Agree. You can imagine what's like the like of months if not years of constant suction into ceiling space. This is more so if you have hot water, as the moisture is the starting ground for mould development.
In reality although an ideal, sometimes it's cumbersome/troublesome because toilets however have no ventilation outside due to renovation claiming backyard hence closing off vent-out spaces now reclaimed by renovated area/rooms. I've seen them mounting ceiling vent into ceiling space nia. Mine is such but I don't hv plaster ceiling but rely on fixed louvre window veniting into dry area. Installing an extractor fan on the backyard wall somewhat though not ideally deals with the air/odor wafting out away from the dry area.
In that scenario, for health reasons, it is proper to duct it outwards with ducted ceiling vents that runs out to the wall of the backyard.
For condo and apartment toilets with casement window of leaf opening up-down type, just install glass mounted suction fan.
Same for landed with the same window configuration or else just bore through masonry with exhaust fans. Some like KDK/Panasonic has one model, En (4"/10cm) and Zen (6"/15cm) extractors which is for areas that have very little overhang from roof. This series have an accessory hood that elbow downwards on the exterior to prevent rain infiltration.
Edit: One practical matter is unless you hv additional switch point for extractor fan, what I did was to branch it off the toilet light point. Hence can leave fan on while light can turn off. Otherwise in the long run cost $$$ to vent cos light must still run. The other alternative is to install pull switch for light with the obvious drawback of having to grope for it in the dark to turn it on.
Added on July 27, 2012, 4:34 pmWithout outside roof, venting into ceiling space esp if ground floor toilet causes back pressure on the fan. The miniscule dirt and mold spores could be blown out due to backpressure.
Venting into roof space should be ducted with a roof vent/duct otherwise moisture build up inside here could affect lifespan woodwork holding up roof.
Roof is not critical because day time the heat will actually dry the humid.
Ground floor is a must to put ducting, if no ducting or opening, better don't put any vent fan.