First Edition. Quarter-bound cloth-like white paper, with tan paper boards. Brown lettering on spine. White dust jacket with Grey and Red lettering. Photo of a toilet paper roll on front dust jacket cover. 288 pp. Indexed. No writing within. Metropolitan Books, 2008. Hardcover. Condition: Like New. Dust Jacket Condition: Like New. First Edition.

"One smart book...delving deep into the history and implications of a daily act that dare not speak its name."―Newsweek

Bodily waste is common to all and as natural as breathing. We prefer not to talk about it, but we should―even those of us who take care of our business in pristine, sanitary conditions. Disease spread by bodily waste kills more people worldwide every year than any other single cause of death. Even in the United States, nearly two million people have no access to an indoor toilet, while the sewers of major cities worldwide are an infrastructure disaster waiting to happen. With razor-sharp wit and crusading urgency, mixing levity with gravity, Rose George's The Big Necessity breaks the silence, turning the taboo subject into a cause with the most serious of consequences.