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The Big Necessity: The Unmentionable World of Human Waste and Why It Matters [Hardcover]

Rose George
4.2 out of 5 stars  See all reviews (42 customer reviews)

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Book Description

October 14, 2008

An utterly original exploration of the world of human waste that will surprise, outrage—and entertain

Produced behind closed doors, disposed of discreetly, and hidden by euphemism, bodily waste is something common to all and as natural as breathing, yet we prefer not to talk about it. But we should—even those of us who take care of our business in pristine, sanitary conditions. For it’s not only in developing countries that human waste is a major public health threat: population growth is taxing even the most advanced sewage systems, and the disease spread by waste kills more people worldwide every year than any other single cause of death. Even in America, 1.95 million people have no access to an indoor toilet. Yet the subject remains unmentionable.

The Big Necessity takes aim at the taboo, revealing everything that matters about how people do—and don’t—deal with their own waste. Moving from the deep underground sewers of Paris, London, and New York—an infrastructure disaster waiting to happen—to an Indian slum where ten toilets are shared by 60,000 people, Rose George stops along the way to explore the potential saviors: China’s five million biogas digesters, which produce energy from waste; the heroes of third world sanitation movements; the inventor of the humble Car Loo; and the U.S. Army’s personal lasers used by soldiers to zap their feces in the field.

With razor-sharp wit and crusading urgency, mixing levity with gravity, Rose George has turned the subject we like to avoid into a cause with the most serious of consequences.


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Editorial Reviews

From Publishers Weekly

Starred Review. With irreverence and pungent detail, George (A Life Removed) breaks the embarrassed silence over the economic, political, social and environmental problems of human waste disposal. Full of fascinating facts about the evolution of material culture as influenced by changing mores of disgust and decency (the popularity of high-heeled shoes dates back to the time when chamber pots were emptied into the streets)—the book shows how even advanced technology doesn't always meet basic needs: using toilet paper is shockingly unhygienic and millions of government-built latrines in developing countries have been turned into goat sheds and spare rooms due to poor design, a lack of regular water supply or simply because the subsidized (and expensive) cement and stone structures are often more appealing than the village huts. George explores how discussions on the importance of clean drinking water and the eradication of infectious diseases euphemistically address how to handle human waste. From the depths of the world's oldest surviving urban sewers in to Japan's robo-toilet revolution, George leads an intrepid, erudite and entertaining journey through the public consequences of this most private behavior. (Oct.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From School Library Journal

Adult/High School—London and New York sewer tunnels, Japan's robotic toilet industry, farming innovations in China, and the politics of public sanitation in India—past and present—are treated with forthright investigation, sensitivity to intercultural relations and experiences, and high good humor. The effects of urban living on people who don't have sufficient human-waste disposal systems include not only diseases, but also social constructions that follow them beyond their portable brick latrines and backside-cleansing tools. The privacy that Westerners have grown to insist on as part of the toileting experience hampers travelers in parts of the world where toilet stalls don't have doors, let alone where toilets don't have stalls. George interviewed locals, social reformers, engineers, and bureaucrats in search of filling in the details of the picture she creates, making this a thorough, highly informative, and thought-provoking account. Her writing style is a delight, assuring her a faithful audience even while she discusses topics most commonly left unspoken and unwritten about. Teens may pick this up first for the gross-out factor but will find it a wealth of scientific and political intrigue.—Francisca Goldsmith, Halifax Public Libraries, Nova Scotia
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Product Details

  • Hardcover: 304 pages
  • Publisher: Metropolitan Books; First Edition edition (October 14, 2008)
  • Language: English
  • ISBN-10: 0805082719
  • ISBN-13: 978-0805082715
  • Product Dimensions: 9.5 x 6.3 x 1 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)
  • Average Customer Review: 4.2 out of 5 stars  See all reviews (42 customer reviews)
  • Amazon Best Sellers Rank: #625,740 in Books (See Top 100 in Books)

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Customer Reviews

Most Helpful Customer Reviews
61 of 64 people found the following review helpful
5.0 out of 5 stars Open Discussion of a Forbidden Topic November 14, 2008
Format:Hardcover
What if you learned that a particular problem was causing 80% of the illness in the world and was killing a child every fifteen seconds? Would you want to find out more, and insist that governments and the world do more, to improve the problem? What if you learned that one of the big reasons that governments and the world aren't doing more is that the problem is, well, yucky, and people don't like talking or thinking about it? There are blunter words for the problem, and Rose George uses them; the problem is feces. It is the topic of her book _The Big Necessity: The Unmentionable World of Human Waste_ (Metropolitan Books), a sobering and eye-opening account of just how badly the world handles this one great and inevitable problem. Most of the people who read this book will be among the set that uses flush commodes which connect to sewers and treatment plants, considered the tops in fecal disposal. But 2.6 billion people lack not only toilets, but also lack latrines or outhouses or even a bucket. Toilets and sewage treatments have their problems, covered here, but with billions of people who literally have no place to go, feces wind up all over the place, easily getting into food and water and causing misery. George has been to sewers of huge cities, wandered excrement-coated slum streets, experimented with public toilets in rural china, and visited the workers who clean sewers or empty pits. There is humor here (not much of the toilet variety) and well-crafted explanation and description, but it is not overall a pretty picture. If you don't want to think about this problem, that's just the problem.

Toilets, if a culture has them, are only a starting point. In the typical sewage system, the flow is eventually separated into the cleaned liquid effluent which goes back into the water and the solid sludge (more trendily called bio-solids) which is a bit of a problem. It is pretty clean, and naturally would make a good fertilizer, and in the US it does get spread around all over. The problem is that anything goes down our toilets, like unused drugs or heavy metals. Those who worry about the application of such molecules onto our crops are not comforted by the Environmental Protection Agency which says such application is safe. A great deal of George's book is not about people with toilets and sewers. In India, the lowest of the class still held to be Untouchables get an income by collecting feces deposited on the open ground. There are flying toilets or helicopter toilets in Kenya and Tanzania. It's a nice way of describing a disgusting practice: defecate into a plastic bag, then fling the bag to a rooftop or into the alley. George cites the Chinese as being especially innovative and open about sanitation; feces have always gone onto the fields there, but more recently homes have been equipped with biogas digesters providing methane that heats homes and stoves. There are still urban problems, but the government knows how important appearances are. In preparation for the Olympics, holes in the ground were replaced with thousands of lavatories, complete with attendants. In South Africa, kids stay away from school because the toilets are so bad; an official school lavatory might be something rigged up from a car chassis.

The descriptions of the lack of waste disposal for so much of the world's population are often difficult reading. There are glimmers of hope such as toilet activists like the World Toilet Organization. An Indian activist, after a visit to Madame Tussaud's in London, realized that he could gather toilets from all over the world and make a Toilet Museum which fulfills his goal to "make toilets interesting." There are inventors in different parts of the world who have gadgets to make sanitation cheaper and easier, and the pattern is to avoid patenting them so that they remain anyone's to use or modify without charge. There are politicians (not nearly enough) who are willing to talk about the unmentionable problem. George's book, with vivid descriptions and bright commentary, does the same thing in its way, forcing attention onto a world problem that people foolishly regard as too icky to take seriously.
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29 of 31 people found the following review helpful
5.0 out of 5 stars An entertaining story of toilets December 15, 2008
Format:Hardcover
Although I have often read in the bathroom, I never thought to read such an interesting and, dare I say it, entertaining book about defecation and waste removal and treatment.

All humor aside (and I guess its taboo is why one feels compelled to try to be humorous about this subject), this is actually a very serious subject. The author tells us how the creation of sewage systems, and flush toilets, has probably led to a hugh improvement in life expectancy, since fecal related illness was, and remains in most of the world, the biggest killer (especially of little children, the elderly, and the immuno-compromised).

It is astounding to learn that most people don't even have outhouses, but must just squat where they can. The desease ramifications of this simple fact are enormous, and not humorous at all. Suddenly, the reader runs into some very sobering facts.

On a personal level, I don't think I'll ever put grease down the sink again, after reading about those (literally) walls of grease in the sewers. Her walk through a sewer amazed me and, for the first time, I realized that the people that do this work routinely are a bit heroic, putting life and limb at risk for our public health. I do recall that when I lived in Louisville, KY years ago, the sewers exploded when a factory emptied some chemical down the drain. This is very dangerous.

I recommend this book absolutely.
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14 of 15 people found the following review helpful
5.0 out of 5 stars Oh, Excreta! April 14, 2009
Format:Hardcover|Amazon Verified Purchase
When I was young and living in very rural farm country and adventuring in the woods or hills and had to take a dump, I did what everyone else did: squatted, made some crap, wiped myself with a few leaves or a handful of grass, and moved on. (If the foregoing language disturbs you, then don't read this book; it's just as graphic, especially in the latter part.)

Now, imagine the teeming, close-living tens of millions in the slums and cities of developing countries--and even growing India--where, today, open defecation (that's the "polite" word, which is not that often used in the book) is the socially acceptable and often economically-necessary thing to do. Because it's cheap. There are no sewer systems, few toilets or even working public or private pit latrines. And where does this excreta go--be it India, Africa, China, Tibet, Mexico and even lesser sanitary places? Into the streets, ponds, rivers, oceans and even drinking water. Multi-tons of it everyday.

In some African countries, Tanzania and Kenya are two examples, the cheapest latrine is a plastic bag: "defecate, wrap, and throw. Anywhere will do, though roofs are a favorite" (pg. 210). Millions upon millions of people world wide have to make a choice when it comes to ridding themselves of excrement: "contaminating the environment or contaminating human settlement" (pg 222).

This book is shocking, but it has to be. Fortunately, in the beginning, the author spares us the worst part of the history (and history-in-the-making) of sanitation by discussing the glories of the sewer systems in Britain and the U.S. Then, she moves to other parts of the world. I began to think to myself, "Why would I want to tourist in certain countries when I could easily step in human feces--yes, it's everywhere (sidewalks, roads, inside public buildings, alleys, et cetera)--and also have no facility to relieve myself? At first, I thought the author must be exaggerating (it can't be THAT bad), but she produces all kinds of evidence: statistics, quotes and her own experiences.

Even in the good ole USA, pharmaceuticals can be found in drinking water: meds for heart disease, mental illness, epilepsy, et cetera. These trace amounts deform frogs and fish. The effect on humans? Not yet known.

The author makes a strong case for prioritizing the subject of removing and using human waste. But few want to talk about it or spend money on it. Hopefully, her book, and others, will enlighten people (politicians, especially).
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Most Recent Customer Reviews
5.0 out of 5 stars One of the best books I have read
This book gives real insights into one of the biggest development issues. People who want to really help those in poverty in the 3rd world should read and understand this book. Read more
Published 2 months ago by Sanity Clause
4.0 out of 5 stars Good Read
I had to get this book for my english class, i got a used one and it was kinda bent but not to much. It the same damage i would of made if i had a new book for a day or two. Read more
Published 3 months ago by Diana
4.0 out of 5 stars A s***ty subject!!
As the author says...this is a book about s***! It may be the only book written for the general population (outside sanitation studies, etc,.). Read more
Published 3 months ago by Get Serious
5.0 out of 5 stars The Big Necessity
Fascinating. An interesting look at a subject most of us never consider: We flush the toilet--waste disappears--or does it? I highly recommend.
Published 3 months ago by Charles M. Barnhill
3.0 out of 5 stars A subject that needs to be examined
this is a necessary and important subject, but do you need a whole book on it? Some of the later chapters are hard to get through.
Published 4 months ago by Nick
5.0 out of 5 stars WOW! Who knew all this stuff?
Fascinating read, outstanding writer. Highly recommended for anyone who uses the bathroom (or DOES'NT go to the bathroom as the case may be)! Read more
Published 4 months ago by cow
5.0 out of 5 stars A Subject that Needs to be Mentioned More
If you've ever spent any time in a place where, for whatever reason, there is no access to a working toilet, you are quickly knocked over the head with why the title of this book... Read more
Published 5 months ago by paula b
5.0 out of 5 stars Well worth the read
The Big Necessity is an interesting tour of sanitation issues both in the developed and developing world. Read more
Published 5 months ago by S. Bentjen
5.0 out of 5 stars Here, There, Everywhere!
In this book Rose Georges covers a topic that is often glanced over due to taboo and shame. She un-guiltily talks about the issue of sanitation in many places around the world, and... Read more
Published 6 months ago by Briana C.
4.0 out of 5 stars Great Lakes
IMHO everybody who lives near or next to or in the drainage basin of a source of freshwater, or who has ever flushed a toilet should read this book. Read more
Published 6 months ago by Rabid Reader
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