The travails of the last year, when a bat virus infected humans and turned the world upside down, were an unfortunate reminder of the inseparable ties between society and the natural environment.

So it is with water, which will again this year direct the course of history, through events small and large.

What are the large events to pay attention to? What are the trends and flashpoints?

Historically, Americans have not been entitled to adequate, nutritious food when they are hungry, at least not at the expense of federal or state governments. Public food assistance programs are and have always been limited and supplemental and not designed to cover all nutritional needs. The effects of limited government engagement with hunger have disproportionately affected women and people of color and resulted in a patchwork system of assistance where charities and privately funded food banks attempt to fill gaps left by the government’s Supplemental Nutrition Assistance Program (SNAP) program.

Globally, nearly 690 million people were hungry in 2019. Though the number of people who experience hunger in Asia has declined since 2015, the continent still accounts for more than half of the world’s hungry, or undernourished, at approximately 381 million people. Working toward Sustainable Development Goal 2 (SDG 2), “Zero Hunger,” will require major changes to the world’s food production systems.

The United States is in the midst of a maternal health crisis. Indigenous and Alaska Native peoples are 2.3 times more likely to die from pregnancy-related complications than their white counterparts. In Alaska, unequal socio-economic status, lack of access to hospitals and quality health services, systemic racism, and a history of colonization drive these disparities in maternal health outcomes. “Weathering”—the deterioration of communal health outcomes caused by persistent socio-economic disadvantages—contributes to many poor maternal health outcomes for Alaska Native women. On top of these systemic problems, climate change impacts threaten to widen the existing disparities for Alaskan Native women.

At this time of year, in Russia’s far north Laptev Sea, the sun hovers near the horizon during the day, generating little warmth, as the region heads towards months of polar night. By late September or early October, the sea’s shallow waters should be a vast, frozen expanse.

But not this year. For the first time since records have been kept, open water still laps this coastline in late October though snow is already falling there.

The Grand Ethiopian Renaissance Dam (GERD) poses numerous challenges for the Nile river basin, but it also presents an opportunity for regional collaboration and shared prosperity, said Aaron Salzberg, Director of the Water Institute at the University of North Carolina and Wilson Center Global Fellow, at a recent event hosted by the University of North Carolina’s Center for Middle East and Islamic Studies.

Each year, 700 women in the United States die as a result of pregnancy-related complications. In fact, the United States has the highest maternal mortality ratio of all high-income countries—16.7 maternal deaths per 100,000 live births. For Indigenous/Alaskan Native women, that number is even higher: Indigenous/Alaska Natives are 2.3 times more likely to die from pregnancy-related complications than their white counterparts. While recent years have seen growing national attention to the U.S. maternal mortality crisis, research and advocacy for Indigenous peoples’ maternal health in the United States has been limited. This research gap includes the Alaskan Native peoples—Iñupiat, Yupik, Aleut, Eyak, Tlingit, Haida, Tsimshian, and multiple Diné tribes.

Simply put, without water there is no food. Global food and nutritional security require resilient agricultural systems, which, in turn, depend on reliable and sustainable supplies of freshwater, whether from rainfall or irrigation. It is an often-neglected dependency, and one that threatens to undermine our ability to meet our future food needs and maintain the ecosystems upon which all life depends.