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Compilation of 13 factsheets on key sustainable sanitation ... - SSWM

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ecovery <strong>on</strong> a global level (Rosemarin et al., 2009). It is<br />

estimated that the globally available phosphorus from urine<br />

and faeces could account for 22% <str<strong>on</strong>g>of</str<strong>on</strong>g> the total global<br />

phosphorus demand (Mihelcic et al., 2011).<br />

Nitrogen can be extracted from the surrounding air but the<br />

industrial Haber-Bosch process is energy-intensive and<br />

today str<strong>on</strong>gly based <strong>on</strong> limited fossil fuels. Furthermore,<br />

human activities now c<strong>on</strong>vert more nitrogen from the<br />

atmosphere into reactive forms than all <str<strong>on</strong>g>of</str<strong>on</strong>g> the earth´s<br />

terrestrial processes combined (reactive nitrogen is<br />

amm<strong>on</strong>ia, amm<strong>on</strong>ium, nitrate, nitrite and nitrous oxides, i.e.<br />

NO and NO2) (Gruber and Galloway, 2008). This is four<br />

times the rate proposed as the planetary boundary for<br />

human modificati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the nitrogen cycle, in order to avoid<br />

large-scale ecological impacts, such as oceans becoming<br />

eutrophic due to nitrate (Rockström et al., 2009).<br />

This results in a triple driver for treated excreta use in<br />

agriculture in terms <str<strong>on</strong>g>of</str<strong>on</strong>g> nitrogen – to reduce fossil fuel use,<br />

reduce emissi<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> gases resp<strong>on</strong>sible for climate change<br />

and to reduce the input <str<strong>on</strong>g>of</str<strong>on</strong>g> reactive nitrogen in ecosystems.<br />

Another essential resource in food producti<strong>on</strong> is water.<br />

Agriculture is a water intensive process and c<strong>on</strong>sumes 70%<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> the total water withdrawn globally (FAO, 2011). The<br />

supply and availability <str<strong>on</strong>g>of</str<strong>on</strong>g> water is increasingly diminishing<br />

and is unevenly distributed globally. Already today, large<br />

parts <str<strong>on</strong>g>of</str<strong>on</strong>g> Asia, Africa and the Middle East face either<br />

physical or ec<strong>on</strong>omic water scarcity.<br />

Envir<strong>on</strong>mental c<strong>on</strong>sequences<br />

As urbanisati<strong>on</strong> has outpaced sanitati<strong>on</strong> infrastructure in<br />

many countries, today <strong>on</strong>ly a small fracti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> human<br />

excreta receives appropriate treatment, and generally<br />

resource recovery is not included. Cordell (2009) estimated<br />

that <strong>on</strong>ly 10% <str<strong>on</strong>g>of</str<strong>on</strong>g> nutrients in excreta return to arable soil.<br />

The disposal oriented sanitati<strong>on</strong> systems together with<br />

c<strong>on</strong>tinuous and excessive use <str<strong>on</strong>g>of</str<strong>on</strong>g> synthetic fertilisers <strong>on</strong><br />

farmlands can lead to serious envir<strong>on</strong>mental c<strong>on</strong>sequences<br />

such as eutrophicati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> surface waters, dead z<strong>on</strong>es al<strong>on</strong>g<br />

coastal estuaries and high nitrate c<strong>on</strong>centrati<strong>on</strong>s in<br />

groundwater with a negative impact <strong>on</strong> human health.<br />

Although in c<strong>on</strong>venti<strong>on</strong>al agriculture the loss <str<strong>on</strong>g>of</str<strong>on</strong>g> the most<br />

important macr<strong>on</strong>utrients is being compensated through<br />

applicati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> synthetic fertilisers, these fertilisers cannot<br />

replace the loss <str<strong>on</strong>g>of</str<strong>on</strong>g> organic matter, microorganisms and<br />

many micr<strong>on</strong>utrients equally important for fertile top soils. In<br />

many parts <str<strong>on</strong>g>of</str<strong>on</strong>g> the developing world the “mining” <str<strong>on</strong>g>of</str<strong>on</strong>g> soil<br />

nutrients is severe and crop yields are falling, as nutrients<br />

removed by the crops are <str<strong>on</strong>g>of</str<strong>on</strong>g>ten not replaced.<br />

Health impacts <str<strong>on</strong>g>of</str<strong>on</strong>g> undernutriti<strong>on</strong><br />

Undernutriti<strong>on</strong> causes weakness and fatigue, inhibits<br />

mental and physical development particularly in children<br />

(where it also causes stunting), and makes people<br />

susceptible to other fatal diseases such as pneum<strong>on</strong>ia and<br />

diarrhoea. In fact, it is estimated that the underlying cause<br />

for around <strong>on</strong>e third <str<strong>on</strong>g>of</str<strong>on</strong>g> all deaths <str<strong>on</strong>g>of</str<strong>on</strong>g> children under five<br />

years old is undernutriti<strong>on</strong> 2<br />

. Children and adults who are<br />

2<br />

See also www.childinfo.org/undernutriti<strong>on</strong>.html<br />

suffering from diarrhoea and intestinal worm infecti<strong>on</strong>s like<br />

ascaris, trichuris and hookworm obtain fewer calories from<br />

the food they eat. See for example DFID (2009) and<br />

Humphrey (2009) for more informati<strong>on</strong> <strong>on</strong> these health<br />

issues.<br />

Productive sanitati<strong>on</strong> could lead to higher crop yields,<br />

leading to less undernutriti<strong>on</strong> and hence less susceptibility<br />

for disease, growth stunting in children and death. In<br />

additi<strong>on</strong>, preventing diseases caused by lack <str<strong>on</strong>g>of</str<strong>on</strong>g> sanitati<strong>on</strong>,<br />

such as diarrhoea and helminth infecti<strong>on</strong>s, would lead to a<br />

more efficient use <str<strong>on</strong>g>of</str<strong>on</strong>g> available nutrients in food.<br />

3 The historical link between sanitati<strong>on</strong> and<br />

agriculture<br />

Food producti<strong>on</strong> is historically linked with using liquid and<br />

solid waste from human settlements in agriculture. In former<br />

centuries the removal <str<strong>on</strong>g>of</str<strong>on</strong>g> organic matter and nutrients from<br />

the soil through harvested crops was compensated through<br />

applicati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> animal manure, human excreta, compost or<br />

l<strong>on</strong>g fallow periods (see Lüthi et al., 2011). Only after the<br />

introducti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> phosphorus mining in the mid 19 th century,<br />

and industrial amm<strong>on</strong>ia producti<strong>on</strong> at the beginning <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

20 th century, it became the prevailing practice to replace<br />

nutrients removed with the harvest from the soil and the<br />

additi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> human excreta with synthetic fertilisers.<br />

In the same era water based sanitati<strong>on</strong> systems with flush<br />

toilets and sewers were installed as a resp<strong>on</strong>se to the acute<br />

health crisis in large cities at that time. Although these new<br />

sanitati<strong>on</strong> systems did improve public health at that time<br />

significantly, they also c<strong>on</strong>tributed to polluting water<br />

resources and broke nutrient cycles.<br />

The idea that human excreta is a waste product without a<br />

useful purpose is a modern misc<strong>on</strong>cepti<strong>on</strong>: pits, water<br />

bodies and landfills are used nowadays as sinks for<br />

nutrients, organic matter and pathogens.<br />

4 Ec<strong>on</strong>omic implicati<strong>on</strong>s<br />

A high percentage <str<strong>on</strong>g>of</str<strong>on</strong>g> the populati<strong>on</strong> in areas affected by the<br />

sanitati<strong>on</strong> crisis carry out subsistence farming (IAASTD,<br />

2009), and struggle to maintain an income for feeding their<br />

families. Workdays and income w<strong>on</strong> through improved water<br />

and sanitati<strong>on</strong> services are thereby also a c<strong>on</strong>tributi<strong>on</strong> to<br />

food security.<br />

Many farmers are nowadays facing higher prices <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

fertilisers, due to increasing demands, higher energy and<br />

transport costs as well as rising producti<strong>on</strong> costs (IWMI,<br />

2011). Food and fertiliser prices have been particularly<br />

unstable since the beginning <str<strong>on</strong>g>of</str<strong>on</strong>g> 2008 (see Figure 2). When<br />

fertiliser prices rise, developing countries which are<br />

dependent <strong>on</strong> fertiliser imports for agricultural producti<strong>on</strong> are<br />

particularly vulnerable. Poor infrastructure and high costs <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

transport, particularly to remote areas, adds to the problem<br />

and further increases the local market prices for synthetic<br />

fertilisers.<br />

Synthetic fertilisers are <str<strong>on</strong>g>of</str<strong>on</strong>g>ten not affordable for small-scale<br />

farmers in developing countries unless they are subsidised.<br />

Productive sanitati<strong>on</strong> and the link to food security: Working Group 5 - page 2<br />

Productive sanitati<strong>on</strong> and the link to food security: Working Group - page 2

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