Toilet hygiene is important in the control of both enteric and respiratory pathogens-associated illness both in public toilets and the home. Soap and detergents alone if not used properly cause cross contamination throughout a restroom. Use of disinfectants is critical to preventing movement of enteric microorganisms throughout the restroom. Pathogen contamination of both the air and surfaces in restrooms is well documented. Better quantification of the risks of infection using QMRA are needed as this well help determine what interventions will minimize these risks.