Microbial hazards in real-world alternating dual-pit latrines treated with storage and lime in rural Cambodia

Bibliographic Details
Title: Microbial hazards in real-world alternating dual-pit latrines treated with storage and lime in rural Cambodia
Authors: James Harper, Rana Abdel Sattar, Tyler Kozole, Veasna Toeur, Jennifer Rogla, Marlaina Ross, Nate Ives, Hannah Pruitt, Payal Soneja, Drew Capone
Source: Journal of Water, Sanitation and Hygiene for Development, Vol 13, Iss 10, Pp 764-775 (2023)
Publisher Information: IWA Publishing, 2023.
Publication Year: 2023
Collection: LCC:Environmental technology. Sanitary engineering
Subject Terms: fecal sludge management, on-site sanitation, pathogen inactivation, public health, safely managed sanitation, toilet, Environmental technology. Sanitary engineering, TD1-1066
More Details: Achieving safely managed sanitation (SMS) in rural areas has spurred innovation in toilet designs that provide on-site treatment of fecal sludge (FS), including the development of International Development Enterprise (iDE)’s alternating dual-pit latrine upgrade (ADP). ADPs treat FS by inactivating pathogens using storage treatment with lime; however, ADPs’ reduction in pathogenicity (and thus their associated public health benefit) has not yet been described in real-world pits at scale. We thus enumerate the fecal indicator bacteria Escherichia coli (E. coli) and fecal coliforms in 147 pits after two years of storage treatment with lime and compare detected concentrations to relevant standards. E. coli and fecal coliform concentrations indicated a risk to human health in 31% and 42% of sampled pits, respectively. Regression models described relationships between fecal indicator bacteria concentrations and measured factors (e.g., sludge pH, temperature) but did not reveal any meaningful associations. High rates of pit ineligibility also indicate that many ADPs are not operated as recommended. Results indicate a one-in-three chance that a household emptying their own pit would be exposed to health hazards and call into question the effectiveness of the standard two-year storage treatment in real-world applications. To improve rural SMS, various evidence-based recommendations are made. HIGHLIGHTS Fecal sludge stored in real-world alternating dual-pit latrines after treatment were enumerated for fecal indicator bacteria.; E. coli and fecal coliform concentrations indicated a risk to human health in 31% and 42% of sampled pits, respectively.; Households emptying pits after treatment have a one-in-three chance of being exposed to health hazards.; Many ADPs were not operated as recommended, reducing pathogen inactivation.;
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2043-9083
2408-9362
78811848
Relation: http://washdev.iwaponline.com/content/13/10/764; https://doaj.org/toc/2043-9083; https://doaj.org/toc/2408-9362
DOI: 10.2166/washdev.2023.016
Access URL: https://doaj.org/article/1c7c2b7881184810ae8201046f3043b8
Accession Number: edsdoj.1c7c2b7881184810ae8201046f3043b8
Database: Directory of Open Access Journals
More Details
ISSN:20439083
24089362
78811848
DOI:10.2166/washdev.2023.016
Published in:Journal of Water, Sanitation and Hygiene for Development
Language:English