The Last Taboo
Opening the Door on the Global Sanitation Crisis
Cloth: 978 1 84407 543 0
Price: $136.50  

Paper: 978 1 84407 544 7
Price: $38.95  

Publisher: Earthscan Publications Ltd.
March 2008 , 272 pp., 6 1/8" x 9 1/4"
photos, illus & charts
* 2008 is the International Year of Sanitation
* 2.6 billion people live without safe means of waste disposal
* Shares real-world solutions to our waste problems

Except in schoolboy jokes, the subject of human wastes is rarely aired. We talk about “water-related” diseases when most are sanitation-related. Yet for millions of people who will never be able to flush their bodily emissions into an expensive and invisible sewer, getting rid of that is the key issue. Because the topic is taboo, the worldwide crisis whereby 2.6 billion people are without a safe and efficient means of excreta disposal is neglected. International attention and resources have almost all been focused on “water”. “Sanitation” remains an ornamental—or a dirty?—word.

This book breaks many silences surrounding today's sanitation crisis. It de-couples the “water and sanitation” connection, and argues that—to make real progress—we need a radical new mind-set. A century and a half ago, a long, hot summer reduced the Thames flowing past the UK Houses of Parliament to a “Great Stink”, thereby inducing MPs to legislate sanitary reform. Today, another sanitary reformation is needed, one that manages to spread cheaper and simpler systems to people everywhere. We must learn from historical experience how to abandon our “Great Distaste” and do the business.

In the byways of the developing world, much is quietly happening on the excretory frontier. This book takes us on a tour of those endeavors, in the company of today's sanitary heroes. In the International Year of Sanitation, the authors bring—with humor and impeccable taste—this awkward subject to a wider audience than the world of international waste usually commands. They seek the elimination of the Great Distaste so that people without political clout or economic muscle can claim their right to a dignified and hygienic place to “go”.

Published with UNICEF.



Table of Contents:
List of Figures and Tables; Foreword—HRH Prince Willem-Alexander of The Netherlands; Preface—Ann M. Veneman; Acknowledgements; List of Acronyms and Abbreviations; 1) A Short History of the Unmentionable; 2) Runaway Urbanization and the Rediscovery of Filth; 3) In Dignity and Health; 4) Pit Stops: The Expanding Technological Menu; 5) Selling Sanitation to New Users; 6) Shitty Livelihoods, Or What?; 7) Bringing on the New Sanitary Revolution; Notes; Index.


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Reviews & Endorsements:
"Black and Fawcett begin with the usual history of the sanitary revolution, but with two twists: First, they highlight that for most people sanitation has been (and is) more a matter of private comfort than of public health. And second, they remind us that even in crowded Britain, home of water closets and pioneer in public health, various modes of dry closet persisted well into the postwar era. They hint that for the purposes of most of the world, histories of public health and sanitation have not given us a usable past. Black and Fawcett also take issue with a widespread view that sanitation is a problem of the ignorant rural poor—of imagined village life, not of cosmopolitan towns. Those who make that claim have been misled by figures that leave out periurban shantytowns."
- American Scientist
"Black and Fawcett recount the expansion of modern sewage systems worldwide and the subsequent improvements it has wrought in public health. They counterbalance this good news with the ongoing lack of modern sewage systems in many parts of the devloping world and the subsequent outbreaks of disease that continue to claim more than 1.5 million children's lives a year. The authors note other consequences of inadequate sewage facilities, such as elevated school dropout rates and decay of urban neighborhoods. The authors urge greater attention and further development of sewage systems worldwide, indentifying it as a necessary component of worldwide prosperity."
- The Futurist