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      Toilet revolution in China

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          Abstract

          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.

          Highlights

          • The history and current Chinese sanitation scenarios are presented.

          • The concept of toilet revolution and the concrete toilet actions are elaborated.

          • Challenges and opportunities for toilet revolution are discussed and analyzed.

          • China provides valuable lessons-learned for the developing world.

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          Most cited references56

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            Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition

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              Global burden of childhood pneumonia and diarrhoea

              Summary Diarrhoea and pneumonia are the leading infectious causes of childhood morbidity and mortality. We comprehensively reviewed the epidemiology of childhood diarrhoea and pneumonia in 2010–11 to inform the planning of integrated control programmes for both illnesses. We estimated that, in 2010, there were 1·731 billion episodes of diarrhoea (36 million of which progressed to severe episodes) and 120 million episodes of pneumonia (14 million of which progressed to severe episodes) in children younger than 5 years. We estimated that, in 2011, 700 000 episodes of diarrhoea and 1·3 million of pneumonia led to death. A high proportion of deaths occurs in the first 2 years of life in both diseases—72% for diarrhoea and 81% for pneumonia. The epidemiology of childhood diarrhoea and that of pneumonia overlap, which might be partly because of shared risk factors, such as undernutrition, suboptimum breastfeeding, and zinc deficiency. Rotavirus is the most common cause of vaccine-preventable severe diarrhoea (associated with 28% of cases), and Streptococcus pneumoniae (18·3%) of vaccine-preventable severe pneumonia. Morbidity and mortality from childhood pneumonia and diarrhoea are falling, but action is needed globally and at country level to accelerate the reduction.
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                Author and article information

                Contributors
                Journal
                J Environ Manage
                J. Environ. Manage
                Journal of Environmental Management
                Academic Press
                0301-4797
                1095-8630
                15 June 2018
                15 June 2018
                : 216
                : 347-356
                Affiliations
                [a ]School of Energy and Environmental Engineering, Beijing Key Laboratory of Resource-oriented Treatment of Industrial Pollutants, University of Science and Technology Beijing, Beijing, 100083, PR China
                [b ]Department of Geography, Faculty of Social Sciences, University of Victoria, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada
                [c ]EnviroSystems Engineering & Technology Co., Ltd., Tiangong Plaza A501, Xueyuan Road 30, Haidian District, Beijing, 100083, PR China
                Author notes
                []Corresponding author. zifulee@ 123456aliyun.com
                Article
                S0301-4797(17)30912-X
                10.1016/j.jenvman.2017.09.043
                5937855
                28941832
                c5866935-61e3-40af-92f4-4fed4209ef09
                © 2017 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 24 February 2017
                : 26 August 2017
                : 15 September 2017
                Categories
                Article

                Environmental management, Policy & Planning
                toilet revolution,sanitation,challenge,opportunities,china

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