<figure><img width="1400" height="1050" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110811110/636a28a59c7e80680e045883jpeg.jpg" alt=""/><figcaption>Photo: SONIA AWALE</figcaption></figure>For someone who jet sets around the world, hobnobbing with governments and scientists to promote affordable and ecological toilets, Roshan Shrestha found out for himself just how difficult maintaining loos can be during a recent visit to his home in Nepal.The Seattle-based 55-year-old sanitation expert (pictured below) found that the septic tank at his family home below Swayambhu was overflowing. But he had no clue who to turn to, and <a href="https://www.nepalitimes.com/opinion/where-to-take-a-dump/" target="_blank" rel="noopener">how to get it emptied</a>. “I did not know where to go,” recalled Shrestha during a break at a Faecal Sludge Management Conference last week in Cape Town. “If it was so difficult for me, I can only imagine how hard it must be for the general public.”Read also: <a href="https://www.nepalitimes.com/banner/toilet-trained/" target="_blank" rel="noopener">Toilet trained</a>, Sonia Awale<a href="https://www.nepalitimes.com/opinion/where-to-take-a-dump/" target="_blank" rel="noopener">Where to take a dump</a>, Bhushan TuladharShrestha finally got in touch with a private service provider and got the problem fixed after a few days. With over 30 years of experience in improving sanitation, Shrestha was promoted last month as Deputy Director of the Urban Sanitation Markets at the <a href="https://www.gatesfoundation.org/" target="_blank" rel="noopener">Bill and Melinda Gates Foundation</a> (BMGF).Shrestha is a leading authority in the field, and involved in the BMGF’s <a href="https://www.gatesfoundation.org/What-We-Do/Global-Growth-and-Opportunity/Water-Sanitation-and-Hygiene/Reinvent-the-Toilet-Challenge-and-Expo" target="_blank" rel="noopener">Reinvent the Toilet Challenge</a> that has scientists around the world competing for the best design of a new generation of <a href="https://www.nepalitimes.com/banner/toilet-trained/" target="_blank" rel="noopener">toilets</a> that do not use water, are cheap to install and easy to operate.Shrestha has been recognised for promoting water and sanitation projects in Nepal with his new responsibility at the BMGF, a philanthropic arm of the founder of Microsoft.Says environmental expert Bhushan Tuladhar: “Roshan is passionate about sanitation, and does not treat it as just another job. He has great commitment and perseverance. His success is well deserved and it is only fitting that the foundation has recognised it.”Read also: <a href="https://www.nepalitimes.com/banner/getting-our-shit-together/" target="_blank" rel="noopener">Getting our shit together</a>, EditorialThe Gates Foundation’s Brian Abrogast said of Shrestha’s promotion: “Roshan Shrestha has been the best ambassador the foundation could ask for, exuding respect and compassion while generating admiration – and impressive results.”The BMGF’s toilet challenge has prompted top scientists from China, India and other parts of the world to come up with innovative new designs, from solar-powered smart toilets that generate hydrogen and electricity to sanitation systems that convert human waste into biological charcoal, fuel gas, minerals and clean water.Shrestha had humble beginnings in a public school in Kathmandu before getting an MSc from Tribhuvan University in 1988. He worked in a water analysis laboratory to test the water in the Bagmati River. And later founded <a href="http://enpho.org/" target="_blank" rel="noopener">Environment and Public Health Organisation</a> (ENPHO) that specialises in research and monitoring. Later, he got a PhD from a university in Austria in limnology, the study of inland water bodies. On his return, Shrestha successfully marketed the popular water purifier called Piyush.Shrestha went on to introduce Nepal’s first wetland system in Dhulikhel for small-scale wastewater treatment and reuse, and designed Nepal’s first faecal sludge treatment plant in Teku in 1998.“It was at this point that I realised that water quality would never improve without upgrading sanitation. At the root of water pollution is poorly managed sanitation,” said Shrestha, who then became involved in <a href="http://archive.nepalitimes.com/article/nation/dont-wait-for-melamchi-nepal,3765" target="_blank" rel="noopener">rainwater harvesting</a> and turned his residence into a model eco-home complete with urine diversion dry toilet.After a stint at UN HABITAT as a South Asia region technical adviser, he was convinced toilet technology had to be less water-intensive to improve sanitation in the developing countries. “We claim to have over 90% <a href="https://www.nepalitimes.com/banner/getting-our-shit-together/" target="_blank" rel="noopener">latrine coverage in Nepal</a> but most structures do not meet required standards, and that is why we need a new breakthrough in toilets,” said Shrestha.The Gates Foundation has invested heavily in developing new  technologies that can destroy pathogens on site through faecal sludge management.“If a vast country like India can clean up its act, why can’t Nepal? All we need is political will and proactive leadership committed to improving sanitation,” adds Shrestha, whose foundation is currently developing a new course on sanitation at Kathmandu University, and working with Nepal Bureau of Standards on a new <a href="http://archive.nepalitimes.com/news.php?id=15235#.XHfVCMAzaUk" target="_blank" rel="noopener">toilet</a> standard.Here in Cape Town at the global conference he helped put together,  Shrestha says his goal is still to go back to Nepal: “I plan to head home, but after we have developed an adaptable technology for safer sanitation in developing countries so we can promote it in Nepal as well.”

Sonia Awale

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Toilet trained expert

<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107171152/636937bf9c7e80680e03fe59jpeg.jpg" alt="" width="640" height="870"/>It is a sight repeated tens of millions of times every morning across northern India: groups of women carrying water lota making their way to the fields before dawn to defecate. They need to do this before light, and ahead of the men.The off-Bollywood movie <a href="https://www.imdb.com/title/tt5785170/" target="_blank" rel="noopener">Toilet: Ek Prem Katha</a> begins with women carrying lanterns and lota ducking behind bushes. But this morning there is a slight complication: an ‘eve-teaser’ passes by driving a tractor and the women are caught in the headlights. They freeze and hurriedly cover their faces with the pallu of their saris.Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/banner/toilet-trained/" target="_blank" rel="noopener">Toilet trained</a>, Sonia Awale<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/opinion/where-to-take-a-dump/" target="_blank" rel="noopener">Where to take a dump</a>, Bhushan Tuladhar<a href="https://www.nepalitimes.com/here-now/nature-calls/" target="_blank" rel="noopener">Nature calls</a>Director <a href="https://www.imdb.com/name/nm3109648/?ref_=tt_ov_dr" target="_blank" rel="noopener">Shree Narayan Singh</a> plunges directly into the ugly reality of India where 300 million people still defecate in the open, an activity that is especially risky for women. He uses scatological humour to tackle a serious taboo.Toilet tells the tale of 36-year-old Keshav Sharma who dreams of getting married but cannot unless he finds a girl with two thumbs in her left hand, as per the requirement of his priest father. He is also made to marry a black buffalo in an attempt to rid him of a fault in his horoscope.But after a chance meeting outside a train toilet, Keshav immediately falls for Jaya Joshi, who eventually reciprocates his feelings. Keshav makes a fake thumb for Jaya to wear to get his father’s approval for marriage. But the very next morning after their wedding, Jaya, a graduate from a well-to-do educated family, is shocked to find that Keshav’s house does not have a loo.Initially Keshav does not understand what is the big deal. Why doesn’t his new wife socialise with the other lota women at dawn? She refuses, so he tries to convince his orthodox father to make a latrine inside the house. Dad thinks that would be sacrilegious. Keshav then comes up with hilarious temporary solutions to stop Jaya from ultimately leaving him, but we won’t tell you what they are.Toilet is not just about the lack of latrines. At a deeper level it deals with India’s entrenched patriarchy, the irrational orthodoxy of religious fundamentalists, bureaucratic disinterest and corruption. Which is all very familiar to us here in Nepal, albeit less pervasive.The film was one of the highest grossing Hindi movies ever, but has already come and gone in Kathmandu theatres in 2018. Those who missed it can stream it online.This movie will probably be more effective than thousands of editorials and public service announcements to stop open defecation. Toilet is edutainment cinema at its best, communicating a public health message while addressing the underlying social contradictions.Veteran actor <a href="https://www.imdb.com/name/nm0451600/?ref_=ttfc_fc_cl_t5" target="_blank" rel="noopener">Anupam Kher</a> as the self-confessed ‘dirty mind but clean hearted’ uncle of Jaya, and <a href="https://www.imdb.com/name/nm4450033/?ref_=ttfc_fc_cl_t4" target="_blank" rel="noopener">Divyendu Sharma</a> playing Keshav’s bother add the much-needed comic relief in this at times preachy film. <a href="https://www.imdb.com/name/nm1106058/?ref_=tt_ov_st_sm" target="_blank" rel="noopener">Sudhir Pandey</a> as the father of Keshav deserves a special mention for his brilliant characterisation of a devout Hindu priest set in his ways. Relative newcomer <a href="https://www.imdb.com/name/nm6277267/?ref_=tt_ov_st_sm" target="_blank" rel="noopener">Bhumi Pednekar</a> has stage presence as the strong-willed Jaya. <a href="https://www.imdb.com/name/nm0474774/?ref_=tt_ov_st_sm" target="_blank" rel="noopener">Akshya Kumar</a> as Keshav is perfectly cast, if a little too old for the part.Toilet does suffer from the typical Bollywood plot-holes: too many happenstance and ironically larger than life events for a movie inspired by a true story. But it is still a stark portrayal of a society where mobiles are more prized than toilets.https://www.youtube.com/watch?v=ym4EJQ7XORk

Love and Loo

<figure><img width="1400" height="1016" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2aa9c7e80680e03333ejpeg.jpg" alt=""/><figcaption>RAW FOOTAGE: A drainage pipe emptying raw sewage into the Manohara River in Kathmandu on Thursday morning. Swollen with overnight rain, the river carried human excreta, dead animals, plastic bottles and other refuse just upstream from its confluence with the Bagmati. Pic: Bikram Rai</figcaption></figure>After a <a href="http://archive.nepalitimes.com/news.php?id=16988#.WxoJx-6FO70" target="_blank" rel="noopener">cholera epidemic swept Jajarkot</a> in 2010 killing 300 people, mostly children, the government was jolted to action. With help from UNICEF, it launched a campaign to make all of Nepal’s districts open defecation free. The drive has saved many thousands of lives. A toilet is no longer just a place to relieve oneself, it has become a health facility. At the end of another National Sanitation Week, three more districts including Lalitpur have been declared open-defecation free. Nearly 97% of Nepali households now have latrines.Read also: <a href="https://www.nepalitimes.com/banner/toilet-trained/" target="_blank" rel="noopener">Toilet trained</a>, Sonia AwaleThe campaign has shortcomings: many toilets are poorly maintained and lack water supply. However, Siddhi Shrestha of UNICEF says, “Nepal’s progress in sanitation is a global success story. It changed the mindset of people, a toilet at home became a matter of pride, more than just infrastructure.”The <a href="https://www.nepalitimes.com/editorial/poor-health/" target="_blank" rel="noopener">health outcome has been dramatic</a>. In 2011, nearly 7,000 children in Nepal died of diarrhoeal dehydration, and it was the third biggest killer of children under five. By last year, that figure dropped to less than 1,000.But Bhusan Tuladhar of UN-Habitat has a word of caution: “While we celebrate Nepal’s success we now need to also work on managing what has accumulated in the toilets.”Read also: <a href="https://www.nepalitimes.com/opinion/where-to-take-a-dump/" target="_blank" rel="noopener">Where to take a dump?</a>, Bhushan TuladharIndeed, pit latrines and urban sewage have now become serious health hazards across Nepal.Kathmandu is one of 22 remaining districts still not open defecation free. The capital’s breakneck and haphazard growth has poisoned its rivers and turned the air toxic – making the city a symbol of governance failure. There are token cleanups and slogans, but no political will to address the crisis. Smart cities are those which treat and recycle their waste. Kathmandu is not a smart city, it has become ugly and dangerous for its inhabitants.Read also: <a href="https://www.nepalitimes.com/editorial/getting-our-shit-together/" target="_blank" rel="noopener">Getting our shit together</a>, Editorial Nepal urgently needs sewage treatment plants, and a mechanism for the removal, recycling and disposal of faecal sludge. In the absence of government initiatives, private entrepreneurs across the country are stepping in to set up collection services, and produce biogas and fertiliser from waste.Says Bipin Dangol of the Environment and Public Health Organisation (ENPHO): “It is time to think beyond toilets. Unless human excreta is safely disposed, we will continue to face health risks.”Read also:<a href="http://archive.nepalitimes.com/article/nation/%20jajarkot-open-defecation-free,2023" target="_blank" rel="noopener">Learning the hard way</a>, Sahina Shrestha

Nature calls

<h4>As Nepal reaches the goal of sanitation for all, the next health challenge is to make latrines hygienic</h4>https://www.youtube.com/watch?v=XeOw-x3Sp_E&amp;t=3sTill recently, across many parts of Nepal, where people defecated was a matter of life or death.Sidewalks and trails strewn with human excrement spread disease and contaminated drinking water. The main killer of children in Nepal used to be diarrhoeal dehydration.But in the past decade, the rapid spread of household latrines in Nepal is an internationally recognised success story. And it has saved the lives of many thousands of children who would otherwise have fallen victims to water-borne diseases like diarrhoea, typhoid and <a href="http://archive.nepalitimes.com/article/nation/%20jajarkot-open-defecation-free,2023" target="_blank" rel="noopener">cholera</a>.Read also: <a href="https://www.nepalitimes.com/editorial/getting-our-shit-together/" target="_blank" rel="noopener">Getting our shit together</a>, EditorialThere is an inverse correlation between the increase in the proportion of households with toilets and the decrease in child mortality. In 1980 only 2% of homes had toilets, that figure has jumped to 97% today. In the same period, Nepal’s under-five child mortality dived from 209 per 1,000 live births to below 35 today.“The achievement in health outcomes of household toilets, especially in reducing diarrhoea incidence in the last five years, has been dramatic,” said Siddhi Shrestha of UNICEF.<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2b29c7e80680e033341jpeg.jpg" alt="" width="400" height="655"/>However, experts say just declaring a district open defection free does not mean it is -- access to water supply plays a critical role. In addition, the toilets need to be cleaned regularly to keep them hygienic. An evaluation found many latrines of substandard construction, not child or girl-friendly, many were located next to water sources, or were contaminating ground water. Open pits were buzzing with flies, which spread disease.Toilets in many schools and households were so dirty many students and villagers preferred to go out into the open.“Having a toilet in every household and declaring a district open defecation free is a major achievement. But having a toilet is different from using a toilet,” explained UN-HABITAT’s Bhushan Tuladhar.Read also: <a href="https://www.nepalitimes.com/opinion/where-to-take-a-dump/" target="_blank" rel="noopener">Where to take a dump?</a>, Bhushan TuladharBut as Nepal inches closer to the 100% household toilet target, another danger has already manifested itself: management of excreta that is overflowing out of pit latrines and septic tanks. There are only a handful of functioning faecal sludge treatment plants, even though emptying the sewage has become a booming business.“It is now time to think beyond the toilets,” said Bipin Dangol of Environment and Public Health Organisation (ENPHO). “Unless waste water and human excreta are safely disposed, we will continue to face health risks. The next step is to spread awareness about proper disposal of waste.”Read also: <a href="https://www.nepalitimes.com/here-now/nature-calls/" target="_blank" rel="noopener">Nature calls</a>, Sonia Awale<img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2b49c7e80680e033342jpeg.jpg" alt="" width="750" height="442">Toilets are now being thought of as part of a value chain system, starting from user interface, containment and transportation of the waste, followed by its treatment, disposal and safe reuse.The current toilet technology that involves flush tanks using drinking water is resource intensive, especially in Nepal’s cities which suffer a chronic water shortage. Engineers worldwide are experimenting with the next generation of toilet designs that allow excreta to be burnt and converted into valuable energy source. They also want the new prototypes to be affordable, work off-grid so that the poorest communities have access to safe sanitation solutions (read story below).Sanitation expert Doulaye Kone of the the Bill and Melinda Gates Foundation was in Kathmandu recently for a meeting to approve a new standard ISO 30500 that set requirements for toilets of the future. They have to meet many criteria: destroy waste and kill pathogens, not use water or electricity, generate energy and water, cost less than Rs5 per use, and be easy to install and maintain.https://www.youtube.com/watch?v=Vm_K5NvFpok“A new toilet that meets these standards will be a super vaccine,” he told Nepali Times in an interview. “A toilet is a health product so that people won’t have to suffer or die due to the lack of safe sanitation anymore.”A working model for a future breakthrough in Nepal's sanitation movement could be a new facility at an orphanage in Lubhu, which treats household effluent, turning it into methane gas, fertiliser and water for the kitchen and vegetable garden.Sanitation engineer Reetu Rajbhandari (pictured below at the Lubhu treatment plant) at ENPHO says the system is still expensive, and there are challenges of location.But she added: “This is an ideal solution for waste collection, disposal, treatment and recycling when everyone has a toilet. Future research needs to go into making it more affordable.”<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2b69c7e80680e033343jpeg.jpg" alt="" width="1400" height="789"><figcaption> </figcaption></figure><h2>Waste not, want not</h2>Nepal solved one problem, and created another. After a successful campaign against open defecation, 97% of households in Nepal now have latrines. But what to do with the waste that has accumulated in the pits and sewage?To solve the growing problem, the Ministry of Water Supply and Sanitation passed the Faecal Sludge Management (FSM) framework for the collection, transport, treatment and disposal of waste in urban areas. For Kathmandu Valley, this will go hand-in-hand with the government’s plan to free the Bagmati of sewage by 2020.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2b99c7e80680e033344jpeg.jpg" alt="" width="1200" height="802"><figcaption> </figcaption></figure>A first-of-its-kind project at an orphanage in Lubhu (pictured above) outside Lalitpur gives a glimpse of how it would work. Septic tank waste is collected from households that pay for the service, transported to the treatment plant to be turned into fertiliser, methane gas and water.The plant (right) was originally set up to treat waste at shelters after the 2015 earthquake by the German organisation BORDA, Environment and Public Health Organisation (ENPHO), and Saligram Bal Griha. A similar faecal sludge treatment plant has been built in Bardia.The system treats six cubic metres of sewage per week, with separate solid and liquid units. It takes three days for the sludge to be treated and the water reused for irrigation. The rest flows into a digester to generate biogas, and the effluent takes 12 days to dry into odourless fertiliser.Vegetables thrive in the nutrient-rich waste, and are enough to feed all 42 children and staff in the orphanage. Extra greens are sold in the market.“We didn’t have sufficient water to farm in the past, now we can grow our own food, and cook in gas from treated human waste,” says caretaker Surya Prasad Ghimire. With a price tag of Rs7 million, the only downside for now is the cost, but that is because it is a prototype.When biogas first spread in Nepal 40 years ago, users were squeamish about allowing latrine waste to flow into the digester along with cowdung. By now there are 400,000 household biogas plants in Nepal, and nearly a third of them process both animal and human waste. In addition, 100 Police stations, Army bases and jails use human waste to generate gas for their kitchens.Explains Prakash Aryal of the Alternative Energy Promotion Centre (AEPC): “There used to be a taboo about linking toilets with biogas, but it is now easier to convince people due to the rise in awareness.”<h2>Here come the smart toilets</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2bc9c7e80680e033345jpeg.jpg" alt="" width="600" height="400"><figcaption> </figcaption></figure>In the last 200 years, humans have sent rockets to Jupiter, the Internet has transformed communication, the Human Genome Project has mapped the chromosomes. Yet in that time, toilets have remained the same.Social taboos about defecation have stymied toilet technology from evolving beyond the ceramic water closet that allowed loos to be located inside homes. Aside from some automation and digital spray control, toilet technology has remained unchanged for two centuries.Finally in 2011, the Bill and Melinda Gates Foundation launched the Reinvent the Toilet Challenge to provide safe and affordable sanitation solutions to 2.5 billion people worldwide who don’t have access to toilets. The idea was to stop open defecation with a cheap alternative that would also prevent the spread of infections.The Foundation’s specification was to re-invent the toilet that would destroy the pathogens in human waste, convert it into energy, and not need to be connected to the sewage, water, or electricity grids. And, oh yes, it should also cost less than $0.5 cents per user per day and be suitable for urban poor and rural settings.Many companies have joined the competition with ideas like: a solar-powered toilet that generates hydrogen and electricity, sanitation systems that convert human waste into biological charcoal, fuel gas, minerals and clean water. The challenge has gained momentum in India and China where engineers are coming up with innovative new technologies.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2be9c7e80680e033346jpeg.jpg" alt="" width="640" height="429"><figcaption> </figcaption></figure>Last week, 120 experts from 33 countries were in Kathmandu (pictured above) to brainstorm on sustainable non-sewered sanitation systems, and approved a new standard ISO 30500 that set the requirement for toilets for the Third World that are safe, cheap and don’t need water.“Toilets today do not work. We need a system that kills pathogens, runs off the grid, and is affordable. A structure that can operate without existing infrastructure and reach marginalised communities,” explained Doulaye Kone (pictured below), sanitation expert at the Bill and Melinda Gates Foundation.The Challenge is literally a challenge. What engineers have come up with so far are contraptions ranging from what look like mini nuclear reactors to glorified pit latrines.Kone says what the Foundation is looking for are appliances that will outwardly appear no different from existing toilets, but will be standalone structures with no sewers, and can convert waste into clean water and energy. Cost, maintenance and social acceptance will be the main hurdles to be overcome.Manufacturers are ready to bring some of the new inventions into the market, but the ones so far are still expensive. Kone argues that while the prototypes may be expensive and will target urban dwellers, mass production of a viable business model will eventually take it to the poorest.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221107111148/6368e2c19c7e80680e033347jpeg.jpg" alt="" width="640" height="578"><figcaption> </figcaption></figure>“This is innovative technology that allows for on-site treatment and produces minimum waste, while producing pathogen free water,” says Bipin Dangol of Environment and Public Health Organisation (ENPHO). “Its capital investment might be large, but we have a good financial mechanism and social marketing. We just need to convince people that this system will be good for the health of their families.”

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