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The Big Necessity: The Unmentionable World of Human Waste and Why It Matters Paperback – September 9, 2014
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"One smart book...delving deep into the history and implications of a daily act that dare not speak its name."―Newsweek
Bodily waste is common to all and as natural as breathing. We prefer not to talk about it, but we should―even those of us who take care of our business in pristine, sanitary conditions. Disease spread by bodily waste kills more people worldwide every year than any other single cause of death. Even in the United States, nearly two million people have no access to an indoor toilet, while the sewers of major cities worldwide are an infrastructure disaster waiting to happen. With razor-sharp wit and crusading urgency, mixing levity with gravity, Rose George's The Big Necessity breaks the silence, turning the taboo subject into a cause with the most serious of consequences.
- Print length320 pages
- LanguageEnglish
- PublisherPicador
- Publication dateSeptember 9, 2014
- Dimensions5.57 x 0.86 x 8.26 inches
- ISBN-101250058309
- ISBN-13978-1250058300
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Editorial Reviews
Review
"I will read anything George writes . . . She rips open her topics as if they were bags of chips . . . [The Big Necessity is] among the best nonfiction books of this still newish century."---Dwight Garner, The New York Times
“Written with tact, sensitivity, and the right amount of style, The Big Necessity makes a passionate argument for putting sanitation at the top of the world's development agenda.” ―Time
“Superb...The Big Necessity belongs in a rare handful of studies that take a subject that seems fixed and familiar and taboo and makes us understand it is historically contingent and dazzlingly intriguing.” ―Slate
“Always articulate and persuasive...You will be hard-pressed to put this extraordinary book down.” ―The New York Times
“Rose George writes smart books about subjects we mostly prefer not to think about.…The Big Necessity is among the best nonfiction books of the new millennium.” ―Dwight Garner, The New York Times
“The Big Necessity, Rose George's perfectly disquieting new book, is very good…With wit, narrative skill, and compassion, it allows us to examine a major international public health nuisance…That's not to say that the book is all gloom and doom or a ponderous drag. In fact, it's a breeze. Ms. George is a lucid, supple writer, and approaching the subject as a journalist, she's able to tell her story on several different registers. And, quite honestly, the topic is fascinating.” ―New York Observer
“[Written] with wit and style…Valuable and often entertaining…Should become a classic.” ―Los Angeles Times
“Fascinating and eloquent.” ―The Economist
“A persuasive volume.” ―Entertainment Weekly
“Delves into the taboo subject with tact, sensitivity--and the right amount of style…George introduces the reader to a fascinating and enlightening universe.” ―Time
“The weight of information that Rose George brings to The Big Necessity is astonishing...There are so many interesting stories in the book that I wanted to tell everyone about what I learned.” ―Cleveland Plain Dealer
“Full of fascinating facts…An intrepid, erudite and entertaining journey through the public consequences of this most private behavior.” ―Publishers Weekly (starred review)
“George leavens her serious, if unpalatable, topic with an elegant and witty prose style. An important book…strongly recommended.” ―Library Journal (starred review)
“An utterly disarming and engrossing tour…George writes unflinchingly and with great style.” ―Kirkus Reviews
“A unique, alarming, and strangely fascinating book…Witty, anecdotal, and sharply informative, George's far-reaching exposé ultimately recalibrates nothing less than our understanding of civilization.” ―Booklist
“A very important book.…Rose George has done us a great service by taking something that we don't talk about nearly often enough and putting it right in our faces. Anyone heading overseas on a mission trip should read this book first. And anyone who wants to understand what it means to be poor.” ―Bill McKibben, author of Deep Economy
“Rose George's subject--the global politics of defecation--is both superbly indelicate and morally imperative. With the basic health and dignity of several billion poor people at stake, we need to take shit seriously in the most literal sense. Human solidarity, as she so passionately demonstrates, begins with the squatting multitudes.” ―Mike Davis, author of Planet of Slums
“Which is worse? Living in a toilet or living without one? George bravely--and sometimes literally--submerges herself in the tragedy and occasional comedy of global sanitation. Sludge, biogas, New York City sewage: I ate it up and wanted more! The most unforgettable book to pass through the publishing pipeline in years.” ―Mary Roach, author of Stiff
“This engaging, highly readable book puts sanitation in its proper place--as a central challenge in human development. Rose George has tackled this critical topic with insight, wit, and a storyteller's flair.” ―Louis Boorstin, The Bill and Melinda Gates Foundation
“Excellent…Definitely recommended.” ―Tyler Cowen, author of Discover Your Inner Economist
“Rose George has trolled the gutters of the world for the predictable low-matter and come up with something weirdly spiritual. Worship the porcelain god, revere its ubiquity and protest its absence: George reveals that the act of private and sanitary defecation is the key to health, the wealth of nations, and even civilization itself.” ―Lisa Margonelli, author of Oil on the Brain
“Highly recommended…One of the best nonfiction books I've read in years.” ―Henry Gee, senior editor of Nature
“This fascinating, wise, and scrupulously drawn portrait of the world and its waste will last long as a seriously important book. Like a literary treatment farm, it manages to turn the completely unpalatable into something utterly irresistible. Rose George, a brave, compassionate, and ceaselessly impeccable reporter--and, when needed, a very funny one too--has performed for us all who care a very great service. A big necessity, indeed.” ―Simon Winchester, author of The Man Who Loved China
“Throughout her exploration of the dark and pungent world of human waste and its disposal, George remains curious, sceptical, open-minded and remarkably good-humoured…She has written a tactful, outspoken, amusing, shocking, highly informative and useful book. It may even--if you read it carefully--change your life.” ―Sunday Telegraph (UK)
“Will entertain and edify…A revealing global study that's thoroughly researched and written with both wit and moral seriousness.” ―Daily Telegraph (UK)
“As far as I can tell, this is the first popular study to be written on the subject. And popular it deserves to be. Rose George has just the right kind of breezy-serious approach needed to grapple with the universal taboos.” ―Daily Mail (UK)
“An invaluable contribution.” ―The Guardian (UK)
“Bravely and ably meets the challenge…For daring to fling back the privy door, George deserves a medal.” ―The Sunday Times (UK)
About the Author
Product details
- Publisher : Picador (September 9, 2014)
- Language : English
- Paperback : 320 pages
- ISBN-10 : 1250058309
- ISBN-13 : 978-1250058300
- Item Weight : 10.7 ounces
- Dimensions : 5.57 x 0.86 x 8.26 inches
- Best Sellers Rank: #722,156 in Books (See Top 100 in Books)
- #53 in Waste Management
- #600 in Globalization & Politics
- #1,511 in Environmental Science (Books)
- Customer Reviews:
About the author

Rose writes about subjects that are hidden, taboo, ignored or misunderstood. Her first book looked at what it's really like to be a refugee: how do you wash in the jungle with no soap? What are "refugee windows"? The Big Necessity explored the modern state of sanitation, starting from the startling fact that 2.5 billion people have no toilet, and passing through how sewers function (when people throw fat, wet-wipes and motorbike parts down them); why Japan has the most advanced toilets in the world; and why diarrhoea, an easily preventable condition, is the second biggest killer of children under 5, worldwide.
For Ninety Percent of Everything, Rose ran away to sea on a container ship, wanting to know who worked in the industry that carries nearly everything we consume, yet remains ignored and invisible. Under its UK title, Deep Sea and Foreign Going, the book won the 2013 Mountbatten Maritime Prize, and was a Book of the Week on BBC Radio 4.
Rose's latest book heads inside the body to look at blood, a marvellous substance that can kill us or save us; that is feared and revered. She travels widely to understand how our blood supply works; why menstrual blood is still considered so taboo, girls are ostracized for having periods; how modern trauma care is maybe using the wrong kind of blood; why leeches are still found in hospital pharmacies; and why thousands of people are still seeking justice after they were given contaminated blood products. There are also some vampires.
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Top reviews
Top reviews from the United States
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The plastic bag is one step up from open defecation, which according to the author, is still widely practiced in India.
We live in what the author calls a `flushed and plumbed' nation. It is hard to believe that 2.6 billion people must do without a toilet--what the U.N. delicately refers to as `access to clean water.' However, we Americans shouldn't be congratulating ourselves on our bathroom habits. Really advanced countries like Japan think that toilet paper is gross. "Japanese toilets can, variously, check your blood pressure, play music, wash and dry your [back and front parts] by means of an in-toilet nozzle that sprays water and warm air, suck smelly ions from the air, switch on a light for you...put the seat lid down for you (a function known as the `marriage-saver'), and flush away your excreta without requiring anything as old-fashioned as a tank."
"The Big Necessity" is a serious book about "the unmentionable world of human waste and why it matters." Rose George, its author is by turns courageous, humorous (although she tries hard to avoid potty jokes), and indefatigable. Different chapters find her exploring the sewage disposal systems (or lack thereof) in Thailand, China, India, Africa, and even the sewers of London (37,000 miles) and New York (6,000 miles).
She also has a genius for the telling anecdote: when describing a slum family in Nehru Nagar, India she says: "They had one dim room for six people, smaller than the average American parking space..."
When struggling into a pair of `crotch-high waders' in preparation for her trip into a London sewer, she makes mention of "the online Yahoo! Sewer-boots fetish group..."
If you don't believe `waste matters' just take a look at Zimbabwe, which used to have one of the best waste disposal systems in Sub-Saharan Africa. Its sewage system was neglected by an inept government, and now over 3,000 citizens (as of 02/01/2009) have died of cholera. The same thing could happen in London or New York City. It almost did happen in New Orleans in the wake of Hurricane Katrina. This really is an important book.
Our city museum has a traveling exhibit running now on 'Poop' I plan on attending this afternoon. Wouldn't have given it a second thought before I was exposed to this book.
Top reviews from other countries
Vom Stil, Aufbau und Qualität erinnert sie (und das ist als hohes Lob zu verstehen) an Mary Roach: Man merkt, wie gut alles recherchiert ist, man merkt, dass sich George selbst für die Fragen interessiert und sie geht in verschiedene Richtungen und deckt viele Teilaspekte ab. Der Schwerpunkt des Buches liegt zwar bei der Sanitärproblematik in armen Ländern, aber es geht auch um Japanische Toilettenkultur, Chinesische Biogasproduktion, um die Frage ob Düngemittel aus Kot wirklich unproblematisch ist und um den Aufbau und die Geschichte der Kanalisation.
Man mag sich vielleicht nicht unbedingt für das Thema interessieren, aber es lohnt sich dennoch das Buch anzufangen!







