• UNIT7:INTROUCTION TO ENVIRONMENTAL SANITATION

    Key unit competence

     Apply house and environmental sanitation

    Introductory activity 7


    1) Observe and think about the environmental aspects of image A, B, and 

    2) Does the status of the above images have an impact on people’s health? 
    Yes or No? Explain your answer.

    3) What can you do to maintain a good sanitation in this environment?

    7.1. Introduction to environmental health

    Learning activity 1.8


    1) Identify image(s) that reflect on good environmental health and explain 
    why.
    2) Identify image(s) that reflect on poor environmental health and outline the 

    three possible health risks for people who live in that area.

    7.1.1. Concepts definition

    Environment

    The term environment refers to “the complex of physical, chemical, and biotic 
    factors (as climate, soil, and living things) that act upon an organism or an ecological 

    community and ultimately determine its form and survival. 

    The term environment captures the notion of factors that are external to the 
    individual. 
    Environment also refers to ssurroundings in which an organization operates, 
    including air, water, land, natural resources, flora, fauna, humans and their 
    interrelationships.
    Environmental aspect 
    Element of an organisation’s activities, products or services that interacts or can 
    interact with the environment – the activity
    Environmental condition 
    A state or characteristic of the environment as determined at a certain point in time.
    Environmental impact
    Change to the environment (adverse or beneficial), wholly or partly resulting from 
    the organisation’s environmental aspects – potential change or harm. 
    The environment has a major impact on the risk of chronic diseases such as 
    cancers, chronic lung disease, and birth defects and on the risk of acute illnesses 
    such as viral gastroenteritis, respiratory infections, and such vector-borne diseases 
    as malaria.
    Ecological System (Ecosystem)
    An ecosystem is a dynamic complex of plant, animal, and microorganism 
    communities and the nonliving environment interacting as a functional unit. Humans 
    are an integral part of ecosystems.
    Survival of the human population depends upon ecosystems, which aid in supplying 
    clean air and water as part of the earth’s life support system. Ecosystems are being 
    degraded with increasing rapidity because of human environmental impacts such 
    as urbanization and deforestation. Degradation of ecosystems poses environmental 
    dangers such as loss of the oxygen-producing capacity of plants and loss of 
    biodiversity.
    Environmental Health
    Environmental health comprises those aspects of human health, including quality of 
    life, that are determined by physical, chemical, biological, social and psychosocial 
    factors in the
    environment. It also refers to the theory and practice of assessing, correcting, 
    controlling, and preventing those factors in the environment that can potentially 
    affect adversely the health of present and future generations.” (World Health 

    Organization)

    Environmental pollution
    Pollution is the introduction of contaminants into the natural environment that 
    causes adverse change. Pollution can take the form of chemical substances 
    or energy, such as noise, heat or light. Pollutants, the components of pollution, 
    can be either foreign substances/energies or naturally occurring contaminants. 
    Environmental pollution is one of the most serious problems facing humanity and 
    other life forms on our planet today. 
    Environmental pollution is defined as “the contamination of the physical and 
    biological components of the earth/atmosphere system to such an extent that 
    normal environmental processes are adversely affected.” Pollutants can be naturally 
    occurring substances or energies, but they are considered contaminants when in 
    excess of natural levels. Any use of natural resources at a rate higher than nature’s 
    capacity to restore itself can result in pollution of air, water, and land. 
    Environmental pollution is of different types namely air, water, soil, noise and 
    light-weight. These cause damage to the living system. How pollution interacts 
    with public health, environmental medicine and the environment has undergone 
    dramatic change.
    Environmental health Prevention
    Prevention lies at the core of environmental public health. It includes not only the 
    control of hazards but also health promotion through environmental strategies.
    Prevention in environmental health extends upstream to the root causes of 
    environmental change and to the resulting environmental pressures that eventually 
    have an impact on human health and well-being.
    Actions to reduce or control the hazards (or to promote environmental health) can 
    be taken at all points in this chain of events. In this three-level model:
    Primary prevention involves interventions prior to the development of any signs of 
    ill health. In the case of environmental health, strategies directed toward modifying 
    driving forces, pressures, and state of the environment are primary prevention 
    efforts.
     Secondary prevention is early detection of a health problem, prior to the onset of 
    disease, for the purpose of intervening at an early stage to prevent the development 
    of the disease. In environmental health this is usually a preventive effort targeting 
    the phase when exposure has begun to occur but prior to the development of any 
    health impacts.
    Tertiary prevention involves early identification and treatment of people with 
    a disease, to prevent or forestall disability and/or death. An example of tertiary 
    prevention is the effort to ensure that patients with asthma follow recommended
    guidelines for medical treatment and environmental remediation in order to reduce 

    the frequency and severity of asthma attacks.

    7.1.2. Essential Services of Environmental Health

    1. Monitor environmental and health status to identify and solve community 
    environmental health problems.
    2. Diagnose and investigate health problems and health hazards in the 
    community.
    3. Inform, educate, and empower people about health issues.
    4. Mobilize community partnerships and action to identify and solve health 
    problems.
    5. Develop policies and plans that support individual and community 
    environmental health efforts.
    6. Enforce laws and regulations that protect environmental health and ensure 
    safety.
    7. Link people to needed environmental health services and assure the 
    provision of health care when otherwise unavailable.
    8. Assure a competent public health and personal health care workforce.
    9. Evaluate effectiveness, accessibility, and quality of personal and population
    based environmental health services.
    10. Research for new insights and innovative solutions to environmental health 

    problems.

    Self-assessment 7.1

    1) What is the difference between environment and environment health?
    2) What are the environment impacts that degrade the Ecosystem?
    3) Why is it important to assess and control environmental factors?
    4) Explain environmental pollution and outline its types.
    5) Enumerate 4 essential services of Environmental Health

    7.2. Sanitation

    Learning activity 7.2


    7.2.1. Definition

    Sanitation is the hygienic means of promoting health through prevention of human 
    contact with the hazards of wastes. Hazards can be physical, microbiological, 
    biological or chemical agents of disease. Wastes that can cause health problems 
    are human and animal feces, solid wastes, domestic wastewater (sewage, sullage, 
    greywater), industrial wastes, and agricultural wastes.
    Sanitation generally refers to the provision of facilities and services for the safe 
    disposal of human urine and faeces.
    7.2.2. Objectives of Sanitation
    a. Protect and promote Health

    Keeping disease carrying waste and insects away from the people, toilets and 
    home, break the spread of disease, prevent spreading of waterborne diseases, 

    and improve the health and quality of life.

    b. Protect environment against pollution

    Keeping disease carrying waste and insects away from the environment prevent 
    environment from pollution (air, soil and emission) and prevent contamination of 

    water resources (surfaces and ground water)

    7.2.3. Types of Sanitation

    Basic sanitation: refers to the management of human feces at the household 
    level. 
    On-site sanitation: the collection and treatment of waste is done where it is 
    deposited. Examples are the use of pit latrines, septic tanks, and imhoff tanks.
    Off-site sanitation: A sanitation system, in which waste is collected, transported 
    away from the plot where it was generated and treated.
    Food sanitation: refers to the hygienic measures for ensuring food safety. 
    Environmental sanitation: the control of environmental factors that form links 
    in disease transmission. Subsets of this category are solid waste management, 
    water and wastewater treatment, industrial waste treatment and noise and pollution 
    control. 
    Ecological sanitation: a concept and an approach of recycling to nature the 
    nutrients from human and animal wastes. Ecological sanitation is based on 
    composting or vermicomposting toilets where an extra separation of urine and 
    feces at the source for sanitization and recycling has been done. It thus eliminates 
    the creation of backwater and eliminates fecal pathogens from any still present 

    wastewater (urine).

    7.2.4. Poor sanitation
    Poor sanitation is linked to transmission of diseases such as cholera, diarrhea, 
    dysentery, hepatitis A, typhoid, polio and stunting. Poor sanitation reduces human 
    wellbeing, social and economic development. Poor sanitation also is a major cause 
    of neglected tropical diseases such as intestinal worms, schistosomiasis and 
    trachoma. Poor sanitation contributes to malnutrition.
    a. The main causes of poor sanitation and solutions
    The biggest cause of poor sanitation globally is simply lack of education. Even the 
    simple act of washing hands regularly can have a huge impact on the overall health 
    of a community. There are many causes of poor sanitation, let’s explore a few of 

    these.

    Open defecation
    This is an area we focus on as Ecoflo-WASH has the capacity to help communities 
    with composting toilets that will alleviate many of the issues surrounding open 
    defecation. Put simply, open defecation fouls surrounding environments and is a 
    major cause for the spread of preventable diseases.
    Unsafe drinking water
    Unsafe, untreated and contaminated drinking water is estimated to cause more 
    than 500,000 diarrhoeal deaths each year. Many of these could be prevented 
    with simple sanitary practices and clean drinking water. Diseases like diarrhoea, 
    cholera, dysentery, typhoid and polio are rife in areas where clean drinking water 
    isn’t available.
    High density living
    In areas where informal or temporary / semi-permanent settlements crop up, the 
    high-density nature of these areas along with less access to sanitation programs 
    and products means there’s a high likelihood of sewage and waste not being dealt 
    with properly.
    Lack of education
    This is a relatively easy issue to combat as education starts typically in the form of 
    school programs teaching children the importance of healthy habits when it comes 

    to sanitation, waste control, clean drinking water and washing their hands.

    7.2.5. Benefit of improving sanitation

    Benefits of improved sanitation extend well beyond reducing the risk of diarrhea. 
    These include: reducing the spread of intestinal worms, schistosomiasis and 
    trachoma, which are neglected tropical diseases that cause suffering for millions; 
    reducing the severity and impact of malnutrition; promoting dignity and boosting 
    safety, particularly among women and girls; promoting school attendance: girls’ 
    school attendance is particularly boosted by the provision of separate sanitary 
    facilities; and potential recovery of water, renewable energy and nutrients from 

    faecal waste.

    Self-assessment 7.2 

    1) Define sanitation
    2) Explain the objectives of sanitation?
    3) Explain 2 factors that may contribute to poor sanitation

    4) What are the benefits of improving Sanitation?

    7.3. Environmental Sanitation

    Learning activity 7.3

    In the previous lessons we learnt about environment and sanitation, Please 
    think more on that lesson and respond to the following questions:
    1) What do you think is environmental sanitation?
    2) What do you think as characteristics of good environment sanitation?

    3) What can you do to maintain a good environmental sanitation?

    7.3.1. Definition of environmental sanitation
    Environmental sanitation is a set of interventions that reduce peoples’ exposure to 
    disease by providing a clean environment in which to live, with measures to break 
    the cycle of disease. This usually includes hygienic management of human and 
    animal excreta, solid waste, wastewater, and storm water; the control of disease 
    vectors; and the provision of washing facilities for personal and domestic hygiene. 
    Environmental Sanitation involves both behaviors and facilities that work together 

    to form a hygienic environment

    7.3.2. Importance of environmental Sanitation
    There are so many reasons why sanitation and hygiene are crucial. 
    a. Protecting from illnesses and diseases
     The lack of sanitation in water and nutrition kills many people. Eating contaminated 
    food has been shown to be one of the leading causes of worm infections. Individuals 
    who live in neglected houses suffer from asthma conditions, experience more fall 
    and slip injuries, and can get microbial infections from germs growing up in their 
    bathrooms and kitchens. Maintaining a good environmental sanitation enhance the 
    prevention of illness and diseases.
    b. Maintaining mental health
    Maintaining good sanitation and hygiene also plays an essential role in nourishing 
    mental health. Researchers have long linked mental stress and anxiety to messy 
    environments and lack of organization. Mental health also comes hand-in-hand 
    with physical health, and each of them will always impact the other in turn. A healthy 
    body will nurture a healthy mind, and the opposite holds true as well. 
    c. Improving self-image and self confidence
    By ensuring the house, nutrition, and lifestyle are sanitary and by guiding population 
    through proper personal hygiene care, are empowering them to be the best 
    versions of themselves. As a result, their self-image improves and they gain more 
    self-confidence. 
    d. Improving population social status
    Good environmental sanitation improve social status of the population, because the 
    people are clean, no skin rashes or other pathology their sociability will increase.
    e. Increasing population focus and productivity
    Providing the optimum environment for them, both physically and mentally, will help 
    them grow. They’ll grow as balanced individuals who strive to achieve the best 
    versions of themselves, and they’ll have an adequate environment that helps in 
    achieving that. They’ll be able to focus more on their work or studies without any 
    distractions or limitations. As a result, their productivity will increase, allowing them 
    to achieve more growth and nourishment. 
    f. Providing a better quality of life
    By maintaining proper sanitation and ensuring good hygiene, create the perfect 
    environment for the community. Making the most out of living conditions, and, in 
    doing so, it provides a better quality of life. The quality of life provided can be 
    measured by the lack of illnesses and diseases, the lack of psychological issues, 

    and the growth they experience while living under your roof.

    7.3.3. Characteristics of environmental sanitation



    7.3.4. Strategies to improve environmental sanitation

    The improved sanitation shall be promoted through a combination of measures: 
    Awareness campaigns related to visible and non-visible health impacts of poor 
    sanitation and aiming at behavior change; 
    Marketing the sanitation offer, targeting on people’s expectations and preferences 
    such as comfort, status, health benefits, value or safety; 
    Education and training in schools and universities; Urban and rural population about 
    the maintenance of environmental sanitation
    Provision of limited material incentives or subsidies to accelerate the improvement, 
    construction or replacement of sanitary facilities; using the provision of water supply 
    services as an incentive and opportunity to improve sanitation facilities.

    Self-assessment 7.3

    1) In which way good environmental sanitation can improve population 
    social status: Choose the correct answer
    a. If the people are clean, no skin rashes or other pathology their sociability 
    will rise
    b. If the people are clean, with skin rashes or other pathology their sociability 
    will rise
    c. If the people are clean, no skin rashes or other pathology their sociability 
    will decrease
    d. If the people are dirty, no skin rashes or other pathology their sociability 
    will rise
    2) Define Environmental sanitation
    3) Outline two strategies that my enhance environmental sanitation 
    improvement 
    4) Explain how environmental sanitation increase population focus and 

    productivity

    7.4. Human excreta management

    Learning activity 7.4


    Observe the above image A and B respond to the following questions:
    1) What are the sanitation problems do you observe?
    2) What do you think as consequences of the sanitation problems observed 
    for human health?
    3) What advices can you give to that people in order to resolve the observed 
    problems
    7.4.1. Introduction
    Human excreta are the wastes products of the human digestive system, menses 
    and human metabolism including urines and feces.
    Human excreta should be disposed safely in order to avoid contamination of the 
    environment, food or hands. Safe disposal of excreta is crucial to ensure a health 
    environment and for protecting personal health; is one of the principal ways of 

    breaking the fecal -oral disease transmission cycle.

    Bacterial, viral and parasitic zoonotic pathogens that transmit via the fecal-oral 
    route have a major impact on global health. A well-established sanitation system is 
    a key barrier to disease transmission.

    7.4.2. Sanitation system 

    A sanitation system is a combination of different functional units and technologies 
    for safe collection, transport, treatment or disposal of human waste in order to 

    protect people and environment.

    Safe sanitation is essential for health; for preventing infection, improving and 
    maintaining mental and social well-being. The lack of safe sanitation systems leads 
    to infection and disease, including: Diarrhea, a major public health concern and a 
    leading cause of disease and death among children under five years in low- and 
    middle-income countries, neglected tropical diseases such as soil-transmitted 
    helminth infections, schistosomiasis and trachoma that cause a significant 
    burden globally and Vector-borne diseases such as West Nile Virus or lymphatic 

    filariasis through poor sanitation facilitating the proliferation of Culex mosquitos.

    7.4.3. Components of a sanitation system


     Figure 7.4 2 Components of sanitation system
    A sanitation system has five components: User interface, Collection and storage, 
    Conveyance, Treatment, Use and /or Disposal
    a. User interface
    The user interface is the way in which the sanitation system is accessed. The user 
    interface strongly influences the technological choices of subsequent processes.
    The following should be considered while siting the on-site systems:
    • An on-site sanitation system must not be located over a surface water body 
    and should be at 30 m from the edge of the flood plain of a surface water 
    body.
    • Onsite systems should be sited away from trees to prevent obstruction of 
    their features such as ventilation pipes.
    • On-site system should be constructed with enough space for easy access 
    and movement during desludging.
    • Soil conditions such as rocky outcrops, unstable ground and depressions 
    with shallow water table should be avoided as much as possible.
    They are two types of toilets depending on operational modes:
    Dry toilets: A dry toilet refers to a toilet that operates without flushing water. The 
    design for dry toilets requires careful judgment and considerations for the following 
    features:
    The slab or pedestal (user can sit on) base should be well sized to the pit so 
    that it is both safe for the user and prevents storm water from infiltrating the 

    pit (which may cause it to overflow).

    • For smooth emptying, the slab should provide a hole for desludging with 
    cover,
    • Slab should be at least 150 mm above the ground level with a hole covered 
    with a lid when not in use.
    The hole should be closed with a lid to prevent unwanted intrusion from 
    insects or rodents entering the containment technology. The lid also controls 
    odours and flies from the toilets.
    • The pit should be lined with stones or burnt clay bricks to prevent the collapse 
    of the earth.
    The superstructure should be designed and constructed so that it prevents 
    intrusion of rainwater, storm water, animals, rodents or insects. It should also 
    provide maximum level of privacy. Features of the superstructure include:
    – Roof should be waterproof to ensure user comfort (protection against the rain 
    and sun)
    – Ventilation should be provided between the walls and roof for aeration,
    – Door with a locker.
    Accessible handwashing facilities with soap and water should be available 
    nearby in a location that encourages use.
    Operation maintenance of dry toilets
    The following practices should be respected in operation and maintenance for dry 
    toilets: 
    Operation and maintenance of the interface (toilet) should be practiced to 
    avoid risk of illness to public health. 
    Cleanliness: The toilet and all surfaces of the room (e.g. bathroom, washroom, 
    rest room, cubicle, etc.) should be kept clean and free of excreta.
    Cleaning arrangements: Locally-available cleaning materials should be 
    safely stored and used, and all people carrying out cleaning should observe 
    safe working practices. 
    • Where dry toilets are used as public ones, the following should be specifically 
    catered for operation and maintenance: 
    – Safety (adequate lighting, no slippery grounds or surface, firm construction 
    and cleaning agents), privacy (doors with lockers) and accessibility should be 
    ensured, 
    – Public toilets should be placed again with a visible sign for visitors’ convenience, 
    – Each public toilet should have at least one toilet for the people with disability. 
    They should have bigger doors for wheel chair access, and railing for support 
    near the latrines.
    – Each public toilet should also be well designed to meet the needs of the 
    children and pregnant women.
    Water-based toilet: flush toilets; toilets that uses water.
    The design of water-based toilets should consider the following minimum 
    requirements to ensure safely managed sanitation across the service chain.
    • The water seal at the bottom of the pour flush toilet or plan should have a 
    slope of at least 25o.
    • Water seal should be made out of plastic or ceramic to prevent clogs and to 
    make cleaning easer (concrete may clog super easily if it is rough or textured),
    • The s shape of the water seal determines how much water is needed for 
    flushing and optimal depth of the water seal head should be approximately 2 
    cm to minimize the water required to flush the excreta,
    • The trap should be approximately 7 cm in diameter 
    • For public toilets, the design should mention clear sign boards for visitors and 
    at least one door for disabled (with big door with wheel chair access) and 
    railing for support near accessible,
    • Appropriateness: Pour flush toilet is appropriate for those who sit or squat 
    (pedestal or slab) as well as for those who cleanse with water. It is also 
    appropriate when there is a constant supply of water
    Operation and maintenance
    • Pour flush toilets rarely require repair. However, it should be cleaned regularly 
    to maintain hygiene and prevent the build-up of stains.
    • To reduce water requirements for flushing and to prevent clogging, it is 
    recommended that dry cleansing materials and products used for menstrual 
    hygiene be collected separately and not flushed down the toilets.
    • For pour flush toilets used as public toilets, priority should be given to efficient

    flush toilets5 which can reduce each full flush, from 11 to 3 litres per flush.

    b. Collection and storage
    The products generated at the user interface need to be collected and stored safely. 
    In the case of extended storage, some treatment may be provided, though it is 
    generally minimal and dependent on storage time.
     Where groundwater is used as a drinking-water source, a risk assessment should 
    ensure that there is sufficient vertical and horizontal distance between the base 
    of a permeable container, soak pit or leach field and the local water table and/or 
    drinking-water source (allowing at least 15 m horizontal distance and 1.5 m vertical
    distance between permeable containers and drinking-water sources is suggested 
    as a rule of thumb). 
     When any tank or pit is fitted with an outlet, this should discharge to a soak pit, 
    leach field or piped sewer. It should not discharge to an open drain, water body or 
    open ground. Where products from storage or treatment in an on-site containment 
    technology are handled for end use or disposal, risk assessments should ensure 

    workers and/or downstream consumers adopt safe operating procedures.

    Table 7.4 1 Examples of Collection and storage technologies




    c. Conveyance of wastes products

    Consist of empting and transport of products from one functional group to another. 
    Full latrines must be either emptied or moved to a new location. Latrines should 
    be emptied in a safe and hygienic manner by well trained, equipped and protected 
    workers (e.g., gloves, masks, hats, full overalls and enclosed waterproof footwear) 
    who transport the sludge to a treatment, use or disposal site.
    For septic tanks, a common rule is that they should be emptied when the solids’ 

    component of the waste fills between one-half and two-thirds of the. Based on the 

    most common sizes, septic tanks should be cleaned, at the least, every five to 
    seven years.
    The choice of the technology for emptying and transportation depends on different 
    factors including types and quantity of products to be transported, distance to cover, 
    accessibility, topography, soil and ground characteristics, financial resources and 
    availability of the service provider
    They are two types of emptying and transportation of Feacal sludge:
    • Human powered emptying technologies:
    Human powered emptying technologies have been innovatively developed in 
    recent years. These technologies are appropriate for areas that are not served or 
    not accessible by vacuum trucks, or where vacuum truck emptying is too costly. 
    They are well suited to dense, urban and informal settlements. The most common 
    types of human powered emptying equipment including Sludge Gulper, Diaphragm 
    pump, Nibbler and semi-manual pit emptying technology.
    • Fully motorized emptying and transportation technologies
    Fully motorized emptying and transport technologies refer to a vehicle equipped 
    with a motorized pump and a storage tank for emptying and transporting faecal. 
    The pump is connected to a hose, which is lowered down into the tank or pit, and 
    the sludge is sucked up into the holding tank of the vehicle. These technologies are 
    powered by the electricity, fuel or pneumatic systems. Provide an essential service 
    to unsewered areas. They are more used in urban areas with good road and to 
    containments that are easily accessible. They can also be used to empty schools, 
    public places and public institutions.
    d. Treatment of Fecal sludge 
    Treatment helps to protect the environment and public health from fecal pathogens 
    and other contaminants. The treatment facility should be designed and operated 
    according to the specific end use/disposal objective and operated using a risk 
    assessment and management approach to identify, manage and monitor risk 
    throughout the system.
    Generally, faecal sludge treatment plants treat faecal sludge in three steps: (i) solid/
    liquid separation, (ii) dewatering and (iii) stabilization of further treatment.
    From the technical performance, investment needed for installation, operation 
    and maintenance (O&M) perspective for different systems, the following treatment 
    systems for faecal sludge are most appropriate in Rwanda:
    • Imhoff tanks: Can treat high organic loads and are resistant to organic shock 
    loads. Space requirements are low and Imhoff tanks can be used in warm 
    and cold climates. As the tank is very high, it can be built underground if the 

    groundwater table is low and the location is not flood-prone.

    Settling/thickening tank: It is a low-cost technology for treating faecal 
    sludge, low operating costs can be built and repaired with locally available 
    materials and no energy is required. 
    Unplanted drying beds: Have low operating costs, can be built and repaired 
    with locally available materials, no energy is required and good dewatering 
    efficiency. 
    Anaerobic digestion (for biogas production): It is a net energy-producing 
    process which produces renewable energy in the form of biogas. The liquid 
    digestate is a better fertilizer in many ways than normal chemical fertilizers. 
    The digestate produces fewer odours when it is spread on farmland, and is 
    less likely cause pollution of local rivers and streams and spreading untreated 
    manure. 
    • Solar drying beds: Solar greenhouse is the use of renewable energy 
    sources, reduces the cost of drying. The dried sewage sludge is characterized 
    by a smaller volume and a ceramic structure, which facilitates storage and 
    transport. 
    • LaDePa (Latrine Dehydration and Pasteurization): Converts raw FS 
    from pit latrine, public toilets and households’ septic tanks into enriched and 
    pelletized compost, low-cost technology with limited energy requirement. 
    • Co-composting: Enriches soil, helping retain moisture and suppress plant 
    diseases and pests, reduces the need for chemical fertilizers, encourages the 
    production of beneficial bacteria and fungi that break down organic matter to 
    create humus, a rich nutrient-filled material 
    e. Disposal / Reuse 
    Excreta should be disposed or used in ways that are the least harmful to people 
    and environment. Workers handling effluent or faecal sludge (FS) should be trained 
    on the risks and on standard operating procedures and use personal protective 
    equipment. A multi-barrier approach (i.e., the use of more than one control measure 
    as a barrier against any pathogen hazard) should be used.
    There are different options for FS use, particularly as a soil conditioner (land 
    application in raw form or as compost or co-compost), building material (cement 
    mixture), biofuel (gas, char briquettes) and in the production of protein (e.g., animal 
    feed and via the black soldier fly). Inappropriate disposal in soils and leach field are 
    discouraged. 
    In Rwanda, faecal sludge is mostly used as a soil conditioner for agriculture 
    purposes especially in rural areas to schools and prison farms. However, the end 
    products should be well treated to avoid illness that may occur once in contact with 
    them. The dewatered solid content seen with no viable reusable option is disposed 

    in either dumpsite or sanitary landfill.

    Self-assessment 7.4 

    1) Family of X live in rural area where it is difficult to access water, which kind 
    of toilet will you advise them to use and why? Enumerate the features to 
    consider while designing that toilet.
    2) Enumerate and explain three components of a sanitation system?
    3) What are benefits of safe excreta disposal?
    4) Talk about a urine diverting toilet? 
    5) Differentiate Cistern Flush toilet from a flush pour toilet

    6) Define a septic tank and give its class in a sanitation system component

    7.5. Animal Excreta management

    Learning activity 1.8

    Observe carefully the above image and respond to the following questions
    1) Think about the practices observed on image A
    2) What may be the consequences of practices on image A?
    3) What do you think will be good practices can you advise to the people on 
    image A.
    4) Think about image B, what is your observation?
    7.5.1. Definition
    Animal excreta consist of animal feces and urines; also called manure. Animal 
    manure contains significant number of micro-organisms such as bacteria, virus and 
    parasites, responsible of many diseases in humans.
    7.5.2. Importance of Animal excreta management 
    Animal excreta may cause pollution of air and water. If animal excreta are well 
    managed; it can be beneficial to the population. 
    Management of animal excreta has a great importance on environment, health and 
    economy:
    Environment: Reduce detrimental environmental effects; prevent the 
    environment impacts on air, soil, wildlife and the marine, reduces greenhouse 
    gas emission from waste, reduces liter and odor and prevent the risks of 
    flood.
    • Economy: Increases business opportunities, provides savings to 
    business, especially in resources extraction and use, by waste prevention 
    actions recovery and/or recycling activities, achieves economic saving 
    by improvements in human health and the environment leading to higher 
    productivity, lower medical costs, better environmental quality and the 
    maintenance of ecosystem services. Capturing methane as biogas provides 
    cooking fuel and lighting that can replace firewood and charcoal.
    Agriculture: used as fertilizer, promote sustainable agriculture and increase 
    crop production.
    Public Health: Protects human health and safety in community and at waste 
    management facilities, minimize the risks associated with the wastes, and 
    improves occupational health. Prevent transmission of zoonotic diseases that 
    be transmitted through manure.
    7.5.3. Animal excreta management practices 
    Safe and effective animal excreta management practices are key to prevention of 
    disease transmission from animal excreta to human.
    Animal excreta management is done into four steps: Collection, storage, treatment 

    and reuse or application.


    a. Excreta collection or manure collection
    Manure collection is very dependent on livestock housing.
    Zero –grazing system that consist of confinement of animals in housing with open 
    sheds with roofing, sloping, concrete floor , slurry pit and manger. Frequent dung 
    removal is recommended and if possible separate urine collection and drainage 
    to limit Nitrogen loss. Remove manure as frequent as possible, locally available 
    materials such tridents, hoe and basket may be used to handle manure.
    Deep litter system: these are system where layers of bedding material are 
    repeatedly spread on older layers as the get soiled. Deep litter poultry ensure a 
    collect moisture balance in the litter. Prevent any water spills from drinker and add 

    litter when necessary.

    c. Treatment of animal excreta
    They are three most common ways of treating manure:
    Drying: urines and feces captured using bedding materials
    • Composting: is the natural process of decomposition of organic matter by 
    micro -organism under aerobic condition.
    • Anaerobic digestion: anaerobic digestion is biological process that produces 
    biogas.
    d. Manure application
    Consist of safe use of manure in agriculture as fertilizer.
    Manure application rates vary according to the type of animal, Collection and 
    storage method available soil nutrient content and the crop cultivated.

    General rule; apply two handfuls of solid manure (cattle, goat, sheep etc) or one 

    handful of poultry manure per hole/plant.

    7.5.4. Animal manure, potential pathogens and illnesses Caused 
    in humans

    Animal excreta can cause many illnesses if handled inappropriately.
    The table below summarizes potential pathogens and illness caused in humans


    7.5.5. Different ways to block transmission of pathogen from 

    animal excreta

    • Treat your water to make it safe to drink
    • Wash your hands
    • Prepare food well (e.g., washing vegetables with safe water)
    • Cover food and water to prevent contact from animals and flies
    • Fence or tether animals
    • Fence gardens to prevent animals from accessing them
    • Wear protective footwear to prevent soil-transmitted helminth infections
    • Remove excreta from the living environment and treat/dispose in a safe 

    location

    Self-assessment 7.5 

    1) What is the collect sequence of animal excreta management:
    a. Collection, storage, treatment and application
    b. Collection, treatment, reuse and storage,
    c. Storage, Collection, treatment and application
    d. Treatment, reuse, Collection, and storage,

    2) Match the following items:

    7.6. Solid waste management overview

    Self-assessment 7.6

    In your community you have various waste resulted from home activities, 
    community population activities, industries, and medical waste.
    Based on observed waste in your community, respond to the following questions:
    1) What types of solid wastes do you observe in your community?

    2) What do you do to manage them?

    7.6.1. Introduction

    Waste in general is defined as materials, which have lost their value to their first 
    owners. In other words, the term waste is used to describe materials that are 
    perceived to be of negative value.
     “Solid Waste” is defined as a solid material possessing a negative economic 
    value, which suggests that it is cheaper to discard than to use. 
    Solid waste is another type of human wastes, which refers to the solid or semi-solid 
    forms of wastes that are discarded as useless or unwanted. It includes food wastes, 
    rubbish, ashes and residues, etc.
     Solid wastes generated from human activities include those from residential, 
    commercial, street sweepings, institutional and industrial categories. Solid waste 
    can create significant health problems and a very unpleasant living environment if 
    not disposed of safely and appropriately. If not correctly disposed of, waste may 
    provide breeding sites for insect-vectors, pests, snakes and vermin (rats) that 
    increase the likelihood of disease transmission. It may also pollute water sources 
    and the environment. All generated solid waste must be managed to minimize 
    environmental impact and to protect human health.
    7.6.2. Classification of solid waste
    Solid waste can be classified into two categories by its characteristics. These are: 
    Organic solid waste and Inorganic Solid waste
    Organic solid waste: Wastes that are generally biodegradable and decompose in 
    the process of which emits offensive and irritating smell when left unattended.
    Putrescible wastes e.g., Garbage 
    Inorganic solid waste: Solid matter that does not decompose at any rat. This 
    category of waste matter may be combustible depending on the type of the nature 
    of the material they constitute. Non-putrescible wastes e.g., Rubbish

    7.6.3. Solid Waste Management

    The most environmentally preferred strategy consists of reduction of waste 
    production. Through source reduction, the volume of solid waste that must be 
    deposited in landfills is limited, e.g: Improved packaging designs that reduce the 
    number of materials that must be discarded (e.g., the use of smaller packages for 
    products); design products, such as refillable bottles, that can be reused.
    Solid waste management consists of four steps: storage, collection, transportation, 
    and disposal.
    a. Storage
    Storage is a system for keeping materials after they have been discarded and prior 
    to collection and final disposal. Where on-site disposal systems are implemented, 
    such as where people discard items directly into family pits, storage may not be 
    necessary. In emergency situations, especially in the early stages, it is likely that 
    the affected population will discard domestic waste in poorly defined heaps close to 
    dwelling areas. If this is the case, improved disposal or storage facilities should be 
    provided fairly quickly and these should be located where people are able to use 
    them easily. Improved storage facilities include: 
    • Small containers: household containers, plastic bins, etc
    • Large containers: communal bins, oil drums, etc.
    • Shallow pits: is larger-diameter sewer that carry both solid and liquid wastes.
    • Communal depots: walled or fenced-in areas
    In determining the size, quantity and distribution of storage facilities the number 
    of users, type of waste and maximum walking distance must be considered. The 
    frequency of emptying must also be determined, and it should be ensured that all 

    facilities are reasonably safe from theft or vandalism.

    b. Collection 
    Collection simply refers to how waste is collected for transportation to the final 
    disposal site. Any collection system should be carefully planned to ensure that 
    storage facilities do not become overloaded. Collection intervals and volumes of 
    collected waste must be estimated carefully. Waste collection services are provided 
    by private operators or companies based on door-to-door collection. Waste is 
    collected using specific trucks which are dominated by used roll-on-trucks owned 
    by private operators.
    c. Transportation
    This is the stage when solid waste is transported to the final disposal site. There 
    are various modes of transport which may be adopted and the chosen method 
    depends upon local availability and the volume of waste to be transported. Types of 
    transportation can be divided into three categories:
    • Human-powered: open hand-cart, hand-cart with bins, wheelbarrow, tricycle 
    • Animal-powered: donkey-drawn cart
    • Motorized: tractor and trailer, standard truck, tipper-truck
    d. Disposal
    The final stage of solid waste management is safe disposal where associated risks 
    are minimized. There are four main methods for the disposal of solid waste: Land 
    application (burial or landfilling), compositing, Burning or incineration and recycling.
    i. Land application: burial or landfilling
    A landfill is an engineered pit, in which layers of solid waste are filled, compacted 
    and covered for final disposal. It is lined at the bottom to prevent groundwater 
    pollution.
    Advantages
    Effective disposal method if managed well 
    Sanitary disposal method if managed effectively 
    Energy production and fast degradation if designed as a bioreactor landfill 
    Disadvantages
    Fills up quickly if waste is not reduced and reusable waste is not collected separately 
    and recycled 
    A reasonably large area is required 
    Risk of groundwater contamination if not sealed correctly or the liner system is 

    damaged 

    High costs for high-tech landfills 
    If not managed well, there is a risk of the landfill degenerating into an open dump 
    Once the landfill site is shut down Operation, Maintenance (O&M) and monitoring 
    must continue for the following 50 to 100 years.
    ii. Composting
    Defined as “the aerobic biological decomposition of organic materials (e.g., leaves, 
    grass, and food scraps) to produce a stable humus-like product. A natural process 
    that breaks down organic material (material that once came from a living thing) to 
    create a valuable soil amendment.
    Items that can be composted include: vegetable scraps, fruit scraps, nuts, 
    nutshells, eggshells, coffee grounds, tea leaves, yard trimmings, grass clippings, 

    leaves, twigs, woodchips and straw

    Figure 7.6 1 Organic waste compositing at the landfill

    Benefits of composting
    • Supports healthy soil structure and plant growth
    • Creates valuable resource for agriculture, including a home garden
    • Reduces the amount of waste to be collected and transported
    • Eliminates the need for chemical fertilizers by serving as a homemade organic 
    fertilizer
    • Soil holds water better
    • Reduces methane emissions from landfills 
    • Costs very little to get started and nothing to operate, can be done at home

    How to Use the Compost
    • Place it around the plant that requires extra attention
    • Cover the compost layer with soil
    • Add extra compost on top by scooping out a small proportion of the soil from 
    around the plant
    • Create a shallow dip to make watering easy and for runoff to not occur
    Wait a few weeks so that the plants have time to grow. Hopefully, when they’re 
    grown, you will be able to see the effect compost has on your plants.
    iii. Burning or incineration
    Incineration is defined as the controlled burning of solid, liquid, or gaseous wastes. 
    In other words; incineration is a treatment technology involving the destruction of 

    waste by controlled burning at high temperatures.

    Burning wastes at home is dangerous to public health and environment; chemicals 
    released into the air cause serious air pollution and are related to illnesses such as 
    cancer. Smoke from burning is hazardous to human health, especially lungs. Also 
    bothers eyes, nose, and throat. Plastics are especially dangerous than wood, paper 
    and some construction debris.
    Benefits of Waste Incineration
    Proper and responsible waste incineration provides various benefits:
    Some progressive countries use modern waste treatment and incineration facilities 
    to convert heat used in the burning of trash to electric power. 
    The incinerator bottom ash can be used as an aggregate in creating lightweight 
    blocks, pavement concrete, bulk fill, and more. Environment conscious entities are 
    using novel technologies to create bricks, tiles, shingles, and other construction 
    materials from ash.
    Incineration can decrease the solid mass of the original waste, which is already 
    compacted by garbage trucks, to a further 80 to 85%. It can also reduce the volume 
    of trash up to 95%. 
    The reduction of solid waste by incineration drastically reduces the amount of trash 
    that ends up in a landfill. 
    Incineration can also be used to treat hazardous waste (such as materials 
    contaminated with hazardous chemicals) or medical waste (such as hospital waste 
    contaminated with blood or other potentially infectious materials). The high heat of 
    incineration can destroy these hazards. Hazardous and medical wastes can only 
    go to special incinerators that are permitted to treat these types of wastes.

    Safety precautions of burning and burying solid waste

    • Combustible waste should always be separated from non-combustible waste 
    before being loaded into the burn chamber.
    • The incinerator should have had sufficient air pollution controls, meets specific 
    air emission standards 
    • If burning and incineration is used, the equipment chosen should be designed 
    and sized to accommodate the waste produced, minimize fire hazard and 
    result in the complete combustion of the waste.
    • Burn waste as far away as possible from people and items that can catch fire, 
    such as your house
    • Burn it in a pit or a barrel to prevent fire spreading
    • Bury ashes in a pit or landfill; they may have dangerous substances in them
    • Locate the site at least 500 meters away and downhill from drinking water 
    sources.
    • Ensure that there is at least 2 meters between the bottom of the disposal pit 
    and the highest annual groundwater level. The more distance between the 
    bottom of the pit and the groundwater, the lower the risk of contamination.
    • Do not dispose waste in an area susceptible to flooding.
    • Locate the site in clay-like soil if possible. The smaller the soil grain size, the 
    lower the risk of soil and groundwater contamination. Do not dispose waste 
    in sandy areas.
    • Cover waste with 0.1 meters of soil or ash regularly (e.g., daily or weekly) to 
    reduce smells and pests, and prevent waste from blowing away.
    • Construct a fence to keep animals and children out of the disposal site.
    iv. Recycling
    Recycling is defined as the process of “collecting and reprocessing a resource 
    so it can be used again,” e.g: collecting aluminum cans, melting them down, and 
    using the aluminum to make new cans or other aluminum products.” Recycling is 
    taking a product, breaking it down from its current form and making something new 
    from the same material
    Items that can be recycled are: Papers, metal, plastics and glass.
    Benefits of recycling 
    • Reduces emissions of greenhouse gases
    • Prevents pollution generated by the use of new materials, 
    • Decreases the number of materials shipped to landfills, thereby reducing the 

    need for new landfills,

    • Recycling companies often pay for materials, income can be generated
    • Preserves natural resources, opens up new manufacturing employment 
    opportunities and Saves energy
    Self-assessment 7.3

    1) Wastes that are generally biodegradable and decompose in the process 
    of which emits offensive and irritating smell when left unattended. These 
    wastes are known as:
    a. Inorganic wastes
    b. Organic wastes
    c. Metal Wastes
    d. Paper Wastes
    2) One of the following items is the benefit of waste composting
    a. Supports healthy soil structure and plant growth
    b. Eliminates the need for chemical fertilizers by serving as a homemade 
    inorganic fertilizer
    c. Increase methane emissions from landfills
    d. Discourage household because composting consume much time 

    3) Match each concept with its definition

    4) define the following terms
    a. waste
    b. solid waste

    5) outline 5 safety precautions of burning and burying solid waste

    7.7. Hazards waste management

    Learning activity 7.7


    Observe the above images and respond to the following questions
    1) What do you consider as difference or similarities between images in row 
    A?
    2) Illustrate the difference between images in row A and B 
    3) What to do you think as risks to the environment or Human health can be 

    resulted from Images in row A if are not well handled?

    7.7.1. Definition
    Hazardous waste: is a contaminant that is a dangerous good and is no longer 
    wanted or is unusable for its original intended purpose and is intended for storage, 

    recycling, treatment or disposal

    Hazardous waste is waste that is dangerous or potentially harmful to our health 
    or the environment. Hazardous wastes can be liquids, solids, gases, sludge’s, 
    discarded commercial products (e.g., cleaning fluids or pesticides), or the by
    products of manufacturing processes.
    7.7.2. Categories of hazardous waste
    a. Radio-active substance
    Radioactive waste is the type of hazardous waste that contains radioactive 
    material. Radioactive waste is a by-product of various nuclear technology 
    processes, industries based on nuclear medicine, nuclear research, nuclear power, 
    manufacturing, construction, coal and rare-earth mining and nuclear weapons 
    reprocessing. Any substances capable of emitting ionizing radiation are said to 
    be radioactive and are hazardous because prolonged exposure often results in 
    damage to living organisms. 
    b. Chemicals
    The hazardous chemical wastes can be categorized into five group’s namely 
    synthetic organics, inorganic metals, salts, acids and bases, and flammables and 
    explosives. Some of the chemicals are hazardous because they threaten human 
    lives.
    c. Bio-medical wastes
    The main sources of hazardous biological wastes are from hospitals and biological 
    research facilities. The biological waste has the capability of infecting other living 
    organisms and has the ability to produce toxins. Biomedical waste mainly includes 
    malignant tissues discarded during surgical procedures and contaminated materials, 
    such as hypodermic needles, bandages and outdated drugs.
    d. Flammable wastes
    The hazardous waste category also includes flammable wastes. This grouping is 
    necessary because of risk involved in storage, collection and disposal of flammable 
    wastes. The flammable wastes may be of solid, liquid or gaseous form. Examples 
    of flammable waste include organic solvents, oils, plasticizers and organic sludge’s.
    e. Explosives
    Explosive hazardous wastes are mainly ordnance (artillery) materials. Explosives 
    also involve high potential for hazard in case of storage, collection and disposal. 
    These types of wastes may exist in solid, liquid or gaseous form.
    7.7.3. Risks of hazardous waste
    Hazardous waste presents a danger to the environment, or to people in the nearby 
    vicinity if it is not handled correctly. Inhalation, ingestion, or dermal exposure to 
    hazardous materials can cause significant harm to humans, animals and plants

    whilst the environment can and has been damaged by improper disposal. Hazardous 

    waste presents a serious danger if:
    It’s released into the air, water, or land and can contaminate the surrounding 
    environment
    A large amount is released at one time, or if small amounts are released frequently 
    at the same location
    It comes into contact with humans via skin contact, ingestion, or breathing in 
    hazardous materials
    Improper storage or disposal leading to spills and leaks which can lead to fires
    Hazardous wastes can cause dermatitis to the skin, some cause asthma on long 
    exposure, and others cause the eyes to smart and run and also tightening of the 
    chest
    7.7.4. Principles of hazardous waste management
    a. Requirement for Environmental Impact

     No person shall engage in any activity likely to generate any hazardous waste 
    without a valid Environmental Impact Assessment Certificate issued by a competent 
    Authority. 
    b. Collection of hazardous waste 
    Any generator of hazardous waste shall ensure that all hazardous waste generated 
    are collected in appropriate manner. 
    c. Segregation of hazardous waste
    The segregation for hazardous waste must meet the following requirements: 
    • All hazardous waste must be segregated to prevent incompatible mixtures; 
    • The segregation can be done by hazard class
    d. Packing material for hazardous waste
    The packing materials of hazardous waste shall be: inert and not react with the 
    hazardous waste the materials which can be used include: Steel; Aluminium; 
    Natural Wood; Plywood; Reconstituted wood.
    e. Types of containers for hazardous waste packing 
    The hazardous waste containers shall be in the following types: Bags; Boxes; 
    Drums; Jerrycans; Combination packaging; Composite packaging. 
    f. Characteristics of containers
    The containers when used for packaging of hazardous wastes shall meet the 
    following requirements:
    Container shall be of mild steel with suitable corrosion-resistant coating and roll-on 
    roll-off cover or plastic drums, cardboard cartons for a variety of wastes. However, 
    all such containers should hold up mechanical handling; the containers for liquid 
    hazardous waste should be completely closed, in fact sealed. Container should 
    be easy to handle during transportation and also emptying. Manual handling of 
    containers should be minimized to the extent possible. 
    g. Packaging of hazardous waste
    The containers of hazardous waste must be able to withstand normal handling 
    and retain integrity for at least six months. In general, packaging for hazardous 
    waste must meet the following requirements: All packaging material shall be of 
    such strength, construction and type that they would not break or become defective 
    during transportation; Packaging material should be such that there will be no 
    significant chemical or galvanic action among any of the material in the package.
    h. Labeling of hazardous waste 
    All hazardous waste containers must be clearly labeled showing all its contents. 
    The labels must be waterproof and firmly stuck to the containers so that they cannot 
    be removed. Containers storing hazardous waste shall be labeled with the words 
    “HAZARDOUS WASTE” in official language or Warning or caution statements 
    which may include any of the following as appropriate: the words “WARNING” or 
    “CAUTION”. The information on the label must include the waste type, origin (name, 
    address, telephone number of generator), hazardous property (flammable), and the 
    symbol for the hazardous property (The red square with flame symbol). 
    i. Transportation for hazardous waste 
    The following are requirements pertaining to the transportation of hazardous wastes: 
    • The transportation vehicles and containers shall be suitably designed to 
    handle the hazardous wastes and must be closed at all times; 
    • Vehicles shall be painted preferably in blue color to facilitate easy identification; 
    • Vehicle should be fitted with mechanical handling equipment for safe handling 
    and transportation of wastes;
    • The words “HAZARDOUS WASTE” shall be displayed on all sides of the 
    vehicle in one of the officials’ languages;
    • Transporter shall carry documents of manifest for the wastes during 
    transportation;
    • The trucks shall be dedicated for transportation of hazardous wastes and 
    they shall not be used for any other purpose; 
    • Each vehicle shall carry first-aid kit, spill control equipment and fire 
    extinguisher; 
    • Driver(s) shall be properly trained for handling the emergency situations and 
    safety aspects involved in the transportation of hazardous wastes;
    • The design of the trucks shall be such that there is no spillage during 

    transportation.

    j. Storage facilities for hazardous waste
    The following are requirements pertaining to the storage of hazardous waste 
    facilities:
    • The storage area should have a proper containment system. The containment 
    system should have a collection area to collect and remove any leak, spill or 
    precipitation;
    • No open storage is permissible and the designated hazardous waste storage 
    area shall have proper enclosures, including safety requirements;
    • Proper stacking of drums with wooden frames shall be practiced; d. In case of 
    spills/leaks, cotton shall be used for cleaning instead of water; 
    • Signboards showing precautionary measures to be taken in case of normal 
    and emergency situations shall be displayed at appropriate locations;
    • Manual operations within storage area are to be avoided to the extent possible. 
    In case of personnel use, proper precautions need to be taken, particularly 
    during loading/unloading of liquid hazardous waste in drums. 
    k. Treatment of Hazardous Waste
    Any person who generates hazardous waste shall treat or cause to be treated 
    such hazardous waste using the classes of incinerators manner. Any products 
    treated shall be disposed of or treated in accordance with the conditions set by the 
    Regulatory Authority in consultation with the concerned stakeholders.
    Do not dispose hazardous waste in latrines, drainage channels, water sources or 
    on the ground.
    Dispose hazardous waste in a separate landfill site from general household waste
    l. Exportation permit 
    No person shall export hazardous wastes without a valid permit issued by a national 

    competent Authority. 

    Self-assessment 7.7 

    1) Define hazardous waste
    2) Talk about hazardous Bio-medical wastes
    3) Give the typical information should appear on label of hazardous waste?
    4) Explain 2 requirements pertaining to the storage of hazardous waste 
    facilities

    5) Discuss the hazardous waste treatment

    7.8. Domestic waste water management

    Learning activity 7.8

    Observe carefully the above image and respond to the following questions
    1) Think about the names the waste water A and B?
    2) Do you think that there is a difference between the waste water A and 
    waste water B. If yes what is the difference between them.

    3) What do you think as the importance of managing waste A and waste B

    7.8.1. Definition 
    Domestic waste water is the wastewater that is produced due to human activities in 
    households. They are three types of domestic water:
    • Black water: A mixture of urine, faeces and flush water along with anal 
    cleansing water (if water is used for cleansing) and/or dry cleansing materials. 
    Black water contains pathogens of faeces and the nutrients of urine that are 
    diluted in flush water.
    Grey water: Water generated from domestic activities; such as laundry, 
    dish washing, bathing, cleaning and in the kitchen except water from toilets. 
    Usually has low levels of pathogens, especially compared to black water. 
    Any pathogens are usually from cross-contamination with excreta. Fecal 
    pathogens can end up in grey water through hand washing after defecation, 
    washing children after defection, and washing children’s diapers. Grey water 
    may also have other contaminants like oil, grease, soap, detergent or other 
    household chemicals.
    Overflow water: Waste water that has spilled from wells or water points. 
    Normally it has very low levels of pathogens. However, overflow water can 
    quickly become contaminated with pathogens from human and animal feces 
    when it is not well managed and causes standing water.
    Domestic wastes water have a negative impact on the environment and public 
    health if is not well managed. The table below summarizes the domestic waste 

    water components and its environmental effect

    Table 7.8 1 Domestic waste water pollution

    7.8.2. Importance of domestic waste water management

    Domestic waste water management aims to remove the wastewater pollutants in 
    other to protect the environment and protect public health.
    • Environment: Prevent pollution of surface or ground water sources such as 
    ocean, lakes, rivers and streams. It prevents euthrophication and pollution 
    of sensitive aquatic systems (surface water, groundwater, drinking water 
    reservoirs) as well as terrestrial systems (irrigated soil). It preserves aquatic 
    life from toxics and biological decomposition of pollutants that may kills fishes 
    and other aquatic livings.
    • Public health: management of domestic waste water aim to protect public 
    health by eliminating waterborne diseases. It creates an effective physical 
    barrier between contaminated wastewater and user, as well as avoid odor 
    emissions and stagnant water leading to breeding sites for mosquitoes. 
    • Infrastructure: It prevents erosion of shelter and facilities such roads, bridges 
    etc.
    • Agriculture: well, treated domestic water may be used in agriculture to 
    irrigate crops.
    • Economic: Treatment of domestic water aim to prevent the use of excessive 
    water as treated water may be recycled and reused thus by reducing the cost 

    of water.

    7.8.3. Management of Domestic waste water
    Management of domestic waste water may be done in two ways: on site management 
    and off-site management 
    Off-site safely managed sanitation: A sanitation system, in which domestic waste 
    water is collected, transported away from the plot where it was generated and treated. 
    Following this, remaining products are either disposed or re-used. Currently, there 
    are few safe treatment options for off-site faecal sludge management in Rwanda.
    On-site safely managed sanitation: A sanitation system or technology in which 
    faecal sludge is contained, collected, stored, emptied and treated on the institutional 

    or household plot where it was generated.

    a. Management of black water
    Methods and processes to manage fecal sludge (The settled contents of pit latrines 
    and septic tanks) and sewage (Untreated wastewater which contains feces and 
    urine) were discussed previously in five components of a sanitation system; through 
    collection, transport and treatment of faecal sludge from pit latrines, septic tanks or 
    other on-site sanitation systems.
    b. Management of grey water 
    The amount of grey water produced depends on how much water a person uses in 
    a day. A household with no water shortages and a piped supply typically produces 
    about 90–120 liters/person/day. But this can be much less, especially in water 
    scarce areas where people must fetch their water and use only 20–30 litres/person/
    day.
    The most main step in management of grey water is to control the source by 
    reducing the amount of grey water contamination in the first place. 
    i. Collection and containment
    Grey water may be managed by on site system by collecting and containing water 
    using soak pits, grease trap and septic tanks.
    ii. Treatment of grey water
    The grey water may be treated using different methods:
    Physical treatment: In this stage, physical methods are used for cleaning the 
    wastewater. Processes like screening, sedimentation and skimming are used to 
    remove the solids. No chemicals are involved in this process.
    One of the main techniques of physical wastewater treatment includes sedimentation, 
    which is a process of suspending the insoluble/heavy particles from the wastewater. 
    Once the insoluble material settles down at the bottom, you can separate the pure 
    water.
    Another effective physical water treatment technique includes aeration. This process 
    consists of circulating air through the water to provide oxygen to it. Filtration, the 
    third method, is used for filtering out all the contaminants. You can use special 
    kind of filters to pass the wastewater and separate the contaminants and insoluble 
    particles present in it. The sand filter is the most commonly used filter. The grease 
    found on the surface of some wastewater can also be removed easily through this 
    method.
    Biological water treatment:
    This uses various biological processes to break down the organic matter present in 
    wastewater, such as soap, human waste, oils and food. Microorganisms metabolize 
    organic matter in the wastewater in biological treatment. It can be divided into three 
    categories:
    • Aerobic processes: Bacteria decomposes the organic matter and converts 
    it into carbon dioxide that can be used by plants. Oxygen is used in this 
    process.
    • Anaerobic processes: Here, fermentation is used for fermenting the waste at 
    a specific temperature. Oxygen is not used in anaerobic process.
    • Composting: A type of aerobic process where wastewater is treated by mixing 
    it with sawdust or other carbon sources.
    Chemical waste water treatment 
    Secondary treatment removes most of the solids present in wastewater, however, 
    some dissolved nutrients such as nitrogen and phosphorous may remain
    As the name suggests, this treatment involves the use of chemicals in water. 
    Chlorine, an oxidizing chemical, is commonly used to kill bacteria which decompose 
    water by adding contaminants to it. Another oxidizing agent used for purifying 
    the wastewater is ozone. Neutralization is a technique where an acid or base is 
    added to bring the water to its natural pH of 7. Chemicals prevent the bacteria from 
    reproducing in water, thus making the water pure.
    c. Reuse and disposal of grey water
    Reuse grey water to irrigate household gardens and agricultural crops
    Reuse grey water as toilet flush water.
    Dispose of grey water into the ground using a soak pit or infiltration trench
    Discharge grey water into a surface water body (e.g., pond, stream, river, lake)
    7.8.4. Overflow water management
    Over flow water should be channeled away so that it does not cause standing water.
    Overflow water that does not drain away from water points could backflow into the 
    water source and possibly contaminate the drinking water. Or the overflow water 
    can cause the soil to erode away and damage the water point structure. Overflow 
    water may be used as irrigation water for agriculture. It may be infiltrated into the 
    ground using soak pits and infiltration trenches. Over flow water may be released 
    directly to surface waters (e.g., lakes, rivers or ponds). Overflow water does not 
    normally require treatment before it can be used, infiltrated or disposed.
    Self-assessment 7.8

    1) What is blackwater and where does it come from?
    2) What is greywater and where does it come from?
    3) What is overflow water and where does it come from?
    4) What are options to manage greywater?
    5) What are options to manage overflow water?
    7.9. Environmental sanitations inspections
    Learning activity 7.9

    In the previous lessons, you leant about sanitation and environmental sanitation, 
    human and animal excreta management, solid waste water management and 
    domestic waste water management. Based on these covered lessons:
    1) What do you think as environmental inspection?
    2) What can you think as benefits and purpose of an environmental sanitation 

    inspection?

    7.9.1. Environmental sanitations inspections overview
    An environmental sanitation inspection is onsite inspection of environmental 
    sanitation practices and technologies, to identify potential source and transmission 
    of diseases related to unsafe water, poor sanitation and poor hygiene. Community 
    representatives, government officers such as environmental health inspectors, 
    or field officers from national and international organizations, may use sanitary 
    inspections.
    Environmental sanitation inspection focuses on Domestic wastewater, excreta 
    management, and public facilities. Solid waste and vector control.
    7.9.2. The benefits and purpose of an environmental sanitation 
    inspection.

    Environmental sanitations inspection helps to:
    • Provide a simple and fast means of assessing and identifying hazards 
    associated with unsanitary practices
    • Observation and inspection of community and household practice

    • Identify potential and actual risks

    • Useful in assessing small community upgrading options
    • Identify WASH practices: excreta management, hygiene, domestic wastewater 
    • Management, animal excreta management, vector control and solid waste 
    management.
    • Identify potential sources of microbiological (fecal) contamination
    7.9.3. Environmental sanitations inspections data collection 
    methods

    During Data, collection different method of data collection may be used such as 
    Observation and Interview.
    Observation can be used for observing the presence or absence of things and 
    their condition. It may also indicate some behavioral practices. For example, you 
    can directly observe solid waste in drainage ditches, or the lack of a latrine facility, 
    or animal excreta management practices. 
    Interview may be necessary to collect information about practices and behavior, 
    as they are hard to observe directly. For example, defecation practices, hygiene 
    practices, and the presence or absence of vectors.
    7.9.4. Environmental sanitation inspection forms
    Environmental sanitation inspection uses standardized environmental sanitation 
    inspection forms to ensure consistent assessments. Inspectors use appropriate 
    forms for the situation being assessed. Questions on the form are designed in a 

    simple way by open-ended question by Yes or No to reduce subjectivity

    a. Environmental sanitation Inspection Form: Animal Excreta management




     




    b. Environmental Sanitation Inspection Form: Domestic waste water 
    Management




    C.Environmental Sanitation Inspection Form: Human Excreta Management






    d. Environmental sanitation inspection forms: Public facilities













    Self-assessment 7.9 

    1) Why do we use environmental sanitation inspection forms?
    2) During inspection, you find that the goats and cows lives in the same 
    house with the family member. What will be you recommendation to the 
    family and why?
    3) Is it dangerous for pregnant women to live with cats in the household? 
    Yes or No , explain you answer. 
    4) What data gathering methods could you use to learn about excreta 
    management practices in a community?
    5) What is environmental inspection?

    End unit assessment 7

    1) A dynamic complex of plant, animal, and microorganism communities 
    and the nonliving environment interacting as a functional unit is:
    a. Environment
    b. Ecosystem
    c. Environmental health
    d. Environmental sanitation
    2) The contamination of the physical and biological components of the 
    earth/atmosphere system to such an extent that normal environmental 
    processes are adversely affected is:
    a. Environmental pollution
    b. Environmental health Prevention
    c. Primary prevention
    d. Tertiary prevention
    3) The biggest cause of poor sanitation globally is:
    a. Lack of education
    b. Lack of hand washing
    c. Lack of pure water supply
    d. Lack of food industry
    4) The below items are benefits of improved sanitation except;
    a. Reducing the spread of intestinal worms
    b. Reducing the severity and impact of malnutrition
    c. Promoting dignity and boosting safety
    d. Curing the intestinal worms
    5) Sanitation system is:
    a. Essential for health; for boosting virus vaccination, improving and 
    maintaining mental and social well-being
    b. A combination of different functional units and technologies for safe 
    collection, transport, treatment or disposal of human waste.
    c. Water seal made out of plastic or ceramic to prevent clogs and to make 
    cleaning easer
    d. Well designed to meet the needs of the children and pregnant women.
    6) The name of Water generated from domestic activities; such as laundry, 
    dish washing, bathing, cleaning and in the kitchen except water from 
    toilets is:
    a. Overflow water
    b. Black water
    c. Grey water
    d. No correct answer
    7) Explain the importance of disposing safely the human excreta
    8) Give difference between dry toilet and wet toilet
    9) Explain the way of treating the Manure
    10) Explain the ways of using compost
    11) Outline 5 safety precautions of burning or burying solid waste
    12) Give 3 benefits of recycling solid waste
    13) Explain 5 Precautions of transporting hazardous waste
    14) Discuss the importance of domestic wastewater management to public 
    health
    15) Enumerate 2 methods used in data collection during environmental 
    sanitations inspections.

    




    






    UNIT6: PRIMARY HEALTH CARE (PHC)UNIT8:INTRODUCTION TO PALLIATIVE CARE