World enters era of ‘global water bankruptcy’

For decades, scientists, policymakers and the media warned of a “global water crisis,” implying temporary shock – followed by recovery. 

What is now emerging in many regions, however, is a persistent shortage whereby water systems can no longer realistically return to their historical baselines.

For much of the world, ‘normal’ is gone,” said Kaveh Madani, Director of the UN University Institute for Water, Environment and Health.

 “This is not to kill hope but to encourage action and an honest admission of failure today to protect and enable tomorrow,” he told a press briefing in New York on Tuesday.

Unequal burdens

Mr. Madani emphasised that the findings do not suggest worldwide failure – but there are enough bankrupt or near-bankrupt systems, interconnected through trade, migration and geopolitical dependencies, that the global risk landscape has been fundamentally altered.

The burdens fall disproportionately on smallholder farmers, Indigenous Peoples, low-income urban residents and women and youth, while the benefits of overuse often accrued to more powerful actors.

From crisis to recovery? 

The report introduces water bankruptcy as a condition defined by both insolvency and irreversibility.

Insolvency refers to withdrawing and polluting water beyond renewable inflows and safe depletion limits.

Irreversibility refers to the damage to key parts of water-related natural capital, such as wetlands and lakes, that makes restoration of the system to its initial conditions infeasible.

But all is not lost: comparing water action to finance, Mr. Madani said that bankruptcy is not the end of action. 

It is the start of a structured recovery plan: you stop the bleeding, protect essential services, restructure unsustainable claims, and invest in rebuilding,” he noted.

Costly tab

The world is rapidly depleting its natural “water savings accounts”, according to the study: more than half the world’s large lakes have declined since the early 1990’s, while around 35 per cent of natural wetlands have been lost since 1970, Mr. Madani said.

The human toll is already significant. Nearly three-quarters of the world’s population live in countries classified as water-insecure or critically water-insecure.

Around four billion people experience severe water scarcity for at least one month each year, while drought impacts cost an estimated $307 billion annually.

“If we continue to manage these failures as temporary ‘crises’ with short-term fixes, we will only deepen the ecological damage and fuel social conflict,” Mr. Madani warned.

Course corrections

The report calls for a transition from crisis response to bankruptcy management, grounded in honesty about the irreversibly of losses, protection of remaining water resources – and policies that match hydrological reality rather than past norms.

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South Sudan’s longest cholera outbreak enters critical stage

The outbreak – which started in September 2024 and was confirmed a month later – comes amidst a protracted humanitarian crisis exacerbated by rising intercommunal violence, climate shocks such as flooding and catastrophic hunger.  

“Now, more than ever, collective action is needed to reduce tensions, resolve political differences and make tangible progress in implementing peace,” said Anita Kiki Gbeho, UN Resident and Humanitarian Coordinator in South Sudan.  

Alarming escalation

Since the cholera outbreak was declared in October 2024, UN agencies and partners have documented over 80,000 cholera cases and 1,400 deaths.  

This is in addition to regional outbreaks of mpox, hepatitis and measles among other communicable diseases.

South Sudanese authorities, civil society and UN agencies held an inter-ministerial meeting on Monday to discuss what they called an “alarming escalation” in the spread of the outbreak. 

“This is not merely a public health crisis, but a multi-sectoral emergency exacerbated by flooding, displacement, and limited access to basic services,” the ministers wrote in a communiqué released.  

The group resolved to facilitate unimpeded humanitarian access to areas which already have outbreaks and to other areas at risk for outbreaks. The Government of South Sudan will coordinate these efforts.

Partners will also work to preposition materials, improve water and sanitation infrastructure and coordinate proactive and reactive vaccination campaigns.  

Time is running out

With the peak of the rainy season on the horizon, the next eight weeks are critical in containing and mitigating the outbreak before severe flooding begins.  

“Time is of the essence to prevent a further escalation of the outbreak,” the officials wrote.  

Floods more than double the frequency of cholera outbreaks by imperiling access to clean water and impeding humanitarian access to affected areas. And with rising global temperatures making floods more severe, millions of South Sudanese who were not previously in regions of concern may now be at risk for cholera outbreaks.

A preventable disease  

Cholera is an acute diarrhoeal infection caused by consuming contaminated water or food. Although highly communicable, it is preventable through proper hygiene, regular handwashing, safe food preparation and storage, improved sanitation infrastructure, and vaccination.

Symptoms typically include watery diarrhoea. Most cases are mild to moderate and can be treated effectively with oral rehydration salts (ORS) mixed with clean, boiled water.

However, in severe cases, cholera can be fatal—sometimes within hours—if not treated promptly.

Infected individuals can also transmit the disease through their faeces for up to ten days, even if they show no symptoms.

Need for additional funds

In South Sudan, the already inadequate water and sanitation infrastructure and overstretched public health system has further deteriorated as a result of displacement and conflict. This has ripened the conditions for the spread of cholera.

The UN and its partners are working quickly to preposition emergency supplies, especially in these previously low-risk areas, but they are hampered by funding shortfalls. Agencies estimate that they will need $1.69 billion – of which they have only received $368 million – to address the many intersecting humanitarian needs in the country.  

Nevertheless, the group of ministers insisted that this outbreak is and must remain a priority for all involved.

“Cholera response and flood preparedness must be treated as urgent national priorities,” they said in the communiqué. 

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