Decentralized wastewater system in the context of "Emergency sanitation"

Sewage treatment is a type of wastewater treatment which aims to remove contaminants from sewage to produce an effluent that is suitable to discharge to the surrounding environment or an intended reuse application, thereby preventing water pollution from raw sewage discharges. Sewage contains wastewater from households and businesses and possibly pre-treated industrial wastewater. There are a large number of sewage treatment processes to choose from. These can range from decentralized systems (including on-site treatment systems) to large centralized systems involving a network of pipes and pump stations (called sewerage) which convey the sewage to a treatment plant. For cities that have a combined sewer, the sewers will also carry urban runoff (stormwater) to the sewage treatment plant. Sewage treatment often involves two main stages, called primary and secondary treatment, while advanced treatment also incorporates a tertiary treatment stage with polishing processes and nutrient removal. Secondary treatment can reduce organic matter (measured as biological oxygen demand) from sewage,  using aerobic or anaerobic biological processes. A quaternary treatment step (sometimes referred to as advanced treatment) can also be added for the removal of organic micropollutants, such as pharmaceuticals. This has been implemented in full-scale in Sweden.

A large number of sewage treatment technologies have been developed, mostly using biological treatment processes. Design engineers and decision makers need to take into account technical and economical criteria of each alternative when choosing a suitable technology. Often, the main criteria for selection are desired effluent quality, expected construction and operating costs, availability of land, energy requirements and sustainability aspects. In developing countries and in rural areas with low population densities, sewage is often treated by various on-site sanitation systems and not conveyed in sewers. These systems include septic tanks connected to drain fields, on-site sewage systems (OSS), and vermifilter systems. On the other hand, advanced and relatively expensive sewage treatment plants may include tertiary treatment with disinfection and possibly even a fourth treatment stage to remove micropollutants.

A constructed wetland is an artificial wetland to treat sewage, greywater, stormwater runoff or industrial wastewater. It may also be designed for land reclamation after mining, or as a mitigation step for natural areas lost to land development. Constructed wetlands are engineered systems that use the natural functions of vegetation, soil, and organisms to provide secondary treatment to wastewater. The design of the constructed wetland has to be adjusted according to the type of wastewater to be treated. Constructed wetlands have been used in both centralized and decentralized wastewater systems. Primary treatment is recommended when there is a large amount of suspended solids or soluble organic matter (measured as biochemical oxygen demand and chemical oxygen demand).

Similar to natural wetlands, constructed wetlands also act as a biofilter and/or can remove a range of pollutants (such as organic matter, nutrients, pathogens, heavy metals) from the water. Constructed wetlands are designed to remove water pollutants such as suspended solids, organic matter and nutrients (nitrogen and phosphorus). All types of pathogens (i.e., bacteria, viruses, protozoans and helminths) are expected to be removed to some extent in a constructed wetland. Subsurface wetlands provide greater pathogen removal than surface wetlands.