One health consideration is toxoplasmosis, a parasitic disease found in cat feces. While the risk is generally low, pregnant women should be cautious, as exposure can harm unborn babies. Using the toilet eliminates the need to handle potentially stinky litter, reducing the risk. However, pet owners should ensure they flush thoroughly and clean the toilet regularly. Another aspect is monitoring your cat's stool and urinate patterns. With a litter box, it's easier to spot changes in stool consistency or frequency which could indicate health issues. With a toilet, this becomes a bit challenging.