Reports.wbwh Better -

The is the go‑to source for data‑driven insight on how water quality, supply, and infrastructure intersect with public health across the United States and its territories.

The WBWH reports paint a : aging water infrastructure, an increasingly volatile climate, and entrenched equity gaps are converging to raise the risk of water‑related health events across the United States. Yet the same data also illuminate clear, cost‑effective levers —smart sensors, targeted capital, climate‑smart treatment, and equity‑focused funding—that can break the cycle if acted upon now.

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| Metric | National Avg. | “At‑Risk” Cities (≥ 30 % of mains > 50 yrs) | |--------|----------------|--------------------------------------------| | | 38 years (median) | 52 years | | Annual Water Loss | 13 % of produced volume | 22 % (mainly in older grids) | | Capital Gap (2024‑2029) | $124 B (federal + state) | $58 B (concentrated in the 15 at‑risk metros) |

Overall, the reports maintain a high standard of transparency: code repositories (GitHub) and raw datasets are publicly available, enabling replication and third‑party validation. The is the go‑to source for data‑driven insight

Under RCP 8.5, summer average temperatures rise +3.2 °F by 2050, pushing the HRI incidence rate from 12 cases/10 k residents (2020 baseline) to ≈ 21 cases/10 k in the Southwest.

The WBWH model predicts that every $1 B of targeted pipe‑replacement investment in these metros yields $2.6 B in avoided water‑loss costs , plus a 0.7 % reduction in water‑related health incidents (e.g., Legionella outbreaks). The reports

| Report (Date) | Core Focus | Key Audience | |---------------|------------|--------------| | (Feb 2024) | Condition of municipal water mains, leak rates, and capital‑needs modelling | City planners, utilities, federal grant officers | | Climate‑Driven Water‑Health Risks 2023‑24 (July 2023) | Projected health outcomes (heat‑related illness, water‑borne disease) under three climate pathways (RCP 2.6, 4.5, 8.5) | Public‑health agencies, climate‑adaptation offices | | Equity in Water Access: Rural & Tribal Insights (Nov 2023) | Disparities in water service reliability, contaminant exposure, and health disparities for Indigenous and rural populations | Tribal health councils, USDA Rural Development, NGOs |

Heavy‑rainfall events projected to increase by +28 % (mid‑century) elevate E. coli concentrations in surface‑water sources by ≈ 15 % on average, especially in watersheds lacking combined‑sewer‑overflow (CSO) upgrades.

Recent filings, such as the First Quarter 2026 Results , highlight total revenues of approximately $8.9 billion .

| Domain | Short‑Term (≤ 2 yr) | Mid‑Term (3‑5 yr) | Long‑Term (≥ 6 yr) | |--------|-------------------|-------------------|-------------------| | | 1️⃣ Deploy smart leak‑detection sensors on the top 10 % of high‑risk mains in at‑risk cities (pilot funded by EPA’s Water Infrastructure Finance and Innovation Act – WIFIA). 2️⃣ Standardise asset‑age reporting across all utilities (> 50 k customers). | 3️⃣ Accelerate pipe‑replacement financing via blended public‑private bonds, targeting 15 % of the capital gap in the next 5 years. 4️⃣ Embed resilience clauses (e.g., flood‑proof pump stations) in all major capital projects. | 5️⃣ Shift to distributed water‑storage networks (e.g., modular underground tanks) to buffer against climate‑induced supply shocks. | | Climate‑Health | 1️⃣ Issue heat‑alert water‑quality advisories when forecasted temps exceed 95 °F, with guidance on flushing and temperature‑controlled storage. 2️⃣ Expand real‑time pathogen monitoring at CSO outfalls using rapid‑PCR kits. | 3️⃣ Integrate climate‑risk modules into local health department emergency operation plans (EOPs). 4️⃣ Fund nature‑based solutions (wetland restoration) to attenuate storm‑water surges in flood‑prone watersheds. | 5️⃣ Adopt adaptive treatment standards that auto‑scale disinfectant dosages based on real‑time pathogen load and temperature data. | | Equity | 1️⃣ Prioritise grant‑making for tribal arsenic mitigation (e.g., point‑of‑use reverse‑osmosis units). 2️⃣ Provide technical‑assistance vouchers for rural utilities to upgrade SCADA systems. | 3️⃣ Develop regional water‑equity dashboards (publicly accessible) that overlay service reliability, contaminant levels, and health metrics. 4️⃣ Create capacity‑building pipelines (certified water‑engineer apprenticeships) targeted at Indigenous youth. | 5️⃣ Institutionalise mandatory equity impact assessments for any state‑level water‑infrastructure funding decision. |