Australia has become the 30th country to eliminate trachoma as a public health problem, with the World Health Organization confirming that the infectious eye disease, once a major cause of preventable blindness in remote Indigenous communities, no longer poses a national public health threat.

The WHO validation marks the first time Australia has been officially recognized for eliminating a neglected tropical disease, placing it among 63 countries globally and the 16th in the Western Pacific region to have eliminated at least one such disease.

Trachoma is caused by the bacterium Chlamydia trachomatis and remains the world’s leading infectious cause of blindness. It spreads through close contact with infected individuals, contaminated surfaces, and flies carrying eye and nasal discharge. Repeated infections can scar the eyelids, causing eyelashes to turn inward and scratch the eye surface, eventually leading to irreversible blindness if left untreated.

WHO Director-General Tedros Adhanom Ghebreyesus said Australia’s achievement represented a major milestone both for Indigenous health outcomes and for global neglected tropical disease control efforts.“WHO congratulates Australia on this important achievement,” Tedros said in a WHO statement.

“This success reflects sustained commitment, strong partnerships, and a focus on reaching populations most affected by health inequities. It brings us closer to a world free from the suffering caused by trachoma.”Australia had eliminated trachoma from most of the country decades ago, but the disease persisted in remote Aboriginal and Torres Strait Islander communities, particularly in areas facing overcrowded housing, poor sanitation, and limited access to clean water and health services.

National efforts intensified in 2006 with the launch of the National Trachoma Management Programme, which adopted the WHO-recommended SAFE strategy: surgery for trichiasis, antibiotics to treat infection, promotion of facial cleanliness, and environmental improvement.

The program included regular screening of all communities classified as at risk, carried out by qualified health workers, alongside treatment and prevention campaigns delivered through cooperation between federal and state governments, Aboriginal Community Controlled Health Organisations, and local communities.

Unlike many countries where mass drug administration formed the main strategy, Australia adapted its response using targeted treatment based on community-level data and stronger integration with housing, sanitation and environmental health programs.WHO said sustained investment in screening, treatment, housing improvements, water access, sanitation and hygiene contributed to a steady decline in disease prevalence over time.

Australia’s Minister for Health and Ageing, Mark Butler, said the validation was particularly significant for communities that had carried the burden of a preventable disease for generations.“Elimination of trachoma is a win for the eye health of communities across Australia, particularly those whose lives have been impacted by a disease that is entirely preventable,” Butler said.

He said Aboriginal and Torres Strait Islander leadership had been central to the outcome, alongside long-term public investment and local health delivery.“The lessons from this work will inform how we approach other preventable health conditions in remote and regional Australia,” he said.

“Aboriginal Community Controlled Health Organisations and local health workers have been central to this success, delivering culturally safe care and community-led solutions.”

Malarndirri McCarthy, Minister for Indigenous Australians, said the recognition reflected decades of work led by First Nations health services rather than a short-term intervention.“This recognition from the World Health Organization reflects decades of work led by Aboriginal Community Controlled Health Organisations, alongside local health workers in remote First Nations communities,” McCarthy said.

“Their work has been critical to eliminating trachoma as a public health problem in Australia.”Trachoma is one of 21 diseases and disease groups classified by WHO as neglected tropical diseases, or NTDs. These diseases collectively affect more than one billion people worldwide, primarily among underserved populations with limited access to clean water, sanitation and essential health care.

WHO said Australia’s achievement demonstrated that elimination was possible even in geographically isolated and logistically difficult settings, provided political commitment and cross-sector coordination were sustained.

Saia Ma’u Piukala, WHO Regional Director for the Western Pacific, said countries across the region face similar challenges in reaching remote populations.“Tackling neglected tropical diseases in the Western Pacific Region has long been a challenge for countries across the socioeconomic spectrum,” Piukala said.

“But I also know that with strategic commitment underpinned by optimal resources and partnerships in health, success is possible.”He urged continued vigilance to ensure Australia maintains elimination status through strong surveillance and integration of monitoring systems into national healthcare structures.

WHO defines elimination of trachoma as a public health problem using three criteria: trachomatous trichiasis prevalence of less than 0.2% among adults aged 15 and above, trachomatous inflammation prevalence of less than 5% among children aged one to nine in formerly endemic districts, and a functioning system to identify and manage new trichiasis cases.

The global effort to eliminate trachoma dates back to 1996, when WHO launched the Alliance for the Global Elimination of Trachoma by 2020, known as GET2020. Although the original target year was missed, WHO’s current roadmap for neglected tropical diseases has extended the goal to 2030.

Australia now joins countries including India, China, Pakistan, Saudi Arabia, Nepal and Viet Nam among those validated by WHO for eliminating trachoma as a public health problem.Despite the success, Australia still faces several other endemic neglected tropical diseases, including Buruli ulcer, leprosy and scabies.

WHO said continued surveillance would remain essential to ensure trachoma does not re-emerge, particularly in vulnerable remote communities where access to services remains uneven.

The organization added that maintaining gains would depend on keeping surveillance systems active, integrating eye health into broader national health planning, and ensuring that improvements in housing, sanitation and healthcare access continue beyond disease elimination targets.

Three months after a major earthquake struck eastern Afghanistan, access to safe drinking water remains a central challenge for thousands of displaced families, as humanitarian agencies scale up efforts to restore damaged infrastructure and prevent disease outbreaks.

The earthquake affected multiple provinces, including Nangarhar Province, Kunar Province, and Laghman Province, causing widespread destruction to homes and critical public services. Among the most significant impacts was the damage to water systems, with wells collapsing and water sources becoming unusable. The disruption has forced many families to rely on temporary solutions while living in displacement camps, where conditions remain fragile.

Sharifa, a displaced resident, described the daily challenges following the disaster. Prior to the earthquake, her household depended on a nearby well for water. After the infrastructure was damaged, securing safe drinking water became uncertain. She said that each day began with concern over how to meet basic needs, reflecting a broader pattern among displaced families facing similar conditions.

Humanitarian assessments indicate that more than 130 water points were destroyed in the affected areas. The loss of these facilities, combined with overcrowded living conditions in camps, contributed to increased reliance on unsafe water sources in the immediate aftermath.

The situation was further compounded by inadequate sanitation practices, including open defecation, which heightened the risk of waterborne diseases such as cholera.In response, UNICEF, through its polio programme and partner organizations, has implemented water, sanitation and hygiene interventions across seven camps and more than 50 affected communities.

According to programme data, over 20,000 people are currently receiving support aimed at restoring access to clean water and improving hygiene practices.Dr. Godwin Mindra, identified as UNICEF’s Chief of Immunization, stated that the earthquake disrupted essential services, including immunization systems and water supply networks.

He noted that social mobilizers have been deployed to promote health education and sanitation practices, with the objective of reducing the risk of disease outbreaks, including polio, during the recovery phase.In Khas Kunar Camp, a newly installed water supply network has begun operations, with a production capacity of approximately 120,000 liters per day.

The system has reduced dependence on water trucking, which had been the primary source of supply immediately after the earthquake. Humanitarian agencies report that water trucking continues to provide short-term relief, while more durable infrastructure is being developed to ensure long-term sustainability.Across six displacement camps, more than 15,500 people are reported to have continuous access to safe drinking water following recent interventions.

The establishment of permanent water systems has also led to a measurable reduction in reliance on emergency water deliveries. In Khas Kunar camp, daily water trucking requirements have decreased by more than half since the completion of the new system.Additional infrastructure has been deployed to support water access and storage.

According to operational data, 76 water reservoirs and 188 tap stands have been installed across affected locations. Distribution efforts have included more than 11,000 jerry cans, enabling households to collect and store water safely. These measures are intended to reduce contamination risks and improve overall water management at the household level.

Despite progress, challenges remain in ensuring consistent access across all affected areas. Work is ongoing in camps such as Satarwal Camp and Zeri Baba Camp, where additional water systems are under development. At the same time, efforts are being made to rehabilitate damaged infrastructure in home communities, allowing families to return when conditions permit.

Displacement remains a key issue, with many families reluctant to return to their villages due to concerns over aftershocks and structural safety. As a result, camps continue to serve as temporary settlements for extended periods, increasing the importance of reliable water and sanitation services in these locations.Sharifa noted that the restoration of water supply has had a tangible impact on daily life.

She described access to clean water as a critical step toward recovery, linking it to broader improvements in safety and living conditions. Her account aligns with observations from aid agencies that water access is a foundational element in stabilizing displaced communities.Humanitarian officials emphasize that water supply interventions are closely linked to public health outcomes.

The provision of clean water, combined with hygiene promotion, is seen as essential in preventing outbreaks of communicable diseases in high-density camp environments. These measures also support the continuity of other services, including immunization campaigns, which depend on stable operating conditions.

The response has received support from international partners, including the United States and the Centers for Disease Control and Prevention. According to programme updates, the focus is gradually shifting from emergency relief to the development of durable systems designed to enhance resilience against future shocks.Rehabilitation efforts in affected communities are expected to play a critical role in the transition from displacement to recovery.

Restoring local water systems is seen as a prerequisite for enabling families to return to their homes and resume normal activities. However, progress is contingent on both infrastructure repair and improvements in safety conditions.The ongoing situation highlights the central role of water access in post-disaster recovery efforts.

In the absence of functioning systems, basic daily activities are significantly disrupted, with implications for health, sanitation, and overall stability. As reconstruction continues, the effectiveness of water and sanitation interventions will remain a key factor in determining the pace and sustainability of recovery in eastern Afghanistan.

Environmental degradation and systemic inequality are leaving billions of people without access to safe drinking water and sanitation, according to a United Nations policy brief that underscores the growing intersection between climate pressures, public health risks, and human rights obligations.

The brief, prepared by the Office of the UN High Commissioner for Human Rights on behalf of UN-Water, estimates that around 2.1 billion people globally lack access to safely managed drinking water, while 3.4 billion do not have access to safely managed sanitation services.

The findings are intended to guide policymakers and government authorities in designing laws and strategies that address water scarcity and environmental stress through a human rights-based framework.Under international human rights law, states are required to ensure that water and sanitation services are available, accessible, affordable, acceptable, and of adequate quality.

These obligations are central to maintaining public health, supporting livelihoods, and ensuring a basic standard of dignity.Despite these commitments, the report highlights persistent and widespread gaps in service delivery. More than 1,000 children under the age of five die each day from diseases linked to unsafe water, poor sanitation, and inadequate hygiene.

The burden of water access also falls disproportionately on women and girls, who collectively spend an estimated 250 million hours daily collecting water, often under conditions that expose them to physical risk and limit opportunities for education and employment.

The report identifies chronic underinvestment in the water and sanitation sector as a major constraint, noting that funding levels remain insufficient relative to the scale of the challenge. This underinvestment comes despite the sector’s critical role in climate resilience, economic development, and disease prevention.

According to the brief, environmental degradation is compounding existing inequalities and disproportionately affecting marginalized populations. Groups identified as particularly vulnerable include women and girls, children, older persons, persons with disabilities, Indigenous communities, people living in poverty, and those displaced by conflict or environmental stress.

“For many, the denial of access to safe drinking water and sanitation is a result, not of scarcity alone, but of exclusion and inaccessibility woven into institutions and infrastructure,” the report states, highlighting structural barriers that limit equitable access.The document also draws attention to emerging and conflict-related threats to water security.

It notes that water infrastructure has increasingly been targeted in armed conflicts, in violation of international humanitarian law. In Gaza, the destruction of desalination facilities and damage to water systems has forced civilians to rely on contaminated supplies. In Sudan, attacks on water and electricity infrastructure have disrupted access for millions, while in Yemen, sanitation facilities supported by international organizations have been struck by airstrikes.

In addition to conflict-related risks, the brief identifies new pressures linked to technological and industrial expansion. The rapid growth of data centres, for example, is emerging as a significant but often overlooked source of water consumption. A single one-megawatt data centre can require more than 25 million litres of water annually for cooling, an amount roughly equivalent to the daily consumption needs of 300,000 people.

Amid these challenges, the report outlines examples of policy interventions that integrate human rights principles into water governance. Case studies from multiple countries illustrate how targeted reforms can improve access, affordability, and sustainability.In Bangladesh, a community-led initiative enabled residents in coastal areas to co-finance a climate-resilient water facility, with women trained to manage operations.

The program contributed to a reduction in waterborne diseases and improved school attendance among girls, and has since been replicated across hundreds of administrative wards.In Costa Rica, a water tariff reform introduced progressive pricing, charging higher rates for heavy users while offering subsidized rates for low-income households. The approach improved affordability for vulnerable populations while encouraging conservation, demonstrating how economic regulation can align with human rights objectives.

The brief emphasizes that such initiatives are most effective when supported by strong governance frameworks. It calls for greater transparency, public participation, and access to information, alongside legal mechanisms that allow individuals to seek redress when rights are violated.States are also urged to integrate water and sanitation priorities into broader policy frameworks, including climate adaptation plans, biodiversity strategies, and disaster risk reduction efforts.

The report highlights the need for financing models that are predictable, accessible, and aligned with human rights standards, as well as the importance of strengthening local governance capacities.Gender considerations are identified as a critical component of effective policy design.

The report calls for measures to address structural inequalities, including gender-responsive budgeting, increased representation of women in decision-making, and protections against gender-based violence linked to water access.The role of the private sector is also addressed, with the report referencing the UN Guiding Principles on Business and Human Rights. Companies are expected to conduct due diligence, disclose environmental and social impacts, and provide remedies where harm occurs.

Governments, in turn, are tasked with regulating corporate activity to prevent abuses affecting water and sanitation systems.UN High Commissioner for Human Rights Volker Türk said that addressing water and sanitation challenges requires sustained political and financial commitment. “Investment in water is an investment in dignity, equality, public health, and sustainable development,” he said in a statement marking World Water Day 2026.

The findings highlight the scale and complexity of the global water crisis, with environmental degradation, population pressures, and governance gaps continuing to strain already fragile systems.