Cesspits as Onsite Sanitation Facilities in the Non-Sewered Palestinian Rural Areas: Users’ Satisfaction, Needs and Perception.

The main aim of this research was to assess the problems of using cesspits in the non-sewered areas in the West Bank of Palestine by the means of a questionnaire, with a sample size of 485 households, targeting the cesspits’ owners. People who use cesspits for house onsite wastewater management are not satisfied with them, and most of them complain about high disturbance during discharge of the cesspits (75.5%). Emptying cesspits represents a financial burden, costing 6% of the households’ monthly income. The frequency of cesspits’ emptying decreases substantially when there are onsite GWTPs. People accept that constructing a house with an onsite GWTPs when supported by external funding, and to a much lesser extent when they need to fund them themselves. The majority of people prefer sewerage networks for wastewater management(74.8%), followed by onsite GWTPs (15.5%), and cesspits are the least preferable (9.5%). Therefore, a more technically sound individual home onsite wastewater management system should be applied to replace cesspits so as to solve their negative implications on the socio-economic, environmental, and health aspects in the Palestinian rural communities

Reasons of Acceptance and Barriers of House Onsite Greywater Treatment and Reuse in Palestinian Rural Areas

© 2020 by the authors. In the last twenty years, house onsite wastewater management systems have been increasing in the West Bank\u27s rural areas. The aim of this research was to reveal, in the context of providing onsite GreyWater Treatment Plants (GWTPs) for wastewater management in the rural communities in Palestine, the local population\u27s perceptions, in the sense of acceptance of and barriers towards such a type of wastewater management, so as to figure out successes, failures and lessons. The data collection tool was a questionnaire that targeted the households served with GWTPs. The findings show that 13% of the total constructed treatment plants were not operative. The most important barrier as mentioned by 66.5% is odor emission and insect infestation. Then, 25.1% of the implementing agencies never monitor or check the treatment plants, and 59.3% of them monitor and check the plants only during the first 2-3 months. The next barrier is inadequate beneficiary experience in operation and maintenance. Health concerns regarding quality of crops irrigated by treated grey water were another barrier. The results revealed that the reuse of treated grey water in irrigation was the main incentive for GWTPs as stated by 88.0% of beneficiaries. The second incentive was the saving of cesspit discharge frequency and its financial consequences, as stated by 71.3%. Finally, 72.5% of the beneficiaries stated that they had a water shortage before implementing GWTPs, and the GWTPs contributed to solving it. The highest percentage (82.6%) of beneficiaries accepted the treatment units because of their willingness to reuse treated water for irrigation and agricultural purposes. Education level has an impact on GWTP acceptance, with 73% of not educated beneficiaries being satisfied and 58.8% of educated people being satisfied. Islamic religion is considered a driver for accepting reuse of treated grey water in irrigation, according to the majority of people (70%). Women play a major role on GWTP management; 68.9% of the treatment systems are run by men side-by-side with women (fathers and mothers), and 24% are run completely by women. The majority of GWTP beneficiaries (70.4%) are satisfied with GWTPs. Little effort is required for operation and maintenance, with only an average of 0.4 working hours per week. Therefore, house onsite grey water management systems are acceptable in rural communities, but attention should be given to the reasons of acceptance and barriers highlighted in this research

Cesspits as Onsite Sanitation Facilities in the Non-Sewered Palestinian Rural Areas: Users’ Satisfaction, Needs and Perception

The main aim of this research was to assess the problems of using cesspits in the non-sewered areas in the West Bank of Palestine by the means of a questionnaire, with a sample size of 485 households, targeting the cesspits’ owners. People who use cesspits for house onsite wastewater management are not satisfied with them, and most of them complain about high disturbance during discharge of the cesspits (75.5%). Emptying cesspits represents a financial burden, costing 6% of the households’ monthly income. The frequency of cesspits’ emptying decreases substantially when there are onsite GWTPs. People accept that constructing a house with an onsite GWTPs when supported by external funding, and to a much lesser extent when they need to fund them themselves. The majority of people prefer sewerage networks for wastewater management(74.8%), followed by onsite GWTPs (15.5%), and cesspits are the least preferable (9.5%). Therefore, a more technically sound individual home onsite wastewater management system should be applied to replace cesspits so as to solve their negative implications on the socio-economic, environmental, and health aspects in the Palestinian rural communities

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population