of a Christian church, and though remains
might later have been removed to a charnel house (a place for storing
human bones), the transfer was often a non-ceremonial affair. Burials in
some places could also be conducted without church rites, but it was
with modern cremation that a secular process appeared more acceptable.
5.0 SUMMARY
destroyed by fire. The skeletal remains and ash residue often becomes
the object of religious rites, one for the body and one for the bones. The
anthropologist Robert Hertz has described this as a double burial, with a
"wet" first phase coping with the corpse and its decay, and a "dry"
second phase treating the skeletal remains and ash.
1. Define the term cremation.

2. List the types of cremation.
xlvii
Human Rights Council Resolution 15/9. Human Rights and Access to

Safe Drinking Water and Sanitation, (2010). Available
from http://www.right2water.eu/sites/water/files/UNHRC%20Re
solution%2 015-9.
General Assembly Resolution 7/169. The Human Rights to Safe

Drinking Water and Sanitation (2015). Available
from http://www.endwaterpoverty.org/sites/endwaterpoverty.org/
files/The% 20Human %20Rights%20 To%20Water%20
And%20 Sanitation %20UN%20r esolution.
xlviii
UNIT 2 EXHUMATION AND EMBALMMENT
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Exhumation and Embalmment
3.2 Scientific Advances
3.3 Transitions to Democracy
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
Since the 1920s, it has been standard practice for American morticians
to embalm corpses, to disinfect them so decomposition is delayed. (For
a cross-cultural study of embalming techniques, click.) Even with most
embalmed bodies, however, the flesh eventually dehydrates and
crumbles and is devoured by bacteria. (One alleged origin of ―ghost
stories‖: Several breeds of bacteria, especially wood fungi, which feast
on corpses, are luminous in the dark.) The longevity of a cadaver’s
flesh and innards depends largely on the embalming, the casket
(hermetic ones preserve better), the decedent‘s diet (certain bacteria
thrive on fat), and the warmth of the ground (a good freeze kills off
bacteria).
2.0 OBJECTIVE

 explain what is meant by exhumation and embalmment.
3.0 MAIN CONTENT
3.1 Exhumation and Embalmment
Sometimes ago, the Pentagon ordered the opening of Arlington National

Cemetery‘s Tomb of the Unknowns to remove the remains of a soldier
killed in the Vietnam War and submit them to DNA tests to recover his
identity. This is a classic example of high-profile exhumation.
Celebrities exhumed in the 1990s include Czar Nicholas II, outlaw Jesse
James, civil rights martyr Medgar Evers, and President Zachary Taylor.
Some historians carp that conspiracy-minded publicity hounds
perpetuate this fad, rudely disturbing the dead. How do exhumations
work? What do religion and law have to say about them? Why do we
now have so many?
xlix
Since the 1920s, it has been standard practice for American morticians
to embalm corpses, to disinfect them so decomposition is delayed. (For
a cross-cultural study of embalming techniques, click.) Even with most
embalmed bodies, however, the flesh eventually dehydrates and
crumbles and is devoured by bacteria. (One alleged origin of ―ghost
stories‖: Several breeds of bacteria, especially wood fungi, which feast
on corpses, are luminous in the dark.) The longevity of a cadaver’s
flesh and innardsdepends largely on the embalming, the casket
(hermetic ones preserve better), the decedent‘s diet (certain bacteria
thrive on fat), and the warmth of the ground (a good freeze kills off
bacteria).
Here are the most common reasons for exhumation: DNA extractions
to settle paternity suits; criminal investigations; relocation to familial
cemetery plots; and accidental discoveries–e.g., when a construction
worker stumbles across an unmarked grave. Attitudes toward
exhumation vary wildly. Some Native American tribes assert the body‘s
spirit lives on and that to disturb a corpse is to disturb the spirit‘s life.
Both Jews and Muslims take nearly as strong positions against
disinterment. By tradition, Jews require funerals to take place within 24
hours of death, with members of the community keeping vigil over the
body until it goes in the ground. Exhumation is allowed only when a
body is to be reburied with family or in Israel. Christians have a more
liberal exhumation policy. The Catholic and Protestant churches say
bodies shouldn‘t be disturbed, if possible. However, upon canonization,
saints have frequently been disinterred so their remains can be
dismembered and turned into relics. And in the past, exhumation has
been ex post facto punishment for heresies.
The classic example is the corpse of the corrupt Pope Formosus (816-
896), which was exhumed and dragged through the streets of Rome.
(Although his remains were reburied, subsequent popes had Formosus‘
body disinterred and further mutilated.) U.S. laws governing
exhumation remain vague and disparate, varying from state to state.
Most state regulations derive from English common law. Oddly, the
common law prohibits the theft of items from a grave–shrouds, clothing,
etc.–but is silent on the theft or removal of bodies themselves. This was
a matter left to the church. (Only in the mid-19th century, when
snatching corpses for medical experiments became endemic, did states
pass laws prohibiting cadaver theft.) Generally, citizens can apply to
their state‘s attorney general for permission to exhume family members
for any reason, and requests for reburial are usually automatically
granted. And the state can exhume a body when it deems a death
suspicious and improperly investigated. Many questions–what if family
members disagree on exhumation, and what if the dead person has no
relatives?–remain to be hashed out in the courts. Pathologists say the
number of exhumations skyrocketed in the 1980s and then increased
even more in the ‗90s.
l
3.2 Scientific Advances
Forensic pathology, the use of science to solve crime, has improved

dramatically, particularly with the development of new DNA tests. Until
1995, DNA tests required fresh samples from very specific body parts–
e.g., strands of hair that include roots–that tend to decay quickly. Now,
virtually any remaining body part–a bone, a tooth–will do. The
difference: Where old DNA tests required a sample from the nucleus of
a cell, the new tests work off sturdier mitochondria–the energy-
producing material that surrounds a nucleus. Although the FBI considers
mitochondrial DNA tests virtually infallible, many anthropologists
doubt their accuracy. (In the case of the Unknown Soldier, DNA for his
remains will be matched against DNA from the blood of people the
military suspects are related to him.) Other new techniques include the
use of computer animation to construct images of faces, based on
surviving jawbones and teeth, as well as information gleaned from DNA
about hair color. Previously, dental records had been the primary means
of identifying unknown cadavers. (Forensic legend has Paul Revere first
utilizing this technique during the Revolutionary War.)
3.3 Transitions to Democracy
With the collapse of Latin American dictatorships in the early ‗90s,

human rights workers tracked down mass graves containing the regimes‘
victims. In Chile, more than 900 victims of ex-dictator Augusto
Pinochet‘s regime have been dug up and identified. Confronted with
evidence of mass graves, Pinochet remarked that they represented a
―great savings of cemetery space.‖ Similar exhumations of mass graves
in Bosnia and Rwanda are intended to obtain evidence that will convict
war criminals.
4.0 CONCLUSION
Other new techniques include the use of computer animation to

construct images of faces, based on surviving jawbones and teeth, as
well as information gleaned from DNA about hair color. Previously,
dental records had been the primary means of identifying unknown
cadavers.
5.0 SUMMARY
Attitudes toward exhumation vary wildly. Some Native American tribes

assert the body‘s spirit lives on and that to disturb a corpse is to disturb
the spirit‘s life. Both Jews and Muslims take nearly asstrong positions
against disinterment. By tradition, Jews require funerals to take place
within 24 hours of death, with members of the community keeping vigil
li
over the body until it goes in the ground. Exhumation is allowed only
when a body is to be reburied with family or in Israel. Christians have a
more liberal exhumation policy. The Catholic and Protestant churches
say bodies shouldn‘t be disturbed, if possible.
List the various reasons for exhumation.
Right to Water and Sanitation Derive from the Right to an Adequate

Standard of Living. http://www. ohchr.org/EN /NewsEvents/
Pages/ DisplayNews.aspx?Ne wsID=10403&LangID=E
Tilley, and Zurbrügg, C. (2014). Compendium of Sanitation Systems

and Technologies. 2nd Revised Edition. Swiss Federal
Institute of Aquatic Science and Technology (Eawag),
Duebendorf, Switzerland
lii
UNIT 3 REMOVAL OF CORPSE
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Removal of Corpse
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
Most crops deplete soil nutrients during their growth cycle. Some of
these nutrients leave the farm as harvested products, and the rest return
to the soil as crop residues. The nutrients in residues may or may not be
available to the next crop. Crop roots and residues improve soil fertility
by stimulating soil microbial communities and improving soil
aggregation. This improved soil physical environment facilitates water
infiltration, water holding, aeration, and, ultimately, root growth and
plant nutrient foraging. This section will review different ways that crop
rotations affect soil fertility.
Understanding the basics of how nutrients are added to and released

from soil organic matter will help the farmer in choosing crop sequences
and amendments to optimise organic crop fertility. Certain fractions of
soil organic matter contribute to plant nutrition more than other
fractions. To effectively plan organic crop rotations to meet crop
nutrient needs, several factors should be considered. Legume crops,
which capture atmospheric nitrogen and ―fix‖ it into forms available to
plants, can be used strategically in rotations to meet the needs of
nitrogen-demanding crops.
2.0 OBJECTIVE

 explain the term corpse removal.
3.0 MAIN CONTENT
3.1 Removal of Corpse
Soil organic matter and clay particles hold large stores of plant nutrients.
These reservoirs, however, are not all available to the crop. In an organic
crop rotation, the grower manages soil organic matter and nutrient
availability by incorporating different crop residues, cycling among
liii
crops with different nutrient needs, using cover crops, and adding
organic soil amendments. Most crops deplete soil nutrients during their
growth cycle. Some of these nutrients leave the farm as harvested
products, and the rest return to the soil as crop residues. The nutrients in
residues may or may not be available to the next crop. Crop roots and
residues improve soil fertility by stimulating soil microbial communities
and improving soil aggregation. This improved soil physical
environment facilitates water infiltration, water holding, aeration, and,
ultimately, root growth and plant nutrient foraging. This section will
review different ways that crop rotations affect soil fertility.
Understanding the basics of how nutrients are added to and released

from soil organic matter will help the farmer in choosing crop sequences
and amendments to optimise organic crop fertility. Certain fractions of
soil organic matter contribute to plant nutrition more than other
fractions. To effectively plan organic crop rotations to meet crop
nutrient needs, several factors should be considered. Legume crops,
which capture atmospheric nitrogen and ―fix‖ it into forms available to
plants, can be used strategically in rotations to meet the needs of
nitrogen-demanding crops. Cover crops used after a cash crop capture
surplus plant-available nutrients and conserve these for following crops.
Cash crops themselves vary in their nutrient demands, considering their
needs help make the most efficient use of the available soil nutrients in a
rotation. Finally, other types of organic amendments, such as compost
and manures or approved mineral fertilizers, can supplement nutrients at
targeted times during a rotation. Each of these topics is discussed in the
sections below.
Levels of soil organic matter range from about 0.4 percent to 10 percent
in mineral soils in temperate regions. While organic matter is a
relatively small fraction of the soil, it has large effects on soil structure
and soil fertility. Soil organic matter contains an estimated 95 percent of
soil nitrogen (N) and 40 percent of soil phosphorus (P), and with the
right levels and conditions it may provide all of the N and P needs of a
crop. Estimates of total nitrogen in a soil with 3 percent organic matter
range from 2,000 to 4,000 pounds per acre; estimates of phosphorus
range from 100 to 300 pounds per acre. Soil microorganisms release
these nutrients when they consume organic matter and subsequently die.
The rate of this nutrient release is affected by the availability of carbon
sources (energy for the soil microbes), soil temperature, soil moisture,
tillage, types and numbers of soil organisms, and quality of the soil
organic matter.
A portion (10–20 percent) of the total soil organic matter has been
termed the ―active‖ fraction and is most easily decomposed by soil
organisms. This active fraction is replenished primarily by additions of
organic matter (cover crops, crop residues, manures, compost). Soil
organisms, which make up another 10–20 percent of soil organic matter,
liv
decompose this active organic matter. Upon death, these organisms

release their nutrients to plants. The remaining soil organic matter is
humus. The humus is more slowly digested by soil organisms and
therefore is not a large source of available nutrients. Humus is very
important, however, because it provides cation exchange sites, which
hold nutrients in the soil and thus maintain their availability to plants.
Organic matter amendments to soil decompose at different rates, and

this affects how quickly nutrients become available to crops. Several
factors affect the rate of decomposition of organic amendments,
including the carbon-to-nitrogen ratio of the amendment, soil type,
temperature and moisture conditions, and the crop being grown. Green
manures, which are part of the more active organic matter fraction,
decompose readily, liberating nutrients relatively quickly. Composts
have more stable, humic organic matter, and decompose more slowly.
As a result, most composts release nutrients to crops more slowly than
green manures.
Organic matter decomposition is enhanced in the area immediately

around roots (the rhizosphere). Roots release organic compounds, such
as carbohydrates, amino acids, and vitamins, into the soil, stimulating
growth of microorganisms in this zone. Many of these organisms
decompose organic matter, resulting in nutrient release to the crop. Very
little research has been done to determine which plant varieties or
species best support these nutrient-releasing microorganisms. In the
future, such information may help identify crop varieties well adapted to
organic systems.
When cover crops are regularly part of a rotation, their residues increase
soil organic matter. The organic matter feeds the growth of microbes,
which increases the release of N as they die and decompose. Thus,
integrating cover crops into a crop rotation at specific points can help
enhance nutrient cycling and conservation.
Legumes may be present in a rotation as a harvested crop (for example,

alfalfa) or as a green manure (for example, vetch or clover). Legumes
are of special interest in organic crop rotations because of their ability to
add nitrogen to the system. Specialised bacteria (Rhizobium spp.)
associated with the roots of legumes convert atmospheric nitrogen (N2
gas) into plant-available nitrogen. The amount of N fixed by this
association between bacteria and legumes varies with plant species and
variety, soil type, climate, crop management, and length of time the crop
is grown. When used strategically in a rotation, legumes provide N to
the subsequent crop. The amount of N that a legume crop contributes to
following crops depends on the amount of N fixed, the maturity of the
legume when it is killed or incorporated into the soil, whether the entire
plant or only the root system remains in the field, and the environmental
conditions that govern the rate of decomposition. As a result, estimates
lv
of the amount of Nitrogen contributions by legumes to subsequent crops

range from 50 to over 200 pounds per acre.
Winter-hardy grains and grasses have extensive root systems that are
more efficient than legumes at scavenging soil nitrates in the fall,
thereby reducing late fall and winter leaching of nitrogen (75). In the
northeastern US, small grains (rye and wheat) are the most common
winter-hardy cover crops used by vegetable growers, since harvests of
cash crops often extend into late summer and fall. Once incorporated in
the following spring, these cover crops will release captured Nitrogen
and other nutrients to subsequent crops, but at a slower rate than from
legume cover crops because of the slower decomposition of grain
residues.
In some cases, such as when heavy crop or cover crop residues with
high carbon-to-nitrogen ratios (30:1 or higher) are tilled into the soil,
soil Nitrogen may become unavailable to plants (immobilised) in the
short run because it is taken up by soil microorganisms as they feed on
the carbon-rich residues. Seeding a legume cover crop with small grains
(for example, hairy vetch with cereal rye) can reduce Nitrogen
immobilisation by providing additional Nitrogen to microorganisms
during decomposition of residues. Alternatively, delaying the planting of
a cash crop for about two weeks after incorporation of residues generally
allows sufficient time for the cycling of Nitrogen through
microorganisms and then back into the soil. Incorporating non-legume
cover crops while they are still young and leafy also reduces problems
with Nitrogen immobilisation.
4.0 CONCLUSION
Organic matter amendments to soil decompose at different rates, and

this affects how quickly nutrients become available to crops. Several
factors affect the rate of decomposition of organic amendments,
including the carbon-to-nitrogen ratio of the amendment, soil type,
temperature and moisture conditions, and the crop being grown. Green
manures, which are part of the more active organic matter fraction,
decompose readily, liberating nutrients relatively quickly. Composts
have more stable, humic organic matter, and decompose more slowly.
As a result, most composts release nutrients to crops more slowly than
green manures.
lvi
5.0 SUMMARY
In some cases, such as when heavy crop or cover crop residues with
high carbon-to-nitrogen ratios (30:1 or higher) are tilled into the soil,
soil Nitrogen may become unavailable to plants (immobilised) in the
short run because it is taken up by soil microorganisms as they feed on
the carbon-rich residues. Seeding a legume cover crop with small grains
(for example, hairy vetch with cereal rye) can reduce Nitrogen
immobilisation by providing additional Nitrogen to microorganisms
during decomposition of residues. Alternatively, delaying the planting of
a cash crop for about two weeks after incorporation of residues generally
allows sufficient time for the cycling of Nitrogen through
microorganisms and then back into the soil. Incorporating nonlegume
cover crops while they are still young and leafy also reduces problems
with Nitrogen immobilisation.
1. What is the importance of humus?

2. Explain the term levels of soil organic matter
"Humus." Dictionary.com Unabridged Version 1.1. Random House,

Inc., 23 (2008).
Whitehead, D. C. & Tinsley, J. (1963). "The Biochemistry of Humus

Formation". Journal of the Science of Food and
Agriculture. 14 (12): 849– 857.
lvii
MODULE 4
Unit 1 Home Burial and Modern Techniques in Achieving

Sanitation-Ecological Sanitation
Unit 2 Community Lead Total Sanitation (CLTS)
UNIT 1 HOME BURIAL AND MODERN TECHNIQUES

IN ACHIEVING SANITATION-ECOLOGICAL
SANITATION
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
Ecological sanitation can be viewed as a three-step process dealing with

human excreta: (1) Containment, (2) Sanitisation, (3) Recycling. The
objective is to protect human health and the environment while limiting
the use of water in sanitation systems for hand (and anal) washing only
and recycling nutrients to help reduce the need for artificial fertilisers in
agriculture. An essential step in the process of sanitation is the
containment of pathogens that can cause disease. Without containment
and sanitisation, a vicious circle develops where the pathogens in
excreta are released back into the environment, re-infect people through
consumption of contaminated water or food, and are then excreted
again, only to begin the cycle over.
2.0 OBJECTIVE

 discuss home burial and modern techniques in achieving
sanitation-ecological sanitation.
lviii
3.0 MAIN CONTENT
3.1 Home Burial and Modern Techniques in Achieving

Sanitation Ecological Sanitation
Ecological sanitation can be viewed as a three-step process dealing with

human excreta: (1) Containment, (2) Sanitisation, (3) Recycling. The
objective is to protect human health and the environment while limiting
the use of water in sanitation systems for hand (and anal) washing only
and recycling nutrients to help reduce the need for artificial fertilisers in
agriculture. An essential step in the process of sanitation is the
containment of pathogens that can cause disease. Without containment
and sanitisation, a vicious circle develops where the pathogens in
excreta are released back into the environment, re-infect people through
consumption of contaminated water or food, and are then excreted
again, only to begin the cycle over. Ecological sanitation systems are
designed around true containment and provide two ways to render
human excreta innocuous: dehydration and decomposition. The Ecosan
concept is based on following principles:
 Prevent diseases (must be capable of destroying or isolating

faecal pathogens)
 Protect the environment (must prevent pollution and conserve
valuable water resources)
 Return nutrients (must return plant nutrients to the soil)
 Culturally acceptable (must be aesthetically inoffensive and
consistent with cultural and social values)
 Reliable (must be easy to construct and robust enough to be
easily maintained in a local context)
 Convenient (must meet the needs of all household members
considering gender, age and social status)
 Affordable (must be affordable and accessible)
Ecological sanitation is an alternative to the linear approaches to carry

waste (excreta, soapy water, etc.) to water bodies. It is based on an
ecosystem approach. The nutrients and organic matter contained in
human excreta must be considered as a resource and properly treated for
its contribution to food production systems. Systems typically work with
urine-diverting dehydration toilets (often with soil-'flush'), flush-urine-
diversion toilets and black water systems for example based on the
vacuum toilets connected to a biogas plant. Different particular
wastewater streams are forming the domestic wastewater. The
wastewater originating from toilets is called black water and can be
further divided into yellow water (urine with or without flush water) and
brown water (toilet wastewater without urine). Additionally, grey water
is that part of domestic wastewater which originates from kitchen,
shower, wash basin and laundry. This means that they are generally
lix
wasted instead of being used as fertilizers (except the small portion of

nutrients being contained in sludge which is used sometimes as fertiliser
after sanitisation).
Due to pathogens, brown water poses high health risk, but it represents a
very small volume flow in domestic wastewaters (only 50 litres are
excreted per person per year). In conventional systems, this small
volume is mixed with other streams of domestic wastewater with higher
volume flows: yellow water (tenfold volume flow compared to faeces)
and grey water. Grey water volume flows depend on habits. That is why
a wide range is given for grey water volume flow: 25,000 to 100,000
litres per person per year. This figure is related to Central European
patterns. Of course, also extremely smaller grey water volume flows per
person can be found, especially in regions with water scarcity.
Additionally toilet flush water has to be taken into consideration (which
might be up to 10 litres per toilet use).
It is very impressive that the large volume flow of grey water is

accompanied by comparably small nutrient mass flows (about 3 % of the
total nitrogen mass flow and 10 % of the total phosphorus mass flow
(phosphorus concentration can still be lowered by using phosphorus free
detergents) discharged with domestic wastewater). However, about one
third of the potassium (which is also important for plant growth and a
limited fossil fertiliser component) mass flow of domestic wastewater is
contained in grey water. Because of the large volume flow of grey water
(compared to yellow and brown water), its potassium concentration is
quite low (commonly below 10 mg/l), however. Because of its low
contribution to mass flow of the nitrogen and phosphorus in domestic
wastewater and its high volume flow grey water turns out to belong to
the water cycle and represents a splendid source for wastewater reuse.
As grey water contains nearly half of the organic load of domestic
wastewater, this is the main group of pollutants to be removed from grey
water before its eventual reuse. Therefore, treatment of grey water is far
cheaper than treatment of total domestic wastewater as there is no need
of costly nitrification and denitrification processes mostly practiced in
modern municipal wastewater treatment plants.
The scheme clearly demonstrates that greatest part of the nutrients

nitrogen, phosphorus and potassium of domestic wastewater are
contained in the comparably small volume flow of yellow water.
Moreover, urine contains trace metals required for plant growth. Only
about 10 % of the organics of domestic wastewater are urine borne.
From these reasons, yellow water has to be taken into consideration as
fertilizer, and is thus related to the food cycle rather than to the water
cycle.
Brown water contributes greatly to the phosphorus load of domestic

wastewater and can thus also be considered as fertilizer. Moreover, the
lx
organic solids make brown water a splendid candidate as a soil

conditioner after suitable treatment. Therefore, also brown water is
belonging to the food cycle.
Separate collection of yellow water is possible with urine-diversion

(UD) toilet, a suitable technology to separate the urine and faeces at
source. Usually, the toilet has two bowls, the front one for urine and the
rear one for faeces. Each bowl has its own outlet from where the
respective flow is piped out. The flush for the urine bowl needs little
water (0.2 l per flush) or no water at all whereas flushing water for
faeces bowl can be adjusted to the required amount (about 4 to 6 l per
flush) or no water in case of Urine-diverting dehydration/composting
toilets.
Among the flows of wastewater, yellow water contains most of the

nutrients. One person produces on average 3.92 kg of nitrogen, 0.38 kg
of phosphorous and 0.97 kg of potassium per year. These nutrients, such
as nitrogen in the form of urea, phosphorus as super phosphate and
potassium as an ion, are in a form which is ideal for uptake by plants.
Beneficially, urine contains very low levels of heavy metals and
pathogens. These heavy metal concentrations are much lower than those
of most chemical fertiliser. In Sweden, for instance, urine contains less
than 3.2 mg cadmium per kg of phosphorus compared to 26 mg Cd/kg
of phosphorus in commercial fertiliser and 55 mg Cd/kg of phosphorous
in sludge.
4.0 CONCLUSION
The scheme clearly demonstrates that greatest part of the nutrients

nitrogen, phosphorus and potassium of domestic wastewater are
contained in the comparably small volume flow of yellow water.
Moreover, urine contains trace metals required for plant growth. Only
about 10 % of the organics of domestic wastewater are urine borne.
From these reasons, yellow water has to be taken into consideration as
fertilizer, and is thus related to the food cycle rather than to the water
cycle.
lxi
5.0 SUMMARY
Brown water contributes greatly to the phosphorus load of domestic

wastewater and can thus also be considered as fertilizer. Moreover, the
organic solids make brown water a splendid candidate as a soil
conditioner after suitable treatment. Therefore, also brown water is
belonging to the food cycle. Separate collection of yellow water is
possible with urine-diversion (UD) toilet, a suitable technology to
separate the urine and faeces at source. Usually, the toilet has two bowls,
the front one for urine and the rear one for faeces. Each bowl has its own
outlet from where the respective flow is piped out.
List the Ecological sanitation principles (Ecosan principles).
AKUT Sustainable Sanitation in Peru (Video)". 13 October 2014.

Retrieved 21 October 2014.
Platzer, C., Hoffmann, H. & Ticona, E. (2008). Alternatives to

Waterborne Sanitation – A Comparative Study – Limits and
Potentials. IRC Symposium: Sanitation for the Urban Poor
– Partnerships and Governance.
lxii
UNIT 2 COMMUNITY LEAD TOTAL SANITATION

(CLTS)
CONTENTS
1.0 Introduction
2.0 Objective
3.0 Main Content
3.1 Community Lead Total Sanitation (CLTS)
3.2 CLTS in the SDG Era
3.3 CLTS and the Changing Landscape of Rural Wash
4.0 Conclusion
5.0 Summary
1.0 INTRODUCTION
Community-led total sanitation (CLTS) is an approach used mainly in

developing countries to improve sanitation and hygiene practices in a
community. It focuses on spontaneous and long-lasting behavior change
of an entire community. The goal of CLTS is to end open defecation.
The term "triggering" is central to the CLTS process. It refers to ways of
igniting community interest in ending open defecation, usually by
building simple toilets, such as pit latrines. CLTS involves actions
leading to increased self-respect and pride in one's community. It also
involves shame and disgust about one's own open defecation behaviors.
The concept was developed around the year 2000 by Kamal Kar for
rural areas in Bangladesh. CLTS became an established approach
around 2011. Non-governmental organisations were often in the lead
when CLTS was first introduced in a country. Local governments may
reward communities by certifying them with "open defecation free"
(ODF) status. The original concept of CLTS purposefully did not
include subsidies for toilets as they might hinder the process.
2.0 OBJECTIVE

 explain the term community lead total sanitation.
lxiii
3.0 MAIN CONTENT
3.1 Community Lead Total Sanitation (CLTS)
Community-Led Total Sanitation (CLTS) is an approach used mainly in

developing countries to improve sanitation and hygiene practices in a
community. It focuses on spontaneous and long-lasting behavior change
of an entire community. The goal of CLTS is to end open defecation.
The term "triggering" is central to the CLTS process. It refers to ways of
igniting community interest in ending open defecation, usually by
building simple toilets, such as pit latrines. CLTS involves actions
leading to increased self-respect and pride in one's community. It also
involves shame and disgust about one's own open defecation behaviors.
The concept was developed around the year 2000 by Kamal Kar for
rural areas in Bangladesh. CLTS became an established approach
around 2011. Non-governmental organisations were often in the lead
when CLTS was first introduced in a country. Local governments may
reward communities by certifying them with "open defecation free"
(ODF) status. The original concept of CLTS purposefully did not
include subsidies for toilets as they might hinder the process.
CLTS is practiced in at least 53 countries. CLTS has been adapted to the

urban context.[3] It has also been applied to post-emergency and fragile
states settings.[4]
Challenges associated with CLTS include the risk of human rights

infringements within communities, low standards for toilets, and
concerns about usage rates in the long-term. CLTS is, in principle,
compatible with human rights based approach to sanitation but there are
bad practice examples in the name of CLTS.[5] More rigorous coaching
of CLTS practitioners, government public health staff and local leaders
on issues such as stigma, awareness of social norms and pre-existing
inequalities are important.[5] People who are disadvantaged should
benefit from CLTS programmes as effectively as those who are not
disadvantaged. Community Led Total Sanitation (CLTS) is an
innovative methodology for mobilising communities to completely
eliminate open defecation (OD). Communities are facilitated to conduct
their own appraisal and analysis of open defecation (OD) and take their
own action to become ODF (open defecation free).
At the heart of CLTS lies the recognition that merely providing toilets
does not guarantee their use, nor result in improved sanitation and
hygiene. Earlier approaches to sanitation prescribed high initial
standards and offered subsidies as an incentive. But this often led to
uneven adoption, problems with long-term sustainability and only
partial use. It also created a culture of dependence on subsidies. Open
lxiv
defecation and the cycle of fecal–oral contamination continued to spread

disease.
In contrast, CLTS focuses on the behavioural change needed to ensure

real and sustainable improvements – investing in community
mobilisation instead of hardware, and shifting the focus from toilet
construction for individual households to the creation of open
defecation-free villages. By raising awareness that as long as even a
minority continues to defecate in the open everyone is at risk of disease,
CLTS triggers the community‘s desire for collective change, propels
people into action and encourages innovation, mutual support and
appropriate local solutions, thus leading to greater ownership and
sustainability.
History
CLTS was pioneered by Kamal Kar (a development consultant from
India) together with VERC (Village Education Resource Centre), a
partner of WaterAid Bangladesh, in 2000 in Mosmoil, a village in the
Rajshahi district of Bangladesh, whilst evaluating a traditionally
subsidised sanitation programme. Kar, who had years of experience in
participatory approaches in a range of development projects, succeeded
in persuading the local NGO to stop top-down toilet construction
through subsidy. He advocated change in institutional attitude and the
need to draw on intense local mobilisation and facilitation to enable
villagers to analyse their sanitation and waste situation and bring about
collective decision-making to stop open defecation.
CLTS spread fast within Bangladesh where informal institutions and

NGOs are key. Both Bangladeshi and international NGOs adopted the
approach. The Water and Sanitation Programme (WSP) of the World
Bank played an important role in enabling spread to neighbouring India
and then subsequently to Indonesia and parts of Africa. Over time, many
other organisations have become important disseminators and
champions of CLTS, amongst them Plan International, UNICEF,
WaterAid, SNV, WSSCC, Tearfund, Care, WSP, World Vision and
others. Today CLTS is in more than 60 countries in Asia, Africa, Latin
America, the Pacific and the Middle East, and governments are
increasingly taking the lead in scaling up CLTS. Many governments
have also adopted CLTS as national policy.
After initially being conceived as an approach for rural sanitation only,

there have been a variety of adaptation, for example in urban and peri-
urban settings, in schools and in post emergency and fragile state
contexts.
lxv
3.2 CLTS in the SDG era
The need to achieve sustainable sanitation for all is an urgent one: 2.3
billion people still lack even a basic sanitation service. 600 million
people have limited access to sanitation; ie they share with other
households. Globally, 892 million people still practice open defecation.
(WHO/UNICEF, 2017). More research has brought to light the many
wide-ranging negative effects of a lack of, or inadequacy of, sanitation
facilities. There is a growing understanding that sanitation impacts on
many interrelated human rights. The realisation that ‗shit stunts‘, that
OD, faecally transmitted infections (FTIs), poverty, and undernutrition
reinforce each other, is gradually being acknowledged. Research is also
showing that poor sanitation is related to psychological stress, and can
increase women‘s vulnerabilities to water, sanitation, and hygiene
(WASH)-related violence. A lack of suitable facilities for menstrual
hygiene management can result in girls regularly missing days at school.
The growing recognition of the central role of sanitation for all aspects
of human development has been mirrored in a UN General Assembly
resolution which, in December 2015, 1 defined water and sanitation as
two separate rights for the first time, as well as in the Sustainable
Development Goals (SDGs), which include the ambitious aim of
universal access to improved sanitation by 2030, with targets that
include the elimination of OD. Many countries are making sanitation a
political priority, and some have set ambitious targets for creating ODF
nations, some with detailed roadmaps of how to get there. While the
recognition of the huge potential of sanitation for improving health,
wellbeing, and child development provide important fuel for the drive to
sustainable sanitation for all, achieving this goal is going to need
significant and rapid change within the sector, particularly in relation to
reaching the poorest, where progress has been by far the slowest.
The 2017 JMP report states that 'no SDG region is on track to achieve
universal basic sanitation by 2030, with the exception of Australia and
New Zealand, where coverage is already nearly universal' and that '9 out
of 10 countries where more than 5 per cent of the population lacked
basic sanitation in 2015 are progressing too slowly to achieve universal
basic sanitation by 2030.' So the question now is, how do we harness the
political momentum, commitments, money, promising innovations, and
new technologies that have appeared in the sanitation landscape? We
also need to ask, what will it take to turn them into effective long-term
solutions?
lxvi
3.3 CLTS and the Changing Landscape of Rural WASH
The WASH landscape has been changing subtly but noticeably over the
last few years. CLTS has proved most effective to date in tackling the
sanitation challenge at scale, becoming more and more accepted,
integrated into national policies, and used in a wide variety of contexts
by a multitude of actors. However, the last few years have challenged
the sector to look beyond the ambitions of the MDGs and examine who
is not being reached by efforts to increase access to sanitation.
Coinciding with or perhaps being instigated by the SDG‘s focus on
universal coverage and reaching the poorest and most vulnerable, the
complexity of the challenges facing the WASH sector and with it,
CLTS, have become clear.
The WASH sector is recognising the need to become more diverse and
cross-cutting in response to this complexity, with general acceptance of
the need for a menu of different approaches that can either be integrated
with one another or used in isolation. More and more, programmes and
professionals are moving towards not being proponents of one approach
over the other, but are instead arguing for the need to look closely at the
context and situation to inform decisions about what approach, or
cocktail of approaches and interventions, to use.
4.0 CONCLUSION
CLTS has proved most effective to date in tackling the sanitation

challenge at scale, becoming more and more accepted, integrated into
national policies, and used in a wide variety of contexts by a multitude
of actors. However, the last few years have challenged the sector to look
beyond the ambitions of the MDGs and examine who is not being
reached by efforts to increase access to sanitation.
5.0 SUMMARY
The WASH sector is recognising the need to become more diverse and
cross-cutting in response to this complexity, with general acceptance of
the need for a menu of different approaches that can either be integrated
with one another or used in isolation. More and more, programmes and
professionals are moving towards not being proponents of one approach
over the other, but are instead arguing for the need to look closely at the
context and situation to inform decisions about what approach, or
cocktail of approaches and interventions, to use.
lxvii
Define the term Community Lead Total Sanitation (CLTS)
Ehlers, V. (1943). Municipal and Rural Sanitation. New York: McGraw-

Hill book Company, Inc.
"Call to Action on Sanitation" (PDF). United Nations. Retrieved 15

August, 2014.
lxviii

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NATIONAL OPEN UNIVERSITY OF NIGERIA

FACULTY OF HEALTH SCIENCES

COURSE CODE: EHS518

COURSE TITLE: CONCEPT OF COMMUNITY

Course Team: Dr. A. A. Madara (Course Developer/Writer)-

NATIONAL OPEN UNIVERSITY OF NIGERIA

© 2019 by NOUN Press

All rights reserved. No part of this book may be reproduced, in any

Community Sanitation is concerned with issues related to adequate

Although linked, and often mutually supporting, these three components

Throughout this paper, we define sanitation as the safe disposal of

WHAT YOU WILL LEARN IN THIS COURSE

The course aims to give you an understanding on the concept of

 Define the term concept of Community sanitation.

WORKING THROUGH THIS COURSE

To successfully complete this course, you are required to read each

Reading the referenced materials can also be of great assistance.

THE COURSE MATERIALS

 The Study Guide

The study units in this course are given below:

Unit 1 Concept of Community Sanitation

Unit 1 Sanitary Inspection of Premises/Institution

Unit 1 Methods of Cremation

Unit 1 Home Burial and Modern Techniques in Achieving

There are three aspects to the assessment of this course.

Do the exercises or activities in the unit by applying the information and

This is the continuous assessment component of this course and it

These answered assignments are to be returned to your facilitator.

1. Make sure that each assignment reaches your facilitator on or

COURSE MARKING SCHEME

FACILITATORS/TUTORS AND TUTORIALS

(You are expected to mail your tutored assignment to your facilitator at

Do not delay to contact your facilitator by telephone or e-mail for

Sanitation can be defined as the safe disposal of human excreta. The

Unit 1 Concept of Community Sanitation………………. 1

Unit 1 Sanitary Inspection of Premises/Institution ……... 17

Unit 1 Methods of Cremation …………………………… 32

Unit 1 Home Burial and Modern Techniques in

Unit 1 Concept of Community Sanitation

UNIT 1 CONCEPT OF COMMUNITY SANITATION

Throughout this paper, we define sanitation as the safe disposal of

By the end of this unit, you will be able to:

3.0 MAIN CONTENT

3.1 Health Impacts of Sanitation

Lack of sanitation leads to disease, as was first noted scientifically in

The diseases associated with poor sanitation are particularly correlated

3.2 Wider Benefits of Sanitation

In addition to its impact on health, improved sanitation generates both

The economic benefits of improved sanitation include lower health

3.3 Approaches to Sanitation

3.4 Sanitation Marketing

Sanitation marketing uses a range of interventions to raise householders'

3.5 Community Health Clubs

Community Health Clubs aim to change sanitation and hygiene attitudes

trainers, costing an average of beneficiary and involving 11,450 club

3.6 Sanitation as a Business

Traditionally, sanitation has been regarded as a centrally provided

Throughout this course, we define sanitation as the safe disposal of

6.0 TUTOR-MARKED ASSIGNMENT