Joe Brown, PhD
Charisma S Acey, PhD
Carmen Anthonj, PhD
Dani J Barrington, PhD
Cara D Beal, PhD
Drew Capone, PhD
Oliver Cumming, MSc
Kristi Pullen Fedinick, PhD
Jacqueline MacDonald Gibson, PhD
Brittany Hicks, BS
Michal Kozubik, PhD
Nikoleta Lakatosova, MA
Karl G Linden, PhD
Nancy G Love, PhD
Kaitlin J Mattos, PhD
Heather M Murphy, PhD
Inga T Winkler, PhD
The Lancet | Open Access | Published: April, 2023 | DOI:https://doi.org/10.1016/S2214-109X(23)00006-2
Summary
Drinking water and sanitation services in high-income countries typically bring widespread health and other benefits to their populations. Yet gaps in this essential public health infrastructure persist, driven by structural inequalities, racism, poverty, housing instability, migration, climate change, insufficient continued investment, and poor planning. Although the burden of disease attributable to these gaps is mostly uncharacterised in high-income settings, case studies from marginalised communities and data from targeted studies of microbial and chemical contaminants underscore the need for continued investment to realise the human rights to water and sanitation. Delivering on these rights requires: applying a systems approach to the problems; accessible, disaggregated data; new approaches to service provision that centre communities and groups without consistent access; and actionable policies that recognise safe water and sanitation provision as an obligation of government, regardless of factors such as race, ethnicity, gender, ability to pay, citizenship status, disability, land tenure, or property rights.
Journal of People 