GlobalHealthCuratedhigh confidence

Unsafe Water and Sanitation

Billions lack safely managed water or sanitation, driving preventable disease deaths concentrated in children.

Severity score

73.7

Critical · default weighting

Trajectory

Improving

What this is

Roughly 2 billion people lack safely managed drinking water and 3.5 billion lack safely managed sanitation. The result is diarrhoeal disease, cholera, typhoid and parasitic infection, with the mortality burden falling heavily on children under five. Water scarcity is worsening as aquifers deplete and climate change alters rainfall, and water access is an increasing driver of local conflict.

Score breakdown

Loss of life

88

Direct and attributable mortality, normalised across annual and cumulative tolls.

Lives negatively impacted

94

People displaced, injured, food-insecure, exposed or otherwise materially harmed.

Financial cost

60

Direct damage, lost output and health-system spend attributable to the event.

Environmental impact

55

Emissions, habitat and biodiversity loss, contamination and irreversibility.

Trajectory

35

Whether the situation is escalating, and how much worse it is plausibly getting.