The three or four stone toilets in the village were literally overflowing with excrement. The latrines were so abhorrent that most people, Nepalese and Westerners alike, evacuated their bowels outside on the open ground, wherever the urge struck. Huge stinking piles of human feces lay everywhere; it was impossible not to walk in it. The river of snowmelt meandering through the center of the settlement was an open sewer.