A review of how decision support tools address resource recovery in sanitation systems.

Globally, there is increasing interest in recovering resources from sanitation systems. However, the process of planning and implementing circular sanitation is complex and can necessitate software-based tools to support decision-making. In this paper, we review 24 decision support software tools used for sanitation planning, to generate insights into how they address resource recovery across the sanitation chain. The findings reveal that the tools can address many planning issues around resource recovery in sanitation including analysis of material flows, integrating resource recovery technologies and products in the design of sanitation systems, and assessing the sustainability implications of resource recovery. The results and recommendations presented here can guide users in the choice of different tools depending on, for example, what kind of tool features and functions the user is interested in as well as the elements of the planning process and the sanitation service chain that are in focus. However, some issues are not adequately covered and need improvements in the available tools including quantifying the demand for and value of resource recovery products, addressing retrofitting of existing sanitation infrastructure for resource recovery and assessing social impacts of resource recovery from a life cycle perspective. While there is scope to develop new tools or to modify existing ones to cover these gaps, communication efforts are needed to create awareness about existing tools, their functions and how they address resource recovery. It is also important to further integrate the available tools into infrastructure planning and programming processes by e.g. customizing to relevant planning regimes and procedures, to move them beyond research and pilots into practice, and hopefully contribute towards more circular sanitation systems.

Innovative sanitation approaches could address multiple development challenges.

Globally, more than 60% of the human population live without safely managed sanitation services or even lack access to basic sanitation facilities. In addition, most of the wastewater produced in the world is discharged without proper treatment. Integrated approaches are needed to address these issues and curb the resulting adverse impacts on public health and the environment, and associated societal economic losses. The United Nations 2030 Agenda for Sustainable Development provides an important framework towards more sustainable sanitation development, in terms of both safe sanitation access and wastewater management. Innovative solutions that treat and enable productive safe use of water, and facilitate recovery of nutrients and organic matter from waste resources are booming. Some examples of trends are decentralized solutions, separation of waste flows, low-or no-flushing toilets, and converting faecal sludge to energy. These alternative technologies show huge potential to address many development challenges, contributing to multiple sustainable development goals but achieving upscaling has proved to be a major challenge. A paradigm shift to 'treatment for reuse' instead of 'treatment for disposal' is already taking place in the wastewater sector. Nevertheless, a better understanding of driving forces and enabling environments, new organizational models based on more service-oriented sanitation provision, and highlighting potential multiple societal benefits to attract investments from new sectors are identified areas that need further attention.

Understanding sustained use of ecological sanitation in rural Burkina Faso.

Access to safe sanitation services is fundamental for healthy and productive lives, but in rural Burkina Faso only around 7% of the population uses improved sanitation. Ecological sanitation (ecosan) systems that allow safe agricultural reuse of nutrients in human waste have been promoted in these areas, as a way to meet sanitation needs while contributing to food security. However, little is known about the success of these interventions in terms of both sustained use of the toilet and safe excreta reuse practices. We assessed the use of ecosan systems in 44 rural communities where such interventions had taken place. Structured interviews and observations conducted at 520 randomly selected concessions (residential properties), suggested a large-scale shift from open defecation to ecosan toilet use. However, only 58% of surveyed concessions reported ever emptying the ecosan toilet vault, which is required for optimal long-term functioning. Concessions that received ecosan training programmes with a greater emphasis on agricultural reuse were more strongly associated with toilet use and emptying than those that whose training focused more on sanitation access and health benefits. The findings suggest that the safe agricultural reuse of nutrients can provide a strong motivation for long-term adoption of improved sanitation among rural smallholders.

Green exercise as a workplace intervention to reduce job stress. Results from a pilot study.

BACKGROUND: Stress and mental fatigue are major health threats to employees in office-based occupations. Physical activity is widely used as a stress-management intervention for employees. Moreover, experiences in contact with nature have been shown to provide stress-reduction and restoration from mental fatigue. OBJECTIVES: In a pilot study designed as a randomized controlled trial we investigated the impact of a green-exercise intervention on psychological and physiological indicators of stress in municipality employees. METHODS: Fourteen employees (7 females and 7 males, 49±8 yrs) volunteered in an exercise-based intervention in workplace either outdoors in a green/nature area or in an indoor exercise-setting. The intervention consisted of an information meeting and two exercise sessions, each including a biking bout and a circuit-strength sequence using elastic rubber bands (45-minutes, at about 55% of HR reserve, overall). Main outcomes were perceived environmental potential for restoration, affective state, blood pressure (BP) and cortisol awakening response (CAR AUC(G) and CAR AUC(I)) and cortisol levels in serum. Measurements were taken at baseline and in concomitance with the exercise sessions. Furthermore, affective state and self-reported physical activity levels were measured over a 10-weeks follow-up period. RESULTS: Compared with the indoor group, the nature group reported higher environmental potential for restoration (p <  0.001) and Positive Affect (p <  0.01), along with improved CAR AUC(I) (p = 0.04) and, marginally, diastolic BP (p = 0.05). The nature group also reported higher ratings of Positive Affect at follow-up (p = 0.02). Differences at post-exercise were not found for any of the other components of affective state, systolic BP, CAR AUC(G) and cortisol levels measured in serum. CONCLUSIONS: Green-exercise at the workplace could be a profitable way to manage stress and induce restoration among employees. Further studies on larger samples are needed in order to improve the generalizability of the results.