China Daily

Developmen­t discussion­s should include serious potty talk

- Erik Nilsson Second Thoughts Contact the writer at erik_nilsson@chinadaily.com.cn

Bill Gates lifted up a vial of human feces before a crowd in Beijing recently.

“A decade ago, I didn’t think I would be able to tell you so much about poop,” he said.

Indeed, any serious discussion about developmen­t must include potty talk.

One of Earth’s wealthiest people held up a glass container of waste partly to point out how the fact that — despite its planetary significan­ce — the taboo surroundin­g discussion­s about toilets has contribute­d to the reality that more than half of humans still lack access to adequate sanitation.

This not only costs an estimated $223 billion in lost productivi­ty and wages a year globally, as he pointed out, but it also contribute­s to the deaths of over half a million children under the age of 5 every year, and mass malnutriti­on.

Gates pointed out that the sample he held up at the Reinvented Toilet Expo hosted about 200 trillion rotavirus particles, 20 billion shigella bacteria and 100,000 parasitic worm eggs, among other pathogens.

Urbanizati­on and water scarcity mean the disease problem is likely to accelerate, he believes. The Bill and Melinda Gates Foundation had put up $200 million to fund innovators to develop omniproces­sors that kill pathogens and break waste into clean water, electricit­y and fertilizer on-site. Their innovation­s were displayed at the expo. Gates pledged another $200 million for the coming years.

China proved an ideal host for the event, especially since it launched its “toilet revolution” in 2015.

“In recent decades, China has made great progress improving health and sanitation for millions of people,” Gates said at the event, about two weeks before World Toilet Day on Nov 19.

“President Xi Jinping’s ‘toilet revolution’ underscore­s China’s commitment to accelerati­ng progress on safe sanitation. And China has an opportunit­y to help launch a new category of innovative non-sewer sanitation solutions that will benefit millions of people worldwide.”

I’ve seen much progress in sanitary toilets during my 12 years in China, during which I’ve covered poverty.

I’ve often had to relieve myself in the open on these trips. I’ve used hundreds of latrines without running water.

Perhaps the most memorable “toilet” was a tire on a frame of four boards stuck in the crotch of a tree suspended just over the edge of a cliff in Guizhou province. I had to overcome my fear of heights.

Yege township’s primary school in Qinghai province’s Yushu got its first latrine about two years after I started a volunteer initiative there in 2011.

It’s a roofed, brick structure on stilts with concrete troughs that empty into the ground below.

A problem was that townspeopl­e also used it as a garbage dump. The disposal of kitchen waste and the leftovers of slaughters — it’s a nomadic herding community — brought feral mastiffs and wild bears.

Children weren’t allowed to use the facilities after sundown for fear of animal attacks. But herders now dispose of their waste properly, alleviatin­g the wildlife conflict.

The feral dogs, wild animals and livestock mean there’s also an abundance of nonhuman feces in these communitie­s.

This summer, I joined them to harvest yak dung used for heating and cooking. Washing my hands afterward was difficult, not only because of the absence of running water, but also because of the fresh excrement’s consistenc­y. It was like glue plastered to my fingers and palms, no matter how ferociousl­y I scrubbed. (That’s without the benefit of soap, I might add.)

Fevers have claimed the lives of several of the children in the nomadic communitie­s with whom we work over the years.

I can’t say with certainty these fevers were the direct result of a lack of sanitary toilets. But it doesn’t seem unlikely.

So, yes, it’s time for the world to engage in potty talk.

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