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Around 2·8 billion people, mostly in developing countries, currently lack adequate sanitation. Approximately half live in urban areas, where the most appropriate sanitation solution is commonly simplified sewerage. This paper presents the rigorous hydraulic design basis of simplified sewerage and compares this design approach with that used in the UK for conventional sewerage. It reviews simplified sewerage construction and how this achieves major cost savings and also avoids the problems commonly experienced with manholes.

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