Cleanliness of public toilets, or latrines, remains a global challenge that significantly impacts both public health and social well-being. In many parts of the world, insufficient access to safe, clean sanitation facilities exacerbates health risks, poverty, and gender inequalities. Despite progress in some regions, millions of people still live without adequate toilet facilities, and the cleanliness of toilets remains inconsistent across countries, with both developed and developing nations facing their own set of challenges.
In countries like India, where 774 million people do not have access to a household toilet, sanitation continues to be a pressing concern. Open defecation, practised by a large portion of the population, results in widespread contamination, increasing the prevalence of diseases like diarrhoea and cholera. This lack of basic sanitation disproportionately affects rural areas, where resources for constructing clean and safe toilets are limited. Although significant efforts are underway through government initiatives like the Swachh Bharat Mission, the need for behavioural change and infrastructure investment remains vast.
In contrast, some developed nations face different challenges in maintaining public toilet cleanliness. Russia, for example, has been highlighted as having the worst sanitation record among developed countries, with more than a quarter of its population lacking access to safe, private toilets. The issue in Russia often revolves around infrastructure degradation in urban and rural areas, leading to inconsistent toilet cleanliness standards.
The issue of toilet cleanliness isn’t confined to developing regions. Public toilet conditions in countries like the United States and the United Kingdom have been criticized, especially in high-traffic urban areas, where maintenance often lags. Cleanliness can be a recurring problem due to inadequate resources for regular maintenance and issues like vandalism. Though facilities exist, they are not always well-maintained, posing a challenge for tourists and locals alike.
In regions of Southeast Asia, such as Indonesia and the Philippines, the challenges revolve around overcrowded urban environments. Cities like Jakarta and Manila struggle with poor sanitation infrastructure, resulting in unsanitary public toilets in slums and low-income neighbourhoods. These conditions create severe public health risks, especially during the rainy season, when floods can spread waste and contaminants.
One of the key obstacles in improving toilet cleanliness globally is open defecation, a practice still common in several countries. Around 419 million people worldwide continue to defecate in open spaces like fields, bushes, and waterways. The lack of basic sanitation services in rural parts of South Asia and Sub-Saharan Africa perpetuates a cycle of poverty, disease, and environmental contamination. Children in these regions suffer disproportionately from waterborne illnesses like diarrhoea, which could be largely preventable with proper sanitation facilities.
However, advancements in sanitation technology and public awareness campaigns offer hope. Japan, for instance, stands out as a leader in toilet cleanliness. Japanese toilets, especially in public spaces, are known for their high-tech features, such as automatic cleaning systems and bidets. Public toilets are regularly maintained and sanitized, reflecting the country’s cultural emphasis on cleanliness and hygiene. Singapore also boasts a well-maintained sanitation system, with government regulations ensuring that public toilets meet strict cleanliness standards.
Despite these advancements, global disparities in access to clean toilets remain striking. In sub-Saharan Africa, many countries still rely on outdated sanitation methods, with pit latrines being the norm. Even where toilet facilities exist, they are often poorly designed or maintained, leading to contamination of water sources. The World Health Organization (WHO) reports that in 2022, 1.5 billion people still lacked basic sanitation services, a stark reminder of how much work remains to be done.
One of the major challenges in improving global toilet cleanliness is ensuring sustainable sanitation solutions in both urban and rural environments. In many rapidly growing cities in low-income countries, sanitation infrastructure has not kept pace with population growth. Informal settlements and slums often lack sewer systems or proper waste disposal mechanisms, leading to widespread public health concerns. Governments and non-governmental organizations are increasingly focusing on community-led sanitation projects, promoting the construction of affordable, environmentally friendly toilets that can be maintained by local residents.
Gender disparities also play a significant role in the global sanitation crisis. Women and girls are disproportionately affected by inadequate toilet facilities, particularly in regions where public toilets are scarce or unsafe. Lack of access to clean and private toilets can deter girls from attending school, particularly during menstruation. In some regions, unsafe public toilets expose women and girls to the risk of sexual violence, making the issue of sanitation a critical factor in gender equality efforts.
The economic benefits of improving toilet cleanliness and sanitation are substantial. The WHO estimates that every dollar invested in sanitation yields a return of $5.50, due to reduced healthcare costs, increased productivity, and fewer premature deaths. This economic argument underscores the importance of prioritizing sanitation in global development agendas.
In conclusion, while significant strides have been made in improving sanitation and toilet cleanliness around the world, much remains to be done. Clean, accessible toilets are not just a matter of convenience but a fundamental human right. Global efforts must continue to address the disparities in sanitation access, particularly in low-income countries, where the health and well-being of millions depend on the availability of clean toilets. Governments, NGOs, and communities must work together to ensure that the world’s sanitation systems are not only expanded but also sustainably maintained.
References
State of the world’s sanitation. (2020, November 1). UNICEF. https://www.unicef.org/reports/state-worlds-sanitation-2020
Around the World in TwEnty-FIve Toilets | Think Global Health. (2021, November 11). Council on Foreign Relations. https://www.thinkglobalhealth.org/article/around-world-twenty-five-toilets
Restroom roulette: Navigating public bathrooms around the world – Global Rescue. (n.d.). https://www.globalrescue.com/common/blog/detail/international-restroom-hygiene-safety-cleanliness-rankings/
World Health Organization: WHO. (2024, March 22). Sanitation. https://www.who.int/news-room/fact-sheets/detail/sanitation