Category Archives: Emergency Sanitation

Deprived of water and sanitation in Gaza

We don’t want another catastrophe besides the one we already have. Fatma (43) mother of 9 children

Since the start of the Israeli assault on Gaza on 7 July 2014, codenamed “Protective Edge”, the water and wastewater infrastructure in Gaza has been heavily affected by Israeli airstrikes and shelling.

Main water supply and wastewater as well as electricity infrastructure has been hit. As a result services have been cut or severely disrupted, affecting the entire population in Gaza.

Up to 25 per cent of Gaza’s population were displaced. The 1.8 million people in Gaza, living in homes and shelters have extremely restricted access to water and sanitation.

Fatma, 45, was displaced with her family and sought shelter at a school in Ash Shuja’iyeh. She speaks in a Thirsting for Justice campaign video about the problems with water, sanitation and hygiene that her family faces amongst the many other displaced.

Photo: EWASH

Thirsting for Justice is an initiative of EWASH, the Emergency Water Sanitation and Hygiene group in the Occupied Palestinian Territory.

UNESCO-IHE – Smart eSOS toilet for emergencies

UNESCO-IHE – Smart eSOS toilet for emergencies | SOURCE: UNESCO-IHE, July 2014 |

The emergency Sanitation Operation System (eSOS) concept provides a sustainable, holistic and affordable sanitation solution during the aftermath of a disaster. The eSOS reinvents (emergency) toilet and treatment facilities, and uses ICT to bring cost savings to the entire sanitation management chain. The toilet will improve the quality of life of people in need during emergency situations – from natural to anthropological disasters – and minimizes the threat to public health of the most vulnerable members of society.  esos-toilet_0

The eSOS concept was developed by UNESCO-IHE Institute for Water Education. The experimental prototype of the smart toilet was developed in collaboration with FLEX/The INNOVATIONLAB and SYSTECH and is funded by the Bill and Melinda Gates Foundation-funded project SaniUP – Stimulating local innovation on sanitation for the urban poor in Sub-Saharan Africa and South East Asia.

Smart features
The eSOS emergency toilets are easily deployable in disaster areas because of their robust and light-weight specifications. The smart eSOS toilet includes some unique features in the prototype that will shed new light on how the toilets are used in emergencies. This includes remote-sensing monitoring, an energy supply unit, GSM/GPS sensor/card, occupancy sensors, urine/faeces accumulation sensor, an S.O.S. button, and a communication system that allows for data collection by remote sensing and their transfer to an on or off-site emergency coordination center. The data resulting from the use of the toilets will allow the toilets as well as the entire sanitation management chain to be improved.

Field testing
The eSOS toilet will be tested further in a refugee camp in the Philippines in September with support of the Bill and Melinda Gates Foundation and the Asian Development Bank. UNESCO-IHE PhD fellow Fiona Zakaria from Indonesia will carry out further experimental testing in cooperation with relief agencies on the ground. The eSOS smart toilet design prototype will be manufactured based on the results and feedback obtained from the experimental application.

Toilets, trash and social status: the top 10 emergency hygiene challenges

Toilets, trash and social status: the top 10 emergency hygiene challenges | Source/Complete article: Kathy Migiro, Thomson Reuters Foundation | Feb 17 2014

Excerpts:  NAIROBI (Thomson Reuters Foundation) – More than 900 beneficiaries, field practitioners and donors named their most pressing gaps in emergency water, sanitation and hygiene promotion (WASH) services in a 2013 survey.

Congolese refugees gather around dry water taps at Bukanga camp, Uganda, July 17, 2013. REUTERS/James Akena

Congolese refugees gather around dry water taps at Bukanga camp, Uganda, July 17, 2013. REUTERS/James Akena

The Humanitarian Innovation Fund (HIF), which carried out the survey, plans to solve them through open innovation, where grants of up to $20,000 are given to the best new ideas.

Here are the top 10 gaps HIF will tackle (in no particular order):

1)    Latrine lighting - In many refugee camps, latrines are not lit at night making them dangerous for women to use.

Challenge: To light communal latrines at night in a cheap and sustainable manner.

2)    Space saving jerrycan - In emergencies, agencies traditionally buy and distribute jerrycans, which can mean transporting 15 or 20 litres of air. Collapsible jerrycans only last a couple of months before they start leaking.

Challenge: To design a 15 litre jerrycan, costing less than $5, with limited volume when stored, lasting one year.

3)    Excreta disposal in urban emergencies - Earthquakes and floods often cut off urban water supplies and damage toilets. When large numbers of displaced people gather in safe places like schools, sanitation facilities get overwhelmed. Many agencies build raised latrines. But they need to be emptied frequently, with waste being dumped in purpose-built pits or rivers, creating health risks.

Challenges: To develop new products to provide safe excreta disposal in urban environments after disasters. Solutions should consider not only containment, but also emptying and disposal mechanisms.

Continue reading

Latrine lighting in emergencies: innovation challenge

The Humanitarian Innovation Fund (HIF) has US$ 20,000 on offer for a proposal for an economical, sustainable lighting system for latrines in refugee or displaced persons camps.

Communal latrine facilities in camps are often underutilised at night when it is dark for fear of harassment and attacks especially for women and children. Existing lighting systems tend to be costly as most camps do not have a central electrical system as a power source. Also, battery systems tend to get stolen for valuable parts. This Challenge is to design a lighting system for communal latrine facilities that will promote safety and utilization. The system must be robust, economical and not easily vandalized or stolen.

This is a Theoretical Challenge that requires only a written proposal to be submitted. Award winners does not need to transfer their exclusive IP rights to the HIF, but instead grant HIF non-exclusive license to practice their solutions.

Deadline: 16 March 2014

For more information and to register for the Challenge, go to:
www.innocentive.com/ar/challenge/9933339

The Humanitarian Innovation Fund (HIF) is managed by ELRHA (Enhancing Learning and Research for Humanitarian Assistance) and administered by Save the Children.

The HIF’s  £3.3 million (US$ 5.5 million) WASH Innovation Fund is supported by the UK Department for International Development (DFID) and will  initially focus on two challenges:

  • Lighting Latrines (see above)
  • Managing Solid Waste, due to launch later in January 2014, which will award designs for a new incinerator, compactor or recycling method that is rapidly deployable, cost-effective and easy to use.

As well as these two open challenges, the WASH Innovation Fund will also support Accelerated Innovation events for more complex challenges. These will bring together aid agencies, businesses and academics already working in the sector to collaborate and create partnerships that can develop and test new ideas.

For full details go to:
http://www.humanitarianinnovation.org/funding/WASH-Stream

Source: DFID, Could you help save lives in a disaster zone?, GOV.UK, 18 Jan 2014

WASHplus Weekly: Focus on Management of Health Care Waste

Issue 118 September 27, 2013 | Focus on Management of Health Care Waste

To reduce the burden of disease, health care waste needs sound management. The unsafe disposal of health care waste (for example, contaminated syringes and needles) poses public health risks. If not managed, direct reuse of contaminated injection equipment results in occupational hazards to health workers, waste handlers, and scavengers. Resources in this issue include the just published World Health Organization (WHO) manual “Safe Management of Wastes from Health-Care Activities,” USAID’s 2013 health care waste guidelines, a United Nationals Environment Program (UNEP) policy brief, and country studies from Cameroon, Ethiopia, Nigeria, Malaysia, and Morocco.

GENERAL/OVERVIEW

Healthcare Waste Management: The Current Issues in Developing Countries.Waste Management Research, 30(6) 2012. E Titto. (Link, pdf)
Special attention should be paid to the fate of health care waste after it leaves a facility where it can expose an entire community to risk, particularly those who come in close contact with it, such as waste transporters, landfill workers, waste pickers, scavengers, recyclers, and children. WASHPlus_HTMLbanner_weekly_600x159

Safe Management of Wastes from Health-Care Activities, 2013. A Prüss-Ustun, WHO. (Link, pdf)
This is the second edition of the WHO handbook on the safe, sustainable, and affordable management of health care waste—commonly known as the Blue Book. The original Blue Book was a comprehensive publication used widely in health care centers and government agencies to assist in the adoption of national guidance. In many countries, knowledge about the potential for harm from health care waste has expanded among governments, medical practitioners, and civil society. Increasingly, managers and medical staff are expected to take more responsibility for the waste they produce from their medical care and related activities.

UNEP Policy Brief on Healthcare Waste: What, Why and How, 2013. International Environmental Technology Centre. (Link, pdf)
Management of health care waste is becoming an issue of growing concern in urban areas. In many developing countries it is still indiscriminately disposed of and often mixed with municipal waste, thus causing serious health and environmental hazards, particularly to the scavengers operating at dump sites. Because of the extreme health hazards, health care waste cannot be disposed of along with other municipal waste. The technologies for the treatment of health care waste are not well understood or widely available in developing countries. As a result, choices made on the basis of technology may not be well informed, resulting in poor or uneconomic performance.

USAID Health Sectoral Guidelines: Healthcare Waste, 2013. G Gulis. (Link, pdf)
Currently, little or no management of health care waste occurs in small-scale facilities in developing countries. Training and infrastructure are minimal. Common practice in urban areas is to dispose of health care waste along with the general solid waste or, in peri-urban and rural areas, to bury waste without treatment. Since money for health care waste management is scarce, the first priority is to adopt actions and procedures that maximize risk reduction and cost the least.

Water, Sanitation and Hygiene (WASH) in Health-Care Facilities in Emergencies, 2013. WHO. (Link, pdf)
Health care facilities play a vital role within the community by providing essential medical care at all times including during emergencies. Any incident that causes loss of infrastructure, energy supply, loss of equipment, loss of staff or staff attrition, interruption to supply chains, or patient surge—such as sudden communicable disease epidemics, natural disasters (e.g., floods, earthquakes), or conflict—requires a holistic health response and recovery effort that includes actions to assess and restore basic WASH services.

Continue reading

From WEDC – 2013 updates of WHO technical notes for emergencies

WHO Technical Notes for Emergencies, 2013 

Please click the links below to view pdfs of the World Health Organization Technical Notes for EmergenciesWEDC

  1. Cleaning and disinfecting wells
  2. Cleaning and disinfecting boreholes
  3. Cleaning and disinfecting water storage tanks and tankers
  4. Rehabilitating small-scale piped water distribution systems
  5. Emergency treatment of drinking water at the point of use
  6. Rehabilitating water treatment works after an emergency
  7. Solid waste management in emergencies
  8. Disposal of dead bodies
  9. How much water is needed
  10. Hygiene promotion in emergencies
  11. Measuring chlorine levels in water supplies
  12. Delivering safe water by tanker
  13. Planning for excreta disposal in emergencies
  14. Technical options for excreta disposal
  15. Cleaning wells after seawater flooding
  16. Complete: all 15 notes in one file

Continue reading

Will a “cottage industry” approach make emergency WASH more sustainable?

Al Madad hygiene and sanitation project in Aqbiyeh

Al Madad hygiene and sanitation project in Aqbiyeh, Bekaa Valley in Lebanon. Photo: Al Madad Foundation & AUB Association

An NGO is employing a self-help “cottage industry model” to introduce water, sanitation and hygiene (WASH)  services in refugee camps. Instead of relying on handouts, refugees are offered a steady wage to participate in the improvement of their own living conditions.

The NGO promoting this approach, is the Al Madad Foundation, a UK registered charity since 2001, based in London. The Foundation is active in two main areas:

  • education and literacy programmes for refugee and disadvantaged children
  • sustainable relief in emergencies

The Foundation’s Director is Aya Haidar, a Lebanese multimedia artist/activist with an MSc in NGOs and Development.

In Lebanon, the Al Madad Foundation is partnering with the AUB Association’s Community Project Development Unit to improve water, sanitation and hygiene within the country’s Syrian refugee communities. Under the supervision of qualified architects and civil engineers from the AUB Association, refugees will be employed to help dig holes, build toilets, pipe laying, and installing septic tanks and drainage systems.

The Foundation thinks this “cottage industry model” could eventually be extended to other fields such as education, by employing refugee women, many of whom are qualified teachers.

The Foundation chose to focus on WASH services in the camps, not only to “minimise avoidable morbidity and mortality” but also to “minimise the resulting impact upon the local Lebanese environment, including fresh water, ecosystems and the impact upon agriculture”. Hygiene promotion and awareness raising will go hand-in-hand with the provisions of water and sanitation infrastructure.

The UK government is considering implementing cash-for-work (CFW) programmes for both Syrian refugees and vulnerable Lebanese as part of their new £50 million (US$ 77 million) humanitarian aid initiative [1].

Oxfam implements a CFW initiative, that includes latrine construction, in Kenya’s Dadaab refugee camp, the world’s largest refugee complex housing more than 400,000 people. Men and women are paid between 250 and 500 Kenyan Shillings (about US$ 3 – 6) $ per day depending on their skill levels [2].

The most well-known CFW aid programme was implemented by Mercy Corps in post-tsunami Aceh, Indonesia.  At its peak the seven-month programme employed nearly 18,000 participants and disbursed over US$ 4.5 million in direct payments [3]. Based of their experience in Indonesia and other countries like Afghanistan, Pakistan, Somalia, Sri Lanka and Sudan, Mercy Corps published a CfW manual in 2007 [4].

[1] DFID, £50m UK support to Lebanon as refugee numbers soar, Gov.UK, 18 Jul 2013

[2]  Cash-for-work in Kenya: Building latrines at Dadaab camp, Oxfam, 15 Aug 2011

[3] Doocy, S. et al., 2005. The Mercy Corps Cash for Work Program in post-tsunami Aceh. Available at: http://preventionweb.net/go/2171

[4]  Mercy Corps, 2007. Guide to cash-for-work programming. [online] Portland, OR, USA: Mercy Corps. Available at: <http://www.mercycorps.org/files/file1179375619.pdf>

Source: Al Madad Foundation – Lebanon Emergency Aid Report 2013