The effects of racism, social exclusion, and discrimination on achieving universal safe water and sanitation in high-income countries

Joe Brown*, Charisma S Acey, C. Anthonj, Dani J Barrington, Cara D Beal, Drew Capone, Oliver Cumming, Kristi Pullen Fedinick, Jacqueline MacDonald Gibson, Brittany Hicks, Michal Kozubik, Nikoleta Lakatosova, Karl Linden, Nancy G. Love, Kaitlin J. Mattos, Heather M Murphy, Inga T. Winkler

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

18 Citations (Scopus)
65 Downloads (Pure)

Abstract

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.
Original languageEnglish
Pages (from-to)e606-e614
JournalThe Lancet Global Health
Volume11
Issue number4
DOIs
Publication statusPublished - Apr 2023

Keywords

  • Drinking water
  • Sanitation
  • SDG 6
  • Water and health
  • High-income countries
  • Inequality
  • Discrimination
  • ITC-ISI-JOURNAL-ARTICLE
  • ITC-GOLD

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