[cpursley]

60 million people in America are on septic systems (non-centralized sewage systems that leech into the ground):

https://www.growingblue.com/septic-or-sewer/#:~:text=Septics....

[thc-27182]

https://www.epa.gov/septic/types-septic-systems

They're generally sanitary (when maintained) and are a whole septic system. And are attached to flush toilets.

That's massively different than raw sewage making it to streams and rivers.

However none of this really matters because the point is that many rural Russians lack access to water and proper sewage (apparently as laid out in the above previous links). So politely you're wrong. Have a good day.