At the start of the 21st century unclean water is the world’s second biggest cause of death for children.
Every year some 1.8 million children die as a result of diarrhoea and other diseases caused by unsafe water and poor sanitation. This corresponds to 4,900 deaths each day or an under-five population equivalent in size to that of London and New York combined.
The diseases and conditions of ill-health directly associated with water, sanitation and hygiene include infectious diarrhoea (which, in turn, includes cholera, salmonellosis, shigellosis, amoebiasis and a number of other protozoal and viral infections), typhoid and paratyphoid fevers, acute hepatitis A, E and F, fluorosis, arsenicosis, legionellosis, methaemoglobinaemia, schistosomiasis, trachoma, intestinal helminth infections (including ascariasis, trichuriasis and hookworm infection), dracunculiasis, scabies, dengue, the filariases (including lymphatic filariasis and onchocerciasis), malaria, Japanese encephalitis, West Nile virus infection, yellow fever and impetigo.
The ill health associated with deficits in water and sanitation undermines productivity and economic growth, reinforcing the deep inequalities that characterize current patterns of globalization and trapping vulnerable households in cycles of poverty.
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