Evaluating financial sustainability along the sanitation value chain using a financial flow simulator (eSOSView™).

A majority of the world's population use onsite sanitation systems, which store or treat excreta close to where it is generated. Sludge from these systems needs to be managed through a series of stages, known as the sanitation value chain. There is a huge diversity of service providers, not only within each part of the chain, but also along the chain bridging the different components. These service providers are linked not only by the flow of materials, but also by the transfer of money. Therefore for this system to be considered financially sustainable all services from the toilet to reuse or disposal need to be considered. A tool has been developed (eSOSView™) to simulate, evaluate, and optimise the financial flows along and within the sanitation value chain. In this paper eSOSView™ was tested, validated (using existing data), and piloted (including data collection). This paper demonstrates how eSOSView ™ can be used to evaluate different financial flow models, to assess financial sustainability in different parts of the sanitation value chain and optimise the financial sustainability along the sanitation value chain.

Occupational Health Risk Assessment for Wastewater Treatment and Reuse in Kanpur, India.

The treatment and reuse of wastewater for irrigation can lead to occupational health risks for sewage treatment plant (STP) workers and farmers. Sanitation Safety Planning (SSP) is an approach which can be used to measure and mitigate these risks. This paper explores what impact a novel secondary treatment process, consisting of an integrated permeate channel (IPC) membrane combined with a constructed wetland plus, has on the occupational health risks compared with the existing activated sludge wastewater treatment process and reuse system in Kanpur, Uttar Pradesh. A mixed methodology was used, which included key informant interviews, structured observations, and E. coli analysis. This data was used to undertake semi-quantitative risk assessments following the SSP approach. The novel secondary treatment increased the number of health risks which the STP workers were exposed to, but the severity of the risks was lower. This was due to the differences in treatment processes and infrastructures. The number of health risks for the farmers decreased both in number and severity. For their children, the severity of the health impacts decreased. These changes were due to the increase in the microbiological quality of the irrigation water. This study highlights the potential of using a semi-quantitative risk assessment to assess the occupational health impacts of using novel treatment technologies.

Are There Seasonal Variations in Faecal Contamination of Exposure Pathways? An Assessment in a Low-Income Settlement in Uganda.

Sanitation infrastructure are not able to cope with the increasing population in low-income countries, which leaves populations exposed to faecal contamination from multiple pathways. This study evaluated public health risk (using SaniPath) in a low-income community during the dry season, to identify the dominant exposure pathways, and compare this data to existing data for the rainy season, questioning the assumption that risk of faecal contamination is higher in the rainy season. SaniPath was used to collect and assess exposure and environmental data, and to generate risk profiles for each pathway. In the dry season the highest exposure frequency was for bathing and street food, exposure frequency generally increased, and seasonal variation was found in five pathways. The highest hazards in the dry season were through contact with drains, soil, and street food. Seasonal variation was found in the contamination of open drains and street food, with higher levels of Escherichia coli (E. coli) in the dry season. Open drains were identified as the most dominant risk pathway in both seasons, but risk was higher in the dry season. This highlights the complex nature of seasonal variation of faecal risk, and questions the assumption that risk is higher in the rainy season.