Document Type : Original Article
Authors
1 Public Health Unit, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
2 Professor, Department of Community Medicine, School of Public Health, PGIMER, Chandigarh, India
Abstract
Now, lifestyle diseases are quite common globally. The risk factors of lifestyle diseases such
as sedentary habits, lack of physical exercise, and lack of fiber result in the development of
noncommunicable diseases. However, when the point of discussion slightly shifted toward toilet
habits, it is always seems to be a secret affair. In fact, the discussion of defecation‑related matter
openly is considered a taboo. This is not uncommon even in medical fraternity. In fact, during the early
1980s, some researches on the association between the diarrhea prevalence, open‑air defecation,
and latrine use rate were documented. However, nobody acknowledges it socially desirable, now,
to discuss defecation‑related issues. The public health experts completely ignored the discussion
of ill‑effects of the use of pedestal latrine on human health. It is evident from scientific studies over
a period, that many of the abdominal disorders of the human due change in his toilet habits from a
squatting‑to‑sitting posture using a pedestal latrine. That disease correlation was ignored at that time.
The increase in disease burden is due to nonmaintaining the ergonomic design during the construction
of this kind of toilets. Squatting posture for the defecation is the most appropriate way, as in this case,
abdominal muscles work actively and complete evacuation takes place. To conclude, the time has
come to reacquaint people with their natural habits and put this unfortunate experiment to an end.
Keywords
chronic diseases. In: Jamison DT, Feachem RG, Makgoba MW,
Bos ER, Baingana FK, Hofman KJ, et al., editors. Disease and
Mortality in Sub‑Saharan Africa. 2nd ed. Washington (DC): World
Bank; 2006. Available from: http://www.ncbi.nlm.nih.gov/
books/NBK2290/. [Last accessed on 2018 Apr 07].
2. Thys S, Mwape KE, Lefèvre P, Dorny P, Marcotty T, Phiri AM,
et al. Why latrines are not used: Communities’ perceptions and
practices regarding latrines in a Taenia solium endemic rural area
in Eastern Zambia. PLoS Negl Trop Dis 2015;9:e0003570.
3. Pickering AJ, Djebbari H, Lopez C, Coulibaly M, Alzua ML. Effect
of a community‑led sanitation intervention on child diarrhoea
and child growth in rural Mali: A cluster‑randomised controlled
trial. Lancet Glob Health 2015;3:e701‑11.
4. Jacobs EJ, White E. Constipation, laxative use, and colon cancer
among middle‑aged adults. Epidemiology 1998;9:385‑91.
5. How Toilet Posture affects Your Health. Gate to Wellness;
2017. Available from: http://www.gatetowellness.com/news/
how‑toilet‑posture‑affects‑your‑health.[Last accessed on 2018Apr07].
6. Sikirov D. Comparison of straining during defecation in three
positions: Results and implications for human health. Dig Dis
Sci 2003;48:1201‑5.
7. Banchoff T. Religious Pluralism, Globalization, and World Politics.
USA: Oxford University Press; 2008. p. 359.
8. Singer CJ, Holmyard EJ, Hall AR. Alfred Rupert. History of
Technology. Oxford: Clarendon Press; 1954. Available from:
https://www.trove.nla.gov.au/version/45597098. [Last accessed
on 2018 Apr 07].
9. Tagart RE. The anal canal and rectum: Their varying relationship
and its effect on anal continence. Dis Colon Rectum 1966;9:449‑52.
10. Dimmer C, Martin B, Reeves N, Sullivan F. Squatting for the
Prevention of Haemorrhoids? Available from: https://www.
uow.edu.au/~bmartin/pubs/96tldp.html. [Last accessed on
2018 Apr 07].
11. Singh A. Do we really need to shift to pedestal type of latrines in
India? Indian J Community Med 2007;32:243.
12. Conlon MA, Bird AR. The impact of diet and lifestyle on gut
microbiota and human health. Nutrients 2014;7:17‑44.
13. Schachner LA, Hansen RC. Pediatric Dermatology E‑Book.
Arizona: Elsevier Health Sciences; 2011. p. 1808.
14. Biswas S. Is India’s Lack of Toilets a Cultural Problem? BBC News;
16 March, 2012. Available from: http://www.bbc.com/news/
world‑asia‑india‑17377895. [Last accessed on 2018 Apr 07].
15. Management of Pelvic Organ Prolapse. Available from: https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC4231145./[Last
accessed on 2018 Apr 07].
16. Historical Perspectives in Surgery. Medscape. Available from:
http://www.medscape.com/viewarticle/430259. [Last accessed
on 2018 Apr 07].
17. Kira A. The Bathroom: New and Expanded. New York: Viking
Press; 1976.
18. Kirsner JB. Historical origins of current IBD concepts. World J
Gastroenterol 2001;7:175‑84.