The word "insanitations" seems tricky to spell, but with the help of IPA phonetic transcription, it becomes clear. The first syllable "in-" is pronounced as /ɪn/, and the second syllable "-san-" as /sæn/. The third syllable "-i-" is pronounced as /aɪ/, and the fourth syllable "-ta-" as /teɪ/. The fifth syllable "-tions" is pronounced as /ʃənz/. Therefore, "insanitations" is spelled with an "i-n-s-a-n-i-t-a-t-i-o-n-s" sequence. This word refers to unsanitary conditions or the lack of sanitation.