Open defecation in the context of "Human waste"

The fecal–oral route (also called the oral–fecal route or orofecal route) describes a particular route of transmission of a disease wherein pathogens in fecal particles pass from one person to the mouth of another person. Main causes of fecal–oral disease transmission include lack of adequate sanitation (leading to open defecation), and poor hygiene practices. If soil or water bodies are polluted with fecal material, humans can be infected with waterborne diseases or soil-transmitted diseases. Fecal contamination of food is another form of fecal-oral transmission. Washing hands properly after changing a baby's diaper or after performing anal hygiene can prevent foodborne illness from spreading..Toilet flushing & subsequent inhaled aerosols is another potential route.

The common factors in the fecal-oral route can be summarized as five Fs: fingers, flies, fields, fluids, and food. Diseases caused by fecal-oral transmission include typhoid, cholera, polio, hepatitis and many other infections, especially ones that cause diarrhea.

Community-led total sanitation (CLTS) is a participatory approach used primarily in developing countries to improve sanitation and hygiene practices within communities. CLTS aims to achieve behavior change with a "trigger" that leads to spontaneous and long-term abandonment of open defecation practices, thereby improving community sanitation and overall health. The term "triggering" is central to the CLTS process. It refers to methods of igniting community interest in ending open defecation, usually by building simple toilets such as pit latrines. The effect of CLTS is two-fold: actions that increase self-respect and pride in one's community and actions that promote shame and disgust about one's open defecation behaviors. CLTS takes an approach to rural sanitation that works without hardware subsidies by facilitating communities to acknowledge the problem of open defecation, taking collective action to become "open defecation free," and improve sanitation.

The concept was developed around 2000 by Kamal Kar for rural areas in Bangladesh. CLTS became an established approach around 2011. 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 toilet installations, as they might hinder the process.

Emergency sanitation is the management and technical processes required to provide sanitation in emergency situations. Emergency sanitation is required during humanitarian relief operations for refugees, people affected by natural disasters and internally displaced persons. There are three phases of emergency response: Immediate, short term and long term. In the immediate phase, the focus is on managing open defecation, and toilet technologies might include very basic latrines, pit latrines, bucket toilets, container-based toilets, chemical toilets. The short term phase might also involve technologies such as urine-diverting dry toilets, septic tanks, decentralized wastewater systems. Providing handwashing facilities and management of fecal sludge are also part of emergency sanitation.

The immediate sanitation phase focuses on the provision of proper waste management resources. The main course of action during this stage is reducing open defecation. It is implemented as a course of initial action in emergency situations and it lasts from one to three months. Toilets provided might include very basic Latrines, pit latrines, Bucket toilets, container-based toilets or Chemical toilets.

A pit latrine, also known as pit toilet, is a type of toilet that collects human waste in a hole in the ground. Urine and feces enter the pit through a drop hole in the floor, which might be connected to a toilet seat or squatting pan for user comfort. Pit latrines can be built to function without water (dry toilet) or they can have a water seal (pour-flush pit latrine). When properly built and maintained, pit latrines can decrease the spread of disease by reducing the amount of human feces in the environment from open defecation. This decreases the transfer of pathogens between feces and food by flies. These pathogens are major causes of infectious diarrhea and intestinal worm infections. Infectious diarrhea resulted in about 700,000 deaths in children under five years old in 2011 and 250 million lost school days. Pit latrines are a low-cost method of separating feces from people.

A pit latrine generally consists of three major parts: a hole in the ground, a concrete slab or floor with a small hole, and a shelter. The shelter is also called an outhouse. The pit is typically at least three meters (10 ft) deep and one meter (3 ft) across. The hole in the slab should not be larger than 25 cm (10 in) to prevent children falling in. Light should be prevented from entering the pit to reduce access by flies. This may require the use of a lid to cover the hole in the floor when not in use. The World Health Organization recommends that pits be built a reasonable distance from the house, ideally balancing easy access against smell. The distance from water wells and surface water should be at least 10 m (30 ft) to decrease the risk of groundwater pollution. When the pit fills to within 0.5 m (1+1⁄2 ft) of the top, it should be either emptied or a new pit constructed and the shelter moved or re-built at the new location. Fecal sludge management involves emptying pits as well as transporting, treating and using the collected fecal sludge. If this is not carried out properly, water pollution and public health risks can occur.

Soil-transmitted helminthiasis is a type of worm infection (helminthiasis) caused by different species of roundworms. It is caused specifically by worms transmitted through soil contaminated with faecal matter and are known as soil-transmitted helminths. Three types of soil-transmitted helminthiasis can be distinguished: ascariasis, hookworm infection and whipworm infection. These three types of infection are therefore caused by the large roundworm A. lumbricoides, the hookworms Necator americanus or Ancylostoma duodenale and by the whipworm Trichuris trichiura.

It has become the most common parasitic disease of humans worldwide. Approximately two billion people (about a fourth of global population) are infected as of the latest estimate, and four billion at risk, surpassing even the all-time most prevalent parasitic disease, malaria. The largest numbers of cases occur in impoverished rural areas of Sub-Saharan Africa, Latin America, Southeast Asia, and China. Its main cause, like for many types of helminth infections, is lack of sanitation, such as the practice of open defecation, lack of hygiene such as hand washing and walking barefoot on contaminated soil. It is regarded as one of the world's most important causes of intellectual and physical retardation.

A bucket toilet is a basic form of a dry toilet whereby a bucket (pail) is used to collect excreta. Usually, feces and urine are collected together in the same bucket, leading to odor issues. The bucket may be situated inside a dwelling, or in a nearby small structure (an outhouse).

Where people do not have access to improved sanitation – particularly in low-income urban areas of developing countries – an unimproved bucket toilet may be better than open defecation. They can play a temporary role in emergency sanitation, e.g. after earthquakes. However, the unimproved bucket toilet may carry significant health risks compared to an improved sanitation system. The bucket toilet system, with collection organised by the municipality, used to be widespread in wealthy countries; in Australia it persisted into the second half of the 20th century.