write about the dreadful sanitation in the far-eastern Russian isle of Sakhalin. And Sigmund Freud thought the study of excretion essential and its neglect a stupidity. In the foreword to
Scatologic Rites of All Nations
, an impressive ethnography of excrement by the amateur anthropologistâand U.S. army captainâJohn Bourke, Freud wrote that âto make [the role of excretions in human life] more accessible . . . is not only a courageous but also a meritorious undertaking.â
Solving sanitation is also a noble pursuit, if the number of royals who are interested in it is an indication: Prince Charles of the House of Windsor cleans his wastewater naturally by sending it slowly through apond filled with reeds. King Bhumibol of Thailand holds a patent for a wastewater aerator, making him the only patent-holding monarch in the world. Prince Willem-Alexander of Orange, heir to the Dutch throne, leads the UNâs sanitation advisory body. It takes a brave academic to address it, but the ones who do rise to the occasion, producing papers like âMy Baby Doesnât Smell as Bad as Yours: The Plasticity of Disgust,â by the psychologists Trevor Case, Betty Repacholi, and Richard Stevenson; or âThe Scatological Rites of Burglarsâ by Albert B. Friedman, a noted professor of medieval literature, who must have been tickled to learn that the housebreakerâs habit of leaving a foul deposit is probably an ancient custom, and was alluded to in seventeenth-century German literature.
If the cultural standing of excrement doesnât convince them, I say that the material itself is as rich as oil and probably more useful. It contains nitrogen and phosphates that can make plants grow and also suck the life from water because its nutrients absorb available oxygen. It can be both food and poison. It can contaminate and cultivate. Millions of people cook with gas made by fermenting it. I tell them I donât like to call it âwaste,â when it can be turned into bricks, when it can make roads or jewelry, and when in a dried powdered form known as
poudrette
it was sniffed like snuff by the grandest ladies of the eighteenth-century French court. Medical men of not too long ago thought stool examination a vital diagnostic tool (Londonâs Wellcome Library holds a 150-year-old engraving of a doctor examining a bedpan and a sarcastic maid asking him if heâd like a fork). They were also fond of prescribing it: excrement could be eaten, drunk, or liberally applied to the skin. Martin Luther was convinced: he reportedly ate a spoonful of his own excrement daily and wrote that he couldnât understand the generosity of a God who freely gave such important and useful remedies.
This may seem like quackery, except that the fecal transplant is becoming an increasingly common procedure in modern medicine, used to treat severe bacterial infections such as
Clostridium difficile
, known by tabloids as a âsuperbugâ because of its resistance to many antibiotic remedies. For the worst-suffering cases, doctors can now prescribe an enemaâmixed with milk or saline solutionâof a close relativeâsdisease-free feces, whose bacterial fauna somehow defeat the superbug with dramatic effect. (Ninety percent of patients given fecal transfusions recover.) An eighty-three-year-old Scottish granny named Ethel McEwen, freshly cured by a dose provided by her daughter, said it wasnât much different from a blood or kidney transplant, and anyway, âitâs not like they put it on a plate and have you eat it. You donât ever see or smell a thing.â
My sales technique nearly always worked. One evening over beer, an Indian novelist asked with seemingly bored politeness what I was working on, then talked for an hour of New Zealand âlong-dropsâ (deep pit latrines) and whether it is acceptable to answer the phone while on the toilet, a modern question of etiquette that