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access to adequate sanitation. It is a stark and timely reminder that much needs to be done to address these problems, which pose a disproportionate burden on the poor.Rapid urbanisation is a key factor hampering progress in improving access to clean water. Additionally, climate change and pollution are likely to diminish future usable supplies. Chile, like any developing country in transition, has felt the impact of urbanisation almost as palpably as it feels its natural disasters, such as earthquakes and landslides. Today, over 90% of Chile's population, mostly in the urban areas, have access to clean water and sanitation. In 1991 Chile suffered an epidemic of cholera that originated in Peru, largely due to the use of contaminated wastewater to irrigate crops. At that time, only 5% of the country had access to safe potable water. To contain the outbreak, swift and multi pronged public health, policy, and preventive strategies were implemented. One legacy of this manifests itself today in restaurants and households alike, where you will rarely be served an unpeeled raw vegetable. Plans are afoot to increase safe water coverage to 100% in the urban areas over the next five years and Chilean entrepreneurs are coming up with their own cheap and efficient water treatment innovations, yet information on rural safe water remains elusive.It is past midnight and still there is no water. I contemplate washing with agua gasificada: will I come out sparkling? I realise, now, that it is not local health centres that will get to the root of this problem, even if people become ill as a