Here are my thoughts on the subject now:
My thoughts on Sanitation, Waste Disposal, Medical Isolation, and Death in the PAW
This article contains my thoughts on several related subjects. Lack of some can cause the others, or make them much worse.
Part #1 – Sanitation options:
Sometimes sanitation can be a difficult subject to discuss. I believe it is one of the top subjects that needs to be discussed, especially when it comes to a group that might just be in close quarters at some point it time. If everyone knows and understands the basics, the ins-and-outs, the nuances, and especially the absolute needs, life will be much less unpleasant, less smelly, and definitely safer from a medical standpoint.
Sanitation covers several different, but related subjects. The first one I want to hit is personal sanitation. That is where it starts, especially health wise. One must keep oneself as clean as the conditions allow. And preparations should be made well before hand to make this as easy as possible.
If there is a working water supply and working sewer system this generally just means being a bit conservative with the supplies, but maintaining a daily or every other day body cleansing. Hands have to be washed and/or sanitized after any contact with anything that can harbor infectious or otherwise dangerous organisms or materials. Even if gloves were worn during the handling, wash or sanitize the hands after removing the gloves. And no matter how short a time period since the last hand washing, wash them before and during any food handling process.
While I suspect everyone reading this keeps themselves quite clean, including during bathroom visits, it is critical that this personal cleansing process is kept up, and even enhanced, if possible. The last thing anyone wants is to get a communicable disease from someone’s clothing that did not bother to make sure they were clean when they left the bathroom or latrine.
If hair can be kept protected with a hat, scarf, hood, or even just keeping it tied up if long, that will go a long way toward conserving supplies, as the hair can usually go two or three days easily without washing unless there is a specific need for it. And hair washing is one of the things that can be done without water fairly easily, fortunately, if you have the right materials. I will address this later.
Fingernails should be kept short and clean, and if there is any propensity to have dry hands, a good hydrating lotion should be used to protect the hands in general, but to also reduce the chances of dry cracks developing on the hands and fingers.
The same goes for toenails. One might not think that toe nail clippers and nippers are a survival tool, but long toe nails can cause cuts on your own feet or others if working closely without shoes and socks for some reason, such as gathering cattail roots with bare feet.
And, like the lotion for hands, some lotion for the feet is a good idea. But so are antibiotic soaps and antifungal creams to keep down the risk of infections that could be debilitating if they get bad enough to interfere with travel. A good foot powder and lots of clean, dry socks are also recommended for keeping the feet clean and dry when in the field. This may not sound like sanitation, but it falls under preventative measures to reduce sanitation needs.
Having plenty of disposable dust/clinical masks, or, preferably, plenty of appropriate washable masks will go a long way to preventing the spread of infections if everyone, including the infected person, begins to wear them as soon as the conditions exist that someone may be coming down with something
The same goes for having a good supply of hand sanitizer, and using hand sanitizer is another good reason to keep and use hand lotions, as many of the sanitizers will really dry out the hands with constant use.
If water or sewer facilities are limited there are some alternative methods that will work.
For hand and dish washing a couple plastic wash pans, two or three 1-gallon Sno-cone syrup bottles with HD pumps, and cold water dish detergent and a good hand soap will work. Good hand bar soaps to store are Ivory for basic bathing and cleanliness; Lava for the tough work hand cleaning; and the antimicrobial Dial for the constant hand washing to keep down the risk of infections.
If you lose water pressure, but the sewer still works on gravity (not likely in any city), you can often flush a toilet with ½ to 1/3 of a 5 gallon bucket of water. If you have it. If not, go to the alternatives.
Bucket toilets, latrines, etc., third tier preps, are needed, but chemical toilets are my first line after regular toilets. And there are the gelling type chemical toilets that use bags with a substance that jells the liquid and de-odorizes the waste. There are standalone models and at least one system used by hanging it in the regular toilet bowl. The bags are used, then sealed and can be put in regular trash or buried if the dumpsters are already full.
Toilet waste storage totes for chemical toilets at RV stores and some larger sporting goods stores. At a home, buckets can be used, but due to the difficulties in getting things up and down and in and out of apartments, the rolling totes are a big help, and useful everywhere.
Get another one or two for gray water storage. If the toilet is not working, the other drains are not either. The grey water can be used to flush the toilet, if it is still working.
The totes or the chemical toilet can be dumped into a nearby working sewer, an RV park dump station, or any pit toilet in a park. Otherwise it will need to be buried. Have the tools to do so. A shovel at least, and preferably a pick as well around here. If you do not want or do not have room for, full size tools, get a Cold Steel Special Forces shovel, and a Duraworx planting tool (or any other short handled, compact pick-mattock). Scout out good places to dump or bury the waste before something happens. You do not want to be taking time looking around for an appropriate spot during a crisis.
There are additional ideas on human waste disposal below.
TP replacements: If the TP has run out and you are using re-usable cloth replacements such as red shop towels or custom personal marked/colored cloth squares, or are using cloth diapers, keep the soiled ones in stainless steel step cans. You can use a separate set of plastic buckets, or, my preference, 2 large steel stock pots (washing & rinsing), using stainless steel tongs (washing & rinsing) to handle the soiled items and again while rinsing. 2 Mobile washer plungers (kept labeled) (washing & rinsing), a mop bucket mop wringer, several boxes of lined nitrile long gauntlet gloves and the same selection of washing soaps and bleach will get them clean and sanitized.
These items will allow for the use of individual personal wipe cloths and cloth diapers. Wash them, rinse them, wring them, and hang them in the sun for final sanitation. Keep things separate for each stage.
Clothes washing:
Any way you look at it, washing clothes takes a lot of water. Brush and air out outer clothing to minimize the need for washing. If you have a clothes line, and a clothes beater, you can do a pretty decent job on even large, heavy coats, blankets, and quilts this way. And smaller items can then be washed as below.
Normally, when you do need to wash clothes, do small batches regularly, rather than wait and try to do a lot at once.
Use appropriate clothes washing soaps or combinations.
Fels-Naphtha clothes washing soap. Shave the bar and mix with some warm water to melt.
Borax deodorizes, prevents mold and mildew, and removes stains
Washing soda (sodium carbonate decahydrate) removes grease
There are also environment friendly liquid cold water detergents
Calcium hypochlorite or sodium hypochlorite can be stored to make bleach for whites
Still available at times are gasoline engine Maytag wringer washers, that if carefully restored might be an option at a home or in a group setting. (You will want really good mufflers.) The same can be said for using a large cast iron caldron to heat water outside with wood or coal to provide the hot water for doing large batches of laundry for a group, or just several loads for a large family.
A Mobile washer plunger (one just for clothing) with two or three 5 to 6 gallon buckets, is probably the easiest, most compact, and minimum water use method of washing clothes. I much favor it to scrub boards, though having a scrub board for really difficult, ground in dirt situations is useful, especially if you do not have a US Navy Destroyer to tow your laundry bag behind to pre-clean. The Mobile Washer plunger washer:
http://beprepared.com/mobile-washer-hand-operated-washing-machine.htmlhttp://www.amazon.com/MobileWasher-Operating-Washing-Machine-Emergencies/dp/B003SQ7I5S/ref=pd_sim_hg_2?ie=UTF8&refRID=0XHAFK5PS56SCN5Q9VFNIf water cannot be heated, even to lukewarm levels, using tongs and gloves will help protect the hands from the cold water.
Do the least dirty items first, so you can reuse the first wash water again. Then start using the previous load rinse water for the next load wash water. You can really conserve water this way, and if the worst of the dirty clothes have been pre-treated by brushing or beating, and then the worst of any remaining grime treated with direct application of laundry soap and a few strokes on the washboard, even that last load should come out okay.
You could even mount a hand ringer to a third bucket or a tub to get more of the water out before you hang dry the clothing. (If you do use a wringer, even a manual, be very careful of getting body parts caught in it. I still carry the scars of getting the fingers of my left hand in a wringer that split my hand apart to the palm between my first and middle finger when I was two or three years old.)
An alternative to a regular clothing washer wringer is a mop bucket wringer. Not quite as good, but definitely better than hand wringing. You can even get one of the larger mop buckets with a wringer and use it as your final rinse container. Mop Bucket Wringer:
http://www.amazon.com/New-Star-Replacement-Wringer-Bucket/dp/B009LNS5J0/ref=sr_1_fkmr0_1?ie=UTF8&qid=1401337004&sr=8-1-fkmr0&keywords=mob+bucket+wringer+onlyFor drying, one can string a line over the tub, even if the drain does not work, to dry the clothes. And there are folding racks that can be set up in a tub or shower, or if the clothes are wrung fairly dry so they do not drip, near a heat source to dry faster. If drying in the bathroom, leave the bathroom door open if possible for more air circulation.
Or clothes can be hung on an outside clothesline if the situation is secure enough, and you have one set up, the components to install one, or one of the clothes line alternates like a rotating unit, and the conditions permit. And if the sun is shining that is just one additional element of sanitizing the clothes, plus the wind and sunshine make them smell pretty good, and soften them, too, without the need for artificial softener sheets.
Store regular clothesline line and cable. Almost any cordage will work, but not all of it works anywhere as near as well as purpose made line. Have sturdy posts, and plan to guy them, at least straight away, and preferably at two angles, especially if you use T-bar arms with multiple clotheslines. Use wire cable as guys, and quality cable clamps. The stakes should also be very good ones, and long. Might even have to double stake the guys. Wet clothing is heavy, and if the clotheslines are long, those items in the middle of the line put a huge strain on the system.
Go ahead and get prop poles made up and ready. You are going to need them at some point. These will keep larger items from dragging the ground, as well as helping lessen the movement of the clotheslines when the winds are heavy.
If hanging outside, use good clothes pins. And have either a clothes pin bucket hanging on the line, or wear a laundry apron with clothes pin pockets. Keeping up with clothespins without one or the other is a real pain. I speak from experience.
In wet weather hanging inside is usually best. In cool temperatures, but dry, the clothing will still dry on an outside line. In freezing weather, medium to heavy weight clothes can be hung outside and allowed to freeze. When frozen, the clothes are beaten, gently, with a clothes beater or broom, to break the ice away. Only slight additional drying inside will have the clothes ready to go.
If the TP has run out and you are using re-usable cloth replacements such as red shop towels or custom personal marked/colored cloth squares, or are using cloth diapers, keep the soiled ones in stainless steel step cans. You can use a separate set of plastic buckets, or, my preference, 2 large steel stock pots (washing & rinsing), using stainless steel tongs (washing & rinsing) to handle the soiled items and again while rinsing. 2 Mobile washer plungers (kept labeled) (washing & rinsing), a mop bucket mop wringer, several boxes of lined nitrile long gauntlet gloves and the same selection of washing soaps and bleach will get them clean and sanitized.
These items will allow for the use of individual personal wipe cloths and cloth diapers. Wash them, rinse them, wring them, and hang them in the sun for final sanitation. Keep things separate for each stage.
The original James washer was a decent product, though made with some pretty old technology. The newer version that came out a few years ago definitely had some quality issues. But Lehman’s makes a redesigned version that looks pretty good.
And, of course, some types of more modern clothes washers can be converted to jack-shaft power, or powered by a bicycle type set up. Plus, there are some modern alternatives to the classic washing machine, such as some of the table top models. I do not have much experience with these, so cannot give a solid endorsement of any of them.
Personal bathing:
You can use one of the smaller MSR Dromedary water bladders w/shower attachment – a lot tougher than the plastic Sun Shower bags, for showers. Do not have to heat in sun, though can be, can use comfortable temperature fire heated water. Do not use in the tub or shower if the drains are not working or there is a water bob in place. Instead set up a privacy enclosure in the garage if it will drain to the street. Or build a collection basin you can attach a hose to for directing the water where you want it. To the street, yard, or garden. Push comes to shove, find a place outside that is private, or have a privacy shelter where showers can be taken and the water drain to somewhere safe.
However, with that said, it might be possible to stopper the tub and use either a siphon hose or a small 12v marine bilge pump (if you have an indoor 12v system) to get the water to a waste water tote or outside. Can do the same with a blow-up kiddie pool.
If you do shower, take a Navy shower where you wet down, turn off the water, soap/shampoo up, and then turn the water back on to rinse.
It is probably best to do a sponge bath with a container of water that can be emptied into a liquid waste tote.
If water is at a high premium, the use of baking soda, clean mortar sand, bentonite clay, clean saw dust, corn meal, and corn starch can be used dry to clean the hands, body, and hair. For the hands and feet, rub the items onto the skin firmly, and then brush off with a stiff brush and finally with a soft brush.
Do the body the same way, being a bit more gentle in certain parts of the body. Save the conventional methods for the sensitive areas. For the hair and beard, work the dry products into the hair down into she skin. Shake out and then brush thoroughly. After a bit of practice, you will get the feeling for how much of each item you need, and which product works best for what areas. Be sparing, but stocking the dry ingredients is much cheaper and less space hogging than water.
Also, for bathing, clean, dry sand can be used to remove much of the grime on the body, especially the hands, when heavy work has been the norm for the day. (Washed and screen mortar sand works well for this.)
Then, if still sweaty or with other oils on the body, powdered bentonite clay can be rubbed on the body and then toweled off to get rid of those residues. Do not overuse the bentonite on the body as it will strip all the surface oils, even the necessary ones. Just enough to get rid of sweat and any contaminated oils.
The powdered bentonite is also a very good dry hair cleaner, for the same reasons. Sprinkle in on, rub it in, and brush it out. It will take the smells and oils from the hair without using water. Again, use only enough to do the job. Hair does need some natural oils.
And whatever you do, if using bentonite for bathing, DO NOT GET IT WET AT ALL! Bentonite, for all its usefulness as a human cleanser, gets super slimy when wet, the reason it is used as drilling mud and pond sealer. Just an FYI: Medical grade bentonite powder can be ingested in times of radiation problems to absorb and pass through the body radioactive isotopes that might be ingested by accident. Ditto if heavy metals cannot be removed from drinking water, taking a bit of bentonite powder will draw these and help pass them through the body, as well.
As always, check things out yourself by doing due diligence research. Never take my word for anything without checking alternate sources.
Moving on to living space sanitation. Another case of people probably keep a very clean, sanitary house. But in times of trouble, when cleaning time might be short, compared to all the other things that must be done, it is as important, if not more so, to keep surfaces that people touch often clean and sanitized, as there probably will not be an opportunity to get someone to a medical facility capable of treating something they picked up off the counter top, door knob, faucets, and so on.
Keep the place as clean as possible, even if just using a broom on both flat and carpeted floors, and a sponge type mop for hard floors. Wipe things down with disinfecting solutions often. Bag trash immediately and secure it tightly for later disposal. There are some great cleaning products out there, but do not discount the basics like plain bleach, vinegar, ammonia, lemon juice, and the other staples that can be found in any good house cleaning hints book. Stock up the ingredients needed to make your own soaps, detergents, and other cleaners, and the equipment, and recipes to produce them.
Have plenty of effective surface cleansers on hand, and use them often, especially the areas one might not think of too often, that people do touch regularly, such as those already listed and others.
Keep the kitchen area, whether it be in your home or out in the field, all of it, clean to the point some might think you have OCD.
Store large amounts of simple homemade cleaner ingredients. Baking soda, vinegar, rubbing alcohol, washing soda, Borax, mild dish detergent [castile soap], cream of tartar, hydrogen peroxide, lemon juice, sodium percarbonate, salt, corn starch, calcium hypochlorite (to make bleach), and olive oil.
Part #2 – Waste Disposal:
If the sewer and drain systems are not working, alternative means must be found to dispose of what water is used for cleaning. Do not just dump it willy nilly outside. Determine an area where the water can spread out and soak into the ground at all possible, without pooling up. Try to find several alternate areas meeting the same criteria and rotate their use.
Remember that some of this water will have some fairly harsh chemicals in it and might need to be disposed of in yet another location where it cannot damage plants and animals, or contaminate water sources. It might come down to actually digging a pit and putting the water in it to contain it in a smaller area.
This is a good place to address some creepy crawly type pests. Disposing of water on the surface can draw several types of insects, many of them detrimental to human health and wellbeing. Wasps, yellow jackets, bees, and mosquitos are just some of them. So be prepared with traps and other means to eliminate and otherwise control these bugs both outside and inside the house.
Solid waste and trash can draw larger pests such as mice, rats, squirrels, raccoons, feral cats and dogs, and wild animals such as coyotes can become a serious problem. It is not just the sanitation factor with mice and rat dropping, it includes the diseases that some of the animals carry, including flea and tick-borne diseases.
Keep empty cans and other containers separated and contained in animal and insect proof containers. Your basic trash bag will not cut it on its own. You need to be able to dispose of those bags of things in larger containers that are rodent and pest proof, or burn, or bury them.
The burning can draw some attention, you might not want. Just pinpointing your location for one, giving away what and how much you have been eating is another.
Burning, crushing, and burying cans and such is probably the best way. Especially if you are set up for it. Not just to reduce the chance of a fire spreading, but the use of a purpose-built incinerator can quicken the burn process, and since accelerants can be safely used, the fire can burn hotter and therefor reduce smoke and smells coming from the vent stack.
If you have the means to then crush the metal, break the glass, and still contain it someway, it can be buried without taking up nearly as much space. In any case, keep these bulkier items away from the living quarters.
So, traps, snares, appropriate chemicals, sound and vibration systems, and other means can be used to control the bigger beasties. Try to find natural ways to eliminate them if at all possible. There are several books available on the subject.
Now, to the nitty gritty. More information on human waste sanitation. This is vital to health and wellbeing, especially during a disaster of some type. Whether you can bug-in at home, or must bug out to the field, you will need to address this. Even if bugging-out to a place with facilities, you still have to get there, and unless it is a very short trip, and no delays enroute, chances are someone will have to go to the bathroom.
All the cautions already stated apply, even in this difficult situation. Cleanliness is paramount. But how do you do that?
Well, if you can bug in, but the sewer system is not functional, there are several pretty decent alternatives. My preferred one is a more or less standard camper’s chemical flush toilet, with a waste tote or two to store the waste if more than one filling is needed. Lay in large stocks of the toilet chemicals.
Second, that I know many people plan on using, is a bucket toilet, with a homemade or commercial toilet seat on it. These require materials to cover the waste after each use, and some type of odor control.
If the possibility exists, installing an outhouse now could be an option. Even if not, if there is space, having the materials ready to assemble one, if it looks like it could be a long event, should be considered. An outhouse does not need to be dirty, cold/hot, and nasty. I have seen some as nice (or nicer in a couple of instances) as some indoor bathrooms. With solar energy and good batteries, LED lighting, and battery fans they can be well lit, and well ventilated. Small propane heaters can be added, and ventilation fans for summer. (Yes, the one outhouse was air conditioned.)
Push comes to shove, an outdoor latrine might need to be dug or created. This is way down on my list of options, for a variety of reasons.
If you can find quicklime, it will help with odors. But it is dangerous stuff. You do not want children handling it.
A very effective, but rather costly, method of urine capture is liquid absorbent travel urinals. Most are designed for both men and women, and several are set up so children can use them effectively. The urine gels, and the bag is sealed and disposed of later. These are especially good for travel.
But, when you gotta go, you gotta go. And that means solid wastes. Well, there are the same type of absorbent bags for solid waste. These are much bulkier and much more expensive. The particular brand I have can be used with a regular toilet bowl, a bucket, or a purpose-built commode chair. Again, due to the expense, some of the other methods are preferable to these, but for travel, they are a very good choice. And those that are pretty squeamish about human waste and prefer not to deal with it much, these are a good choice as you do your business, zip up the bag, and put it in the waste container for later disposal.
Which brings me to the disposal part. First, some cautions and a tool list. Be extremely careful when you are handling human waste. It is nasty in and of itself. And the diseases it can harbor are truly horrific. So. When it comes time to handle any human waste, for any reason, make sure you have some sort of lightweight coverall on, have hair covered or tied back, wear goggles, wear a dust mask, wear durable exam gloves, plus a pair of inexpensive jersey gloves to wear over the exam gloves, that can be sanitized.
The dust mask will not do much for the odors, but if you do not have a respirator and plenty of cartridges, it is better than nothing. Its main purpose is to keep any splash or spill from coming into contact with the mouth. Same with the goggles. You do not want that stuff in your eyes. Or regular clothes. Rubber boots would be nice, but your ordinary boots can be cleaned if need be.
A latrine is just filled a little bit at a time during use, and when it is time to be abandoned, it is completely filled.
Some of the other methods, where human waste is accumulated, that waste must be disposed of properly. And that does not mean emptying the chamber pot out the second story window.
This is very important to keep disease down. If you do not do it properly yourself, it could easily come back to haunt you. So, if there happens to be a working sewer in the area, an RV dump station, or a pit toilet in a campground fairly close by, the liquefied wastes can be disposed of in them. The dry-bag, or even just doubled trash bags that have been used as toilet receptacles should not be put in these. They need to be buried. Deep. Animals will dig up human waste. And they can smell it through a double layer of plastic and twelve inches of earth.
So, dig deep, preferably twenty-four inches or more. Make sure you are not digging in a spot that could contaminate water sources. Those might be desperately needed for yourself or others.
If at all possible, after filling the hole back up, put some large rocks, some boards, sheet metal, anything handy, to help prevent animals from digging there.
In this area, you will probably need both a pick and a shovel to dig a latrine, outhouse pit, or burial chamber. Sometimes, for small amounts of waste, a post hole digger can be used. If a person knows they will probably need to bury some waste, it is not a bad idea to pre-dig some holes when time and power tools are available, and fill them up with clean mortar sand so they can be quickly dug back out when needed, and the dirt used in raised beds for gardening.
While regular buckets with lids can be used to store and transport human waste, it is much more sanitary and safe to use wheeled totes specifically produced for this purpose. I will have a list of sources at the end of this article. They have a pour spout and can use regular RV sewer hoses to direct the flow, and with the wheeled ones, they are much easier to move around than carrying buckets.
Keep in mind that all of these sanitation recommendations will help keep you safe and sound and healthy. Also keep in mind that other people might not, probably will not, be doing the same Keep things, so it is not just your own activities you are protecting against, it is anyone and everyone anywhere close to you. To me, that makes stressing sanitation an extremely high priority. What other people do, or do not do, can impact you. It is like defensive driving. Practice defensive sanitation.
If you are part of a close-knit group, having the standards high, and maintaining them, is doubly important.
A question now. Not paper or plastic? But disposable or reusable? Which do you choose as your primary method of cleaning up? You should have both, but most people will prefer one or the other. On one hand, if you can burn safely and securely, paper towels, paper plates, and other disposables to make clean up easier are a good choice. You just have to stock up on them, and still have some non-disposable alternatives.
There is a left-hand matching that right hand. If you can be fairly sure of being able to wash dishes and fabrics effectively and economically, using cleaning cloths, reusable (preferably sanitizable) eating dishes and utensils and such, using them will lessen the need for stocking large amounts of disposables. But some disposables will be required for those times when you just are not in a position to clean the reusable items after use.
I recommend you do both, of course, but it really is easier to set up for one or the other as primary use.
Part sanitation, part grooming, for men, shaving can be a way to stay clean, and to feel good if you do not normally wear a beard/mustache. If you are an electric shaver person, and are in a situation where you cannot use it, be extremely careful switching to a manual blade razor. It is a good idea to practice from time to time with a manual blade razor simply to keep in practice. The last thing you want is open cuts and scratches on the face while doing dirty, nasty work, and/or handling dirty, nasty stuff.
Obtain and store alternatives that do not rely on electrical power. And stock up on the consumables required for shaving. That will often include disposable shavers or blades. If you decide to go with a straight razor, have someone that knows what they are doing teach you to use it. You can literally cut your throat if you do not know what you are doing, and do not use an appropriate shaving soap, and do not keep the razor… well… razor sharp.
If push comes to shove, let the beard and mustache grow and keep them neatly trimmed with the much easier to use comb and scissors designed for that purpose. Keep both methods available.
A few words on women’s specific sanitation needs. Difficult times can bring on menstrual problems. Sometimes stopping it for a time, other times making it very irregular, and often heavier. So, women need to stock whatever they normally use in large quantities, and at the very least consider some of the reusable alternatives.
Take particular care to avoid any infections, by choice of diet and cleanliness, and if one does occur, have the means to eliminate it. (Some UTI products: Pyridium/powdered cranberry juice or pills/apple cider vinegar, Acidophilus pills (for women before taking antibiotics that could cause yeast infections), Miconazole (for yeast infections)
And while this can be an issue for anyone, having the means to maintain as much privacy as possible during some sanitary activities, it can mean a great deal to some women, adversely affecting them without it. If at all possible have curtains, enclosures, screens, etc. and some personal space such as a personal closet or dresser or a bag in the field for feminine needs.
Whether disposable or reusable items are used, it is a good idea to use a stainless-steel step waste can with liner to hold the used items until they can be disposed of or sanitized in the case of the reusable items. With some of the alternative solid waste systems listed it will not matter too much. Others it will. If you think you might not be able to dispose of them normally, have the alternative.
If bugging out on the road or in the wild, or where sanitary facilities are not sanitary any more, there are now WSUUDs (Women’s Stand Up Urination Devices) that allow a woman to urinate without having to disrobe nearly as much as normal, or squat all the way down. This can be a simply a privacy thing on the side of the road, or rather critical in extreme cold weather; where there are many bugs, snakes, or brambles; or there is a lot of windblown dust and debris in the air; or where a woman has back, hip, leg, or knee problems and has problems getting up and down.
Now, for those that might be in the market for a new home or BOL, that will not have city sewer, a few words about septic systems.
Nearly as important as adequate water supply, is a reliable waste disposal system. If you are on a city sewer, you probably cannot legally have a septic system. But if you can have your own septic system, I have a few thoughts on that, as well.
A well designed, properly installed, and regularly serviced septic system is very reliable. The key factors being not burying the septic tank too deep, installing a large enough tank, having an adequate amount of field tile, and most importantly, installing the field tile properly.
I have seen several septic systems with a large tank buried at the correct depth, and with plenty of drain field. But the drain field was not properly installed and the people had trouble constantly.
Starting at the inlet, here are a few recommendations for the installation of a conventional septic system.
The closest point of the septic tank should be at least five feet, but not more than ten feet from the house. It should have enough earth cover to allow good grass growth. Four to ten inches is adequate. A tank of at least five-hundred gallons for two people is adequate, but for a family a tank of one-thousand to two-thousand gallons is best. I prefer concrete tanks as they last longer than steel, and usually have one or more cleanout holes built in. Fiberglass tanks are also a good choice.
No matter which tank material you choose, be sure that access holes are installed to allow routine maintenance. The inlet should have a tee installed inside the tank with a pipe extending approximately halfway down the sidewall. The tee is not necessary if the tank has a built-in baffle. A tee should also be placed on the outlet, which is two to four inches lower than the inlet hole. A solid pipe should go from the outlet to a distribution box. The lines of perforated pipe or tile, run from this distribution box. A short section of solid pipe should be used on each field line to prevent the waste water from getting around the outside of the distribution box.
A trench not less than two feet wide, or more than three feet wide, should be dug deep enough to allow a four to six-inch layer of washed gravel, not rock, beneath the pipe. Lay the pipe, and cover with more gravel to within six to twelve inches of the surface. The pipe should be level. Do not slope it at all. Place a permeable barrier over the gravel to prevent earth settling down into the gravel. Tar paper is not permeable. It prevents water from going up. The best choice is uncoated felt building paper, but you may have to use a layer of straw or similar substance. Fabric goods are now available specifically for disposal fields. Fill the rest of the way with loamy soil.
Probably the two major mistakes people make is to have the field tile too deep, (usually the result of a septic tank too deep), and putting tarpaper over the gravel. This prevents the upward movement of the water. In a properly installed system, a large percentage of the moisture evaporates or is used by the grass growing above the line.
There are now some alternatives for the disposal field not available just a few years ago. Polymer chambers, such as the Infiltrator, are placed in an appropriately sized trench and simply backfilled without the need for gravel or permeable barrier. Much easier, and just as effective, if not more so, than conventional perforated pipe and gravel systems, the chamber system are usually competitive in price.
For special circumstances, such as poor soils, hilly areas, or high-water tables, see a septic system specialist or contact your county extension agent. The government has several very good pamphlets on alternate sewage disposal systems.
Feel free to ask question, make comments, or expand on any of the above. If you want a link to something I mentioned that I do not include below, let me know and I will find one. I will have a couple of the items I mentioned at the April 2014 group meeting.
Oh. You might notice I did not really mention toilet paper. I did not figure I needed to.
Some links:
Waste totes:
http://www.amazon.com/s?ie=UTF8&page=1&rh=i%3Aaps%2Ck%3Aportable%20rv%20waste%20tanksTwo highly informative sites for modern septic systems:
https://www.thenaturalhome.com/index.htmlhttp://septicsolutions.com/InfiltratorChambers/InfiltratorQuick4.htmlMobile Washer hand clothes washer:
http://beprepared.com/mobile-washer-hand-operated-washing-machine.htmlMobile washer and a wringer:
http://www.amazon.com/s/ref=nb_sb_noss_1?url=search-alias%3Daps&field-keywords=rapid+washer&rh=i%3Aaps%2Ck%3Arapid+washerA couple of examples of chemical toilets and chemicals:
http://www.amazon.com/s/ref=nb_sb_noss_1?url=search-alias%3Daps&field-keywords=chemical+toilets&rh=i%3Aaps%2Ck%3Achemical+toiletsThe Travel John waste collection bags I mentioned:
http://www.amazon.com/s/ref=nb_sb_noss_1?url=search-alias%3Daps&field-keywords=travel+johnSome Women’s Stand Up Urination Devices (For what it is worth, I have it on good authority that the P-style reusable is an excellent one.):
http://www.amazon.com/s/ref=nb_sb_noss?url=search-alias%3Daps&field-keywords=women's%20stand%20up%20urination%20deviceJust my opinion.
PAW burials
Invest a few bucks in body bags (or at least heavy-duty contractors’ trash bags & Gorilla tape, some inexpensive blankets and/or sheet plastic), a game or other cart, some lowering gear, PPE, simple grave markers, and a pick and shovel. Decide where the family/friend burial grounds will be. Decide where Boot Hill is going to be. Create a set of burial ceremonies or a non-denominational one. Keep it simple, but provide something for friends or relatives to satisfy their emotional and religious needs. Laminate a copy of the words to be said at the burial. Again, specific to the ceremony or something non-denominational.
If it looks like things are getting bad, especially in a situation like an epidemic or other situation likely to result in several deaths, go ahead and dig a few graves for the family/friends, and a trench for Boot Hill, using owned or rented digging equipment. Make them the standard 6' or so deep so they will not be likely to be dug up by animals that could be desperate for food in a disaster situation.
Put a few supports (limbs, used pipe, used lumber) over the graves and use some sheet plastic to cover the holes and dirt mounds, weighted down around the edges with some rocks or dirt.
Corpses are difficult to handle. And in the case of death by infectious illness, dangerous to handle. Have some rubber gloves, masks and goggles, and even protective coveralls for when you handling the corpse. Get it in a body bag or wrapped in cloth or plastic as soon as possible. You will need cleaning supplies to take care of any blood or other body fluids if the death occurs inside or in an area that will be used in the future.
Have a cart on which you can carry the remains. It will reduce the stress significantly if you have some wide webbing straps with which the body can be lowered into the grave, rather than just dumping it in.
Conduct any ceremony needed, fill in the grave, place the marker, and walk away. It is done. Do not dwell on it. It is something that must be done and you have fulfilled your obligation.
If you are not going to be able to get out to bury a body for a while, seal them up in some type of body bag, purpose built or expedient, and place the body(ies) in the coolest spot in the structure, that is not used much, if any, where they will not be disturbed by pets or vermin. At the very least, close off an area with a screen or curtain, or hide the bodies from general view in some manner. As soon as possible to take them out and bury the remains.
Just my opinion.
How to quarantine/isolate those that might be contagious
I will not be going into long-term self-quarantine in this article. Standard security precautions are the rule, and taking care of basic human needs for two weeks to a year or more are a subject in and of themselves. This article is just as the title states. How to quarantine and isolate anyone that could be contagious for the incubation time of the suspected illness.
If it is a simple illness, but you still do not want it to spread, basic sanitation applies, plus normal sick room procedures such as masks, gloves, goggles, and full apron. Everything sanitized regularly with hot soapy water and a good disinfectant.
If it is something that is more dangerous, that could turn into an epidemic, much stricter measures must be taken. The first step is to set a location for the person or people. While individual isolation is best, that is almost impossible for home situations. Better to make a single effective isolation room than attempt to create several less effective ones.
First, decide on the room. As much as it might grate, the master bedroom is probably the best choice in most houses. It is usually one of the largest bedrooms, and with an attached bathroom, which makes it easy to keep the possible contagion in one area.
Move everything out of the rooms that is movable and not needed. Take out that big old king size bed. Chances are, the bathroom walls are washable. That is good. If the bedroom walls are, so much the better. But if not, then line the room with sheet plastic, using Gorilla tape or better to secure the plastic in place. Overlap seams at least two inches. You might have to use narrower strips for the ceiling, so it does not sag too much. For this application, since you are keeping things in, rather than out, tape flaps of plastic over switches and receptacles as you may need to use them. Place a piece of plywood in one of the windows large enough to accept some dryer vent ducting.
In the bathroom, if it does not need full enclosure, cover up the switches and outlets anyway, and cover the vents. Use full overlapping plastic sheets at the entrance door. It is best to line the edges with magnetic tape to keep them closed, if possible, but as long as they fit well and lay tightly when closed, it will work.
Lay plastic tarps down on the floor over the plastic to take the brunt of the abuse. They will be destroyed later so cheap ones are okay. Tape them down firmly so there is solid footing.
Once the room is lined, but before the doors are hung, move in some cots or bunks. Add some easy to sanitize hard surface chairs and a table with a hard surface. Have a small table for each cot/bunk that can be disinfected to hold anything needed for that person. Add a chemical toilet to the bathroom, in case the power and/or water go off and the regular toilet quits working.
Bring in something to keep peoples morale up. Something to do. Lots to do. It is going to get very boring if they do not get sick.
With the vents closed off, and the doors and windows kept closed, the room is going to need its own ventilation system. As long as the power is on, a good shop vac with HEPA filter can be used to blow air out of the room through the window board. (A sound barrier will be needed to reduce the sound levels.)A large HEPA filter over another hole in the window board will allow air to come into the room. If humidity still gets too high, then a standalone dehumidifier can be operated. Even a standalone air conditioner can be operated.
If the power goes out, things get tougher. Two 24”x24” HEPA filters built into separate boxes can be placed at the window board and a 12 volt DC fan run to blow air out one and let the air come in the other. A 12v bucket swamp cooler or air conditioner will keep the room cooler, but humidity could become a problem if the air is not circulated in and out enough.
That is the isolation room. But that is not enough in serious cases. A decontamination area should be constructed the same way as the room, in the hallway that the room opens into. Basically the width of the hallway, and a bit longer than that width. This is where decontamination will take place going into the isolation room as well as coming out. You will need a kiddie pool small enough to fit into this space, plus a battery and 12v bilge pump with hose, and a bucket to handle the decontamination fluids.
If time, space, and material allow, another closed room can be created as a changing room to change clothes or add/remove items before and after decontamination.
Once the room(s) are set up and the cots/bunks are in place, cover the mattresses with plastic and tape it in place. The same with the pillows. Then add the bedding. It should be plain white cotton that can be boiled and/or bleached heavily. Sheets and blankets both. If you cannot bleach it without it coming apart it is not suitable for continued use. Better yet is disposable bedding. In the case of ebola and some other highly infectious and extremely deadly organisms, the process of putting reusable bedding through a cleaning process in a home can just spread the contamination around.
Pretty much everything else should be disposable, preferably paper or plastic. Trying to disinfect reusable items is too much work and takes up too many resources, as well as risks spreading the disease.
Use some common sense when it comes to working with those in isolation. Wear the goggles, face mask, gloves, and coverall religiously. Decontaminate as if you and your family’s lives depend on it, because they do. Treat those that get sick with compassion. If you have the means to help them get well, use it. If not, make them comfortable.
In a home setting dealing with multiple isolation cases can be very difficult. The last thing you want is to expose someone that might or might not have an infection to someone else that might. And with a single isolation room, that must also be a treatment room, this is even more critical. So, if there is more than one person to be isolated, but do not yet have symptoms, those people should wear basic PPE to avoid getting an infection from someone else also in the same isolation/quarantine area.
Be ready to burn or otherwise safely dispose of all the contaminated trash.
Now, if the contagion is wide spread, and you decide to isolate the whole household, you will need to be prepared for up to at least a 90 day isolation period. This should be long enough for the disease to spread through the area and then essentially run out of hosts to infect and die off (in that area).
So you will need a 90 day supply of everything. And I mean everything. From food to water to sanitation to heating fuel. All kept within a protected area that cannot be contaminated from the outside.
About the only other option is to have one or more reliable, trustworthy contact persons that remain outside the isolated household, off the property. Also needed is an enclosed exchange point at a window or door that can be decontaminated easily. Essentially a mini isolation room with air lock hatches or doors on each side, where the outside person can bring in or take out items necessary to maintain the isolation inside the home.
The person will need to be versed in using PPE, isolation techniques, and decontamination techniques. They will need the means to communication with those inside the structure, and have the means to obtain items needed by the household, and to dispose of items that need to be removed from the household.
Besides just a transfer agent, the person can also be a good source of information, and in a worst-case scenario, can help provide for the defense of the home from outside, giving one a much better chance to survive an attack on the home.
Just remember, that bringing anything into the house after the contagion begins to spread, is a huge risk. Decontamination of everything brought in must be effective to the nth degree, or risk bringing the contagion inside.
If the worst happens, and someone dies, get them into a body bag and removed to a suitable storage point that is secure, as cool as possible, and out of sight.
Do not count on any assistance from anyone else, even the government. If it is a pandemic, they are going to be busy, if even still working.
Isolation room equipment and materials:
Sheet plastic
Plastic tarps
Gorilla tape
24" x 24" HEPA filters
12v fan w/pre charged deep cycle batteries
12v bucket swamp cooler or A/C
Dehumidifier
Chemical toilet w/chemical, TP, and buckets for storage of waste (if no bathroom)
Washing station w/sink, collection bucket, and cleaner (if not bathroom)
Water purifier (not filter) (if there is sickness, they are going to need lots of pure water)
Folding cots
All cotton white bedding and lots of it
Easy to decontaminate chairs and tables
Insect control materials (flies, gnats, mosquitos, other bugs can carry infectious body fluids)
Patient care items:
Hand sanitizer
Disinfectant soap
Disposable patient gowns
Warm socks
Individual patient signal devices (bell, wireless intercom, FRS radio, laptop w/Skype)
Disposable thermometers or non-contact electronic thermometer
Disposable graduated medication dispensing cups and syringes
Individual boxes of Kleenex
Individual patient clipboard with medical information paperwork and pen
Vomit pails, with sealable bags
Fever reduction materials
Trash cans & bags to hold contaminated clothing and bedding
Easy prep, easy to eat shelf stable foods (Heavy on soups, ice cream, Jello, yogurt)
Disposable dishes and flatware
Oral rehydration powder or liquid (if there is sickness, they will likely become dehydrated)
Vitamin C (Emergen-C packets or similar)(Vitamin C always helps)
Multivitamins (With a limited diet, they are going to need the vitamins)
Homeopathic treatments
Some type of entertainment and boredom reducing materials
Care giver PPE:
P100 masks (though there are N-95 masks that will work, be safer and use the P-100s)
Exam gloves
Nitrile gloves
Safety glasses/goggles
Full face shield (Mostly to keep from touching your face)
Tychem or similar booted/hooded coveralls
Disposable plastic aprons
Rubber boots
Please remember that these items can contaminate other items if they themselves pick up the contagion. So, while you may be protected, you can easily spread the contagion by handling other things after your PPE has been exposed. Of course decontamination procedures mitigates most of this outside the quarantine/isolation room. But if one has disinfected the bathroom, then does something with an infected quarantined person, and then touches on of those cleaned surfaces, that surface could now be contaminated again. So be aware that your PPE is a risk to other people.
And, other than a full encapsulated suit, touching your face, especially the eyes, nose, and mouth, with gloved hands, you can contaminate yourself accidently. So make it a point to never touch any part of your body with your gloved hands. One of the best ways to do this is to wear a full face shield over the safety goggles. This way, it takes a specific effort to touch your face, since the shield has to be lifted.
Disinfecting/decontamination materials:
Disinfecting cleaner (bleach, Hibiclens, alcohol)
Cleaning cloths that can be bleached, or heavy duty disposable paper towels
Disposable heavy duty cleaning gloves
Trash cans & bags to hold general trash
Bleach
Scrub brush
Garden sprayer (to spray down when decontaminating)
Kiddie pool as decontamination sump
12 volt bilge pump &battery, with buckets with lids for contaminated water
Death handling equipment and supplies:
Body bags
Death record paperwork
Additional medical equipment list:
Part # 10: Convalescent & invalid care equipment & supplies
Privacy screen
Gowns
Incontinent briefs
Enema/douche bags
Bed pans
Bed urinals
Vomit pails
Rubber/plastic bed sheeting
Bed rails
Traction rack w/weights, cables & attachment harnesses
IV support stands
Patient bed restraints
Walking canes
Walkers
Crutches
Wheelchairs
Rubbing alcohol
Vinegar
Petroleum jelly
Skin lotion
Sponge bath pan, wash cloth & towels
Tray w/water pitcher & glass
Hot water bottles
Non-electric heating pads (sand filled leather/cloth bags)
Vaporizer tea kettle w/breathing hood/mask/tent
Ice bags
Freezable cold packs
Nebulizer
O2 concentrator
Oxygen tank & mask
Alarm clock
Medication reminder/dispenser container
Part # 11: Quarantine, infectious diseases & Hazmat kit
Surgical gloves
Surgical masks
Safety glasses/goggles
Rubber gloves
Gas mask
Rubber boots
Tychem/hazmat coveralls w/attached hood & booties
Providone Iodine prep pads
Hibiclens Antiseptic surgical scrub (liquid)
Commercial Disinfectant
Acid & Alkali neutralizing chemicals
Broom
Dustpan
Whisk broom
Dusting brush (soft bristle paint brush)
Pans & cleaning sponges
Buckets & scrub brushes
Heavy duty garbage bags
Shovel
Warning/Marking sign kit
Sign/placard material
Indelible marker
Heavy duty double stick tape
Staple gun w/staples
Hammer/hatchet w/nails
Wooden stakes
Part # 12: Funeral & corpse handling equipment
Record book w/pen
Death certificates
Body bags w/attached ID tags
Toe tags
Personal effects bags w/attached ID tags
Surgical gloves
Surgical masks
Safety glasses/goggles
Tyvek coveralls w/attached hood & booties
Hibiclens Antiseptic surgical scrub (liquid)
Household Disinfectant
Bucket & scrub brush
Shovel
Lowering straps
Temporary grave markers w/attached ID tags
Attachable faith emblems for markers
Bible/Koran/Torra/Prayer book
Just my opinion.
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