Research article Received: 18 August 2015, Revised: 22 September 2015, Accepted: 27 September 2015 Published online in Wiley Online Library: 2 November 2015 (wileyonlinelibrary.com) DOI 10.1002/ffj.3293 Sensory survey of key compounds of toilet malodour in Switzerland, India and Africa Charles Jean-François Chappuis,* Yvan Niclass, Isabelle Cayeux and Christian Starkenmann Abstract: Improving sanitation in developing countries is a key issue. New toilets must be clean and well maintained and must present a pleasant olfactory experience. Knowledge about toilet malodour is crucial to create pleasant perfumes for toilets. To identify the key constituents of toilet malodour, we created synthetic reconstitutions based on our previous analytical work, and we performed sensory surveys in Switzerland, India and Africa to evaluate the efficiency of our synthetic reconstitutions made of selected key compounds to evoke toilet malodor. The olfactory stimuli were two reconstitutions of faecal odours and a reconstitution of stale urine odour. We also used three perfumes as controls: banana, lemon and lavender. Participants from Geneva (N = 21, Switzerland) and from the slums of Ahmedabad (N = 105, India), Nairobi (N = 143, Kenya) and Durban N = 144, South Africa) were familiar with all odours presented. They described banana, lemon and lavender as pleasant odours and both faecal reconstitutions and stale urine reconstitution as unpleasant odours. Faecal reconstitutions were identified as odours that emanate from faeces or latrines in all countries. These results confirm and consolidate those of previous studies on faecal odours in identifying butyric acid, p-cresol, indole and dimethyl trisulfide as strong contributors to human faecal odour. © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. Additional supporting information may be found in the online version of this article at the publisher’s web site. Keywords: faeces; malodour; olfaction; perfume; toilets; urine Introduction * Correspondence to: Charles Chappuis, Firmenich SA, Corporate R&D Division, P.O. Box 239, CH-1211 Geneva 8, Switzerland. E-mail: charles.chappuis@ firmenich.com Firmenich SA, Corporate R&D Division, P.O. Box 239, CH-1211Geneva 8, Switzerland This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Flavour Fragr. J. 2016, 31, 95–100 © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. 95 More than 2.5 billion people lack proper sanitation worldwide, leading to various diseases that contribute substantially to the global burden of disease in developing countries. The improvement of sanitation would not only reduce the transmission of diseases associated with human faecal material, but would also have a positive impact on social and economic aspects of life.[1] The Bill & Melinda Gates Foundation project, ‘Reinvent the Toilet Challenge’ (RTTC), aims to implement sustainable sanitation facilities that are adapted to different cultures and environments such as India and Africa. In addition to the design of new toilet systems, including waste management and cleaning cycles to maintain the toilets in hygienic conditions, the Bill & Melinda Gates Foundation pays attention to the olfactory experience during toilet use because the perception of cleanliness is also driven by odour.[2] Thus, implementing pleasant fragrances in clean toilets will communicate a message of good sanitation in hygienic conditions and promote their usage. In this context, Firmenich, a world leader in the fragrance industry, is involved in the RTTC project to create the perfumes that will make the use of toilets a pleasant olfactory experience. In developing a perfume that is pleasant in the background of toilet odour, it is critical to identify the molecules that create a negative perception and understand their volatility and odour threshold. Toilet malodour consists of a complex mixture of volatile compounds arising from faecal material and stale urine. Analysis of the odours emanating from human waste is a challenging task because these odours change over time and can vary depending on individual diet and health.[3–6] Moreover, faecal material and urine are rich in volatile organic compounds (VOCs). Together, faecal and urine odours contain more than 200 VOCs from various chemical classes such as carboxylic acid, sulfur compounds, nitrogen compounds, aldehydes, alcohols, phenols, ketones, steroids, lactones, alkanes and terpenes.[7–10] The identification of key compounds from such a list is difficult because of the lack of information about the contribution of each compound to faecal or urine malodour. Fortunately, recent publications showed that only a small number of these compounds contribute to the odour of both types of human waste. Headspace analysis and gas chromatography-mass spectrometry equipped with sniffing ports (GC-MS-O) revealed the importance of some phenols, indole, skatole, amines and sulfur compounds for stale urine odour.[11,12] Using similar methods, Lin et al.[13] showed that the odour of pit latrines in India and in Africa was mainly faecal and stemmed from sulfur compounds, short-chain fatty acids, indole, skatole and phenols. They identified important constituents of human waste odour, but did not reconstitute the odour with synthetic compounds as the ultimate test. Knowledge of the key compounds should make it possible to reconstitute toilet malodour by combining synthetic key compounds, resulting in stable and reliable references for toilet malodour. This will be a strong asset in the development of perfumes, allowing testing of perfumes in a stable C. J.-F. Chappuis et al. age: 31.8 ± 12.8 years) and 144 from Durban (99 females and 45 males, age: 37.4 ± 14.4 years). background of toilet malodour. Moreover, using these reconstitutions instead of using unstable and contaminated toilet sludge will help engineers to develop new ventilation or waste management systems to reduce toilet malodours. In this study, we performed sensory surveys in the field to evaluate the efficiency of synthetic faecal and urine reconstitutions made of selected key compounds to evoke urine and faecal odours. In a first step, we created more than 50 synthetic reconstitutions of stale urine and faecal odours by combining the compounds found by Troccaz et al.[11] and Lin et al.[13] With the help of a master perfumer, we selected three reconstitutions that were the most representative of stale urine and faecal odours. We ensured that our mixtures evoked stale urine and faecal odour by means of an internal sensory panel of experts in Switzerland. In a second step, we performed our study in the countries where RTTC implementation projects took place. The RTTC project primarily aims to implement toilets for people living in the slums of India and Africa, which involve dissimilar cultures. Recognizing that the perception of an odour can be influenced by cultural traits,[14–16] we interviewed on-site participants from the slums of Ahmedabad (India), Nairobi (Kenya) and Durban (South Africa). The participants smelled the three malodour reconstitutions, as well as pleasant odours used as controls. They were asked to rate the intensity, familiarity, pleasantness and degree of association with eight descriptors. Because we used the same experimental protocol in each country, we were able to compare the data obtained from the sensory surveys performed in Switzerland, India, Kenya and South Africa. Stimuli The participants were exposed to seven odors delivered by Sniffin’ Sticks[17] that were loaded with 4 mL of diluted perfumes in triacetin, a non-odorous solvent. We used three malodor reconstitutions: a reconstitution of stale urine (named “stale urine”), a reconstitution of fecal odor (named “fecal reconstitution”) and a more complex reconstitution of fecal odor (named “latrine reconstitution”). We used three odors as controls: banana, citrus and lavender. The stale urine reconstitution was composed of trimethyl amine, indole, p-cresol, dimethyl disulfide and 2-methoxy-4-vinylphenol. The fecal reconstitution was composed of butyric acid, indole, p-cresol and dimethyl trisulfide. The latrine reconstitution was composed of butyric acid, 2methylbutyric acid, 3-methylbutyric acid, phenylacetic acid, indole, skatole, p-cresol and dimethyl trisulfide. The concentrations and ratios were in the range of the values found in the field by Lin et al.[13] The ingredients used in this study and the banana, citrus and lavender perfumes were provided by Firmenich (Geneva, Switzerland). Questionnaire: scales and measures We designed the test to be as simple as possible to avoid confusion and to maintain the spontaneity of responses. The participants were interviewed with the use of a questionnaire (Supplementary Figure 1). Participants were asked to rate the intensity of the odor on a 5-point scale from “no odor” to “very strong” and to rate the pleasantness of the odor on a 7-point scale from “I don’t like” to “I like.” To rate the pleasantness rating, we presented a picture with a scale showing seven smileys, representing a smile gradient (Supplementary Figure 2). The familiarity was rated as a binary answer to the question, “Have you ever smelled this odor?” We asked the participants if they use toilets or defecate in the open. The participants were also asked to rate the degree of association between the odors and eight pictures (descriptors) on a 5-point scale from “does not correspond” to “corresponds strongly” (Supplementary Figure 3). The pictures were presented in random order and accompanied by a corresponding legend that had been translated into the local language of each country (Gujarati, Swahili, Zulu, French). The gray-scaled pictures depicted human stool, a latrine, an open sewer, a man urinating, bananas, lemons, leaves and a flower. The pictures were discussed with our partners in each country to find an acceptable trade-off for the choice of pictures and their respective labels. These pictures were then presented to the participants and explained by the enumerators. The participants could rate the degree of association between an odor and more than one picture or could reject all pictures. In Ahmedabad, India, the participants were recruited by the Self Employed Women’s Association (SEWA). In Nairobi, Kenya, the participants were recruited by Mrs. Millicent Kasaya (freelance project coordinator). In Durban, South Africa, the participants were recruited by Mr. Ngiyabonga Scelo Xulu (Ethekwini Water). The age of the participants ranged from 18 to 80 years and their level of education varied widely, some of them being illiterate. All participants lived in informal settlements or slums. A total of 463 adult participants were interviewed. Eight participants quit the interview; the responses of 42 of the remaining 455 participants (9.2% of the total) were discarded. In Switzerland, the 21 participants were from Firmenich (12 females and 9 males, age: 41.6 ± 10.7 years). In the other countries, we interviewed 105 participants from Ahmedabad (58 females and 47 males, age: 35.7 ± 15.1 years); 143 from Nairobi (85 females and 58 males, Latrine Urine Banana Citrus Lavender c ac a ab bc ac bc 1 de de e de e e e −3 e e de de d 0 −1 −2 Pleasantness c 2 ac a 3 Faecal ac Participants ac Experimental India Kenya South Africa Switzerland 96 Figure 1. Mean ± 95% confidence interval (CI) of pleasantness ratings as a function of odor and country. Means with different letters are significantly different following a multicomparison test based on a generalized least squares model wileyonlinelibrary.com/journal/ffj © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. Flavour Fragr. J. 2016, 31, 95–100 Sensory survey of key compounds in toilet malodour A 1.0 0.6 0.4 lav:sa lav:swi lav:ken lav:ind 0.5 ur:ken ur:ind flower leaves bl:ken lemon cit:ind −1.0 −0.5 0.0 0.5 1.0 cit:sa cit:swi −1.0 −0.6 fec:swi ban:swi cit:ken −0.5 faeces lat:swi −1.5 urine bl:ind ban:ken latrine sewage faecesban:ind ban:sa banana 0.0 0.0 lemon banana flower leaves fec:ken latrine sewage lat:ind lat:sa lat:ken fec:safec:ind −0.2 Dim 3 9.38 % 0.2 bl:sa −0.4 Dim 4 4.09 % B ur:sa urine ur:swi 1.5 −1 0 Dim 1 56.52 % 2 1 Dim 2 28.97 % Figure 2. Results of the correspondence analysis with descriptors (triangle and italic labels) and odors for each country (dots). Fec, lat, ur, ban, cit, lav and bl represent fecal reconstitution, latrine reconstitution, stale urine reconstitution, banana, citrus, lavender and blank, respectively. Ind, ken, sa and swi represent India, Kenya, South Africa and Switzerland, respectively. The closer the odor to the descriptor, the stronger the association. (A) Descriptors and odors plotted as a function of Dimensions 1 and 4 (Dim). The labels of the pleasant odors (ban, cit, lav and bl) associated with the descriptors “lemon,” “flower,” “banana” and “leaves” are not shown for clarity. (B) Descriptors and odors plotted as a function of Dimensions 2 and 3. The three reconstitutions of malodors (fec, lat and ur) are closely associated with the descriptors “feces,” “latrine,” “sewage” and “urine” (labels not shown for clarity) questions under our supervision. They were trained to collect the data without influencing the participant’s answer. In Ahmedabad, the eight enumerators comprised four females and four males aged 30 to 40 years; in Africa, the enumerators were younger, aged 20 to 30 years. We also asked that, preferably, female enumerators interview females and male enumerators interview males. This rule was not strictly followed, but when an enumerator interviewed a participant of the opposite gender, the participant had to first agree. Interviewing conditions Participants were invited to be interviewed in a nearby building. In Ahmedabad, the interviews were performed at the SEWA organization headquarters. The temperature outside was 45 °C and we could maintain an inside temperature of 32 °C with ceiling fans and air conditioning. In Nairobi, we performed our survey in a church in the Mukuru slum. The temperature was not controlled and varied between 28 °C and 31 °C. In Durban, the study was performed in a community building of Bester with a temperature of between 25 °C and 28 °C. In Geneva, the experiments took place in ventilated cabins with a temperature of 22 °C. Interviewing procedure The enumerator read a consent form to the participant that had been translated into the local language that explained the study. The participant had to sign the consent form or apply his or her fingerprints. The consent form and the experimental protocol were approved by the internal review board of Firmenich in agreement with the Declaration of Helsinki for Medical Citrus ghij ij hij defj befg ac ad j ij ij ij bef eh adf de a ac cdf cdef 4 3 1 2 Intensity Lavender cdefj Banana efj Urine adefi Latrine 5 Faecal abd In each country, we trained eight enumerators. The training consisted of a general introduction, after which they smelled the sticks and answered the adef Enumerator training India Kenya South Africa Switzerland Flavour Fragr. J. 2016, 31, 95–100 © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/ffj 97 Figure 3. Mean ± 95% CI of intensity ratings as a function of odor and country. Means with different letters are significantly different following a multicomparison test based on a generalized least squares model C. J.-F. Chappuis et al. Statistical analysis The data were analyzed with the statistical program R.[18] The intensity and pleasantness data were analyzed by a generalized least squares model to take into account the repeated measures and the heteroscedasticity of variances.[19] Because the response variable familiarity was binary, a generalized linear mixed model (GLMM) with a logit link function (binomial family) was used.[20] Non-responding participants were added when the proportion was 100% to render the analysis possible. For GLMM, the individual variable was used as the random effect and the variables odor, country and sex were set as fixed effects. To render possible the integration of the country variable in the models, we discarded the results obtained with the blank, as no odor was found with it in Switzerland. The multicomparison tests were achieved by using the multcomp R package.[21] The data obtained for the association between the odors and pictures were transformed into a binary variable, as the distribution clearly showed a binomial distribution. The dependence between the descriptors (the pictures) and the odors was 2 assessed by χ tests and the results shown using factorial analysis. The level of significance was set at 0.05. Results B a a 80 60 b 40 60 40 20 a a b 80 b 0 0 Familiarity, percentage b 20 a b Familiarity, percentage A 100 The participants in all countries perceived banana, citrus and lavender perfumes as pleasant odors and fecal, latrine and stale urine reconstitutions as unpleasant odors, showing that the reconstitutions were perceived as malodors (Figure 1). Moreover, the test with pictures showed that the odors were not randomly associated with the descriptors (χ 2 = 6007.36, df = 182, P < 0.0001) and revealed that the stale urine and both fecal reconstitutions were significantly associated with the descriptors “stale urine” and “feces” in all countries (Supplementary Table 1). The association of the three malodors with their respective pictures, however, was weaker than the association of banana and lemon odors with their respective pictures (Figure 2A and B, Supplementary Table 1). In fact, both fecal reconstitutions were also significantly associated with the descriptors “latrine” and “sewage” in every country except Switzerland, where no reconstitutions were significantly associated with “sewage” (Figure 2A, Supplementary Table 1). The stale urine was also significantly associated with the descriptors “latrine,” “sewage” and, to a lesser extent, “feces” in some countries, although the stronger association was with the “stale urine” descriptor (Figure 2A, Supplementary Table 1). Both fecal reconstitutions were not significantly associated with the “stale urine” descriptor in every country except Kenya (Figure 2A, Supplementary Table 1). The Kenyan participants associated the fecal reconstitution with the “stale urine” descriptor, but this association was weaker than the association of the fecal reconstitution with the “feces” descriptor (Supplementary Table 1). Although the participants used several descriptors for the malodor reconstitutions, they could discriminate between the stale urine and the fecal reconstitutions. They were not, however, able to discriminate between the fecal and latrine reconstitutions, because both produced similar results in every country (Figure 1 and 2A, Supplementary Table 1). Like the malodor reconstitutions, the lavender odor was associated with more than one descriptor. It was significantly associated with the descriptors “leaves,” “flowers” and, to a lesser extent, lemon in Kenya and India (Figure 2B, Supplementary Table 1). In India, Kenya and South Africa, both fecal and latrine reconstitutions were perceived as significantly stronger than odors such banana, citrus and lavender (Figure 3). In Switzerland, no odor was perceived to be significantly more or less intense except citrus, which was perceived to be significantly less intense than the fecal reconstitution. Stale urine reconstitution was perceived to have an intensity that was between that of the pleasant and the unpleasant odors. It was judged to be significantly weaker than fecal and latrine reconstitutions only in India and in South Africa (Figure 3). The familiarity ratings were less odor specific than were the intensity or the pleasantness ratings. Although the proportion of people who felt familiar with the banana and the citrus odors was significantly higher than the proportions who felt familiar with the other odors, the highest difference between proportions did not exceed 8.1% (Figure 4A). More than 80% of the participants overall (regardless of country) felt familiar with the odors (Figure 4A). Participants in India felt less familiar with all odors compared with participants in other countries (Figure 4B). No significant effect of sex was found for the intensity, familiarity or pleasantness ratings. The blank was perceived at an average intensity ± 95% confidence interval (CI) of 1.29 ± 0.12, 1.40 ± 0.13, and 1.60 ± 0.15 in India, Kenya and South Africa, respectively. In Switzerland, no odor was perceived in the blank, whereas 30.7% of the 100 Research involving Human Subjects. All signed forms for India were kept by Dr. Myles F. Elledge (RTI International, USA), whereas the forms from other countries are being safely kept in Switzerland. Each participant was interviewed only once by trained enumerators in the local languages. The enumerators collected the data, explaining the scales and the pictures if necessary. The enumerators used thirty sets of pictures that were placed in randomized order and numbered. Each questionnaire corresponded to a specific set of pictures. The participant was asked to smell the seven Sniffin’ Sticks presented in random order and to rate the measures described earlier. Faecal Latrine Urine Banana Citrus Lavend. India Kenya South Africa Switzer. 98 Figure 4. Proportion of participants who felt familiar with an odor as a function of odor (A) and country (B). Proportions with different letters were significantly different following a multicomparison test based on a generalized linear mixed model wileyonlinelibrary.com/journal/ffj © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. Flavour Fragr. J. 2016, 31, 95–100 80 40 0 Percentage Sensory survey of key compounds in toilet malodour India Kenya South Africa Figure 5. Proportion of participants using toilets for defecation by country. participants from other countries perceived an odor when sniffing the blank. When the blank was described as an odorant, the mean pleasantness ± 95% CI was 0.7 ± 0.88, 0.61 ± 0.54, and 0.78 ± 0.49 in India, Kenya and South Africa, respectively. The percentage of participants who felt familiar with the blank was 52.38% (n = 22), 83.78% (n = 37) and 80.36% (n = 56) in India, Kenya and South Africa, respectively. The proportion of people who reported using toilets to defecate was lower in India than in Africa (Figure 5). As this proportion was above 90% in Africa, we integrated this variable into the data from India only to assess whether the use of toilets affects the perception of malodors related to toilets. No significant effect of the use of toilets was found on the intensity, pleasantness or familiarity ratings. Discussion Flavour Fragr. J. 2016, 31, 95–100 © 2015 The Authors. Flavour and Fragrance Journal published by John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/ffj 99 This study aimed to evaluate whether the synthetic fecal, latrine and urine reconstitutions evoked urine and fecal odors and to define the pleasantness or unpleasantness of these odors across countries. It was a challenge to set up a sensory survey in slums in three different countries with participants who had different levels of education. The interviewing room in Ahmedabad was hot, and the air conditioning, in addition to the rotation of the ceiling fans, made conditions difficult. In Nairobi, we were hosted in a church in the slum, and so the participants were spread out around a large space. In Durban, we were hosted in a community building, but the survey created excitement in the community and noisy conditions. Thus, the participants in India and Africa were not isolated in a booth with controlled temperature and ventilation, as was the case for the internal panel in Switzerland. We maximized the distance between each participant in the space available and, despite the ventilation and the noise, we were able to collect relevant data. The participants were not paid, but our partners in India offered plastic lunch boxes, and in Africa, they offered a soda, a chocolate bar and Jeyes Fluid, a multipurpose cleaner. The picture choices were made after discussion with our partners from India, Kenya and South Africa. We used banana and lemon odors as positive control of pleasantness and to estimate the ability of participants to associate an odor with an image. Bananas and lemons are common in these countries and we determined that the picture should be associated with these odors. We also added lavender as a pleasant odor control that people from slums of Africa and India should not be used. Finally, one stick filled only with the solvent was used as a negative control, called the blank. The background noise observed in the results obtained for the blank can be explained by the difficult conditions; in addition, the sticks were presented in random order and thus if a participant started with the blank, they may have been confused and felt the need to describe a smell. The presence of a background noise for the blank was a good indication that the sensory survey was well conducted and that the enumerator did not try to influence the responses. The responses of 42 participants were discarded because the participants failed to associate at least the banana or the citrus odor with the respective picture. Eight participants also quit the test because they were unable to smell the odor or for other undefined reasons. Despite these difficulties, we demonstrated that it is possible to mimic the odor of human feces, the main source of pit latrine malodor, on three different continents by using only four molecules. The fecal and latrine reconstitutions differed in chemical composition but produced similar results in terms of pleasantness, intensity and familiarity and were similarly recognized as malodors emanating from feces, latrines or sewers. The fecal reconstitution contained butyric acid, p-cresol, indole and dimethyl trisulfide, whereas the latrine reconstitution contained these compounds and additional four also found in the sludge of pit latrines and in stools: 2-methyl butyric acid, 3-methyl butyric acid, phenyl acetic acid and skatole.[7,8,13] Although the additional four compounds changed the odor of the reconstitution, the results show that butyric acid, p-cresol, indole and dimethyl trisulfide contribute more to evoke an olfactory experience of using latrines. These four compounds have previously been described as important components of human fecal odor;[3,22] some of these compounds, namely, p-cresol and indole, have been known as constituents of fecal odor since the 19th century.[23] Butyric acid is formed by the fermentation of carbohydrates, principally starch,[24,25] p-cresol by the fermentation of tyrosine, and indole by the fermentation of tryptophan.[26] In the case of the sulfur compounds, we used dimethyl trisulfide found in the sludge of pit latrines,[13] a good alternative to gaseous hydrogen sulfide and methylmercaptan. Hydrogen sulfide and methylmercaptan are produced from the anaerobic decomposition of fecal material and sludge. They play an important role in human fecal and pit latrine odors.[22,27] The stale urine reconstitution was recognized as a malodor emanating from urine in every country, but it was also associated, to a lesser extent, with latrine, sewage or feces, depending on the country. On the one hand, stale urine differs qualitatively from fecal odor by the presence of a significant amount of trimethyl amine and the lack of carboxylic acid,[11] which explains the strong association of the stale urine reconstitution with the descriptor “urine” in every country. On the other hand, the odor of stale urine and feces share key compounds such as indole, p-cresol and methylmercaptan. This could explain the association of stale urine with the descriptors “feces” and “sewage,” as well as the association of fecal reconstitution with the descriptor “urine” in Kenya. Our results show that some descriptors overlap, especially those for malodors. The participants chose the descriptors “feces,” “latrine” and/or “sewage” for the fecal and latrine reconstitution but discriminated much more between the banana and citrus odors by choosing mainly the respective descriptor for each odor. A similar overlap was obtained with the lavender odor that was associated with the “leaves” and/or “flower” descriptors. This overlap can be explained by the proximity of the olfactory experience that the descriptors can evoke. Indeed, the odor of the flower and of the leaves contribute to the odor of the entire plant, just as the odor of feces contributes to latrine malodor. The “sewage” descriptor is also close to the other descriptors of malodors. The smell of sewage is due to sulfur compounds such as hydrogen sulfide and methylmercaptan. We found that in some slums in Africa and India, when the latrine has no pit but is C. J.-F. Chappuis et al. connected to a drainage system, the smell of sewage discharges into the latrine. We can thus reasonably affirm that the olfactory experience during the use of these types of latrines can be close to that of smelling the odor of a sewer in India and in Africa. Alternatively, the overlap between the descriptors for malodors could originate from the fact that malodors provoke an unpleasant experience and thus may reduce the time and attention required for an adequate analysis of the odor, as proposed by Herz[28] and Ferdenzi et al.[16] The perception of an odor is a complex process in which sensory inputs and cognitive factors intervene.[29] Thus, a superficial analysis of the odor can reduce the ability to discriminate it. The measure of time spent smelling an odor could be an interesting variable to examine, as it may covary with pleasantness. The differences in the perception of our reconstitutions were limited across countries. This is in line with the fact that the perception of decomposing materials and waste, such as human or animal waste, has a certain level of consensus across different cultures.[14,30,31] Moreover, the fecal and latrine reconstitutions were recognized as malodors emanating from feces or latrines in every country, although we can expect the odors of such material to differ slightly with diet. This observation shows that the combination of key compounds in our reconstitutions evoked the odor of a latrine worldwide. The odor emanating from latrines is a complex mixture of various compounds. Nonetheless, we demonstrated that a fecal reconstitution composed of only four molecules and the stale urine reconstitution evoked fecal and stale urine odors, respectively, the two sources of toilet malodor. The compounds described in this paper were recently found in significant concentrations in the headspace of latrines in India and in Africa,[27] supporting the evidence that we identified the key odorants of toilet malodors. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. Funding This research was equally co-founded by Firmenich and the Bill & Melinda Gates Foundation. 23. 24. 25. Acknowledgements We would like to express our appreciation to the following people: Dr. Myles F. Elledge, Senior Director of RTI International (USA), for helping us organize the survey in Ahmadabad; Mrs. Ritu A. Sinha, Head-Strategic Alliances, RTI India; the ladies team from SEWA (Self Employed Women’s Association); and M. Sumeet Patil, Research Director at Neerman, Environmental, Engineer & Economical Consultant, Mumbai, India. We would also like to thank the following people: in Nairobi, M. 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