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      Correlation between general health knowledge and sanitation improvements: evidence from rural China

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      npj Clean Water
      Springer Science and Business Media LLC

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          Abstract

          A lack of access to sanitation not only has negative effects on the environment but also results in increased prevalence of disease and adversely affects health outcomes. This paper uses data from a survey in Liaoning Province in China to examine the relationship between general health knowledge and improved sanitation facility access. It also explores the effects of work experience and government subsidies on toilet renovation. Using Logit Regression and Duration Analysis, our results show that general health knowledge had a significant positive correlation with flush toilet use and a significant negative correlation with the average duration of traditional latrine pits use. The results of heterogeneity analysis show that work experience in cities can expand farmers’ horizons, which increases their general health knowledge. However, per capita government subsidies are insufficient and result in no significant impact on general health knowledge. This paper also discusses certain restrictions that prevent general health knowledge from having an effect on toilet renovation. The article finally proposes policy recommendations for rural areas in China to better promote the rural toilet revolution and our results can also provide useful guidelines for drawing up relevant policies in other developing countries.

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          Microeconometrics

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            Sustainable sanitation technology options for urban slums.

            Poor sanitation in urban slums results in increased prevalence of diseases and pollution of the environment. Excreta, grey water and solid wastes are the major contributors to the pollution load into the slum environment and pose a risk to public health. The high rates of urbanization and population growth, poor accessibility and lack of legal status in urban slums make it difficult to improve their level of sanitation. New approaches may help to achieve the sanitation target of the Millennium Development Goal (MDG) 7; ensuring environmental sustainability. This paper reviews the characteristics of waste streams and the potential treatment processes and technologies that can be adopted and applied in urban slums in a sustainable way. Resource recovery oriented technologies minimise health risks and negative environmental impacts. In particular, there has been increasing recognition of the potential of anaerobic co-digestion for treatment of excreta and organic solid waste for energy recovery as an alternative to composting. Soil and sand filters have also been found suitable for removal of organic matter, pathogens, nutrients and micro-pollutants from grey water.
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              Toilet revolution in China

              The wide-spread prevalence of unimproved sanitation technologies has been a major cause of concern for the environment and public health, and China is no exception to this. Towards the sanitation issue, toilet revolution has become a buzzword in China recently. This paper elaborates the backgrounds, connotations, and actions of the toilet revolution in China. The toilet revolution aims to create sanitation infrastructure and public services that work for everyone and that turn waste into value. Opportunities for implementing the toilet revolution include: fulfilling Millennium Development Goals and new Sustainable Development Goals; government support at all levels for popularizing sanitary toilet; environmental protection to alleviate wastewater pollution; resource recovery from human waste and disease prevention for health and wellbeing improvement. Meanwhile, the challenges faced are: insufficient funding and policy support, regional imbalance and lagging approval processes, weak sanitary awareness and low acceptance of new toilets, lack of R&D and service system. The toilet revolution requires a concerted effort from many governmental departments. It needs to address not only technology implementation, but also social acceptance, economic affordability, maintenance issues and, increasingly, gender considerations. Aligned with the ecological sanitation principles, it calls for understanding issues across the entire sanitation service chain. Public-private partnership is also recommended to absorb private capital to make up the lack of funds, as well as arouse the enthusiasm of the public.
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                Author and article information

                Contributors
                Journal
                npj Clean Water
                npj Clean Water
                Springer Science and Business Media LLC
                2059-7037
                December 2021
                March 26 2021
                December 2021
                : 4
                : 1
                Article
                10.1038/s41545-021-00111-8
                1f296e28-1650-4b59-a3ec-1f66595fbcbe
                © 2021

                https://creativecommons.org/licenses/by/4.0

                https://creativecommons.org/licenses/by/4.0

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