By
Howard Frumkin | Maitreyi Bordia Das | Maya Negev | Briony C Rogers | Roberto Bertollini | Carlos Dora | Sonalde Desai

Protecting health in dry cities: considerations for policy makers

Photo by Timon Studler on Unsplash
Increasing health and wellbeing in cities that experience water scarcity presents challenges, but can be done, say Howard Frumkin and colleagues.
Water has always been essential for cities to survive and thrive. The earliest cities, from 4000 BC, were founded near water sources. Conversely, water scarcity might have contributed to the demise of ancient cities such as Tikal in present day Guatemala and Angkor in present day Cambodia. Water deprivation was also used as a weapon in ancient times; when Sennacherib of Assyria ransacked Babylon in 689 BC, he destroyed the city’s water supply.
 
Dry cities present complex challenges in a dynamic world. The supply of water in many cities will increasingly fall short of demand, with diverse and potentially severe effects on health. In a world of pervasive inequalities, water scarcity is likely to hit the most vulnerable hardest. The challenge of achieving health in dry cities is intensified in the setting of resource scarcity, state and societal fragility, and weak institutions.
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