The thought of having to hand-carry a honey bucket, (a five gallon pail filled with human waste) out of your house and dump it to an outdoor common collection container in winter temperatures that drop to -55 °F, is an unpleasant scenario. For some residents in the community of Lower Kalskag, and other rural Alaskan communities, this is a reality. They have no indoor plumbing, and no indoor hot or cold running water.
The community of Lower Kalskag, Alaska, is remotely located 350 miles west of Anchorage in a persistent poverty area. This small, predominantly Alaska Native community has a population of around 280 and roughly fifty percent of its homes still lack adequate sanitation systems. The lack of sanitation services is a dire health and safety issue faced daily by a number of rural Alaska residents.