This paper presents the innovative emergency Sanitation Operation System (eSOS) concept created to improve the entire emergency sanitation chain and provide decent sanitation to people in need. The eSOS kit is described including its components: eSOS smart toilets, an intelligent excreta collection vehicle-tracking system, a decentralized excreta treatment facility, an emergency sanitation coordination center, and an integrated eSOS communication and management system. The paper further deals with costs and the eSOS business model, its challenges, applicability and relevance. The first application, currently taking place in the Philippines will bring valuable insights on the future of the eSOS smart toilet. It is expected that eSOS will bring changes to traditional disaster relief management.

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