The millennium development goal for sanitation was the blank spot in the international mind – not even articulated in the original line-up. Only in 2002 was a goal to halve the proportion of people who in 1990 were without sanitation added to the identical goal for water. Since the existing base was so low – only 41% of people in developing countries had toilets in 1990 – even the target was pathetic: if met, 1.8 billion people will be left without sanitation facilities.
However, the global goal will not be met. According to the World Health Organisation and Unicef, the world will not get even half-way on current trends. In sub-Saharan Africa the goal will not be reached until 2108. Thanks to population growth, the global population without basic facilities will decrease only slightly, from 2.5 to 2.4 billion.
The year 2008 was declared the UN International Year of Sanitation, but unlike water supplies, with which sanitation is often wrongly conflated, toilets do not easily attract political and popular attention. Cultural inhibitions in every society concerning this intimate and basic human act ensure that silence reigns supreme.