Sanitation and the climate crisis are intrinsically interlinked. Sanitation systems are vulnerable to climate events that damage infrastructure, disrupt services, and displace people. This results in increased health risks and pollution that impacts ecosystems, with low-income and marginalised populations disproportionately impacted. Additionally, poorly managed sanitation is a significant greenhouse gas emitter, particularly through methane emissions from latrines and septic tanks.
Health: Loss of sanitation service due to floods and droughts 1 disproportionately affects incidence of diarrheal disease – cholera countries, cases, frequency and size of outbreak have all increased dramatically in recent years 2. Change in temperature is also causing vector-borne diseases, such a dengue fever, to thrive especially where wastewater management and drainage are poor 3.
Institutions: Sanitation in schools and health care facilities is vulnerable to climate hazards such as flooding and sea level rise which damage infrastructure. This puts students, teachers, patients, family members, doctors, nurses, etc. at elevated risk of being exposed to diarrheal diseases. Climate events disrupt the education of 40 million children each year.
Marine Ecosystems: Damaged sanitation systems release sewage into marine ecosystems, damaging mangrove forests, coral reefs, and seagrass beds. These ecosystems sequester carbon at 35 times faster than terrestrial forests 4.
Emissions: Poorly managed sanitation is a significant greenhouse gas (GHG) emitter, primarily through methane from sludge. One assessment estimated that nearly 50% of a city’s GHG emissions came from sanitation 5.
Figure 1 Interrelationship of sanitation and the climate crisis.
To address this situation, in 2022 the Climate Resilient Sanitation Coalition was launched in response to the joint Call to Action launched at COP27. The Coalition was formalised under the vision of:
Integrating sanitation into global and national climate policy & practice; and
integrating climate into global and national sanitation policy & practice.
The coalition is a growing collaboration of international organisations, research organisations and practitioners working collectively towards improved prioritisation, capacity and investment in climate resilient sanitation. Currently Coalition members represent almost 35 organisations implementing climate resilient sanitation (CRS) programs in almost 80 countries.
Operating at a global level, the Coalition currently has five workstreams:
Integrate sanitation into global and national climate policy and practice (e.g., development of a sanitation annex for the GCF Global Guidelines).
Support national governments with tools, evidence, and expertise to incorporate CRS into government policies, plans, and strategies (e.g., National Adaptation Plans and Nationally Determined Contributions).
Increase the prominence of sanitation in climate discussions through active dissemination of evidence and experiences.
Attract finance to the climate resilient sanitation sector, including developing the relevant climate rationale.
Build the evidence base for climate resilient sanitation, including in connection with adjacent sectors (e.g., water supply, solid waste management, agriculture, ecosystem management, education, health, environment, etc.).
Key external products
CRSC - Member Resources A call to action for accelaration Factsheet of Working Group 3 Climate Resilient Urban Sanitation
This infographic highlights how climate change threatens sanitation systems and, in turn, public health, ecosystems, and economies. It illustrates ten key impacts - from flooding, storms, and droughts to sea level rise and groundwater contamination- showing how fragile sanitation infrastructure can trigger cascading effects on tourism, marine ecosystems, and essential […]
Green Climate Fund (GFC) (2024)
Annex III: Practical guidelines for designing climate-resilient sanitation projects Water Security Sectoral Guide
The practical guidelines for designing climate-resilient sanitation projects provide a framework for developing projects that address sanitation and climate change, including adaptation and mitigation strategies. It supports governments and development partners seeking Green Climate Fund (GCF) funding for climate resilient sanitation services, which can better cope with and be restored […]
Green Climate Fund (2022)
Sectoral guide: Water security
Climate change is evident around the globe, and it requires bold actions now to achieve the Sustainable Development Goals (SDGs) and Paris Agreement. In addition, water is one of the world’s most essential commodities and demand for water service has increased tremendously following population growth, economic development and changing consuming […]
Nasser Tuqan and Elise Mann on behalf of the Climate Resilient Sanitation Coalition (CRSC) (2024)
Bridging Borders: The Role of Climate-Resilient Sanitation in Global Peace and Sustainability CRSC Article - SIWI World Water Week 2024
As SIWI World Water Week 2024 kicks off in Stockholm this week, we are reminded of the profound importance of water and sanitation cooperation in fostering peace and security across the globe. This year's theme, "Bridging Borders: Water for a Peaceful and Sustainable Future," reminds us of the intricate interconnections […]
Professor Juliet Willetts leads applied research to improve development policy and practice, addressing social justice and supporting sustainable development. She is a recognised expert in water and sanitation in Asia and the Pacific, also making significant contributions to gender equality, climate resilience, governance and accountability, urban development, monitoring, evaluation and development effectiveness.
Ann Thomas
Senior Advisor, Sanitation and Hygiene (UNICEF)
New York • USA
Ann Thomas is Senior Advisor, Sanitation and Hygiene at UNICEF. She is an environmental engineer with over two decades of development experience, within the UN system and aid organizations in Latin America, Africa and Asia. Her passion is driving strategic policy decisions in the WASH sector – an often-overlooked investment-multiplier in emerging economies – that translate directly to improved health and economic development outcomes.
The 35th SuSanA meeting took place on 23rd August 2025. It was organised by the SuSanA Secretariat with support and contributions from the Global Steering Commitee, SuSanA Partners, Members, Working Groups, Regional Chapters and many more.
Register for free as a SuSanA member to engage with thousands of sanitation enthusiasts on the forum, join working groups, and explore regional chapters. FAQs explain more.
The open forum covers a broad range of topics such as sanitation systems and technologies, health and hygiene, CLTS, school sanitation, sanitation systems for special conditions, and menstrual hygiene management.
The open forum covers a broad range of topics such as sanitation systems and technologies, health and hygiene, CLTS, school sanitation, sanitation systems for special conditions, and menstrual hygiene management,
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