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For many of the world's poorer populations,
one of the greatest environmental threats to health remains the continued
use of untreated water. While the percentage of people served with improved
water supplies increased from 79 per cent (4.1 billion) in 1990 to 82
per cent (4.9 billion) in 2000, 1.1 billion people still lack access to
safe drinking water and 2.4 billion lack access to improved sanitation
(WHO and UNICEF 2000). Most of these people are in Africa and Asia. Lack
of access to safe water supply and sanitation results in hundreds of millions
of cases of water-related diseases, and more than 5 million deaths, every
year (see box below). There are also large, but poorly quantified adverse
impacts on economic productivity in many developing countries.
The importance of meeting basic human needs for water
has always played a major role in water policy. One of the earliest comprehensive
water conferences was held in 1977 in Mar del Plata, Argentina. The focus
on human needs led to the International Drinking Water Supply and Sanitation
Decade 1981-90) and the efforts of the United Nations and other international
organizations to provide basic water services (UN 2000). The concept of
meeting basic water needs was reaffirmed during the 1992 Earth Summit
in Rio de Janeiro and expanded to include ecological water needs. A recent
United Nations report (UN 1999) recognized that all people require access
to adequate amounts of safe water, drinking, sanitation and hygiene. Most
recently, the Second World Water Forum and Ministerial Conference in The
Hague in 2000 (see box below) produced a strong statement from more than
100 ministers in support of re-emphasizing basic human needs as a priority
for nations, international organizations and donors.
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Vision 21: global targets for water supply
and sanitation
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| To address issues plaguing the provision of water supply and sanitation
to the developing world, the Water Supply and Sanitation Collaborative
Council (WSSCC) presented the following global targets, called Vision
21, at the Second World Water Forum at The Hague in March 2000: |
- by 2015, reduce by one-half the proportion of people without
access to hygienic sanitation facilities;
- by 2015, reduce by one-half the proportion of people without
sustainable access to adequate quantities of affordable and safe
water;
- by 2025, provide water, sanitation and hygiene for all
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| Source: WSSCC 2000 |
Providing urban dwellers with safe water and sanitation services has
remained a particular challenge. Some 170 million developing country urban
dwellers were provided with safe water and 70 million with appropriate
sanitation during the first half of the 1990s but this had limited impact
because about 300 million more urban residents still lacked access to
safe water supply, while nearly 600 million lacked adequate sanitation
by the end of 1994 (CSD 1997b). However, a major area of success in many
developing countries is related to investments in wastewater treatment
over the past 30 years which have 'halted the decline in - or actually
improved - the quality of surface water' (World Water Council 2000b).
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The costs of water-related diseases
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- two billion people are at risk from malaria alone,
with 100 million people affected at any one time, and 1-2 million
deaths annually
- about 4 billion cases of diarrhoea and 2.2 million
deaths annually: this is the equivalent of 20 jumbo jets crashing
every day
- intestinal worms infect about 10 per cent of
the population of the developing world about 6 million are blind
from trachoma
- 200 million people are affected with schistosomiasis
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| Sources: CSD 1997a, WHO and UNICEF 2000 |
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