Experience with excreta-disposal programmes in rural areas of Brazil.

As part of a wide public-health programme for rural areas of Brazil, the Serviço Especial de Saúde Pública (SESP) has, since 1944, placed considerable emphasis on the problem of excreta disposal. Except in a few cities where conditions justified the construction of sewer systems, projects were started for the erection of pit privies, some 18,000 having been built up to 1952. The projects are conducted by specially trained personnel ("guardas"), who first carry out a sanitary survey of the area concerned, at the same time explaining the benefits of sanitation to the people. A general plan having been drawn up, construction is begun under the supervision of the guardas, who strive to enlist the co-operation of the house-owners as far as possible.Various types of privy have been tried, local building materials being used wherever possible. In almost all cases, however, concrete slabs have been used, covering a hole which may vary in width, but which is generally 2 m deep. Where possible, the SESP has sought the financial collaboration of the local authorities, but the earlier projects were entirely financed by the SESP.Surveys carried out before the projects were started and 3-4 years later show that in certain areas the fall in the percentage of the examined population found positive for Ancylostoma was from 37.6 to 25.4 and all severe infestations (over 500 eggs per g of faeces) had disappeared. This result, though appreciable, would probably have been greater had all the inhabitants used the privies and had they been better maintained.