Where access to water is restricted, sanitary conditions are soon affected. Across the globe, sanitation is a major concern for minority and indigenous communities impacted by water shortages or pollution. The World Health Organization’s Water, Sanitation and Hygiene (WASH) framework reminds us that sanitation is not only a prerequisite to health, but also that it contributes to livelihoods and dignity, as it helps create resilient communities living in healthy environments. Many of the problems faced by minorities and indigenous peoples that do not currently enjoy safe and sufficient sanitation ultimately have to do with exclusion from the sites where decisions are taken with regard to infrastructure maintenance and development. Contributing factors include pollution, whether natural or anthropogenic in origin.