Sanitation 4.0 'The test of our progress is not whether we add more to the abundance of those who have much; it is whether we provide enough for those who have too little' Franklin D. Roosevelt, 32nd president of US 7.1 INTRODUCTION Sanitation 4.0 is the strategic and practical application of ReGenSan (i.e. the fourth paradigm of sanitation), which acknowledges the dynamic complexities of sanitation systems through the integration of all subsystems (SES, TeS, and ReS), dimensions and components (see Chapter 3). It seeks to align with the targets of the SDG 6 and recognizes that household sanitation infrastructure (e.g. collection) is just one element in a full sanitation service delivery chain from collection to treatment and recovery of SDPs with minimal disposal of residues (Sparkman & Sturzenegger, 2018). This programme will be designed to provide sani-solutions for the vulnerable population, particularly those with the greatest burden, in order to meet the SDG targets of 'adequate and equitable' sanitation and hygiene for all by 2030. In this case, 'adequate' implies a system of 'safely managed' by-products of human digestion right through the sanitation service chain (whether with safe containment and disposal in situ or safe transport and treatment/reuse off-premises), which could be critical for public health and environmental protection (Prüss et al., 2002; UN-Water, 2016). This, consequently, doubles the MDGs' service shortfall of 2.3 billion people (without improved sanitation facilities) to the SDG's current estimated 4.5 billion population without 'safely managed' sanitation facilities. In short, about three-fifths of the global population (much more than before the MDGs) do not have access to 'safely managed' sanitation (Mason et al., 2017). This is probably because the 'safely managed' indicator demands (for the first time at global level) to know what happens to human excreta after its discharge into the toilet or latrine (WHO/UNICEF, 2017a) as against merely counting existing facilities. These new insights have given birth to an increased urgency towards improved service, expanded access, recovered resources (of value) and synergy with other sectors such as agriculture, horticulture, aquaculture etc. Furthermore, traditional