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" We see the sea as this place of leisure and this place, you know, a blue patch on the map to fly over because we all go by plane these days, mostly. And we don't really see it as a place of industry anymore. "

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" Because sanitation has so many effects across all aspects of development - it affects education, it affects health, it affects maternal mortality and infant mortality, it affects labor - it's all these things, so it becomes a political football. Nobody has full responsibility. "

Rose George

Health

Education

Political

" Endometriosis is notoriously difficult to diagnose because the symptoms are perverse. A woman with mild endometriosis can be in an agony for days every month (or every day for every month); women with the severe kind can have hardly any pain at all, like me. "

Rose George

Women

Pain

" China's use of 'night soil,' as the Chinese rightly call a manure that is collected after dark, is probably the reason that its soils are still healthy after four millennia of intensive agriculture, while other great civilizations - the Maya, for one - floundered when their soils turned to dust. "

" The days of languorous shore leave are long gone. Overnight stays are unheard of and sailor towns a distant memory. In better ports, seafarers head for a seamen's mission. "

" We are wasting our water mostly by putting waste into it. One cubic meter of wastewater can pollute ten cubic meters of water. Discharging wastewater into oceans turns freshwater into the less useful salty stuff, and desalination is expensive. "

" As for restaurants and fast-food places who tip tons of oil down their drains, they are routinely encouraged to use fat traps, but enforcement is minimal. It costs money to cart away fat (although now that fat is being turned into energy, it can make money). "

" In practice, the ocean is the world's wildest place because of both its fearsome natural danger and how easy it is out there to slip from the boundaries of law and civilization that seem so firm ashore. "

" Rules governing defecation, hygiene, and pollution exist in every culture at every period in history. It may in fact be the foundation of civilization: What is toilet training if not the first attempt to turn a child into an acceptable member of society? "

" Rotavirus does not cause all diarrhea, but it causes a lot of it. Instead of a single vaccine dose, however, harried nurses may have to give several, as diarrhoea makes it difficult for a child to retain anything. "

" In Los Angeles, half of all smog from sulfur dioxide comes in from ships. "

" In villages across the developing world, governments have provided reasonable enough latrines that have again and again been turned into storage spaces or simply abandoned. In India alone, millions of government-funded latrines have become goat-sheds. Some had been built near kitchens, a taboo in Indian households. "

" Ninety percent of what we wear, we eat, we consume is carried by ships... Container ships carry a vast amount of stuff. "

" In some of the great cities of Europe - Paris, Vienna, Prague, and Brussels - tourists bored with life above ground can descend below. All these cities have sewer museums and tours, and all expose their underbelly willingly to the curious. But not London, arguably the home of the most splendid sewer network in Europe. "

" Shipping is the greenest method of transport. In terms of carbon emissions per ton per mile, it emits about a thousandth of aviation and about a tenth of trucking. But it's not benign, because there's so much of it. So shipping emissions are about three to four percent, almost the same as aviation's. "

" The biggest container ship can carry fifteen thousand boxes. It can hold 746 million bananas, one for every European, on one ship. "

" Shipping is so cheap that it makes more financial sense for Scottish cod to be sent 10,000 miles to China to be filleted, then sent back to Scottish shops and restaurants, than to pay Scottish filleters. "

" The more ships have grown in size and consequence, the more their place in our imagination has shrunk. "

Rose George

Ships

Imagination

" Half of the hospital beds in sub-Saharan Africa are filled with people suffering from what are generally known as water-related diseases. "

" Most modern Indians don't stick to their caste jobs any more. There is more inter-caste marriage, more fluidity, more freedom than ever before. But the outcastes are usually still outcastes, because they are still the ones who tan India's animals, burn its dead, and remove its excrement. "

" I find Suez astonishing for the first hour. It is a ditch in a desert, but a stunning one. The sensation of being hemmed in by huge ships, moving at a stately pace through a man-made waterway, is extraordinary. "

" The average human being spends three years of life going to the toilet, though the average human being with no physical toilet to go to probably does his or her best to spend less. It is a human behavior that is as revealing as any other about human nature, but only if it can be released from the social straitjacket of nicety. "

" Usually, there is no equivalent of air traffic control at sea. Some busy areas operate 'traffic separation schemes,' but mostly, ships are treated like cars on roads where there are rules and codes of behavior, and successful, accident-free outcomes depend on everyone respecting them. As on roads, this doesn't always work. "

" Since the 1920s, when some U.S. cruise ships decided to fly a Panamanian flag to avoid Prohibition regulations, ships have commonly flown the flag of countries foreign to their owners. The benefits are obvious: lower taxes, laxer labor and safety laws. "

" We are using the same water that the dinosaurs drank, and this same water has to make ice creams in Pasadena and the morning frost in Paris. "

" Research into endometriosis is as scanty as funding. "

" It's difficult on a ship to get away from your job because that accommodation house, which is where seafarers live, is their workplace, it's where they live, it's where they relax, it's everything, and it's just hard to get away. And seafarers often refer to their job as being in prison with a salary. "

" In the Communist era, excrement took on political importance, because Party policy decided excrement was essential for the Great Agricultural Leap Forward. "

" In 2000, twice as much water was used throughout the world as in 1960. By 2050, half of the planet's projected 8.9 billion people will live in countries that are chronically short of water. "

" In the early 19th century, they tried selling soap as healthy. No one bought it. They tried selling it as sexy, and everyone bought it. "

" Sending a container from Shanghai to Le Havre emits fewer greenhouse gases than the truck that takes the container on to Lyon. "