Eleven months have passed since COVID-19 was declared a global pandemic by the World Health Organization (WHO). As we rang in the new year, the world surpassed two million deaths due to COVID-19. While it is encouraging that 77 countries have distributed 168 million COVID-19 vaccine doses, only a small fraction of these are in low-income countries. Vaccinations may not be widely distributed in most of sub-Saharan Africa until 2022-2023. Furthermore, the new COVID-19 variant recently discovered in South Africa is estimated to be 50 percent more contagious, underscoring the need for a collaborative international response.

Six months into the World Health Organization (WHO) declaration of COVID-19 as a global pandemic, many countries, including the United States, are still struggling to contain the spread of the virus which, as of this writing, has taken 744,649 lives globally. Before mask-wearing was recommended as the simplest and most effective defense against contagion, epidemiologists and public health experts recommended regular handwashing with soap and practicing social distancing as fundamental to curbing the spread of the COVID-19 virus. Briefly it appeared as if WASH (water, sanitation, and hygiene) services were actually being accorded the importance they deserved. The critical need for water for handwashing, the millions who lack regular supplies of both water and soap, and the difficulties of social distancing in settlements where thousands share a single toilet with no soap were finally headline news.