From the NY Times review of Rose George's The Big Necessity: The Unmentionable World of Human Waste and Why It Matters.
In Japan, where toilets are amazingly advanced — most of even the most basic have heated seats and built-in bidet systems for front and rear — the American idea of cleaning one’s backside with dry paper is seen as quaint at best and disgusting at worst. As Ms. George observes: “Using paper to cleanse the anus makes as much sense, hygienically, as rubbing your body with dry tissue and imagining it removes dirt.”
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