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Methods of Excreta Disposal
(Source: Park's Textbook of Preventive and Social Medicine)
Public Health Importance
Human excreta is a major source of infection and environmental pollution. The health hazards of improper excreta disposal are:
- Soil pollution
- Water pollution
- Contamination of foods
- Propagation of flies
The diseases resulting from improper disposal include typhoid and paratyphoid fever, dysenteries, diarrhoeas, cholera, hookworm disease, ascariasis, viral hepatitis, and other intestinal infections and parasitic infestations.
How Disease is Carried from Excreta (The 5 Fs)
Faecal-borne diseases reach a new host through five channels:
- Water
- Fingers
- Flies
- Soil
- Food
The sanitation barrier (a sanitary latrine + disposal pit or sewerage system) is placed between the source (faeces) and these channels to break the disease cycle.
Classification of Methods
I. Unsewered Areas
1. Service Type Latrine (Conservancy System)
- Nightsoil is collected from bucket/pail latrines by human agency.
- Disposed of by burying in shallow trenches or composting.
- Major drawbacks: Exposes nightsoil to flies, risk of water and soil pollution, unsanitary working conditions for sweepers, and is inconsistent with human dignity.
- Recommended to be replaced by non-service sanitary latrines.
2. Non-Service Type (Sanitary Latrines)
A sanitary latrine must meet these criteria:
- Excreta must not contaminate ground or surface water
- Excreta must not pollute the soil
- Excreta must not be accessible to flies, rodents, or animals
- Excreta must not create a nuisance due to odour
- Must be simple, cheap to construct, and easy to maintain
Types include:
(a) Bore Hole Latrine
- A hole 30-40 cm (12-18 inches) in diameter and 4.5-8 m (15-25 ft) deep is bored into the ground.
- Suitable for temporary or semi-permanent use in rural areas.
- Simple and inexpensive.
(b) Dug Well / Pit Latrine
- A shallow pit dug in the ground, covered with a squatting slab.
- Suitable for rural areas with sufficient land and low groundwater tables.
(c) Water-Seal Type Latrines - the most recommended for rural India
These use a water seal (trap) to prevent odour and fly access. Three main types:
- (i) P.R.A.I. Type (Public Health Research Association of India)
- (ii) R.C.A. Type (Rural Central Architecture) - the most widely used design in India
- Components: squatting plate (90 cm square, cement concrete), pan (42.5 cm long), trap/water seal (2 cm depth), connecting pipe, dug well (pit), superstructure
- Water seal depth of 2 cm prevents fly access and odour
- Only 1-2 litres of water needed to flush
- Latrine must be 15 m away from any water source
- (iii) Sulabh Shauchalaya - a two-pit pour-flush latrine, widely promoted in India
(d) Septic Tank
- A water-tight masonry tank into which household sewage is admitted for treatment.
- Suitable for individual dwellings, small groups of houses, and institutions with adequate water supply but no public sewerage access.
- Key design features:
- Capacity: 20-30 gallons (2.5-5 cu ft) per person; minimum 500 gallons total
- Depth: 1.5-2 m; liquid depth 1.2 m
- Air space: minimum 30 cm between liquid surface and cover
- Retention period: 24 hours
- Working mechanism: Solids settle at the bottom (sludge), liquid is partially purified by anaerobic bacteria, and effluent flows out to a soak pit or drain field.
- Sludge must be desludged periodically (every 1-3 years).
(e) Aqua Privy
- A simplified version of a septic tank, placed directly beneath the latrine seat.
- Excreta falls directly into the tank through a drop pipe immersed in liquid (forming a water seal).
- Suitable where water is scarce.
3. Latrines for Camps and Temporary Use
- (a) Shallow trench latrine - 30 cm wide, 90 cm deep, 90 cm long per 6 users; covered with 15 cm of soil after each use
- (b) Deep trench latrine - 45-50 cm wide, 1.8-2.4 m deep; can be used for weeks
- (c) Pit latrine
- (d) Bore hole latrine
II. Sewered Areas - Water Carriage System & Sewage Treatment
Sewage composition: 99.9% water, 0.1% solids (organic + inorganic). Its "strength" is measured by:
- BOD (Biochemical Oxygen Demand) - amount of oxygen absorbed in 5 days at 20°C. Weak sewage = 100 mg/L; Strong sewage = 300 mg/L or above.
- COD (Chemical Oxygen Demand)
- Suspended solids
(a) Primary Treatment
Removes gross solids and suspended matter (30-40% BOD reduction):
- Screening - removes large solids using bar screens
- Removal of grit - sand and grit settle in a grit chamber
- Plain sedimentation - suspended organic matter settles as sludge in sedimentation tanks
(b) Secondary Treatment
Biological oxidation of organic matter (removes up to 90% BOD):
- Trickling/Percolating filters - sewage trickles over a bed of stone/coke; aerobic bacteria in the slime layer oxidize organic matter
- Activated sludge process - sewage is aerated in tanks containing activated sludge (rich in bacteria); most efficient secondary method
(c) Other Disposal Methods
- Sea outfall - treated/partially treated sewage discharged into the sea via a long outfall pipe
- River outfall - effluent discharged into rivers; BOD of effluent must be compatible with the dilution capacity of the river (dilution ratio of 8:1 is the minimum)
- Sewage farming - treated sewage used for irrigation; nutrients (N, P, K) in sewage benefit crops
- Oxidation ponds (stabilization ponds) - shallow basins (1-1.5 m deep) where sewage is treated by sunlight, wind, algae, and bacteria over 5-30 days; suitable for tropical countries like India
Summary Table
| Area | Method | Mechanism |
|---|
| Unsewered | Service/Conservancy system | Manual collection + burial/composting |
| Unsewered | Bore hole latrine | Soil absorption |
| Unsewered | Pit/Dug well latrine | Soil absorption |
| Unsewered | Water-seal latrine (RCA, PRAI, Sulabh) | Pit + water trap |
| Unsewered | Septic tank | Anaerobic digestion + soak pit |
| Unsewered | Aqua privy | Simplified septic beneath seat |
| Camp/temp | Shallow/Deep trench, pit, bore hole | Burial |
| Sewered | Primary treatment | Screening, sedimentation |
| Sewered | Secondary treatment | Trickling filters, activated sludge |
| Sewered | Sea/River outfall | Dilution + natural purification |
| Sewered | Sewage farming | Agricultural reuse |
| Sewered | Oxidation ponds | Solar/algal/bacterial oxidation |
Park's Textbook of Preventive and Social Medicine, pp. 858-866