Water, sanitation and hygiene

Infectious diarrhoea is the largest water-related contributor to global disease burden.  Infectious diarrhoea commonly includes cholera, salmonellosis, shigellosis, amoebiasis, and other protozoal and viral intestinal diseases.  In addition, schistosomiasis, trachoma, ascariasis, trichuriasis, hookworm and other diseases are also related to water, sanitation and hygiene risk factors.

Global estimates are that about 1.7 million people die every year from diarrhoeal diseases (including cholera), and 90% are children under 5, mostly in developing countries.  Eighty-eight per cent of cases of diarrhoeal diseases worldwide are attributable to unsafe water, inadequate sanitation and poor hygiene.  Globally, improving water, sanitation and hygiene has the potential to prevent at least 9.1% of the disease burden (in disability-adjusted life years or DALYs, a weighted measure of deaths and disability) or 6.3% of all deaths.  Children, particularly those in developing countries, suffer a disportionate share of this burden, as the fraction of total deaths or DALYs attributable to unsafe water. inadequate sanitation or insufficient hygiene is more than 20% in children up to 14 years of age.

Contribution of unsafe water, sanitation and hygiene to disease burden.  Current global estimates of disease burden due to diarrhoea may underestimate the importance of this illness in some WPR countries.  Concern arises over what is not known about morbidity and mortality due to diarrhoea in such countries.  Where diarrhoea statistics are not based on reliable surveys, the burden of disease attributable to unsafe water, sanitation and hygiene cannot be accurately estimated.  This lack of information on diarrhoea statistics on a country by country basis hampers the calculation of good regional estimates as well.  In order to be able to estimate the burden of disease attributable to unsafe water, sanitation and hygiene in the countries of the Region, specific research is needed at country level to generate such information.

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Fact sheets

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News and press releases

03 November 2008
Korean cities win awards for their public toilets
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26 May 2008
WHO receives US$1.3 million for urgent medical aid to China
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18 May 2008
Disease outbreak prevention crucial in China earthquake aftermath
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16 May 2008
Emergency and humanitarian action in the wake of a natural disaster
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19 March 2008
Sanitation is vital for human health
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Relevant publications and documents

Sanitation, hygiene and drinking-water in the Pacific Island countries: Converting commitment into action
The new publication "Sanitation, hygiene and drinking-water in the Pacific island countries – converting commitment into action" reveals that the numbers of people in the Pacific island countries served with some form of improved sanitation rose from 2.9 million in 1990 to 4.0 million in 2006. Despite this impressive achievement, the proportion of people served in 2006 was still barely 48% of the overall population.

Developing a National Strategy for Scaling Up Household Water Treatment and Safe Storage in the Lao People's Democratic Republic
The document summarizes the results of the literature review, key informant interviews and the workshop. It also contains recommendations and a list of possible action items for moving forward with household water treatment and storage in the Lao People's Democratic Republic.

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Upcoming meetings and events

No meeting/event planned at this time.

Contacts

Regional Adviser
Environmental Health