A major fraction of nutrients emitted from households are originally present in only 1% of total wastewater volume. New sanitation concepts enable the recovery and reuse of these nutrients from feces and urine. Two possible sanitation concepts are presented, with varying degree of source separation leading to various recovery products. Separate vacuum collection and transport followed by anaerobic treatment of concentrated black water (BW) demonstrated on a scale of 32 houses preserve 7.6 g/N/p/d and 0.63 gP/p/d amounting to respectively 69 and 48% of the theoretically produced N and P in the household, and 95% of the retained P was shown to be recoverable via struvite precipitation. Reuse of the anaerobic sludge in agriculture can substantially increase the P recovery. Energy recovery in the form of biogas from anaerobic digestion of concentrated BW, fits well in new concepts of sustainable, zero energy buildings. Nutrient recovery from separately collected urine lowers the percentage of nutrient recovery in comparison with BW but can, on the other hand, often be implemented in existing sanitation concepts. Theoretically 11gN/p/d and 1.0 g P/p/d are produced with urine, of which 38–63 and 34–61% were recovered in practice on a scale of 8–160 inhabitants in Sweden. New sanitation concepts with resource recovery and reuse are being demonstrated worldwide and more and more experience is being gained.

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