Ensuring Access to
 BASIC  SANITATION
 for  Indian Country
  EPA supports tribal communities in improving wastewater infrastructure.
                              -400,000:^
                                             :ribal homes
                                             n me UJ
    The American Indian and Alaska Native   12% of these homes lack
    (tribal) population increased          access to safe drinking water
    more than the national average.'       and/or wastewater facilities.2
                                                      WHY ARE THE AMERICAN
                                                      INDIAN AND ALASKA NATIVE
                                                      POPULATIONS UNIOi

                                                      • A higher proportion of tribal
                                                        communities use water
                                                        for subsistence living, traditions, and worship
                                                      • Often very remote and rural
                                                      • Each Federally recognized tribe is a
                                                        unique sovereign nation-'
                         Raw sewage often contains:
THE DANGER OF DISEASE

Exposure to untreated wastewater
can increase occurrences of:

•  Gastrointestinal illnesses such
  as hepatitis A, gastroenteritis,
  and giardiasis (giardia)
•  Respiratory illnesses such j
  as pneumonia
•  Skin diseases such as
  staph infections     •"
                                                   What does lack of access to
                                                    wastewater service mean?
                                               Broken sewer lines    Childn.
                                               five-gailon buckets
       Tribal community locations
           across the U.S.
    •
          •s sŤ
    '.  2-
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                                   To provide adequate OOOOOOOOOOOOOOOO
                                 thetnbalpopulation.over   g $669,000,000 O
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        MAKING PROGRESS, DROP BY DROP
EPA's Clean Water Indian Set-Aside (CWISA) Program funding is dedicated to the planning, design, and construction of
wastewater treatment systems for American Indians and Alaska Natives. Types of projects typically carried out include:5
                                                  'U     d)
     Septic Tanks/
        ' Irts
   32 3% of total projects
                   Wastewater
                  Treatment Plants
                 24% of total projects
   Lagoons
21 9% of total projec
   . 4 grinder
pumps, aerators)
-1% of total projects

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   From 2003
   869 Projects
                                                                    Mr fc
 have been funded through CWISA.
                                  EPA provided 69.783 tribal homes with access to basic
                                  wastewater sanitation, in coordination with other federal partners.
In FY 2013. CWISA awarded roughly $27.5 million for wastewater treatment construction projects in tribal communities
                                                                             WHEW F!
                                                                             CWISA-FUNDED



                                                                             to assisl with building
                                                                     waslewater infrastructure lhat will
                                                                     serve their commumly
                                 nnftnannnnnntUHMMt
                                 13.658 tribal homes to be served and
                                46% to provide first-time access
                                  to safe wastewater services
  As progress is made, challenges are being addressed through In-person and online training.
  Gil Gil  Gil
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                                    The workshops reached 344 people
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                                                                  Published online
                                                                  O&M training modules
  9 in-pcrson water and wastewater infrastructure      Representing over 120 ittbes.
  operation and maintenance (O&M) workshops
         The Infrastructure Task Force (ITF) promotes access to sustainable safe drinking water and basic sanitation in
         tribal communities by connecting tribes with infrastructure and resources The task force aims to maximize these
         federal investments by improving the capacity of tribes to perform operations and maintenance of their facilities

         The ITF is a multi-agency initiative led by EPA and composed of
            Indian Health Service
            U S Department of Agriculture       •  US. Department of Hou

                  rmation at: www.epa.yov/tpttrprograms/intra-water.htm
                                       U S Department of the Interior
                                       U S. Department of Housing and Urban Development
         THE ONGOING WORK
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    In 2000. the U.S. agreed to support the United
    Nations Millennium Development Goal to reduce
    the number of homes without access to water and
    basic sanitation by 50% by the year 2015.
                                                EPA and other federal agencies aim to provide

                                                an additional i 4,51 Ť5 American Indian
                                                and Alaskan Native homes with access to basic
                                                sanitation by 2015.
                                                           >>EPA
                                                                     United Stales
                                                                     Environmental Protection
                                                                     Agency


                                                                        EPA-810-F-13-001
                                                                          November 2013

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