Mike's Sanitation FAQ, v1.1
Disclaimer: While I have made considerable effort to ensure the accuracy of this information, I make no promises.
Let's
just say, you gotta do something about sewage. Not only does it smell
bad, but it also attracts insects and spreads diseases.
In most
third-world countries, dehydration caused by diarrhea is the number one
cause of infant death, and it's the second leading cause in most of the
rest.
Now, we can fight all day about whether diarrhea cases should
be medicated. Some people say yes, on the basis that diarrhea can
interfere if one has to travel. On the other hand, diarrhea is the
body's method of clearing out a gastrointestinal infection or illness,
and interference with this process can prolong the overall illness. In
my opinion, medication should not be used unless the patient absolutely
must march or work while afflicted.
Diarrhea can be treated with a
number of commercial medications, such as lomotil and kaopectate, or by
diet, with foods high in insoluble fiber, such as rice or bananas. In
all cases, it's of critical importance to replace all water lost-that
means drinking constantly even if the patient isn't necessarily thirsty
(When I was working in Ecuador, I had a partner come down with "turista"
and she drank almsot four gallons a day). Just as important, the water
needs to be CLEAN-no live pathogens as these will merely prolong the
condition. The water can be treated by a number of methods, such as
filtering, boiling, or iodine (an FAQ regarding water treatment is
available elsewhere on this site).
Some of the more common diseases
with this symptom such as cholera or giardia, don't necessarily require
medication-given time and plenty of clean food and water, the body will
completely clean itself out. However, this can take several weeks.
These diseases can be prevented by a number of common-sense measures.
Food
should be cooked. Fruits and vegetables can carry the disease if they
are unwashed, or washed in water that cannot be trusted. Fruits that
have peels that are not eaten, such as citrus or bananas, can be eaten
raw provided they are carefully peeled. Fruits or vegetables with peels
that are eaten, such as tomatoes or peaches, or that do not have peels,
such as all berries, should be washed thoroughly in clean water before
eating.
Meat should be cooked at least medium-no red-before
consumption. Pork, fish, and fowl should probably be cooked even more,
as these harbor a number of diseases.
Diary products should be stored
in closed containers and in general should also be refrigerated
(heavily cured cheeses, such as Parmesan, being an exception). Also,
pasturized dairy products from livestock in clean conditions is strongly
preferred-unpasturized milk can be dangerous.
All food should be
kept covered, so that flies cannot reach them-flies are the main agent
for transmitting the more common gastrointestinal diseases.
At all
times, after using the washroom (or field equivalent) and before eating
or handling food, one should wash one's hands with soap and water-a good
antibacterial soap is recommended where available. In addition, one
should wash their hands after handling animals or coming into contact
with any bodily
fluids-when slaughtering or butchering animals or providing first aid, gloves are HIGHLY
recommended.
Human
waste should be buried, both to allow decomposition and to prevent
flies from coming into contact with it. Waste carries a number of
microorganisms which, while playing a valuable role in the lower
intestine, cause severe illness anywhere else in the gastrointestinal
tract.
For temporary sites, such as on a camping trip, a slit trench,
or "cat hole" can be dug. This hole is deep enough that all waste is
completely covered, should also have organic soil on the bottom-this
comes to about six inches deep on average. The hole is completely
covered after use.
For more permanent sites, such as a homestead, a
full outhouse is necessary. This will consist of a pit, a platform, and
an outhouse at the bare minimum-a stool and seat tend to be welcome
additions.
The pit is where the waste actually goes, and where it is
decomposed. This pit should be DEEP- six feet is a good minimum. In
Honduras, where we worked on a community sanitation project dealing with
this information, the pits we dug averaged about eight or nine feet
deep and three feet on a side. With the pit, it is less important to
have organic soil at the bottom than it is with the cathole-as a matter
of fact, none of the pits we did had organic soil at the bottom.
However, it helps to save some of the organic soil from
the digging and dump it into the bottom of the pit to aid decomposition. A few inches depth at the bottom is plenty.
The
platform is generally made of reinforced concrete-the ones we made used
a standard mixture of one part cement to several parts each of gravel
and sand (but the sand should be completely free of organic matter to be
considered strong). The reinforcing bars used were quarter-inch steel
dowel rod, spaced four to six inches apart and tied together with baling
wire. The reinforcing bar should be cut to such a length that each rod
terminates about two inches from the edge of the platform-above all the
rods must NOT be allowed to come into contact with the air once the
concrete is poured. Finally, the rod intersections
should be elevated
above the ground by small rocks. A typical platform ends up being four
or five inches thick, and four feet on a side.
For obvious reasons, a
hole should be left in the middle of the platform-a ring of PVC pipe or
the like about ten inches to a foot in diameter works quite well. In
addition, a pipe for ventilation should also be included. This pipe need
not be too large-a few inches diameter is just fine, and should extend
slightly below the underside of the platform, and above the roof of the
outhouse.
The average platform was about a foot larger on each side
than the pit diameter, so that for a 3'x3' pit, the platform was about
4'x4'. In areas with weaker soils, the platform may be made wider, or
the pit may
have bricks or timbers placed inside to provide internal support.
The
outhouse is a necessity, both for privacy and protection from the
elements, and to keep the flies out. These are fairly simple affairs,
and just require scrap lumber and nails to build. It should enclose the
platform, be reasonably windproof, and have a door capable of closing.
Toilet
paper is nice to have, but not strictly necessary. Foliage or whatever
can be substituted. Whatever is used, though, should be burned or buried
after use. Throwing it into the pit will cause the pit to fill
prematurely.
Over time, the pit will gradually fill. When it fills to about two or three feet below grade, a new pit
should be dug elsewhere and the original pit filled in and allowed to decompose.
Pits
and catholes need to be carefully sited to protect your water supply.
They should always be a considerable distance from dwellings, food
storage areas, wells, rivers, ponds, and the like. In general,
100 to 200 feet is advised, and downwind of the campsite/house.
By
properly containing waste, you've cut off most of the infection risk at
the source. By cooking and covering food properly, you've made a major
dent in the disease cycle. By proper storage (see Alan Hagan's Food Storage FAQ)
you make yet another dent in the disease cycle. Where that leaves you
is with the need for a clean source of water. See Patton Turner's Water
Treatment FAQ elsewhere on this site for details.
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