TY - JOUR
T1 - The effects of racism, social exclusion, and discrimination on achieving universal safe water and sanitation in high-income countries
AU - Brown, Joe
AU - Acey, Charisma S.
AU - Anthonj, Carmen
AU - Barrington, Dani J.
AU - Beal, Cara D.
AU - Capone, Drew
AU - Cumming, Oliver
AU - Pullen Fedinick, Kristi
AU - MacDonald Gibson, Jacqueline
AU - Hicks, Brittany
AU - Kozubik, Michal
AU - Lakatosova, Nikoleta
AU - Linden, Karl G.
AU - Love, Nancy G.
AU - Mattos, Kaitlin J.
AU - Murphy, Heather M.
AU - Winkler, Inga T.
N1 - Copyright © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - 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.
AB - 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.
KW - Developed Countries
KW - Drinking Water
KW - Humans
KW - Racism/prevention & control
KW - Sanitation
KW - Social Isolation
KW - Water Supply
UR - http://www.scopus.com/inward/record.url?scp=85150313310&partnerID=8YFLogxK
U2 - 10.1016/S2214-109X(23)00006-2
DO - 10.1016/S2214-109X(23)00006-2
M3 - Review Article
C2 - 36925180
AN - SCOPUS:85150313310
SN - 2214-109X
VL - 11
SP - e606-e614
JO - The Lancet Global Health
JF - The Lancet Global Health
IS - 4
ER -