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SAFE WATER AND WASTE DISPOSAL FACILITIES
ISSUE
Safe and adequate water supply and waste disposal facilities are lacking
in approximately 11% of American Indian and Alaska Native homes, compared to
1% of homes for the U.S. general population.
BACKGROUND
Families with satisfactory environmental conditions in their homes, which include safe water and sewerage systems, require appreciably fewer medical services and place fewer demands on the Indian Health Service (IHS) and tribal primary health care delivery system. The Indian Sanitation Facilities Act, P.L. 86-121, authorizes the IHS to provide essential sanitation facilities, such as safe drinking water and adequate sewerage systems, to Indian homes and communities. The SFC Program is a preventative health program that yields positive benefits. A recent cost benefit analysis indicated that for every dollar IHS spends on sanitation facilities, at least a twentyfold return in health benefits is achieved. The IHS Sanitation Facilities Construction Program has been the primary provider of these services since 1960.
SITUATION
While 1% of the U.S. general population lacks access to safe water, 11% of Indian homes lack access to safe water. In some parts of Indian country, up to 35% of homes lack basic sanitation.
There is a backlog of over 3,200 needed sanitation facilities construction projects. The cost to provide all American Indians and Alaska Natives with safe drinking water and adequate sewerage systems in their homes is estimated to be over $2.3 billion. With inflation, new environmental legislation requirements, and population growth, the current sanitation appropriations are not reducing the backlog. In addition to providing safe sanitation facilities to existing homes, the IHS also provides sanitation facilities to new homes.
OPTIONS/PLANS
The IHS, in consultation with Tribes, continues to identify sanitation facilities needs. The IHS and Tribes will continue to collaborate with other federal agencies, states, and other sources to provide needed resources for these essential facilities. In order to reduce the backlog of sanitation facilities needed to serve existing homes in 10 years, the total Sanitation Facilities Construction appropriation will require a 65% increase. This higher level of appropriation would also address the sanitation facilities for all new homes being constructed annually.
ADDITIONAL INFORMATION
For referral to the appropriate spokesperson, contact the IHS Public Affairs Staff at 301-443-3593.
June 2008