Why do people prefer open defecation and not want toilets or, if they have them, only use them sometimes? Recent research has shown two critical elements: ideas of purity and pollution, and not wanting pits or septic tanks to fill because they have to be emptied. These are the issues that nobody wants to talk about, but if we want to eradicate the practice of open
defecation, they have to be confronted and dealt properly.

Which among the following is the most crucial message conveyed by the above passage?

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