If a person has to go to the bathroom while out in public, it may be difficult to find a toilet without some sort of catch. Often, it’s in a coffee shop, a convenience store, a pharmacy, or another private building, so it’s not a true public toilet.

The U.S. has eight public toilets per 100,000 people. That number is comparable with the rate in Botswana and far behind Iceland’s world-leading 56 public toilets per 100,000.

So why is it so hard to find a public toilet in the U.S.?

It’s a question with a complicated answer, and that has a long history. Surprisingly, it relates to many different issues, including public health, social services, and almost every form of discrimination imaginable.

Public toilets were a fact of life in the U.S. and elsewhere for centuries — at least as far back as the Roman Empire. But they were pretty public, without any walls or barriers between them. The expectation for privacy while going to the bathroom in a public space emerged in the 19th century, with the industrial revolution and houses with modern plumbing.

Later on, in the 19th century and into the early decades of the 20th century, sanitation became a greater priority. As leaders began understanding sanitation's role in containing outbreaks of waterborne diseases, cities built and celebrated their public toilets.

Temple University history professor Bryant Simon, who has studied and is writing an upcoming book on the history of toilets, shared more about how toilets used to be a big deal.

"City officials get on their soapboxes and brag about how much they spend on public bathrooms," Simon said. "They brag about the touch points in these bathrooms. They brag about the brass fittings. They brag about the marble countertops. They brag about the floors. They're proud of their accomplishment."

Bathrooms quickly became points where people were segregated. Bathrooms were split up by gender, as they still frequently are. But the splits can be broader than that and lead to discrimination against many different groups.

For example, public toilets started closing as early as the 1930s, with the LGBTQ community as a target.

"Beginning in the 1930s, 1940s, that early, public officials begin to complain about perversions," Simon said. "They begin to complain about same-sex sex in bathrooms. As there are fears about gay sex in bathrooms, there's fear about people drinking in bathrooms. It's not a very popular city sort of thing to build anymore."

In the first half of the 20th century, bathrooms often were segregated by race, with Black Americans, or Latinos in the Southwest, having their own separate facilities.

"The bathroom sort of operates as a kind of hardware of inequality because, essentially, you needed a public bathroom or a bathroom of some sort in order to be out and in public," Simon said.

Racial segregation in toilets may sound like a distant thing or a footnote, but that legacy extends into the present.

In 2018, two Black men were blocked from using the restroom at a Starbucks location in Philadelphia’s Center City. The incident prompted Starbucks to act as America's de facto public toilet. It changed its policy to allow people to use the restrooms at its more than 15,000 U.S. locations without buying anything.

While money can be a barrier to private toilets in stores, historically, it’s limited access to public standalone toilets. By the 1960s and '70s, public toilets requiring small payments sprung up, but those ended up closing after concerns about gender discrimination.

The other big push to remove public toilets came in the 1980s as part of a broader push to drive unhoused people to the edges of cities by taking away their access to public spaces and aggressively enforcing public urination laws.

Now if you don’t have a home of your own, it can put access to a restroom pretty far away.

"Most of us are used to having our own bathroom," said Raven Drake, Street Roots ambassador program manager. "Where I lived when I was unhoused, the nearest bathroom was a one-mile walk away. Imagine walking a mile to the bathroom, and most of us can't fathom walking 50 feet to our bathroom, much less a mile."

Drake works with unhoused people in Portland as part of the local newspaper Street Roots. She’s an advocate for bathroom access as a central part of addressing homelessness, and she was unhoused herself in late 2019 and early 2020 during some of the strictest shutdowns of the COVID-19 pandemic.

"We ran a survey around bathrooms, around the importance of bathrooms and access to clean water with the Joint Office of Homeless Services, and a resounding amount of people answered that they had no access to public restrooms," Drake said. "So we took forth on this initiative of placing throughout the city 172 port-a-potties."

Underinvestment has been a major concern, too. If public toilets aren’t funded or attended to, they can fall into disrepair. They can potentially become unsafe or unhygienic.

Starbucks announced in July that it would close 16 stores due to safety concerns. CEO Howard Schultz said in June that the coffee giant might restrict its currently public restrooms to customers only as part of its broader push for store safety.

So, if Starbucks decides to no longer serve as America’s public restroom, where will people be able to go? Even if a person isn't homeless, bathroom access advocates like American Restroom Association president Steven Soifer point out this is an issue.

"For everyone, for people with shy bladder, for people with incontinence, for people with bladder issues of different sorts," Soifer said. "People who had health issues and families with children who often struggle to find a place."

Soifer is calling on government officials to step up here, but it may have to be local officials taking the lead.

"There are going to be fewer and fewer options for people to be able to relieve themselves, and that becomes a public health issue as well," Soifer said.

The consequences can be deadly for communities if no bathrooms are available. In 2017, at least 16 people died, and hundreds more got sick in San Diego in an outbreak of hepatitis A.

The disease spread largely due to contact with fecal matter and public defecation.

The city acknowledged that a lack of public restrooms, especially for unhoused people, was part of the issue and helped contain the outbreak by installing public toilets and handwashing stations.

But even then, a lack of funding or upkeep can quickly lead to toilets disappearing. Earlier this year, San Diego State University researchers reported that many toilets were closed after the COVID-19 pandemic. That nearly half the county’s census tracts, home to 40% of the population, had no public restrooms.

Other cities are moving ahead with plans to install new public toilet facilities, including Portland, Philadelphia, and Washington, D.C. But there’s still a shortage of public toilets in the U.S., and it’s pretty dire.

In 2011, a United Nations independent expert, Catarina de Albuquerque, studied water and sanitation rights on a mission to the U.S. Her report found an instance in Sacramento, California, where public restroom closures and enforcement of public urination and defecation laws led to a homeless person traveling miles to dump a whole community’s human waste.

In the report, she indicated that the laws had a discriminatory effect and led to "a violation of human rights that may amount to cruel, inhumane or degrading treatment.”

Newsy is the nation’s only free 24/7 national news network. You can find Newsy using your TV’s digital antenna or stream for free. See all the ways you can watch Newsy here.

COLUMBIA, S.C. — Authorities in South Carolina say a Belk Department Store employee died in the store's public bathroom, but her body wasn't discovered for four days.

According to Columbia Police, the Associated Press and CBS affiliate WLTX reported that the store's janitor Bessie Durham was last seen Thursday at work.

On Monday, Durham's body was found by another store employee in a bathroom stall around 8 p.m., the Lexington County Coroner's Office told WLTX.

Deputy Police Chief Melron Kelly told WIS-TV her cleaning cart was sitting out of the bathroom.

The news outlets reported that Durham's body was found shortly after her family reported her missing.

According to the news outlets, foul play is not suspected.

WLTX reported an autopsy is scheduled for Thursday.

Kelly said the store was open during normal business hours those four days, so police will investigate if anyone was negligent, the news outlets reported.

“We’re still working with the store to find out what their process is to closing down the store, inspecting the store and things of that nature,” Kelly told the news station.

ST. PETERSBURG, Fla. — As Hurricane Ian pummeled Florida, flamingos at a botanical park in St. Petersburg took shelter in a bathroom.

Sunken Gardens took to its Twitter account Wednesday to give let animal lovers know that the pink feathered birds were doing fine as they rode out the storm.

“We're hunkered down! Our animals are safe w/staff on site to see them through the storm," the park said. "The flamingos are having a hurricane party in the bathroom; eating, drinking, & dancing. Stay safe out there!”

We're hunkered down! Our animals are safe w/staff on site to see them through the storm.
The flamingos are having a hurricane party in the bathroom; eating, drinking, & dancing.

Stay safe out there! pic.twitter.com/ejCuuRUdma

— SunkenGardens (@SunkenGardens) September 28, 2022

This isn't the first time Floridians have seen flamingos huddled together for safety in a bathroom during a hurricane.

Wildlife photographer Ron Magill took a picture of flamingos inside a bathroom 30 years ago as they sought shelter from Hurricane Andrew, The Washington Post reported.

Of the countless images I have captured in my life, none is more iconic than this one. I can't believe it has been 30 years since Hurricane Andrew devastated South Florida. I'll never forget capturing this image of the zoos flamingos huddled in the ladies restroom for protection. pic.twitter.com/iACXIBivSm

— Ron Magill (@RonMagill) August 24, 2022

Hurricane Ian slammed into the state's southwest coast on Wednesday as a Category 4, with it bringing 150 mph winds, storm surges, and mass destruction.

Rescue and recovery efforts are underway as the state deals with the storm's aftermath, as officials conduct searches of residences.

On Friday, officials said 21 people have died, but they caution that the death toll is preliminary.

Areas that saw significant damage included Fort Myers Beach and Sanibel Island.

The storm has since been downgraded to a post-tropical cyclone.

SPIRIT LAKE, Iowa —

A transgender student at an Iowa high school has been ordered to stop using the men's restroom or face possible disciplinary action.

The sudden decision this week by Spirit Lake High School brought to an end more than one and a half years Ethan Stucker was allowed to use those restrooms in the school building.

"It really upset me," Stucker told sister station KCCI. "And I had no idea that that was coming, so it really caught me off guard."

He and his mother, Jennifer Larson, said the change came out of the blue and without explanation.

"I was not aware that there was any issue prior to them calling Ethan," Larson said. "And after the fact, Ethan called me from school and he was crying and very upset."

School officials declined interviews and conversations about the situation.

Superintendent David Smith sent the following statement:

"We are investigating the current regulations and are sensitive to both sides of the issue. We have and continue to provide multiple restroom facilities attempting to accommodate both positions on the issue so all our students feel emotionally and physically safe."

Larson said the decision is unacceptable and that the family is considering its options.

"There was a concern that somebody felt uncomfortable," she said. "And that's not how the law is written, for comfort level."

Despite being told to use a separate restroom, Stucker has refused.

"And I don't plan to," he said. "Because I have every right to be treated the same as every other male student in there."