Twenty-year study shows cleaner water slashes cancer and heart disease deaths

Date:November 27, 2025

Source:Columbia University’s Mailman School of Public Health

Summary:A 20-year project in Bangladesh reveals that lowering arsenic levels in drinking water can slash death rates from major chronic diseases. Participants who switched to safer wells had the same risk levels as people who were never heavily exposed. The researchers tracked individual water exposure with detailed urine testing. Their results show how quickly health improves once contaminated water is replaced.Share:

    

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Safer Wells Save Lives in Bangladesh
Cleaner water dramatically reduces chronic disease deaths, even for those exposed to arsenic for years. Credit: Shutterstock

A large 20-year investigation following nearly 11,000 adults in Bangladesh found that reducing arsenic in drinking water was tied to as much as a 50 percent drop in deaths from heart disease, cancer and several other chronic illnesses. The research offers the strongest long-term evidence so far that lowering arsenic exposure can reduce mortality, even for people who lived with contaminated water for many years. These results appear in JAMA.

Scientists from Columbia University, the Columbia Mailman School of Public Health and New York University led the analysis, which addresses a widespread health concern. Naturally occurring arsenic in groundwater remains a significant challenge across the world. In the United States, more than 100 million people depend on groundwater that can contain arsenic, particularly those using private wells. Arsenic continues to be one of the most common chemical contaminants in drinking water.

“We show what happens when people who are chronically exposed to arsenic are no longer exposed,” said co-lead author Lex van Geen of the Lamont-Doherty Earth Observatory, part of the Columbia Climate School. “You’re not just preventing deaths from future exposure, but also from past exposure.”

Two Decades of Data Strengthen the Evidence

Co-lead author Fen Wu of NYU Grossman School of Medicine said the findings offer the clearest proof yet of the connection between lowering arsenic exposure and reduced mortality risk. Over the course of two decades, the researchers closely tracked participants’ health and repeatedly measured arsenic through urine samples, which strengthened the precision of their analysis.

“Seeing that our work helped sharply reduce deaths from cancer and heart disease, I realized the impact reaches far beyond our study to millions in Bangladesh and beyond now drinking water low in arsenic,” said Joseph Graziano, Professor Emeritus at Columbia Mailman School of Public Health and principal investigator of the NIH-funded program. “A 1998 New York Times story first brought us to Bangladesh. More than two decades later, this finding is deeply rewarding. Public health is often the ultimate delayed gratification.”

Clear Drop in Risk When Arsenic Exposure Falls

People whose urinary arsenic levels fell from high to low had mortality rates that matched those who had consistently low exposure for the entire study. The size of the drop in arsenic was closely tied to how much mortality risk declined. Those who continued drinking high-arsenic water did not show any reduction in chronic disease deaths.

Arsenic naturally accumulates in groundwater and has no taste or smell, meaning people can drink contaminated water for years without knowing it. In Bangladesh, an estimated 50 million people have consumed water exceeding the World Health Organization’s guideline of 10 micrograms per liter. The WHO has described this as the largest mass poisoning in history.

From 2000 to 2022, the Health Effects of Arsenic Longitudinal Study (HEALS) monitored thousands of adults in Araihazar, Bangladesh. The project tested more than 10,000 wells in a region where many families rely on shallow tube wells with arsenic levels ranging from extremely low to dangerously high.

Researchers periodically measured arsenic in participants’ urine, a direct marker of internal exposure, and recorded causes of death. These detailed data allowed the team to compare long-term health outcomes for people who reduced their exposure with those who remained highly exposed.

Community Efforts Created a Natural Comparison Group

Throughout the study period, national and local programs labeled wells as safe or unsafe based on arsenic levels. Many households switched to safer wells or installed new ones, while others continued using contaminated water. This created a natural contrast that helped researchers understand the effects of reducing exposure.

Arsenic exposure decreased substantially in Araihazar during the study. The concentration in commonly used wells fell by about 70 percent as many families sought cleaner water sources. Urine tests confirmed a corresponding decline in internal exposure, averaging a 50 percent reduction that persisted through 2022.

Reduced Exposure Brings Lasting Health Benefits

These trends held true even after researchers accounted for differences in age, smoking and socioeconomic factors. Participants who remained highly exposed, or whose exposure rose over time, continued to face significantly higher risks of death from chronic diseases.

The researchers compared the health benefits of lowering arsenic to quitting smoking. The risks do not disappear immediately but drop gradually as exposure decreases.

In Bangladesh, well testing, labeling unsafe sources, drilling private wells and installing deeper government wells have already improved water safety for many communities.

“Our findings can now help persuade policymakers in Bangladesh and other countries to take emergency action in arsenic ‘hot spots’,” said co-author Kazi Matin Ahmed of the University of Dhaka.

To reach more households, the research team is collaborating with the Bangladeshi government to make well data easier to access. They are piloting NOLKUP (“tubewell” in Bangla), a free mobile app created from more than six million well tests. Users can look up individual wells, review arsenic levels and depths, and locate nearby safer options. The tool also helps officials identify communities that need new or deeper wells.

Clean Water Investments Can Save Lives

The study shows that health risks can fall even for people who were exposed to arsenic for years. This highlights an important opportunity: investing in clean water solutions can save lives within a single generation.

“Sustainable funding to support the collection, storage and maintenance of precious samples and data over more than 20 years have made this critically important work possible,” said Ana Navas-Acien, MD, PhD, Professor and Chair of Environmental Health Sciences at Columbia Mailman School of Public Health. “Science is difficult and there were challenges and setbacks along the way, but we were able to maintain the integrity of the samples and the data even when funding was interrupted, which has allowed us to reveal that preventing arsenic exposure can prevent disease.”

The study team included researchers from Columbia University’s Mailman School of Public Health, the New York University Grossman School of Medicine, Lamont-Doherty Earth Observatory, Boston University School of Public Health, the Department of Geology at the University of Dhaka and the Institute for Population and Precision Health at the University of Chicago.

The HEALS project was launched by Columbia University through the National Institute of Environmental Health Sciences’ Superfund Research Program, with most U.S. collaborators based at Columbia when the study began.

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https://www.sciencedaily.com/releases/2025/11/251127010327.htm?

ASM and AGU Offer Critical Strategies to Protect Public Health and Safe Drinking Water Amid Climate Change

June 9, 2025

Washington, D.C.—The American Academy of Microbiology, the honorific leadership group and think tank within the American Society for Microbiology (ASM), and the American Geophysical Union (AGU) have released a new report, Water, Waterborne Pathogens and Public Health: Environmental Drivers. Developed by leading scientists and informed by expert deliberations from a December 2024 colloquium organized by ASM and AGU, with support from the Association for the Sciences of Limnology and Oceanography (ASLO), the report presents a holistic strategy to reduce waterborne infections and safeguard public health as climate change increasingly disrupts water systems worldwide. 

“Water is a critical determinant of both ecosystem integrity and human health, yet it is increasingly compromised by anthropogenic pressures and broader environmental change,” said Dr. Rita Colwell, Co-Chair of the Colloquium Steering Committee, former ASM President and past Chair of the Academy. “Addressing this public health risk requires coordinated, cross-disciplinary strategies for effective microbial and environmental surveillance, early-warning systems and support for resilient water infrastructure that can withstand intensifying climate stressors.” 

Each year, more than 3.5 million people die from waterborne illnesses, with the heaviest burden falling on low- and middle-income countries, where over 4 billion people rely on water sources that are often unmonitored and unsafe. While many microbes that exist in water are harmless, some can cause serious disease when humans drink or interact with contaminated water. Environmental changes through more frequent and intense floods, hurricanes and heatwaves, coupled with aging infrastructure, are increasing human exposure to waterborne pathogens and threatening access to safe drinking water. 

The report is part of the Academy’s Climate Change & Microbes Scientific Portfolio, a 5-year initiative to advance microbial science to inform climate policy, foster innovation and support development of microbial technologies that can be applied globally. Supported by a grant from the Burroughs Wellcome Fund (BWF), the report shares expert-driven insights and highlights key strategies to strengthen prevention and response to waterborne disease outbreaks, including:   

  • Enhance surveillance and monitoring: Implement robust systems to track water quality and pathogen presence. 
  • Modernize water infrastructure: Invest in advanced water treatment and distribution systems to ensure safe drinking water. 
  • Promote interdisciplinary research: Initiate collaboration across microbial sciences, hydrology and climate science to address health relevant challenges. 
  • Improve public awareness and engagement: Raise awareness of the importance of safe water and sanitation and engage local communities to develop collaborative solutions. 

“Microbial datasets and environmental monitoring are foundational to explaining the dynamic interdependencies between ecological processes and human health outcomes,” said Antarpreet Jutla, Ph.D., Co-Chair of the Colloquium Steering Committee, AGU member and recipient of AGU’s 2023 Charles S. Falkenberg Award. “Integrating these data streams within interdisciplinary, systems-based frameworks facilitates the design of adaptive infrastructure and predictive modeling platforms, ultimately strengthening public health resilience and promoting socio-economic stability in the context of accelerating environmental change.” 

While a wealth of environmental and weather data, public health information and waterborne pathogen monitoring exists, resources for this information are often siloed. The report emphasizes integrating data systems with technologies like artificial intelligence and machine learning to develop predictive models for communities that allow proactive warning of waterborne disease outbreaks. 

Investment in water infrastructure that addresses region-specific geographical and environmental conditions and meets the needs of local communities is critical. The report highlights the promise of microbes as a nature-based solution that improves water treatment, prevents infrastructure degradation and provides new ways to build systems that hold up against changing weather parameters. 

Ultimately, addressing these challenges will require cross-disciplinary collaboration. The report calls for active engagement with local communities, especially those most affected by water insecurity, to co-develop effective and long-lasting solutions.  

“Safeguarding global health demands an integrated perspective and coordinated action,” said Jay Lennon, Ph.D., Chair of the Academy Climate Change Task Force. “Around the globe, scientists, public health advocates, policymakers, local leaders and philanthropists must work hand in hand to build a future where every person has access to safe and reliable water.” 

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The American Society for Microbiology is one of the largest professional societies dedicated to the life sciences and is composed of over 32,000 scientists and health practitioners. ASM’s mission is to promote and advance the microbial sciences. 
 
ASM advances the microbial sciences through conferences, publications, certifications, educational opportunities and advocacy efforts. It enhances laboratory capacity around the globe through training and resources. It provides a network for scientists in academia, industry and clinical settings. Additionally, ASM promotes a deeper understanding of the microbial sciences to all audiences. 

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The American Geophysical Union is an international association of more than 60,000 advocates and experts in Earth and space science. Fundamental to our mission since our founding in 1919 is to live our values, which we do through our net zero energy building in Washington, D.C., and by making scientific discoveries and research accessible and engaging to all to help protect society and prepare global citizens for the challenges and opportunities ahead.

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The Association for the Sciences of Limnology and Oceanography (ASLO) is an international aquatic science society that was founded in 1948. For more than 70 years, it has been the leading professional organization for researchers and educators in the field of aquatic science. The purpose of ASLO is to foster a diverse, international scientific community that creates, integrates and communicates knowledge across the full spectrum of aquatic sciences, advances public awareness and education about aquatic resources and research and promotes scientific stewardship of aquatic resources for the public interest. Its products and activities are directed toward these ends. With 3,000 members in more than 70 countries worldwide, the society has earned an outstanding reputation and is best known for its journals and interdisciplinary meetings. For more information about ASLO, please visit our website

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https://asm.org/press-releases/2025/june/asm-and-agu-offer-critical-strategies-to-protect-p?

Scientists discover what’s linking floods and droughts across the planet

Date:January 13, 2026

Source:University of Texas at Austin

Summary:Scientists tracking Earth’s water from space discovered that El Niño and La Niña are synchronizing floods and droughts across continents. When these climate cycles intensify, far-apart regions can become unusually wet or dangerously dry at the same time. The study also found a global shift about a decade ago, with dry extremes becoming more common than wet ones. Together, the results show that water crises are part of a global pattern, not isolated events.Share:

    

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Earth’s Water Extremes Are Suddenly Linked
Across the globe, floods and droughts aren’t striking at random — they’re moving to a shared rhythm driven by El Niño and La Niña. Credit: Shutterstock

Droughts and floods can disrupt daily life, damage ecosystems, and strain local and global economies. Scientists at The University of Texas at Austin set out to better understand these water extremes by studying how they develop and spread across the planet. Their work points to a powerful climate force that links distant regions in surprising ways.

A new study published in AGU Advances shows that during the past 20 years, ENSO, a recurring climate pattern in the equatorial Pacific Ocean that includes El Niño and La Niña, has played the leading role in driving extreme changes in total water storage worldwide. The researchers also found that ENSO tends to line up these extremes so that different continents experience unusually wet or dry conditions at the same time.

Why Synchronized Extremes Matter

According to study co-author Bridget Scanlon, a research professor at the Bureau of Economic Geology at the UT Jackson School of Geosciences, understanding these global patterns has real-world consequences.

“Looking at the global scale, we can identify what areas are simultaneously wet or simultaneously dry,” Scanlon said. “And that of course affects water availability, food production, food trade — all of these global things.”

When multiple regions face water shortages or excesses at once, the impacts can ripple through agriculture, trade, and humanitarian planning.

Measuring All the Water on Earth

Total water storage is a key climate indicator because it accounts for all forms of water in a region. This includes rivers and lakes, snow and ice, moisture in the soil, and groundwater below the surface. By focusing on this full picture, researchers can better understand how water moves and changes over time.

The study is one of the first to examine total water storage extremes alongside ENSO (The El Niño-Southern Oscillation) on a global scale. This approach made it possible to see how extreme wet and dry conditions are connected across large distances, said lead author Ashraf Rateb, a research assistant professor at the bureau.

“Most studies count extreme events or measure how severe they are, but by definition extremes are rare. That gives you very few data points to study changes over time,” Rateb said. “Instead, we examined how extremes are spatially connected, which provides much more information about the patterns driving droughts and floods globally.”

Satellites Reveal Hidden Water Changes

To estimate total water storage, the scientists relied on gravity measurements from NASA’s GRACE and GRACE Follow-On (GRACE-FO) satellites. These data allow researchers to detect changes in water mass over areas about 300 to 400 kilometers wide, roughly the size of Indiana.

The team classified wet extremes as water storage levels above the 90th percentile for a given region. Dry extremes were defined as levels below the 10th percentile.

Their analysis showed that unusual ENSO activity can push widely separated parts of the world into extreme conditions at the same time. In some regions, El Niño is linked to dry extremes, while in others the same dry conditions are associated with La Niña. Wet extremes tend to follow the opposite pattern.

Real-World Examples Across Continents

The researchers pointed to several striking cases. During the mid-2000s, El Niño coincided with severe dryness in South Africa. Another El Niño event was linked to drought in the Amazon during 2015-2016. By contrast, La Niña in 2010-2011 brought exceptionally wet conditions to Australia, southeast Brazil, and South Africa.

Beyond individual events, the study also identified a broader shift in global water behavior around 2011-2012. Before 2011, unusually wet conditions were more common worldwide. After 2012, dry extremes began to dominate. The researchers attribute this change to a long-lasting climate pattern in the Pacific Ocean that influences how ENSO affects global water.

Filling the Gaps in Satellite Records

Because GRACE and GRACE-FO data are not continuous, including an 11-month gap between missions in 2017-2018, the team used probabilistic models based on spatial patterns to reconstruct missing periods of total water storage extremes.

Although the satellite record covers only 22 years (2002-2024), it still reveals how closely climate and water systems are linked across the Earth, said JT Reager, deputy project scientist for the GRACE-FO mission at NASA’s Jet Propulsion Laboratory and JPL Discipline Program manager for the Water and Energy Cycle.

“They’re really capturing the rhythm of these big climate cycles like El Niño and La Niña and how they affect floods and droughts, which are something we all experience,” said Reager, who was not involved in the study. “It’s not just the Pacific Ocean out there doing its own thing. Everything that happens out there seems to end up affecting us all here on land.”

Preparing for Extremes, Not Just Shortages

Scanlon said the findings underscore the need to rethink how society talks about water challenges. Instead of focusing only on scarcity, she said, it is critical to plan for swings between too much and too little water.

“Oftentimes we hear the mantra that we’re running out of water, but really it’s managing extremes,” Scanlon said. “And that’s quite a different message.”

The research was funded by the UT Jackson School of Geosciences.

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https://www.sciencedaily.com/releases/2026/01/260112214304.htm?

Environment

The world has entered a new era of ‘water bankruptcy,’ U.N. report says

Researchers say this is not merely a temporary crisis, but a permanent failure that requires rethinking the world’s approach to water scarcity.

Iran’s Lake Urmia, once the largest lake in the Middle East, has dramatically shrunk due to prolonged drought, the damming of rivers feeding the lake, and extensive groundwater extraction in the surrounding area. (MORTEZA AMINOROAYAYI/Middle East Images/AFP via Getty Images)

By Sarah Kaplan

Climate change, pollution and decades of overuse have pushed the world into a state of “water bankruptcy,” leaving essential sources of fresh water irreparably damaged and billions of people without enough water to meet their basic needs, United Nations experts declared on Tuesday.

In a sweeping report from United Nations University (UNU), the international agency’s research arm, scientists compared humanity to a person plunging into financial ruin. Not only does the world overspend its annual water “income” — the renewable flows that come from rain and snow — but it has also exhausted the long-term “savings” stored in underground aquifers, glaciers and ecosystems. At the same time, people are allowing pollution from human waste, agriculture and industrial operations to contaminate the dwindling fresh water that remains — like someone setting fire to the last few dollars in their wallet.

Signs of this emergency are alarming and abundant, said lead author Kaveh Madani, director of the UNU Institute for Water, Environment and Health. More than half of the world’s large lakes are shrinking. Roughly 70 percent of underground aquifers are in long-term decline. Large-scale droughts have become more frequent and pervasive, costing an average of $307 billion annually. Some 4.4 billion people face water scarcity for at least one month a year.

Madani and his colleagues argue that it’s not sufficient to refer to the situation as “water stress” or a “water crisis” — language often used by the U.N. and other international institutions — because the challenge will not go away anytime soon.

Human activities have already caused irreversible damage to many of the systems that generate, regulate and store fresh water, the report says. Rising temperatures, driven mostly by the burning of fossil fuels, have altered precipitation patterns and increased the rate of evaporation from landscapes. Deforestation and development have destroyed the ecosystems that filter and clean rainwater. Overextraction is causing the collapse of subterranean aquifers that store groundwater, reducing their capacity to become recharged. And melting mountain glaciers, which accumulated over centuries or millennia, will not grow back in a human lifetime.

“What appears on the surface as a crisis is, in fact, a new baseline,” the report authors write. “Some losses are now unavoidable, and the central task is to prevent further irreversible damage while reorganizing the system around a smaller hydrological budget.”

Existing policies are too narrowly focused on improving sanitation and drinking water and helping industries to become incrementally more efficient, the report says. Ahead of an upcoming United Nations water conference in the United Arab Emirates, it calls on leaders to declare a “global water bankruptcy” and adopt a new approach to managing the world’s dwindling supply of safe water. Otherwise, it warns, the world will slide deeper into a future of food shortages, disease outbreaks and water-fueled conflict.Ask The Post AIDive deeper

Madani, who was born in Tehran, became convinced of the need for a new approach to water management after watching a decades-old black-and-white video about shortages in the Iranian capital. The narrator referred to the situation as a “crisis” — the same language being used now to describe the multiyear drought that has threatened Tehran’s water supply and prompted President Masoud Pezeshkian to contemplate evacuating the city.

“How long can we call something like this crisis?” Madani said. “A crisis means a shock — it’s an anomaly that must be addressed urgently, but still you have hopes that the baseline can be restored.”

“I think it’s a big lie if you’re communicating to the public that this is a temporary situation,” he added. What Iran — and the world — are truly facing is “a postcrisis situation of failure.”

The water shortages in Iran — which experts have linked to human-caused climate change as well as surging demand and mismanagement of limited resources — have led to rationing, power cuts and increased food prices. The economic strain helped fuel the mass protest movement currently gripping the country, which in turn has prompted a brutal crackdown by government forces.

These issues increasingly affect countries of all sizes and income levels, said Melissa Scanlan, an environmental law expert and director of the Center for Water Policy at the University of Wisconsin at Milwaukee, who did not contribute to the report.

Major urban areas — from Cape Town, South Africa to Chennai, India to Mexico City — have teetered on the brink of “day zero” events, when water supplies fall so low that millions of people’s taps run dry. Pervasive droughts have caused spikes in the prices of foods such as Mediterranean olive oil and California vegetables, while saltwater contamination from rising seas has caused billions of dollars in damage to rice paddies and fruit farms in Vietnam. Large hydropower dams from Zambia to Nevada have seen reservoir levels fall so low they lose their ability to produce electricity. And some places have pumped so much water from their aquifers that their land is sinking — damaging infrastructure and making these areas more vulnerable to floods.Ask The Post AIDive deeper

“The global scope of the report is useful in showing repeat patterns,” Scanlan said. “It’s not just the Southern Hemisphere, it’s not just the Middle East. There is something larger at play in terms of how we’re treating water across the world.”

The report also shows how water problems are already wreaking economic and political havoc. Western U.S. states are locked in a years-long battle over the dwindling Colorado River. Egypt, Sudan and Ethiopia are at odds over a massive new dam on a major tributary of the Nile. Research shows that undocumented migration from Mexico to the United States increases amid warming-fueled droughts.

“Lack of water means lack of food,” Madani said. “It means famine, unemployment, chaos, revolution.”

A lot of this geopolitical turmoil comes down to what Madani calls a “mismatch between water availability and water consumption.” The laws, contracts and treaties that govern water use — such as the century-old compact determining allocation of the Colorado River — were based on a climate that no longer exists, she said. Farmers, cities and industrial water users trade blame over who is taking more than their fair share, without acknowledging that the overall pie has shrunk. Typical measures to address shortfalls, such as drilling deeper wells or diverting more water from rivers, can end up making the problem worse.

Much the way a company filing Chapter 11 bankruptcy must restructure operations, renegotiate contracts and create a new plan to pay debts, the world should reassess how much water is actually available and prioritize among competing claims, the U.N. report says. In some cases, that might involve limiting new development in water-stressed cities or restricting the growth of water-intensive industries. World leaders must also protect the forests, wetlands and other ecosystems that pay a crucial role in Earth’s water cycle.

The biggest challenges — and the biggest opportunity for change — lie in the agriculture sector, which accounts for 70 percent of humanity’s water usage, said Rabi Mohtar, a hydrologist who leads the Water-Energy-Food Nexus Research Group at Texas A&M University.

Governments may need to impose restrictions on irrigation and groundwater pumping or require farmers to shift to less-thirsty crops, he said. They should also implement regulations to prevent pesticides, fertilizers and other forms of agricultural runoff from polluting the shrinking water supply.

Mohtar, who was not involved in the U.N. report, expressed skepticism about the rhetorical value of declaring “water bankruptcy.” He worried that the terminology might discourage people from taking action, because it sends the message that humanity has already failed.

But he agreed with the basic premise that people have drastically exceeded the planet’s capacity to produce clean, fresh water.

“The time when we have abundance is over,” Mohtar said. “I would like to see accountability to every single drop.”

Rethinking the world’s approach to managing water will have far-reaching economic and social consequences, the U.N. report acknowledges. Arid nations might need to import food rather than trying to grow it themselves. Farmers in areas that can no longer support agriculture may need to pursue other livelihoods. If changes aren’t implemented in a manner that is equitable and inclusive, the report said, the world’s poorest and most vulnerable people will inevitably suffer the most.

Yet Madani emphasized that addressing the world’s water challenges will yield “co-benefits” in other areas. Restoring wetlands can help reduce dust storms, improving air quality and public health. Techniques to boost farmland’s ability to retain water also helps the soils absorb more carbon.

“In a fragmented world, water might be an excuse for bringing people together,” he said.

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https://www.washingtonpost.com/climate-environment/2026/01/20/global-water-bankruptcy/?

1 in 4 people globally still lack access to safe drinking water – WHO, UNICEF

Departmental update

Reading time: 3 min (828 words)

To mark World Water Week 2025, new report highlights persistent inequalities, with vulnerable communities left behind.

Despite progress over the last decade, billions of people around the world still lack access to essential water, sanitation, and hygiene services, putting them at risk of disease and deeper social exclusion.

A new report: Progress on Household Drinking Water and Sanitation 2000–2024: special focus on inequalities –launched by WHO and UNICEF during World Water Week 2025 – reveals that, while some progress has been made, major gaps persist. People living in low-income countries, fragile contexts, rural communities, children, and minority ethnic and indigenous groups face the greatest disparities.

Ten key facts from the report:

  • Despite gains since 2015, 1 in 4 – or 2.1 billion people globally – still lack access to safely managed drinking water*, including 106 million who drink directly from untreated surface sources.
  • 3.4 billion people still lack safely managed sanitation, including 354 million who practice open defecation.
  • 1.7 billion people still lack basic hygiene services at home, including 611 million without access to any facilities.
  • People in least developed countries are more than twice as likely as people in other countries to lack basic drinking water and sanitation services, and more than three times as likely to lack basic hygiene.
  • In fragile contexts**, safely managed drinking water coverage is 38 percentage points lower than in other countries, highlighting stark inequalities.
  • While there have been improvements for people living in rural areas, they still lag behind. Safely managed drinking water coverage rose from 50 per cent to 60 per cent between 2015 and 2024, and basic hygiene coverage from 52 per cent to 71 per cent. In contrast, drinking water and hygiene coverage in urban areas has stagnated.
  • Data from 70 countries show that while most women and adolescent girls have menstrual materials and a private place to change, many lack sufficient materials to change as often as needed.
  • Adolescent girls aged 15–19 are less likely than adult women to participate in activities during menstruation, such as school, work and social pastimes.
  • In most countries with available data, women and girls are primarily responsible for water collection, with many in sub-Saharan Africa and Central and Southern Asia spending more than 30 minutes per day collecting water.
  • As we approach the last five years of the Sustainable Development Goals period, achieving the 2030 targets for ending open defecation and universal access to basic water, sanitation and hygiene services will require acceleration, while universal coverage of safely managed services appears increasingly out of reach.

“Water, sanitation and hygiene are not privileges, they are basic human rights,” said Dr Ruediger Krech, Director a.i, Environment, Climate Change and Health, World Health Organization. “We must accelerate action, especially for the most marginalized communities, if we are to keep our promise to reach the Sustainable Development Goals.”

“When children lack access to safe water, sanitation, and hygiene, their health, education, and futures are put at risk,” said Cecilia Scharp, UNICEF Director of WASH. “These inequalities are especially stark for girls, who often bear the burden of water collection and face additional barriers during menstruation. At the current pace, the promise of safe water and sanitation for every child is slipping further from reach – reminding us that we must act faster and more boldly to reach those who need it most.”

Notes for editors:

Download the full report

Multimedia material is available here

This latest update – produced by WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) – provides new national, regional and global estimates for water, sanitation and hygiene services in households from 2000 until 2024. The report also includes expanded data on menstrual health for 70 countries, revealing challenges that affect women and girls across all income levels.

The report is being launched during World Water Week 24-28 August 2025, the leading annual conference on global water issues, and bringing together stakeholders from across sectors to accelerate progress towards the Sustainable Development Goals.

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*JMP definition of ‘Safely managed drinking water and sanitation services’: Drinking water from sources located on premises, free from contamination and available when needed, and using hygienic toilets from which wastes are treated and disposed of safely.

**Fragile contexts: Fragility, according to the OECD, is the combination of exposure to risk and insufficient coping capacities of the state, system and/or communities to manage, absorb or mitigate those risks. It occurs in a spectrum of intensity across six dimensions: economic, environmental, human, political, security and societal.

About the JMP
The WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) was established in 1990 and has been tracking global progress for 35 years. It is responsible for monitoring Sustainable Development Goal targets 1.4, 6.1 and 6.2, which call for universal access to safe water, sanitation, hygiene and the elimination of open defecation by 2030.

For more information, please contact:

WHO: mediainquiries@who.int
UNICEF: Iris Bano Romero | UNICEF New York | +1 9178048093 | ibano@unicef.org

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https://www.who.int/news/item/26-08-2025-1-in-4-people-globally-still-lack-access-to-safe-drinking-water—who–unicef?

MEDIA ADVISORY: DC Water To Launch Pure Water DC, A Major Initiative To Develop A Second Source Of Drinking Water

Pure Water DC Logo with DC Water Logo and the text Pure Water DC Launch over graphic image of water

On November 19, DC Water will launch an ambitious effort – Pure Water DC – to reduce the District’s reliance on the Potomac River as its only water source. We’ll be hosting an event to outline our vision and strategy for resilience and host an expert panel to address one of the most critical challenges facing the nation’s capital.

Any disruption to the Potomac or Washington Aqueduct—whether from contamination, drought, or infrastructure failure—would have catastrophic consequences for public health, the economy, and national security.

Pure Water DC seeks to mitigate that risk through a comprehensive program to strengthen water supply resilience and explore a second source of water for the District. This initiative represents a major investment and a regional call to action, inviting collaboration among utilities, agencies, and stakeholders to secure a drought-proof future.

EVENT DETAILS

What: 
Launch of Pure Water DC Program, unveiling the vision and strategy for water supply resilience, followed by an expert panel discussion.

When: 
Wednesday, November 19, 2025 
10:00 a.m. – 12:00 p.m.

Where: 
DC Water Headquarters 
1385 Canal Street SE 
Washington, DC 20003

Who: 
DC Water leadership, regional water utilities, environmental agencies, and federal partners including:

  • U.S. Environmental Protection Agency (EPA)
  • District Department of Energy & Environment (DOEE)
  • Water Environment Federation (WEF)
  • Interstate Commission on the Potomac River Basin (ICPRB)
  • WSSC Water
  • Greater Washington Board of Trade

Pure Water DC is DC Water’s commitment to lead the region toward a more resilient water future. The program will explore several options, including:

  • Safeguard our existing source and optimize the distribution system.
  • Add local storage and align with regional emergency storage efforts.
  • Explore advanced water reuse from Blue Plains as a drought-proof, cost-effective second source.

DC Water has committed $21 million over three years to fund studies, pilot projects, and public engagement, including the creation of the Pure Water DC Discovery Center at Blue Plains. This facility will test purification technologies, support regulatory research, and educate the public about water resilience.

The stakes are high: a major disruption could cost the region $15 billion in the first month alone.

Media should RSVP by Tuesday, November 18, at noon to Sherri Lewis at sherri.lewis@dcwater.com to attend and learn more about the new initiative, and next steps to create a more resilient water supply.

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“Day Zero” Could Hit One Major World City—and More Could Be at Risk

A historic drought in Iran could make its capital city Tehran reach “Day Zero” within two weeks, according to state media. Day Zero is the term signifying when the main source of drinking water runs dry and nothing comes out of faucets. As of November 6, one of the five dams that supplies Tehran was at only eight percent of its capacity, enough for two weeks.

The Siosepol Bridge in Isfahan, Iran. A historic drought across the country could make the city of Tehran reach “Day Zero” within about two weeks, according to the state media. |  Credit: Seiiedali/Creative Commons

Iran’s president, Masoud Pezeshkian, reportedly said that if it doesn’t rain by late November, Tehran, a city of ten million people, will have to ration water.  If there’s no rain after that, they will have to evacuate the city. Mismanagement and overexploitation of water resources as well as climate change are said to be the cause of the shortages.

The possibility of a Day Zero occurring in other parts of the world was the subject of a new study by researchers in South Korea. The authors write that regions along the Mediterranean Sea, parts of North America, and southern Africa could see shortages arriving as early as this or next decade, and they could last longer. Cape Town, South Africa, faced a complete shutdown of its water in 2018, which was avoided by severe restrictions like limiting people to just a few liters a day.

The authors say that solutions must come from policy makers prioritizing smart management and modernizing leaky infrastructure as well as from people using water more responsibly.

The study was published in the journal Nature Communications.

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https://h2oradio.org/this-week-in-water/a-major-world-city-could-run-out-of-water

Exclusive-Climate Fund Backs $6 Billion Jordan Water Project With Its Largest Deal

By Reuters

U.S. News & World Report

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Reuters

REUTERS

People arrive to attend the Pledging Conference of the Green Climate Fund (GCF) for the First Replenishment in Paris, France, October 25, 2019. REUTERS/Pascal Rossignol

By Simon Jessop, Andrea Shalal and Suleiman Al-Khalidi

LONDON/AMMAN (Reuters) -The world’s largest multilateral climate fund has made its largest financial commitment to date to help build a $6 billion water desalination project in Jordan, its top executive said.

 

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The Green Climate Fund’s backing comes ahead of the COP30 event in Brazil in November and a decade after the Paris Agreement, which named the fund as a primary way to finance efforts to curb global warming.

“It will transform the country,” Mafalda Duarte told Reuters, adding that the commitment to Jordan’s Aqaba-Amman Water Desalination and Conveyance Project marked the fund’s “highest investment in a single project”.

A grant and loan totalling $295 million was approved at a board meeting in South Korea on Wednesday with the aim of drawing in financing from others, including the International Finance Corporation and private lenders.

ONE OF THE WORLD’S LARGEST DESALINATION PROJECTS

The desalination project, one of the largest in the world, will eventually directly serve nearly half the population of Jordan, which has the second-lowest water availability of any country on the planet.

That was slated to get worse, with a 4 degrees Celsius rise in temperatures and a 21% decrease in rainfall projected by the end of the century, leading to increased evaporation, reduced groundwater and more frequent droughts.

MORE:  Places the U.S. Government Warns Not to Travel Right Now

Such a scenario has led Jordan’s leader to describe the Meridiam and SUEZ-led project as a strategic priority.

The U.S., which considers Jordan a key regional ally, has pledged $300 million in grants and $1 billion in loans for the project, Jordanian government officials told Reuters, while other countries in the region were expected to contribute.

“The project is a strategic project to desalinate and transport 300 million cubic meters of water every year to most parts of the kingdom,” Jordan’s Minister of Water and Irrigation, Raed Abu Soud, told Reuters.

24 PROJECTS UP FOR GCF BOARD MEETING APPROVAL

A senior official involved with the project said the GCF money would allow it to lower the cost of water by 10 cents a litre and help the government save $1 billion over its lifetime.

It would also allow the IFC to offer better loan terms, which will mean cheaper private sector financing, he added.

The project in Jordan is one of 24 up for discussion at the GCF board meeting. If all are approved, they would total $1.4 billion and mark the fund’s biggest ever financial disbursement.

The GCF this year moved to speed up its decision-making as part of a broader overhaul of the world’s multilateral financial system – and the COP30 talks will look at ways to do even more.

While MDBs were still not doing enough to mobilise private sector capital, their stakeholders needed to be realistic about how much risk they can take, Duarte said.

(Editing by Alexander Smith and Thomas Derpinghaus)

Copyright 2025 Thomson Reuters.

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Montana State Prison Pipe Leaks Create Crisis and Prompt Broad Water System Overhaul

Nearly a week after leaks cut off water for about 1,500 inmates at the Montana State Prison in Deer Lodge, inmate Bryce Baltezar said it has created tension between guards and inmates

By Associated Press

U.S. News & World Report

Montana State Prison Pipe Leaks Create Crisis and Prompt Broad Water System Overhaul

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Nearly a week after leaks cut off water for about 1,500 inmates at the Montana State Prison in Deer Lodge, inmate Bryce Baltezar said things at the facility are dystopian.

“As soon as you hit the door, it smells like (urine) smacking you right in the face,” Baltezar said in a phone interview with Montana Free Press on Tuesday. The smell of human waste, he continued, has become the new normal.

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Baltezar said he’s concerned about sanitation and safety for the roughly 90% of the prison’s population affected by the leak. Montana State Prison houses male inmates and had a population of 1,597 as of Wednesday.

Water supply issues at the prison started at 6 a.m. on Oct. 10. The Department of Corrections has since identified several leaks, ultimately prompting a broad water infrastructure overhaul. The department has not clarified what caused the leaks, but spokesperson Carolynn Stocker said the department “has experienced numerous service interruptions at its various facilities related to extreme weather, failing infrastructure, and more, but none have risen to this level of emergency.”

In a press release Wednesday, Stocker said the prison’s water and sewer system was built in the 1970s and that “work on the system has for the most part been limited to fixing problems, not maintaining or improving the system for the long haul.”

Stocker said that the corrections department will start installing a new water system using $21 million from House Bill 5, a state facilities-focused infrastructure bill passed during the legislative session that concluded in April.

“Years of deferred maintenance have caught up with us, and we’re finding multiple failures throughout the system. We will continue providing water to our inmates while we take on this longer fix,” Department of Corrections Director Brian Gootkin said in the press release. He has instructed teams working on new units at the prison to begin the water system work as early as next week.

“We are going to simultaneously continue our work to identify the issues with the existing system and install a modern system that will take us into the future,” Gootkin said. “This is not going to be an easy couple of months for inmates or staff, but the end result will be worth it.”

While work is ongoing, water will be temporarily unavailable in some prison units throughout the day, the release stated. There are 153 portable toilets, 13 that are ADA-compliant, and 43 portable showers at the prison, according to a Tuesday statement from Stocker. It took until the end of Wednesday for all inmates to get a chance to shower since the leaks started. Inmates receive a rationed number of water bottles daily for drinking and hygiene.

Without operational plumbing across 10 buildings, temporary facilities are in short supply, creating tension between guards and inmates, Baltezar said. He said that he has been scrutinized and sometimes berated by correctional officers while using portable toilets, and that he has “never felt so dehumanized in my whole life.”

“I literally just came into my cell and called my wife crying,” Baltezar said.

The department has enlisted a range of groups to aid the situation. About a dozen employees from other branches of the agency have arrived at the facility to assist with security. The Montana National Guard has helped manage the water supply and deploy temporary showers. Water detection firms supported corrections in locating leaks around the premises.

Stocker said the agency was unable to offer an estimate of the incident’s total cost.

___

This story was originally published by Montana Free Press and distributed through a partnership with The Associated Press.

Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Is it ‘Zero Day’ for California Water?

Long before talk of climate change, California planned a system of canals and reservoirs to carry water to its dry areas. It’s no longer enough.

The Conversation

By The Conversation

U.S. News & World Report

Is it ‘Zero Day’ for California Water?

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FRESNO, CA - JULY 8: A portion (looking south) of the 152-mile Friant-Kern Canal, an aqueduct to convey water to augment agriculture irrigation on the east side of the San Joaquin Valley, is viewed on July 8, 2021, thirty minutes east of Fresno, California. Due to a lack of rain and snow in the Sierra Nevada during the past two years, California is experiencing one of the driest and hottest periods of weather in recorded history, forcing municipalities and farmers in the Central Valley to rethink their uses of water. As of this date, Governor Gavin Newsom declared a water "State of Emergency" for most state counties and has asked residents to reduce their use of water by 15%. (Photo by George Rose/Getty Images)

George Rose|Getty Images

A portion (looking south) of the 152-mile Friant-Kern Canal, an aqueduct to convey water to augment agriculture irrigation on the east side of the San Joaquin Valley, is viewed on July 8, 2021, thirty minutes east of Fresno, Calif.

By Lara B. Fowler

On Dec. 1, 2021, California triggered headlines heard around the world when officials announced how much water suppliers would be getting from the State Water Project. “California water districts to get 0% of requested supplies in an unprecedented decision,” one headline proclaimed. “No state water for California farms,” read another.

MORE: Solar Panels Over California’s Canals and Climate Payoff

The headlines suggested a comparison with the “Zero Day” announcement in Cape Town, South Africa, during a drought in 2018. That was the projected date when water would no longer be available at household taps without significant conservation. Cape Town avoided a water shutoff, barely.

While California’s announcement represents uncharted territory and is meant to promote water conservation in what is already a dry water year, there is more to the story.

California’s drought solution

California is a semi-arid state, so a dry year isn’t a surprise. But a recent state report observed that California is now in a dry pattern “interspersed with an occasional wet year.” The state suffered a three-year drought from 2007 to 2009, a five-year drought from 2012 to 2016, and now two dry years in a row; 2020 was the fifth-driest year on record, and 2021 was the second-driest.

Coming into the 2022 water year – which began Oct. 1 – the ground is dry, reservoirs are low and the prediction is for another dry year.

Over a century ago, well before climate change became evident, officials began planning ways to keep California’s growing cities and farms supplied with water. They developed a complex system of reservoirs and canals that funnel water from where it’s plentiful to where it’s needed.

Part of that system is the State Water Project.

First envisioned in 1919, the State Water Project delivers water from the relatively wetter and, at the time, less populated areas of Northern California to more populated and drier areas, mostly in Southern California. The State Water Project provides water for 27 million people and 750,000 acres of farmland, with about 70% for residential, municipal and industrial use and 30% for irrigation. There are 29 local water agencies – the state water contractors – that helped fund the State Water Project and in return receive water under a contract dating to the 1960s.

While the State Water Project is important to these local water agencies, it is usually not their only source of water. Nor is all water in California supplied through the State Water Project. Most water agencies have a portfolio of water supplies, which can include pumping groundwater.

What does 0% mean?

Originally, the State Water Project planned to deliver 4.2 million acre-feet of water each year. An acre-foot is about 326,000 gallons, or enough water to cover a football field in water 1 foot deep. An average California household uses around one-half to 1 acre-foot of water per year for both indoor and outdoor use. However, contractors that distribute water from the State Water Project have historically received only part of their allocations; the long-term average is 60%, with recent years much lower.

Based on water conditions each year, the state Department of Water Resources makes an initial allocation by Dec. 1 to help these state water contractors plan. As the year progresses, the state can adjust the allocation based on additional rain or snow and the amount of water in storage reservoirs. In 2010, for example, the allocation started at 5% and was raised to 50% by June. In 2014, the allocation started at 5%, dropped to 0% and then finished at 5%.

This year is the lowest initial allocation on record. According to the state Department of Water Resources, “unprecedented drought conditions” and “reservoirs at or near historic lows” led to this year’s headline-producing 0% allocation.

READ: California Water Supply Looks Promising in 2020, State Officials Say

That’s 0% of each state water contractor’s allocation; however, the department committed to meet “unmet minimum health and safety needs.” In other words, if the contractors cannot find water from other sources, they could request up to 55 gallons per capita per day of water to “meet domestic supply, fire protection and sanitation needs.” That’s about two-thirds of what the average American uses.

The department is also prioritizing water for salinity control in the Sacramento Bay Delta area, water for endangered species, water to reserve in storage and water for additional supply allocations if the weather conditions improve.

Under the current plan, there will be no water from the State Water Project for roughly 10% of California’s irrigated land. As a result, both municipal and agricultural suppliers will be seeking to conserve water, looking elsewhere for water supplies, or not delivering water. None are easy solutions.

The problem with pumping groundwater

To weather previous droughts, many water suppliers relied on groundwater, which led to increased costs for wells, declines in groundwater levelsland subsidence and degraded water quality. California’s Sustainable Groundwater Management Act was enacted in 2014 to help address overpumping of groundwater, but it hasn’t turned these conditions around.

Those who can afford to dig deeper wells have done so, while others have no water as their wells have gone dry. During the 2012-2016 drought, the Public Policy Institute of California found that a majority of affected households that lost water access from their wells were in “small rural communities reliant on shallow wells – many of them communities of color.”

Gov. Gavin Newsom called on residents to voluntarily conserve 15% of their water during summer 2021. Statewide reductions were only 1.8% in July but jumped to 13.2% in October. This year’s snowpack, which acts as a natural reservoir, is far below normal.

Irrigators who depend on the federal Central Valley Project are facing similar drought conditions. Imports from the Colorado River system are also limited, as this basin is also facing its first-ever shortage declaration due to drought.

MORE: Western States Maintain Best Air Quality Levels

What’s next?

As someone who has worked in California and the Western U.S. on complex water issues, I am familiar with both drought and floods and the challenges they create. However, the widespread nature of this year’s drought – in California and beyond – makes the challenge even harder.

This “zero allocation” for California’s State Water Contractors is an unprecedented early warning, and likely a sign of what’s ahead.

A recent study warned that the snowpack in Western states like California may decline by up to 45% by 2050, with low- and no-snow years becoming increasingly common. Thirty-seven cities in California have already issued moratoriums on development because of water supply concerns.

If voluntary conservation does not work, enacting mandatory conservation measures like San Jose’s tough new drought rules may be needed. The state is now weighing emergency regulations on water use, and everyone is hoping for more precipitation.

Lara B. Fowler, Senior Lecturer in Law and Assistant Director for Outreach and Engagement, Penn State Institutes of Energy and the Environment, Penn State

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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