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I'm Dr. Anthony Liesiewicz and this is Climate Connections. Around the world, more than a billion people live in informal settlements. These unplanned areas are often densely packed and lack municipal services.
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They're often in low lying areas that are prone to flooding. They have generally poor drainage, unsafe water, and all of these problems are exacerbated by often a lack of sanitation. That's Diego
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Ramirez Levering of Monash University in Australia. He says when it rains, stormwater can mix with wastewater and flow into streets and homes. In many areas, the problem is getting worse as climate change brings more heavy downpours.
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So in a way, climate issues become health issues, and the intersection of those two is really quite dangerous. So to
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help, he's part of a global initiative that's improving infrastructure. In a dozen communities in Indonesia and Fiji, they've installed private toilets, stormwater drains, septic tanks, and artificial wetlands that help filter water pollutants. And now they're studying how the changes affect the health of young kids who are especially vulnerable to illness from water contamination. So the team hopes to build climate resilience and improve people's health and well being all at the same time. Climate Connections is produced by the Yale center for Environmental Communication. To learn more about climate change, visit climateconnections.org.
Climate Connections – Heavier Downpours Worsen Sanitation Problems in Informal Settlements
Host: Dr. Anthony Leiserowitz
Guest: Diego Ramirez Levering, Monash University
Date: June 4, 2026
In this brief yet impactful episode, Dr. Anthony Leiserowitz explores the intersection of climate change, extreme weather events, and public health in informal settlements worldwide. The episode focuses on how heavier rains, exacerbated by climate change, intensify sanitation challenges for over a billion people living in unplanned urban areas. Special guest Diego Ramirez Levering shares insights about an international initiative to improve sanitation infrastructure, aiming to boost both community resilience and public health.
Informal Settlements:
“Around the world, more than a billion people live in informal settlements. These unplanned areas are often densely packed and lack municipal services.”
— Dr. Anthony Leiserowitz [00:01]
Vulnerability to Flooding and Sanitation Issues:
“They're often in low lying areas that are prone to flooding. They have generally poor drainage, unsafe water, and all of these problems are exacerbated by often a lack of sanitation.”
— Diego Ramirez Levering [00:16]
Worsening Downpours:
“When it rains, stormwater can mix with wastewater and flow into streets and homes. In many areas, the problem is getting worse as climate change brings more heavy downpours.”
— Dr. Anthony Leiserowitz [00:31]
Health Risks:
“So in a way, climate issues become health issues, and the intersection of those two is really quite dangerous.”
— Diego Ramirez Levering [00:45]
Infrastructure Improvements:
“…they've installed private toilets, stormwater drains, septic tanks, and artificial wetlands that help filter water pollutants.”
— Dr. Anthony Leiserowitz [00:52]
Focus on Children’s Health:
“And now they're studying how the changes affect the health of young kids who are especially vulnerable to illness from water contamination.”
— Dr. Anthony Leiserowitz [01:00]
Vivid illustration of risk:
“So in a way, climate issues become health issues, and the intersection of those two is really quite dangerous.”
— Diego Ramirez Levering [00:45]
Hope and purpose:
“So the team hopes to build climate resilience and improve people's health and well being all at the same time.”
— Dr. Anthony Leiserowitz [01:07]
This episode succinctly connects the realities of climate change to everyday struggles in informal settlements, highlighting how climate-driven extreme weather amplifies health threats. Yet, it ends on a note of hope, illustrating the practical ways global partnerships are building more resilient, healthier communities—even for the most vulnerable. For more information or to get engaged, listeners are encouraged to visit climateconnections.org.