Human feces from urine diverting dry toilets can serve as valuable soil conditioners. For a successful agricultural application, an efficient pathogen reduction needs to be ensured, with no negative effects on plants. This study assessed the efficiency of lacto-fermentation combined with thermophilic composting on pathogen removal from human feces and the post-treatment effects on germination and growth of radish (Raphanus sativus) and tomatoes (Lycopersicum esculentum) compared to lacto-fermentation combined with vermi-composting and the control. The NH₄⁺-N/NO₃⁻-N ratio of 3.0 and 3.6, respectively, suggested the obtained compost and vermi-compost was not yet mature. A complete reduction in the concentration of all investigated bacterial indicators (i.e., coliforms, Escherichia coli, Enterococcus faecalis, and Clostridium perfringens) from 5–7 log CFU g⁻¹ to below detection limit (<3 log CFU g⁻¹) was achieved after lacto-fermentation combined with thermophilic composting. Lacto-fermentation combined with vermi-composting also contributed to pathogen die-off, but coliform bacteria were reduced to only 5 log CFU g⁻¹. Fertilization of seeds of radish by compost obtained after lacto-fermentation combined with thermophilic composting led to a higher germination index than by the vermicast obtained by lacto-fermentation and vermi-composting (90% versus 84%). Moreover, significantly bigger average fruit weight and total biomass per tomato plant (p < 0.05) were obtained after compost amendment compared to vermicast or the control.

Studies show that source separated human excreta have a fertilizing potential with benefits to plant growth and crop yield similar or exceeding that of mineral fertilizers. The main challenges in fertilizing with excreta are pathogens, and an increased risk of eutrophication of water bodies in case of runoff. This review shows that lactic acid fermentation of excreta reduces the amount of pathogens, minimizes the nutrient loss and inhibits the production of malodorous compounds, thus increasing its agricultural value. Pathogens (e.g., Enterobacteriacea, Staphylococcus and Clostridium) can be reduced by 7 log CFUg-1 during 7-10 days of fermentation. However, more resistant pathogens (e.g. Ascaris) are not always efficiently removed. Direct application of lacto-fermented faeces to agriculture may be constrained by incomplete decomposition, high concentrations of organic acids or insufficient hygienization. Post-treatment by adding biochar, vermi-composting, or thermophilic composting stabilizes and sanitizes the material. Pot and field experiments on soil conditioners obtained via lactic acid fermentation and post treatment steps (composting or biochar addition) demonstrated increased crop yield and growth, as well as improved soil quality, in comparison to unfertilized controls.