Untreated wastewater in developing countries: 14 billion a day and we don’t know where it ends up

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To limit the spread of disease and reduce environmental pollution, human waste (excreta) needs to be safely contained and effectively treated. Yet 4.2 billion people, more than half of the world’s population, lack access to safe sanitation.

In developing countries, each person produces, on average, six litres of toilet wastewater each day. Based on the number of people who don’t have access to safe sanitation, that equates to nearly 14 billion litres of untreated faecally contaminated wastewater created each day. That’s the same as 5,600 Olympic-sized swimming pools.

This untreated wastewater directly contributes to increased diarrhoeal diseases, such as cholera, typhoid fever and rotavirus. Diseases such as these are responsible for 297,000 deaths per year of children under five years old, or 800 children every day.

The highest rates of diarrhoea-attributable child deaths are experienced by the poorest communities in countries including Afghanistan, India, and the Democratic Republic of Congo.

Given the global scale of this problem, it’s surprising sanitation practitioners still don’t know where exactly all the human excreta flows or leaches to, due to absent or unreliable data.