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Theodore Roosevelt once noted that “civilized people ought to know how to dispose of the sewage in some other way than putting it into the drinking water.” But that’s what we’re still doing every day.

The one-time use of water to disperse human and industrial wastes is an outmoded practice, made obsolete by new technologies and water shortages. Yet it is still common around much of the world. Water enters a city, becomes contaminated with human and industrial wastes, and leaves the city dangerously polluted. Toxic industrial wastes discharged into rivers and lakes or into wells also permeate aquifers, making water — both surface and underground — unsafe for drinking.

The current engineering concept for dealing with human waste is to use vast quantities of water to wash it away, preferably into a sewer system, where it may or may not be treated before being discharged into the local river. The “flush and forget” system takes nutrients originating in the soil and typically dumps them into the nearest body of water. Not only are the nutrients lost from agriculture, but the nutrient overload has contributed to the death of many rivers and to the formation of some 405 “dead zones” in ocean coastal regions. This outdated system is expensive and water-intensive, disrupts the nutrient cycle, and can be a major source of disease and death. Worldwide, poor sanitation and personal hygiene claim the lives of some 2 million children per year, a toll that is one-third the size of the 6 million lives claimed by hunger and malnutrition.

Sunita Narain of the Center for Science and Environment in India argues convincingly that a water-based disposal system with sewage treatment facilities is neither environmentally nor economically viable for India. She notes that an Indian family of five, producing 250 liters of excrement in a year and using a water flush toilet, contaminates 150,000 liters of water when washing away its wastes.