Ensuring Access  to
    BASIC  SANITATION
    for Indian  Country
     EPA supports tribal communities in improving wastewater infrastructure.
                           OWJjx
        2000
                2010
        The American Indian and Alaska Native
        (tribal) population increased 8.4%
        more than the national average.1
                                           -400,000
                                               tribal homes
                                               in the U.S.
                             12% of these homes lack
                             access to safe drinking water
                             and/or wastewater facilities.2
                                   WHY ARE THE AMERICAN
                                   INDIAN AND ALASKA NATIVE
                                   POPULATIONS UNIQUE?

                                     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 nation3
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
   as pneumonia
   Skin diseases such as
   staph infections
                                    Raw sewage often contains:
                    Parasites, viruses,
                      and bacteria
         Pharmaceuticals
                                       Chemical toxins, including
                                        metals and pesticides
                                                           What does lack of access to
                                                           wastewater service mean?
            Broken sewer lines     Children play in septic overflow
                                                   Human waste carried in     Pipes carry wastewater
                                                     five-gallon buckets   directly into streams and waterways,
                                                                       without treatment
            Tribal community locations
                 across the U.S.

                                               wastewater service to
                                             $669 million is needed.



              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
         Septic Tanks/
         Drain Fields
       32.3% of total projects
            Wastewater
           Treatment Plants
          24% of total projects
                                                                      SI^H  ^B

                                                                       \J
    Lagoons
21.9% of total projects
  Lift Stations
9.4% of total projects
 Piping Projects
8.3% of total projects
Other (e.g. grinder
 pumps, aerators)
4% of total projects
       From 2003
       869 Projects

                                                                        2013
       mmmm
       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.
                         77 Projects
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                            13,658 tribal homes to be served and
                            46% to provide first-time access
                            to safe wastewater services.
                                                                                       WHEN POSSIBLE,
                                                                                       CWISA-FUNDED
                                                                                       PROJECTS HIRE
                                                                                       LOCAL RESIDENTS
                                                                                       to assist with building
                                                                                wastewater infrastructure that will
                                                                                serve their community.
      As progress is made, challenges are being addressed through in-person and online training.
                                              The workshops reached 344 people
                                                                            Published online
                                                                            O&M training modules
      9 in-person water and wastewater infrastructure
      operation and maintenance (O&M) workshops
                                Representing over 120 tribes.
     o
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 the Interior
  U.S. Department of Agriculture         U.S. Department of Housing and Urban Development

More ITF information at: www.epa.gov/tp/trprograms/infra-water.htm.
             THE ONGOING  WORK
        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.
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                                                                                               i
                                             EPA and other federal agencies aim to provide

                                             an additional 14,51 3 American Indian
                                             and Alaskan Native homes with access to basic
                                             sanitation by 2015.
         1 U.S. Census Bureau
         2 Indian Health Service Sanitation Tracking and Reporting System (IMS-STARS)
         3 Federal Register, Volume 78, Number. 87, "Indian Entities Recognized and Eligible
          To Receive Services From the United States Bureau of Indian Affairs"
         4 IMS-STARS
         5 Based on the 96 CWISA projects funded in 2009 through the American Recovery
          and Reinvestment Act
         6 Based on EPA's 2003 baseline
                                                        &EPA
                                          United States
                                          Environmental Protection
                                          Agency

                                              EPA-810-F-13-001
                                                November 2013

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