The mental models process was successful in developing a communication instrument capable of improving knowledge in the subject population. Future research needs include assessing the extent to which this instrument succeeds in changing behavior and reducing the risk of carbon monoxide intoxication. Future interventional efforts may focus on encouraging people to use carbon monoxide detectors.

Background: Though the benefits of centralized water systems (e.g. improved publichealth, environmental protection, streamlined operations, economy of scale, reliability) are well known, these systems are not always feasible or appropriate. In developing world settings there has been growing interest by infrastructure experts,researchers, and international lending institutions in decentralized means of improving access to drinking water. While decentralized water systems with independent components may be less vulnerable to systemic failures, hazards, and extreme environmental events, centralized water systems are often associated with a higher quality of life. This study investigates stakeholder preferences regarding water infrastructure issues in Leogane, Haiti (population~300,000), a town situated at the epicenter of the January 2010 earthquake. Methods: The methodology included a paper survey, semi-structured interviews, and a participatory workshop.

Although deviations from standard guidance for land application of biosolids occur in practice, their importance is largely unknown. A list of such deviations (plausible failure scenarios) were identified at a workshop of industry, regulators, and academic professionals. Next, a survey of similar professionals was conducted to rank the plausible failure scenarios according to their severity, frequency, incentive to ignore control measures, gaps in existing control processes, public concern, and overall concern. Survey participants rated intentional dumping (unpermitted disposal) as the most severe of the failure scenarios, lack of worker protection as the most frequent scenario, and application of Class A biosolids that have failed to meet treatment standards as the scenario for which incentives to ignore control measures are highest. Failure of public access restrictions to application sites was the scenario for which existing controls were judged the weakest; application of biosolids too close to wells was ranked highest for public concern and for overall concern. Two scenarios for which existing controls were considered weaker, site restriction violations and animal contact leading to human exposure, were also rated as frequently occurring. Both scenarios are related in that they (1) involve inappropriate access to a site before the required time has elapsed, and (2) could be addressed through similar biosolids management measures.

Participatory engineering has been called for after major catastrophes, yet is often bypassed due to countervailing implementation of 'quick fixes'. While immediate expert-driven solutions may be attractive, in the long-term they may be ineffective and inconsistent with the goals and capacities of local stakeholders. This article discusses the findings of National Science Foundation research by a team of three engineers and one social scientist who visited Haiti twice, four and seven months after the January 2010 earthquake, to investigate community participation in water and sanitation engineering processes in Léogâne. Methods included interviews with local inhabitants, water-sector actors, and government agencies; inspections of the engineering of the existing water and sanitation system; surveys of the affected population; and a participatory workshop to which numerous community-based organizations were invited. The research tests the potential for engineers to develop stakeholder-based participatory processes in a post-disaster context, which is hypothesized to produce better outcomes than traditional top-down authoritative planning processes. Focusing on the sanitation sector within a multi-stakeholder arena, the article analyzes the potential for various kinds of interactions amongst actors during unfolding decision-making processes at multiple scales, and assesses how each might contribute to better post-disaster engineering and ultimately more sustainable water and sanitation systems.

The Haitian government passed a law in 2009 to decentralize water utility management and improve cost recovery. This study identifies the attitudes of the public towards payment for and management of water and sanitation, several months after the 2010 earthquake, through a survey (N = 171) and semi-structured interviews (N = 19) in Leogane, Haiti. A majority of survey respondents were willing to pay for water and sanitation, which aligns with the fee-based approach of the 2009 law. Significant differences were found between geographic locations, suggesting that a neighbourhood-level approach to water and sanitation is appropriate.