<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing with OASIS Tables v3.0 20080202//EN" "journalpub-oasis3.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:oasis="http://docs.oasis-open.org/ns/oasis-exchange/table" xml:lang="en" dtd-version="3.0">
  <front>
    <journal-meta><journal-id journal-id-type="publisher">ESSD</journal-id><journal-title-group>
    <journal-title>Earth System Science Data</journal-title>
    <abbrev-journal-title abbrev-type="publisher">ESSD</abbrev-journal-title><abbrev-journal-title abbrev-type="nlm-ta">Earth Syst. Sci. Data</abbrev-journal-title>
  </journal-title-group><issn pub-type="epub">1866-3516</issn><publisher>
    <publisher-name>Copernicus Publications</publisher-name>
    <publisher-loc>Göttingen, Germany</publisher-loc>
  </publisher></journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.5194/essd-13-237-2021</article-id><title-group><article-title>Country-level and gridded estimates of wastewater production, collection, treatment and
reuse</article-title><alt-title>Country-level and gridded estimates of wastewater production</alt-title>
      </title-group><?xmltex \runningtitle{Country-level and gridded estimates of wastewater production}?><?xmltex \runningauthor{E. R. Jones et al.}?>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes" rid="aff1">
          <name><surname>Jones</surname><given-names>Edward R.</given-names></name>
          <email>e.r.jones@uu.nl</email>
        <ext-link>https://orcid.org/0000-0001-5388-7774</ext-link></contrib>
        <contrib contrib-type="author" corresp="no" rid="aff1">
          <name><surname>van Vliet</surname><given-names>Michelle T. H.</given-names></name>
          
        </contrib>
        <contrib contrib-type="author" corresp="no" rid="aff2">
          <name><surname>Qadir</surname><given-names>Manzoor</given-names></name>
          
        </contrib>
        <contrib contrib-type="author" corresp="no" rid="aff1 aff3">
          <name><surname>Bierkens</surname><given-names>Marc F. P.</given-names></name>
          
        <ext-link>https://orcid.org/0000-0002-7411-6562</ext-link></contrib>
        <aff id="aff1"><label>1</label><institution>Department of Physical Geography, Faculty of Geosciences, Utrecht University, Utrecht, the Netherlands</institution>
        </aff>
        <aff id="aff2"><label>2</label><institution>Institute for Water, Environment and Health (UNU-INWEH), United Nations University, Hamilton, Canada</institution>
        </aff>
        <aff id="aff3"><label>3</label><institution>Unit Subsurface &amp; Groundwater Systems, Deltares, Utrecht, the Netherlands</institution>
        </aff>
      </contrib-group>
      <author-notes><corresp id="corr1">Edward R. Jones (e.r.jones@uu.nl)</corresp></author-notes><pub-date><day>8</day><month>February</month><year>2021</year></pub-date>
      
      <volume>13</volume>
      <issue>2</issue>
      <fpage>237</fpage><lpage>254</lpage>
      <history>
        <date date-type="received"><day>16</day><month>June</month><year>2020</year></date>
           <date date-type="rev-request"><day>27</day><month>August</month><year>2020</year></date>
           <date date-type="rev-recd"><day>27</day><month>November</month><year>2020</year></date>
           <date date-type="accepted"><day>7</day><month>December</month><year>2020</year></date>
      </history>
      <permissions>
        <copyright-statement>Copyright: © 2021 Edward R. Jones et al.</copyright-statement>
        <copyright-year>2021</copyright-year>
      <license license-type="open-access"><license-p>This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this licence, visit <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link></license-p></license></permissions><self-uri xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021.html">This article is available from https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021.html</self-uri><self-uri xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021.pdf">The full text article is available as a PDF file from https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021.pdf</self-uri>
      <abstract><title>Abstract</title>
    <p id="d1e121">Continually improving and affordable wastewater management provides opportunities for both
pollution reduction and clean water supply augmentation, while simultaneously promoting
sustainable development and supporting the transition to a circular economy. This study aims to
provide the first comprehensive and consistent global outlook on the state of domestic and
manufacturing wastewater production, collection, treatment and reuse. We use a data-driven approach,
collating, cross-examining and standardising country-level wastewater data from online data
resources. Where unavailable, data are estimated using multiple linear regression. Country-level
wastewater data are subsequently downscaled and validated at 5 <inline-formula><mml:math id="M1" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula>
(<inline-formula><mml:math id="M2" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">10</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mrow class="unit"><mml:mi mathvariant="normal">km</mml:mi></mml:mrow></mml:mrow></mml:math></inline-formula>) resolution. This study estimates global wastewater production at <inline-formula><mml:math id="M3" display="inline"><mml:mrow><mml:mn mathvariant="normal">359.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M4" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>, of which 63 % (<inline-formula><mml:math id="M5" display="inline"><mml:mrow><mml:mn mathvariant="normal">225.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M6" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) is
collected and 52 % (<inline-formula><mml:math id="M7" display="inline"><mml:mrow><mml:mn mathvariant="normal">188.1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M8" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) is treated. By extension, we
estimate that 48 % of global wastewater production is released to the environment untreated,
which is substantially lower than previous estimates of <inline-formula><mml:math id="M9" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">80</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula>. An estimated <inline-formula><mml:math id="M10" display="inline"><mml:mrow><mml:mn mathvariant="normal">40.7</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M11" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> of treated wastewater is intentionally reused. Substantial
differences in per capita wastewater production, collection and treatment are observed across
different geographic regions and by level of economic development. For example, just over 16 %
of the global population in high-income countries produces 41 % of global wastewater. Treated-wastewater reuse is particularly substantial in the Middle East and North Africa (15 %) and
western Europe (16 %), while comprising just 5.8 % and 5.7 % of the global population,
respectively. Our database serves as a reference for understanding the global wastewater status
and for identifying hotspots where untreated wastewater is released to the environment, which are
found particularly in South and Southeast Asia. Importantly, our results also serve as a baseline
for evaluating progress towards many policy goals that are both directly and indirectly connected
to wastewater management. Our spatially explicit results available at 5 <inline-formula><mml:math id="M12" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula>
resolution are well suited for supporting more detailed hydrological analyses such as water
quality modelling and large-scale water resource assessments and can be accessed at
<ext-link xlink:href="https://doi.org/10.1594/PANGAEA.918731" ext-link-type="DOI">10.1594/PANGAEA.918731</ext-link> (Jones
et al., 2020).</p>
  </abstract>
    </article-meta>
  </front>
<body>
      

<sec id="Ch1.S1" sec-type="intro">
  <label>1</label><title>Introduction</title>
      <p id="d1e321">Clean water is essential for supporting human livelihoods, achieving sustainable development and
maintaining ecosystem health. All major human activities, such as crop and livestock production,
manufacturing of goods, power generation, and domestic activities rely upon the availability of water
in both adequate quantities and of acceptable quality at the point of intended use (van Vliet et
al., 2017; Ercin and Hoekstra, 2014). It is increasingly recognised that conventional water
resources such as rainfall, snowmelt and runoff captured in lakes, rivers and aquifers are
insufficient to meet human demands in water-scarce areas (Jones et al., 2019; Hanasaki et al., 2013;
Kummu et al., 2016). While increases in water use efficiencies can somewhat reduce the water demand–supply gap, these approaches must be combined with supply and quality enhancement strategies
(Gude,<?pagebreak page238?> 2017). Conventional supply enhancement strategies, such as reservoir construction, surface
water diversion and pipeline construction are contingent on geographic and climate factors, can face
strong public opposition and often lack water quality considerations.</p>
      <p id="d1e324">A growing set of viable but unconventional water resources offer enormous potential for narrowing
the water demand–supply gap towards a water-secure future. Unconventional water resources
encapsulate a range of strategies across different scales, from localised fog-water and rainwater
harvesting to mega-scale desalination plants and wastewater treatment and reuse facilities (Jones
et al., 2019; Morote et al., 2019; Qadir et al., 2020). The use of unconventional water resources
has grown rapidly in the last few decades, often out of necessity, and their importance across
various geographic scales is already irrefutable (Jones et al., 2019; Qadir et al.,
2018). Furthermore, continually improving unconventional water resources technologies have permitted
more efficient and economical “tapping” of water resources, which were previously unusable due to
access constraints or the added costs related to unsuitable water quality (e.g. seawater
desalination and wastewater treatment).</p>
      <p id="d1e327">Wastewater is broadly defined as “used” water that has been contaminated as a result of human
activities (Mateo-Sagasta et al., 2015). While agricultural runoff is rarely collected or treated
(WWAP, 2017), return flows from domestic and manufacturing sources (henceforth “wastewater”) can be
collected in infrastructure including piped systems (sewerage) or on-site sanitation systems (septic
tanks and pit latrines). Wastewater is increasingly recognised as a reliable and cost-effective source
of freshwater, particularly for agricultural applications (WWAP, 2017; Jiménez and Asano,
2008). Yet, wastewater remains an “untapped” and “undervalued” resource (WWAP, 2017). Wastewater
treatment aims to improve the quality of used water sources to reduce contaminant levels below
sectoral quality thresholds for intentional reuse or to minimise the environmental impacts of
wastewater return flows. Treated-wastewater flows can also provide a substantial source of (clean)
freshwater flows for maintenance of river flows, especially during drought (Luthy et al.,
2015). Where treated-wastewater discharges form a substantial part of the river flow, de facto
wastewater reuse, defined as the incidental presence of treated wastewater in a water supply, can
be high (Rice et al., 2013; Beard et al., 2019). Treated wastewater can also be used for groundwater
recharge, helping to preserve the viability of freshwater extraction from groundwater into the
future (Qadir et al., 2015), in addition to applications in agroforestry systems (El Moussaoui et
al., 2019) and aquaculture (Khalil and Hussein, 2008). In summary, wastewater treatment can improve
river water quality and ecosystem health, while providing an alternative source of freshwater for
human use and subsequently reducing competition for conventional water supplies.</p>
      <p id="d1e330">Historically, wastewater (both treated and untreated) has been predominantly used for non-potable
purposes, particularly agriculture and landscape irrigation (Qadir et al., 2007; WWAP, 2017; Zhang
and Shen, 2017). Agricultural activities are expected to increasingly rely on alternative water
resources, as this sector has the largest water demands globally (Wada et al., 2013). Furthermore,
the agricultural sector faces reductions in conventional water resources allocation (Sato et al.,
2013). The reliable supply of water, reduced need for additional fertiliser and potential for
growing high-value vegetables promote wastewater irrigation in water-scarce developing countries
(Sato et al., 2013). However, much of the wastewater currently reused is inadequately treated or
even untreated (Qadir et al., 2010; Scott et al., 2010). Demands for wastewater are increasing at a
faster pace than treatment solutions and institutions that ensure the safe distribution and
management of wastewater (Sato et al., 2013). The primary challenge in promoting reuse is ensuring
safety – both for human and ecosystem health – and thus ensuring that wastewater is adequately
treated prior to use or environmental discharge (WWAP, 2017). This is needed to achieve the required
paradigm shift in water resources management, whereby wastewater is viewed as a resource (for
energy, nutrients and water) rather than as “waste” (WWAP, 2017; Qadir et al., 2020).</p>
      <p id="d1e334">To understand the current state and explore the future potential of wastewater as a resource, a
comprehensive and consistent global assessment of wastewater production, collection, treatment and
reuse is required. This information is essential for assessing progress towards Sustainable
Development Goal (SDG) 6, such as SDG 6.3 that specifically focuses on achieving water quality
improvements through halving the proportion of untreated wastewater and promoting safe reuse
globally. Furthermore, this information is important for identifying hotspots where improvements in
wastewater management are highly necessary and when used as input data for a range of scientific assessments
(e.g. stream water quality dynamics and water scarcity assessments). However, the availability of
wastewater data at the continental and global scales is sparse and often outdated or from
inconsistent reporting years (Sato et al., 2013). Previous studies remain limited in their approach
and estimates, relying on a few data sources covering less than half of the countries across the
world (Mateo-Sagasta et al., 2015; Sato et al., 2013). A recent study explored the global and
regional “potential” of wastewater as a water, nutrient and energy source but did not address the
collection, treatment and reuse aspects of wastewater (Qadir et al., 2020). This paper presents the
first global assessment of spatially explicit wastewater production, collection, treatment and
reuse, consistently combing different data sources. Country-level quantifications are downscaled to
a grid level of 5 <inline-formula><mml:math id="M13" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> for inclusion in large-scale water resource assessments and water
quality models.</p>
</sec>
<?pagebreak page239?><sec id="Ch1.S2">
  <label>2</label><title>Methods</title>
<sec id="Ch1.S2.SS1">
  <label>2.1</label><title>Wastewater data sources</title>
      <p id="d1e360">The fate of domestic and manufacturing wastewater after production can follow a number of paths
(Fig. 1). Wastewater from these activities can be collected, typically in sewers, septic tanks or
pit latrines, or uncollected and discharged directly to the environment (e.g. open
defecation). Collected wastewater can undergo treatment, ranging from basic primary treatment
(removing suspended solids) to specialised tertiary or triple-barrier treatment (nutrient removal and
toxic compound removal), or can be discharged to the environment untreated (Mateo-Sagasta et al.,
2015). When treated, wastewater can be released to the environment or intentionally reused as a
“fit-for-purpose” water source. Untreated wastewater can similarly be discharged to the
environment or intentionally used as a source of freshwater. Furthermore, both treated and untreated
wastewater can be used unintentionally where wastewater is incidentally present in a water supply
(“de facto reuse”).</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F1" specific-use="star"><?xmltex \currentcnt{1}?><?xmltex \def\figurename{Figure}?><label>Figure 1</label><caption><p id="d1e365">The wastewater chain <bold>(a)</bold>, including wastewater data availability with number of countries for which wastewater data are available <bold>(b)</bold> and the percentage of population coverage (i.e. the proportion of the global population for which wastewater data are available) <bold>(c)</bold>.</p></caption>
          <?xmltex \igopts{width=341.433071pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f01.png"/>

        </fig>

      <p id="d1e383">Country-level wastewater data were collated from four online databases (Table 1): Global Water
Intelligence (GWI, 2015), the Food and Agriculture Organization of the United Nations (FAO AQUASTAT,
2020), Eurostat (Eurostat, 2020) and the United Nations Statistics Division (UNSD, 2020). For
consistency, the year 2015 was selected for all wastewater data. Where wastewater data from the
online sources were reported in a different year (up to a maximum of 10 years, i.e. 2006
onwards), all wastewater data were standardised to 2015 based on data from the most recent reporting
year (see Table 1 for the standardisation method).</p>

<?xmltex \floatpos{p}?><table-wrap id="Ch1.T1" specific-use="star"><?xmltex \currentcnt{1}?><?xmltex \def\figurename{Table}?><label>Table 1</label><caption><p id="d1e390">Wastewater data sources and population coverage by regional and economic aspects, including the number of unique countries (in square brackets). Method for standardisation of wastewater data to 2015 and the method for compiling wastewater data from multiple sources into a single quantification per country.</p></caption><oasis:table frame="topbot"><?xmltex \begin{scaleboxenv}{.90}[.90]?><oasis:tgroup cols="8">
     <oasis:colspec colnum="1" colname="col1" align="justify" colwidth="40pt"/>
     <oasis:colspec colnum="2" colname="col2" align="justify" colwidth="50pt"/>
     <oasis:colspec colnum="3" colname="col3" align="justify" colwidth="70pt"/>
     <oasis:colspec colnum="4" colname="col4" align="justify" colwidth="55pt"/>
     <oasis:colspec colnum="5" colname="col5" align="justify" colwidth="80pt"/>
     <oasis:colspec colnum="6" colname="col6" align="justify" colwidth="50pt" colsep="1"/>
     <oasis:colspec colnum="7" colname="col7" align="justify" colwidth="50pt"/>
     <oasis:colspec colnum="8" colname="col8" align="justify" colwidth="50pt"/>
     <oasis:thead>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">Data sources<inline-formula><mml:math id="M17" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">a</mml:mi></mml:msup></mml:math></inline-formula></oasis:entry>

         <oasis:entry colname="col3">Standardisation to 2015</oasis:entry>

         <oasis:entry colname="col4">Data<?xmltex \hack{\hfill\break}?>compiling method</oasis:entry>

         <oasis:entry rowsep="1" namest="col5" nameend="col6" align="center" colsep="1">Regional aspects </oasis:entry>

         <oasis:entry rowsep="1" namest="col7" nameend="col8" align="center">Economic aspects </oasis:entry>

       </oasis:row>
       <oasis:row rowsep="1">

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Region</oasis:entry>

         <oasis:entry colname="col6">Population coverage<inline-formula><mml:math id="M18" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">b</mml:mi></mml:msup></mml:math></inline-formula></oasis:entry>

         <oasis:entry colname="col7">Classification</oasis:entry>

         <oasis:entry colname="col8">Population coverage<inline-formula><mml:math id="M19" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">c</mml:mi></mml:msup></mml:math></inline-formula></oasis:entry>

       </oasis:row>
     </oasis:thead>
     <oasis:tbody>
       <oasis:row>

         <oasis:entry colname="col1">Production</oasis:entry>

         <oasis:entry colname="col2">GWI [94]</oasis:entry>

         <?xmltex \mrwidth{70pt}?><oasis:entry colname="col3" morerows="3">Divide by GDP (USD) in reporting year, multiply by GDP (USD) in 2015.</oasis:entry>

         <?xmltex \mrwidth{50pt}?><oasis:entry colname="col4" morerows="2">Average of all available sources.</oasis:entry>

         <oasis:entry colname="col5">North America</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 100 % [2]</oasis:entry>

         <oasis:entry colname="col7">High</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 99.4 % [48]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">FAO [98]</oasis:entry>

         <oasis:entry colname="col5">Latin America and<?xmltex \hack{\hfill\break}?>Caribbean</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 93.9 % [19]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">UNSD [23]</oasis:entry>

         <oasis:entry colname="col5">Western Europe</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 99.8 % [19]</oasis:entry>

         <oasis:entry colname="col7">Upper middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 98.0 % [34]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">Eurostat [20]</oasis:entry>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Middle East <?xmltex \hack{\hfill\break}?>and North Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 98.8 % [19]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Sub-Saharan Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 49.6 % [17]</oasis:entry>

         <oasis:entry colname="col7">Lower middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 94.6 % [31]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">South Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 96.4 % [4]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Eastern Europe and<?xmltex \hack{\hfill\break}?>Central Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 89.4 % [23]</oasis:entry>

         <oasis:entry colname="col7">Low</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 13.3 % [5]</oasis:entry>

       </oasis:row>
       <oasis:row rowsep="1">

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">East Asia and Pacific</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 95.3 % [15]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1">Collection</oasis:entry>

         <oasis:entry colname="col2">GWI [95]</oasis:entry>

         <?xmltex \mrwidth{70pt}?><oasis:entry colname="col3" morerows="5">Divide by GDP per capita (USD per capita) in reporting year, multiple with GDP per capita (USD per capita) in 2015.</oasis:entry>

         <?xmltex \mrwidth{50pt}?><oasis:entry colname="col4" morerows="2">GWI data prioritised. FAO data if unavailable.</oasis:entry>

         <oasis:entry colname="col5">North America</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 100 % [2]</oasis:entry>

         <oasis:entry colname="col7">High</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 99.4 % [47]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">FAO [55]</oasis:entry>

         <oasis:entry colname="col5">Latin America and <?xmltex \hack{\hfill\break}?>Caribbean</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 96.7 % [20]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col5">Western Europe</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 99.8 % [18]</oasis:entry>

         <oasis:entry colname="col7">Upper middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 97.7 % [29]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Middle East and <?xmltex \hack{\hfill\break}?>North Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 88.3 % [17]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Sub-Saharan Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>  61.1 % [13]</oasis:entry>

         <oasis:entry colname="col7">Lower middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?>  81.0 % [21]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">South Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 96.4 % [4]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Eastern Europe and<?xmltex \hack{\hfill\break}?>Central Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>  69.9 % [16]</oasis:entry>

         <oasis:entry colname="col7">Low</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?>  34.9 % [5]</oasis:entry>

       </oasis:row>
       <oasis:row rowsep="1">

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">East Asia and Pacific</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 83.6 % [12]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1">Treatment</oasis:entry>

         <oasis:entry colname="col2">GWI [76]</oasis:entry>

         <?xmltex \mrwidth{70pt}?><oasis:entry colname="col3" morerows="5">Divide by GDP per capita (USD per capita) in reporting year, multiple with GDP per capita (USD per capita) in 2015.</oasis:entry>

         <?xmltex \mrwidth{50pt}?><oasis:entry colname="col4" morerows="6">GWI data prioritised. FAO or UNSD where unavailable (most recent reporting year prioritised).</oasis:entry>

         <oasis:entry colname="col5">North America</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 100 % [2]</oasis:entry>

         <oasis:entry colname="col7">High</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 98.4 % [46]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">FAO [78]</oasis:entry>

         <oasis:entry colname="col5">Latin America and <?xmltex \hack{\hfill\break}?>Caribbean</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 90.0 % [17]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">UNSD [21]</oasis:entry>

         <oasis:entry colname="col5">Western Europe</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 99.8 % [19]</oasis:entry>

         <oasis:entry colname="col7">Upper middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 91.2 % [27]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col5">Middle East and <?xmltex \hack{\hfill\break}?>North Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 65.9 % [13]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col5">Sub-Saharan Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 25.7 % [8]</oasis:entry>

         <oasis:entry colname="col7">Lower middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 69.4 % [15]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col5">South Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 95.2 % [3]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col5">Eastern Europe and <?xmltex \hack{\hfill\break}?>Central Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 73.4 % [21]</oasis:entry>

         <oasis:entry colname="col7">Low</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 27.1 % [5]</oasis:entry>

       </oasis:row>
       <oasis:row rowsep="1">

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">East Asia and Pacific</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 80.2 % [10]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1">Reuse</oasis:entry>

         <oasis:entry colname="col2">GWI [20]</oasis:entry>

         <?xmltex \mrwidth{70pt}?><oasis:entry colname="col3" morerows="5">Wastewater production normalised to reporting year of wastewater reuse based on GDP (USD), percentage reuse calculated, applied to 2015 production data.</oasis:entry>

         <?xmltex \mrwidth{50pt}?><oasis:entry colname="col4" morerows="2">GWI data prioritised. FAO data if unavailable.</oasis:entry>

         <oasis:entry colname="col5">North America</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 90.0 % [1]</oasis:entry>

         <oasis:entry colname="col7">High</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 68.7 % [19]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2">FAO [32]</oasis:entry>

         <oasis:entry colname="col5">Latin America and<?xmltex \hack{\hfill\break}?>Caribbean</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 67.2 % [5]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col5">Western Europe</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 42.5 % [3]</oasis:entry>

         <oasis:entry colname="col7">Upper middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 77.7 % [10]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Middle East and<?xmltex \hack{\hfill\break}?>North Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 83.0 % [13]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Sub-Saharan Africa</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 21.5 % [6]</oasis:entry>

         <oasis:entry colname="col7">Lower middle</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 48.7 % [4]</oasis:entry>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">South Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 74.9 % [1]</oasis:entry>

         <oasis:entry colname="col7"/>

         <oasis:entry colname="col8"/>

       </oasis:row>
       <oasis:row>

         <oasis:entry colname="col1"/>

         <oasis:entry colname="col2"/>

         <oasis:entry colname="col3"/>

         <oasis:entry colname="col4"/>

         <oasis:entry colname="col5">Eastern Europe and <?xmltex \hack{\hfill\break}?>Central Asia</oasis:entry>

         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?> 0.6 % [2]</oasis:entry>

         <oasis:entry colname="col7">Low</oasis:entry>

         <oasis:entry colname="col8"><?xmltex \hack{\hfill}?> 24.8 % [4]</oasis:entry>

       </oasis:row>
     </oasis:tbody>
   </oasis:tgroup><?xmltex \end{scaleboxenv}?></oasis:table><?xmltex \begin{scaleboxenv}{.90}[.90]?><table-wrap-foot><p id="d1e393"><inline-formula><mml:math id="M14" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">a</mml:mi></mml:msup></mml:math></inline-formula> Abbreviations for the data sources are as follows: Global Water
Intelligence (GWI), Food and Agriculture Organization of the United Nations
(FAO), United Nations Statistics Department (UNSD), European Union
statistics office (Eurostat). <inline-formula><mml:math id="M15" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">b</mml:mi></mml:msup></mml:math></inline-formula> Data availability per region expressed as a percentage of the total
population. Geographic region followed by the total number of countries per region in square brackets: East Asia and Pacific [38], eastern Europe and Central Asia [30], Latin America and Caribbean [41], Middle East and North Africa [21], North America [3], South Asia [8], sub-Saharan Africa [48], and western Europe [26]. <inline-formula><mml:math id="M16" display="inline"><mml:msup><mml:mi/><mml:mi mathvariant="normal">c</mml:mi></mml:msup></mml:math></inline-formula> Data availability per economic classification expressed as a percentage
of the total population. Total number of countries per economic
classification are: high [76], upper-middle [56], lower-middle [52] and low
[31] income.
</p></table-wrap-foot><?xmltex \end{scaleboxenv}?></table-wrap>

      <p id="d1e1274">Data from different sources were cross-examined to check for consistency and to remove implausible
data. Where large discrepancies (<inline-formula><mml:math id="M20" display="inline"><mml:mrow><mml:mo>&gt;</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:math></inline-formula> order of magnitude) existed between different data sources
for a country, data points were excluded. For example, the GWI reports Kazakhstan to produce <inline-formula><mml:math id="M21" display="inline"><mml:mrow><mml:mn mathvariant="normal">6205</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M22" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>, whereas the FAO reports just <inline-formula><mml:math id="M23" display="inline"><mml:mrow><mml:mn mathvariant="normal">411</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M24" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>. Similarly, the FAO reports Moldova to produce <inline-formula><mml:math id="M25" display="inline"><mml:mrow><mml:mn mathvariant="normal">46.7</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M26" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> compared to <inline-formula><mml:math id="M27" display="inline"><mml:mrow><mml:mn mathvariant="normal">672.1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M28" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> by the UNSD. In total,
reported data for 11 countries were excluded for wastewater production. For wastewater collection
and treatment, percentage data were cross-referenced with reported connection rates (i.e. percentage of
population connected to wastewater collection and treatment). Six and seven countries were excluded for
collection and treatment, respectively. For example, the GWI reports a 95.2 % collection rate for
Azerbaijan, while the UNSD reports that only 32.4 % of people are connected to wastewater collection
systems. Similarly, the GWI reports a 17 % treatment rate in Hong Kong SAR, whereas the UNSD reports that
93.5 % of people are connected to wastewater treatment plants. No data points were excluded for
wastewater reuse. In a small number of cases where percentage values obtained were marginally
illogical (i.e. <inline-formula><mml:math id="M29" display="inline"><mml:mrow><mml:mtext>wastewater collection</mml:mtext><mml:mo>&lt;</mml:mo><mml:mtext>wastewater treatment</mml:mtext></mml:mrow></mml:math></inline-formula>; <inline-formula><mml:math id="M30" display="inline"><mml:mrow><mml:mtext>wastewater
treatment</mml:mtext><mml:mo>&lt;</mml:mo><mml:mtext>wastewater reuse</mml:mtext></mml:mrow></mml:math></inline-formula>), percentage values were set to the proceeding level in the wastewater chain (Fig. 1).</p>
      <p id="d1e1452">Table 1 displays the data sources and the associated number of countries with wastewater data for
production, collection, treatment and reuse. The procedure for standardising data to the year 2015,
when required, is presented. Wastewater production is assumed to be dependent upon both population
size and per capita production (related to per capita wealth). Hence, we standardise wastewater
production linearly with GDP (gross domestic product), a combined metric of population size and wealth. Conversely,
wastewater collection and treatment are assumed to be more dependent on economics; hence we linearly
apply GDP per capita for standardisation. The methods used to compile wastewater production,
collection, treatment and reuse data from multiple sources to provide a single quantification per
country are also displayed. Lastly, the population coverage in percentage terms and by the number of
unique countries is displayed both per geographic region and by economic classification. The number
of unique countries and the population coverage of data at each stage of the wastewater chain are
also displayed in Fig. 1. Reported wastewater data were available for the majority of the world's
most populous countries. This results in a high-percentage population coverage relative to the
number of countries. Both the number of countries and population coverage reduces through the
wastewater chain, with available wastewater data decreasing from 118 to 37 countries (90 % to
60 % population coverage) from wastewater production to wastewater reuse data.</p>
</sec>
<sec id="Ch1.S2.SS2">
  <label>2.2</label><title>Regression for country-level predictions</title>
      <p id="d1e1463">Datasets of predictor variables for regression analyses were downloaded from multiple sources (see
overview Table 2). Datasets spanned a wide range of predictor variables covering social (e.g. total
and urban population), economic (e.g. GDP or Human Development Index (HDI)), hydrological (e.g. irrigation water scarcity) and
geographic (e.g. land area and agricultural land) dimensions. The selected predictor variables were
expected to have a physical basis for correlation with wastewater production, collection, treatment
or reuse. Where appropriate, datasets from these sources were combined to produce comparable
metrics for countries of different populations and geographic sizes (e.g. GDP per capita in USD per
capita and desalination capacity per capita in <inline-formula><mml:math id="M31" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita). Values were taken for
the year 2015, where available, or from the closest reporting year when unavailable. Irrigation
water scarcity and desalination capacity were taken from 2019 and 2018, respectively. Data were
transformed, either using a log or square root transformation, to reduce the skew in the independent
variables and to ensure normality.</p>

<?xmltex \floatpos{t}?><table-wrap id="Ch1.T2" specific-use="star"><?xmltex \currentcnt{2}?><?xmltex \def\figurename{Table}?><label>Table 2</label><caption><p id="d1e1489">Data sources of predictor variables for wastewater production,
collection, treatment and reuse regression analysis.</p></caption><oasis:table frame="topbot"><oasis:tgroup cols="4">
     <oasis:colspec colnum="1" colname="col1" align="justify" colwidth="60pt"/>
     <oasis:colspec colnum="2" colname="col2" align="justify" colwidth="120pt"/>
     <oasis:colspec colnum="3" colname="col3" align="justify" colwidth="20pt"/>
     <oasis:colspec colnum="4" colname="col4" align="justify" colwidth="255pt"/>
     <oasis:thead>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Data source</oasis:entry>
         <oasis:entry colname="col2">Predictor variable</oasis:entry>
         <oasis:entry colname="col3">Year</oasis:entry>
         <oasis:entry colname="col4">Link</oasis:entry>
       </oasis:row>
     </oasis:thead>
     <oasis:tbody>
       <oasis:row>
         <oasis:entry colname="col1">World Bank</oasis:entry>
         <oasis:entry colname="col2">Land area (<inline-formula><mml:math id="M32" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">km</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/AG.LND.TOTL.K2</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Total population (millions)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/sp.pop.totl</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Urban population (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/SP.URB.TOTL</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">GDP (billion USD)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/NY.GDP.MKTP.CD</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Access to basic sanitation (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/SH.STA.BASS.ZS</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Mortality rate attributed to unsafe water, sanitation and hygiene</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/SH.STA.WASH.P5</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Access to internet (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/it.net.user.zs</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Access to electricity (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/EG.ELC.ACCS.ZS</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">People practicing open defecation (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/SH.STA.ODFC.ZS</uri>  (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Agricultural land (%)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/AG.LND.AGRI.ZS</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Fertiliser consumption (<inline-formula><mml:math id="M33" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">kg</mml:mi><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">ha</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> arable land)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/ag.con.fert.zs</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Renewable internal water<?xmltex \hack{\hfill\break}?>resources (<inline-formula><mml:math id="M34" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M35" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://data.worldbank.org/indicator/ER.H2O.INTR.K3</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">United Nations<?xmltex \hack{\hfill\break}?>Development Programme</oasis:entry>
         <oasis:entry colname="col2">Human Development Index (<inline-formula><mml:math id="M36" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3">2015</oasis:entry>
         <oasis:entry colname="col4"><uri>https://dasl.datadescription.com/datafile/hdi-2015/</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">World <?xmltex \hack{\hfill\break}?>Resources <?xmltex \hack{\hfill\break}?>Institute</oasis:entry>
         <oasis:entry colname="col2">Baseline irrigation water <?xmltex \hack{\hfill\break}?>scarcity (<inline-formula><mml:math id="M37" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3">2019</oasis:entry>
         <oasis:entry colname="col4"><uri>https://www.wri.org/resources/data-sets/aqueduct-30-country-rankings</uri> (last access:  5 January 2020)</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Global Water<?xmltex \hack{\hfill\break}?>Intelligence</oasis:entry>
         <oasis:entry colname="col2">Desalination capacity <?xmltex \hack{\hfill\break}?>(<inline-formula><mml:math id="M38" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M39" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3">2018</oasis:entry>
         <oasis:entry colname="col4"><uri>https://www.desaldata.com/</uri> (last access:  5 January 2020) as synthesised in Jones et al. (2019)</oasis:entry>
       </oasis:row>
     </oasis:tbody>
   </oasis:tgroup></oasis:table></table-wrap>

      <?pagebreak page241?><p id="d1e1882">Multiple linear regression was used to predict country-level wastewater variables (production,
collection, treatment and reuse) for countries without reported data. Stepwise elimination was used
for feature selection to remove redundant predictor variables and reduce overfitting. Wastewater
production was predicted in volumetric flow rate units (<inline-formula><mml:math id="M40" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M41" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>). Conversely,
wastewater collection, treatment and reuse were predicted as a percentage of wastewater
production. Predicted values of percentages were bounded to the 0 %–100 % range (i.e. <inline-formula><mml:math id="M42" display="inline"><mml:mrow><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0</mml:mn><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0</mml:mn></mml:mrow></mml:math></inline-formula> and
<inline-formula><mml:math id="M43" display="inline"><mml:mrow><mml:mo>&gt;</mml:mo><mml:mn mathvariant="normal">100</mml:mn><mml:mo>=</mml:mo><mml:mn mathvariant="normal">100</mml:mn></mml:mrow></mml:math></inline-formula>). Predicted percentages were subsequently applied to reported or predicted values of
wastewater production to obtain wastewater collection, treatment and reuse in volumetric flow rate
units. Bootstrap regression was used to quantify the uncertainty in the predictions (by geographic
region, economic classification and at the global scale) at the 95th confidence level. In total,
1000 regressions with random sampling and replacement were fit to provide predictions at countries
lacking data. Wastewater observations were combined with these 1000 bootstrapped predictions, with
the 2.5th and 97.5th confidence intervals taken as lower and upper confidence limits, respectively.</p>
      <p id="d1e1945">Wastewater data (reported and predicted) are at the national level, for the 215 countries as listed
by the World Bank (<uri>https://data.worldbank.org/country</uri>, last access:  5 January 2020). Wastewater data are also aggregated to eight geographic regions based on the World Bank
regional classifications: (1) East Asia and Pacific, (2) eastern Europe and Central Asia, (3)
Latin America and Caribbean, (4) Middle East and North Africa, (5) North America, (6) South
Asia, (7) sub-Saharan Africa, and (8) western Europe. Furthermore, data are also aggregated to four
economic classifications based on the World Bank Atlas method: (1) high income (<inline-formula><mml:math id="M44" display="inline"><mml:mo lspace="0mm">&gt;</mml:mo></mml:math></inline-formula>USD 12 056 GNI – gross national income  –
per capita), (2) upper-middle income (USD 3896 to USD 12 055), (3) lower-middle income (USD 966 to
USD 3895) and (4) low income (<inline-formula><mml:math id="M45" display="inline"><mml:mo lspace="0mm">&lt;</mml:mo></mml:math></inline-formula>USD 995). Predicted wastewater data were used to supplement
reported data and, where unavailable, to develop a comprehensive global outlook of wastewater
production, collection, treatment and reuse.</p>
</sec>
<sec id="Ch1.S2.SS3">
  <label>2.3</label><title>Downscaling and validation</title>
      <p id="d1e1973">Country-level wastewater production, collection, treatment and reuse data were downscaled to
5 <inline-formula><mml:math id="M46" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> resolution (<inline-formula><mml:math id="M47" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">10</mml:mn><mml:mspace linebreak="nobreak" width="0.125em"/><mml:mrow class="unit"><mml:mi mathvariant="normal">km</mml:mi></mml:mrow></mml:mrow></mml:math></inline-formula> at the Equator) based on the sum of averaged annual
domestic and industrial return flow data (henceforth “return flow”). Return flows represent the
water extracted for a specific sectoral purpose, but which is not consumed, and hence it returns to and
dynamically interacts with surface and groundwater hydrology (de Graaf et al., 2014; Sutanudjaja et
al., 2018). Return flows used for downscaling are calculated as gross <inline-formula><mml:math id="M48" display="inline"><mml:mo>-</mml:mo></mml:math></inline-formula> net water demands from the
Water Futures and Solutions (WFaS) initiative for the years 2000–2010 (Wada et al., 2016). The WFaS
water demand dataset follows the approach developed for PCR-GLOBWB (PCRaster Global Water Balance; Wada et al., 2014). Domestic
return flows only occur where the urban and rural populations have access to water, whereas
industrial return flows occur from all areas where water is withdrawn (Wada et al., 2014). Both
domestic and industrial return flows are dependent on country-specific recycling ratios based on GDP
and the level of economic development (Wada et al., 2011, 2014).</p>
      <p id="d1e2005">Grid cell return flow was divided by the country's total return flow to obtain the fraction per grid
cell.<?pagebreak page242?> Wastewater production was downscaled directly proportionally to return flows by multiplying
the grid cell return flow fraction per grid cell with wastewater production at the
country level. Wastewater collection is assigned sequentially to grid cells with the largest
downscaled produced wastewater flows. Thus, collected wastewater is preferentially allocated to grid
cells with the highest levels of municipal activities, where central wastewater collection (and
treatment) is assumed to be most economically feasible. Wastewater treatment is assigned to grid
cells only where wastewater collection exists, at an average treatment rate calculated at the
country level. The treatment rate is calculated as the proportion of collected wastewater that
undergoes treatment and, hence, can differ from the country-level wastewater treatment percentage
(which is calculated as the proportion of produced wastewater that is treated). For the downscaling
of wastewater reuse an additional criterion was introduced to represent water scarcity, a key
driver of wastewater reuse. The ratio of water demand to water availability was calculated. Grid
cells within a country with a treated-wastewater allocation are then ordered based off this ratio,
and treated-wastewater reuse was assigned sequentially to these grid cells.</p>
      <p id="d1e2008">The location and design capacity of individual wastewater treatment plants were used to validate the
downscaled wastewater treatment data. Reported data for 25 901 wastewater treatment plants located
across Europe were obtained from the European Environment Agency (EEA, 2019). Data for a further
4283 wastewater treatment plants were obtained for the contiguous United States from the US
Environmental Protection Agency (US EPA, 2020). An additional 478 wastewater treatment plants,
distributed globally (excluding Europe and the US), were extracted from the GWI wastewater database
(GWI, 2015). For EEA and GWI wastewater treatment plants, treatment capacity reported only in
population equivalent (PE) was approximated in volume flow rate units based on the linear regression
obtained for wastewater<?pagebreak page243?> treatment plants reporting capacity in both population equivalent and volume
flow rate (EEA: <inline-formula><mml:math id="M49" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.80</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M50" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>; GWI: <inline-formula><mml:math id="M51" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.81</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M52" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>). Wastewater treatment plants
were assigned to their nearest grid cell, and treatment capacities were aggregated per cell. In
total, wastewater treatment data were available for 22 133 unique grid cells. For validating
downscaled wastewater reuse, only plants (with treatment capacity <inline-formula><mml:math id="M53" display="inline"><mml:mrow><mml:mo>&gt;</mml:mo><mml:mn mathvariant="normal">1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M54" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) using tertiary or higher wastewater treatment technologies were
considered. In total, 572 wastewater treatment plants in the EEA database met this criterion. A
further 78 wastewater treatment plants, which are specifically designated as wastewater reuse
facilities, were sourced from the GWI database. In total, wastewater reuse data were available for
601 grid cells. Downscaled wastewater treatment and reuse were compared to wastewater design
capacities.</p>
      <p id="d1e2103">To account for the large variation in the treatment capacities of wastewater treatment plants
considered, in addition to the geographical mismatch between where wastewater is produced and
treated (i.e. wastewater treatment plants are typically located on the outskirts of urban areas),
validation occurred at differing geographical scales. Wastewater treatment plant capacity was
divided by wastewater production per capita to approximate the number of people that the wastewater
treatment plant serves. If the population served by a wastewater plant exceeds the grid cell
population, the validation extent was expanded to the directly neighbouring cells. This is allowed
to occur, until the population served by the treatment plant is reached, only up to a maximum of three iterations, reflecting a radius of <inline-formula><mml:math id="M55" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">30</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mrow class="unit"><mml:mi mathvariant="normal">km</mml:mi></mml:mrow></mml:mrow></mml:math></inline-formula> around the wastewater treatment plant. The
total downscaled wastewater treated over the extended area was then compared to that of the
treatment plant.</p>
      <p id="d1e2121">To quantify the performance of the downscaling approaches, the root-mean-square error (RMSE) and
mean bias (BIAS) were calculated. Normalised values of RMSE and BIAS were calculated (nRMSE and
nBIAS) by dividing by the standard deviation of the wastewater treatment plant capacity. Pearson's
(<inline-formula><mml:math id="M56" display="inline"><mml:mi>r</mml:mi></mml:math></inline-formula>) coefficients were calculated to quantify the linear dependence, with <inline-formula><mml:math id="M57" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> values
based on both the linear and log–log relationship between downscaled and observed values also being
calculated.</p>
</sec>
</sec>
<sec id="Ch1.S3">
  <label>3</label><title>Results</title>
<sec id="Ch1.S3.SS1">
  <label>3.1</label><title>Regression and country-level predictions</title>
      <p id="d1e2158">The results of the regression analysis for wastewater production, collection, treatment and reuse
are summarised in Table 3. All regression models were significant at the <inline-formula><mml:math id="M58" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula> level with
adjusted <inline-formula><mml:math id="M59" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> values ranging between 0.61 and 0.89. Country-level observed versus
simulated wastewater production (log <inline-formula><mml:math id="M60" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M61" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), collection (%), treatment
(%) and reuse (%) data are displayed in Fig. 2. The regression equations were applied for 97,
113, 122 and 178 countries with no or excluded data representing 10 %, 14 %, 22 % and
40 % of the global population for wastewater production, collection, treatment and reuse,
respectively.</p>

<?xmltex \floatpos{t}?><table-wrap id="Ch1.T3" specific-use="star"><?xmltex \currentcnt{3}?><?xmltex \def\figurename{Table}?><label>Table 3</label><caption><p id="d1e2218">Wastewater production, collection, treatment and reuse multiple linear regression
results.</p></caption><oasis:table frame="topbot"><oasis:tgroup cols="6">
     <oasis:colspec colnum="1" colname="col1" align="justify" colwidth="50pt"/>
     <oasis:colspec colnum="2" colname="col2" align="justify" colwidth="150pt"/>
     <oasis:colspec colnum="3" colname="col3" align="justify" colwidth="60pt"/>
     <oasis:colspec colnum="4" colname="col4" align="justify" colwidth="40pt"/>
     <oasis:colspec colnum="5" colname="col5" align="justify" colwidth="40pt"/>
     <oasis:colspec colnum="6" colname="col6" align="justify" colwidth="60pt"/>
     <oasis:thead>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Regression model</oasis:entry>
         <oasis:entry colname="col2">Explanatory variables (units)</oasis:entry>
         <oasis:entry colname="col3"><inline-formula><mml:math id="M69" display="inline"><mml:mi>B</mml:mi></mml:math></inline-formula> (SE <inline-formula><mml:math id="M70" display="inline"><mml:mi>B</mml:mi></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col4"><inline-formula><mml:math id="M71" display="inline"><mml:mi mathvariant="italic">β</mml:mi></mml:math></inline-formula></oasis:entry>
         <oasis:entry colname="col5"><inline-formula><mml:math id="M72" display="inline"><mml:mi>p</mml:mi></mml:math></inline-formula></oasis:entry>
         <oasis:entry colname="col6">Adjusted <inline-formula><mml:math id="M73" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula></oasis:entry>
       </oasis:row>
     </oasis:thead>
     <oasis:tbody>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Production <?xmltex \hack{\hfill\break}?>(log)</oasis:entry>
         <oasis:entry colname="col2">Intercept (<inline-formula><mml:math id="M74" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>GDP (log USD <inline-formula><mml:math id="M75" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita) <?xmltex \hack{\hfill\break}?>Population (log millions) <?xmltex \hack{\hfill\break}?>Access to basic sanitation (%)</oasis:entry>
         <oasis:entry colname="col3"><?xmltex \hack{\hfill}?><inline-formula><mml:math id="M76" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1.68</mml:mn></mml:mrow></mml:math></inline-formula> (0.45) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>0.45 (0.06) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>1.02 (0.03) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>0.02 (0.00)</oasis:entry>
         <oasis:entry colname="col4">0.31 <?xmltex \hack{\hfill\break}?>0.96 <?xmltex \hack{\hfill\break}?>0.19</oasis:entry>
         <oasis:entry colname="col5">** <?xmltex \hack{\hfill\break}?>** <?xmltex \hack{\hfill\break}?>** <?xmltex \hack{\hfill\break}?>**</oasis:entry>
         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>0.89**</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Collection</oasis:entry>
         <oasis:entry colname="col2">Intercept (<inline-formula><mml:math id="M77" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>Human Development Index (<inline-formula><mml:math id="M78" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>Urban population (%) <?xmltex \hack{\hfill\break}?>Wastewater production (log <inline-formula><mml:math id="M79" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per <?xmltex \hack{\hfill\break}?>capita)</oasis:entry>
         <oasis:entry colname="col3"><?xmltex \hack{\hfill}?><inline-formula><mml:math id="M80" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">80.73</mml:mn></mml:mrow></mml:math></inline-formula> (11.06) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>120.82 (26.94) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>0.22 (0.13) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>8.01 (2.97)</oasis:entry>
         <oasis:entry colname="col4">0.50 <?xmltex \hack{\hfill\break}?>0.14 <?xmltex \hack{\hfill\break}?>0.25</oasis:entry>
         <oasis:entry colname="col5">** <?xmltex \hack{\hfill\break}?>** <?xmltex \hack{\hfill\break}?>. <?xmltex \hack{\hfill\break}?>*</oasis:entry>
         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>0.69**</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Treatment</oasis:entry>
         <oasis:entry colname="col2">Intercept (<inline-formula><mml:math id="M81" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>Wastewater collection (%) <?xmltex \hack{\hfill\break}?>GDP (log USD <inline-formula><mml:math id="M82" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita)</oasis:entry>
         <oasis:entry colname="col3"><?xmltex \hack{\hfill}?><inline-formula><mml:math id="M83" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">61.32</mml:mn></mml:mrow></mml:math></inline-formula> (14.06) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>0.72 (0.08) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>7.2 (1.88)</oasis:entry>
         <oasis:entry colname="col4">0.66 <?xmltex \hack{\hfill\break}?>0.28</oasis:entry>
         <oasis:entry colname="col5">* <?xmltex \hack{\hfill\break}?>* <?xmltex \hack{\hfill\break}?>*</oasis:entry>
         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>0.80**</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Reuse<?xmltex \hack{\hfill\break}?>(primary)</oasis:entry>
         <oasis:entry colname="col2">Intercept (<inline-formula><mml:math id="M84" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>Desalination capacity (sqrt <inline-formula><mml:math id="M85" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per<?xmltex \hack{\hfill\break}?>capita) <?xmltex \hack{\hfill\break}?>Treated wastewater for irrigation water scarcity alleviation (<inline-formula><mml:math id="M86" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>)</oasis:entry>
         <oasis:entry colname="col3"><?xmltex \hack{\hfill}?><inline-formula><mml:math id="M87" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">5.29</mml:mn></mml:mrow></mml:math></inline-formula> (4.59) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>1.50 (0.78) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>13.66 (3.50)</oasis:entry>
         <oasis:entry colname="col4">0.29 <?xmltex \hack{\hfill\break}?>0.60</oasis:entry>
         <oasis:entry colname="col5">0.26 <?xmltex \hack{\hfill\break}?>. <?xmltex \hack{\hfill\break}?>*</oasis:entry>
         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>0.70**</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Reuse <?xmltex \hack{\hfill\break}?>(alternate)</oasis:entry>
         <oasis:entry colname="col2">Intercept (<inline-formula><mml:math id="M88" display="inline"><mml:mo lspace="0mm">-</mml:mo></mml:math></inline-formula>) <?xmltex \hack{\hfill\break}?>Desalination capacity (sqrt <inline-formula><mml:math id="M89" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per<?xmltex \hack{\hfill\break}?>capita) <?xmltex \hack{\hfill\break}?>Treated wastewater (%)</oasis:entry>
         <oasis:entry colname="col3"><?xmltex \hack{\hfill}?><inline-formula><mml:math id="M90" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">4.11</mml:mn></mml:mrow></mml:math></inline-formula> (6.10) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>3.22 (0.63) <?xmltex \hack{\hfill\break}?><?xmltex \hack{\hfill}?>0.23 (0.12)</oasis:entry>
         <oasis:entry colname="col4">0.63 <?xmltex \hack{\hfill\break}?>0.24</oasis:entry>
         <oasis:entry colname="col5">0.50 <?xmltex \hack{\hfill\break}?>* <?xmltex \hack{\hfill\break}?>.</oasis:entry>
         <oasis:entry colname="col6"><?xmltex \hack{\hfill}?>0.61**</oasis:entry>
       </oasis:row>
     </oasis:tbody>
   </oasis:tgroup></oasis:table><table-wrap-foot><p id="d1e2221"><inline-formula><mml:math id="M62" display="inline"><mml:mi>B</mml:mi></mml:math></inline-formula> indicates unstandardised regression weights; SE <inline-formula><mml:math id="M63" display="inline"><mml:mi>B</mml:mi></mml:math></inline-formula> indicates the standard
error of <inline-formula><mml:math id="M64" display="inline"><mml:mi>B</mml:mi></mml:math></inline-formula>; <inline-formula><mml:math id="M65" display="inline"><mml:mi mathvariant="italic">β</mml:mi></mml:math></inline-formula> indicates standardised regression weights. Significance
level represented by “**” (<inline-formula><mml:math id="M66" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>), “*” (<inline-formula><mml:math id="M67" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>), “.”
(<inline-formula><mml:math id="M68" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.1</mml:mn></mml:mrow></mml:math></inline-formula>) or as stated numerically.</p></table-wrap-foot></table-wrap>

      <?xmltex \floatpos{t}?><fig id="Ch1.F2" specific-use="star"><?xmltex \currentcnt{2}?><?xmltex \def\figurename{Figure}?><label>Figure 2</label><caption><p id="d1e2783">Observed versus predicted wastewater production <bold>(a)</bold>, collection <bold>(b)</bold>, treatment <bold>(c)</bold> and reuse <bold>(d)</bold> from regression analysis.</p></caption>
          <?xmltex \igopts{width=341.433071pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f02.png"/>

        </fig>

      <p id="d1e2805">Wastewater production was best predicted based on total population, GDP per capita and access to
basic sanitation. A significant regression equation was found (<inline-formula><mml:math id="M91" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>) with an adjusted
<inline-formula><mml:math id="M92" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> value of 0.89, with all predictor variables also significant at the <inline-formula><mml:math id="M93" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>
level. While the number of people within a country was found to have the strongest influence on
total wastewater production (<inline-formula><mml:math id="M94" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.96</mml:mn></mml:mrow></mml:math></inline-formula>), the average economic output per inhabitant
(<inline-formula><mml:math id="M95" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.31</mml:mn></mml:mrow></mml:math></inline-formula>) and the level of access to wastewater services (<inline-formula><mml:math id="M96" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.19</mml:mn></mml:mrow></mml:math></inline-formula>), such as flushing
toilets to piped sewers, are important for determining the amount of wastewater produced per
capita. These three factors therefore account for the combined effect of population size and
variations in wastewater production per capita linked to economic and development factors in
determining total wastewater production in a country. Comparing observed with predicted total
wastewater production data demonstrates the overriding importance of a country's population, with
wastewater production spread across multiple orders of magnitude for countries irrespective of
geographical region or economic classification (Fig. 2a).</p>
      <p id="d1e2880">Wastewater collection was predicted (adjusted <inline-formula><mml:math id="M97" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.69</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M98" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>) based on the Human Development Index (HDI), urban population and wastewater production per capita. HDI, an overarching
proxy for the level of development, was found to be the strongest influence over wastewater collection
(<inline-formula><mml:math id="M99" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.50</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M100" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>). Urban population (<inline-formula><mml:math id="M101" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.14</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M102" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>) and wastewater production per
capita (<inline-formula><mml:math id="M103" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.25</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M104" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>) were also significant but less important predictor variables of
wastewater collection. For urban populations, a greater proportion of a population living in urban
areas resulted in higher collection rates for the country, while higher levels of wastewater
production per capita corresponded to larger collection rates. The observed versus predicted
wastewater collection rates are depicted in Fig. 2b, which displays the trend across different
geographic zones and economic classifications.</p>
      <p id="d1e2983">Wastewater treatment was predicted (adjusted <inline-formula><mml:math id="M105" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.80</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M106" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>) based on GDP per
capita (<inline-formula><mml:math id="M107" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.28</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M108" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>) and wastewater collection (<inline-formula><mml:math id="M109" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.66</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M110" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>). Countries with
larger economic outputs per capita likely have more resources for wastewater treatment, resulting in
higher overall treatment rates. As wastewater treatment is dependent upon wastewater collection,
countries with higher wastewater collection rates typically also treat a greater proportion of their
wastewater. Observed versus predicted wastewater treatment rates are displayed in Fig. 2c.</p>
      <p id="d1e3062">The amount of wastewater treated will determine the maximum potential for treated-wastewater reuse
within a country. Water scarcity, particularly when driven by high irrigation water demands, is also
a primary driver of wastewater reuse (Garcia and Pargament, 2015). To account for this
relationship, the fraction of wastewater undergoing treatment<?pagebreak page244?> processes and irrigation water
scarcity was multiplied to give an integrated metric indicating the “availability of treated
wastewater for irrigation water scarcity alleviation”. Wastewater reuse was predicted (adjusted
<inline-formula><mml:math id="M111" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.70</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M112" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>) from this metric (<inline-formula><mml:math id="M113" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.60</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M114" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>) in combination with the
desalination capacity per capita (<inline-formula><mml:math id="M115" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.29</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M116" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.1</mml:mn></mml:mrow></mml:math></inline-formula>), as an indicator of the prevalence of
unconventional water resources in a country. The observed versus predicted wastewater reuse rates
from this regression are displayed in Fig. 2d. Irrigation water scarcity data were unavailable for 53
countries, mostly small island nations. Here an alternate regression model was constructed based on
desalination capacity per capita (<inline-formula><mml:math id="M117" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.63</mml:mn></mml:mrow></mml:math></inline-formula>, <inline-formula><mml:math id="M118" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.01</mml:mn></mml:mrow></mml:math></inline-formula>) and wastewater treatment (<inline-formula><mml:math id="M119" display="inline"><mml:mrow><mml:mi mathvariant="italic">β</mml:mi><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.24</mml:mn></mml:mrow></mml:math></inline-formula>,
<inline-formula><mml:math id="M120" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.1</mml:mn></mml:mrow></mml:math></inline-formula>) only, resulting in a slightly lower explained variance (<inline-formula><mml:math id="M121" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup><mml:mo>=</mml:mo><mml:mn mathvariant="normal">0.61</mml:mn></mml:mrow></mml:math></inline-formula>). While these
countries represent <inline-formula><mml:math id="M122" display="inline"><mml:mo>&lt;</mml:mo></mml:math></inline-formula>1 % of the global population, this alternate regression was necessary to
account for wastewater reuse occurring particularly in water-scarce small island nations. These
islands typically lack renewable water resources and hence unconventional water resources such as
desalinated water and treated wastewater represent a substantial proportion of the water
availability (Jones et al., 2019).</p>
</sec>
<sec id="Ch1.S3.SS2">
  <label>3.2</label><title>Global wastewater production, collection, treatment and reuse</title>
      <p id="d1e3220">Globally, this study estimates that <inline-formula><mml:math id="M123" display="inline"><mml:mrow><mml:mn mathvariant="normal">359.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M124" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M125" display="inline"><mml:mrow><mml:mn mathvariant="normal">358.0</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M126" display="inline"><mml:mrow><mml:mn mathvariant="normal">361.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M127" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) of wastewater is
produced annually, with a global average of 49.0 <inline-formula><mml:math id="M128" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (48.8–49.2 <inline-formula><mml:math id="M129" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) per
capita. Global annual wastewater collection and treatment is estimated at <inline-formula><mml:math id="M130" display="inline"><mml:mrow><mml:mn mathvariant="normal">225.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M131" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M132" display="inline"><mml:mrow><mml:mn mathvariant="normal">224.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M133" display="inline"><mml:mrow><mml:mn mathvariant="normal">226.9</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M134" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) and <inline-formula><mml:math id="M135" display="inline"><mml:mrow><mml:mn mathvariant="normal">188.1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M136" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M137" display="inline"><mml:mrow><mml:mn mathvariant="normal">186.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M138" display="inline"><mml:mrow><mml:mn mathvariant="normal">189.3</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M139" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), respectively. These values indicate that
approximately 63 % and 52 % of globally produced wastewater is collected and treated,
respectively, with approximately 84 % of collected wastewater undergoing a treatment
process. Wastewater reuse is estimated at <inline-formula><mml:math id="M140" display="inline"><mml:mrow><mml:mn mathvariant="normal">40.7</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M141" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M142" display="inline"><mml:mrow><mml:mn mathvariant="normal">37.2</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M143" display="inline"><mml:mrow><mml:mn mathvariant="normal">47.0</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M144" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>),
representing approximately 11 % of the total volume of wastewater produced. This estimate also
indicates that approximately 22 % of treated wastewater undergoes intentional reuse, with the
remaining 78 % (totalling <inline-formula><mml:math id="M145" display="inline"><mml:mrow><mml:mn mathvariant="normal">147.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M146" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) discharged to the
environment. This compares to the estimated <inline-formula><mml:math id="M147" display="inline"><mml:mrow><mml:mn mathvariant="normal">171.3</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M148" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> of wastewater
discharged directly to the environment without undergoing any form of treatment. It is worth
highlighting that the vast majority of wastewater data are from reported sources, with just
2.4 %, 4.8 % and 5.2 % of global wastewater production, collection and treatment<?pagebreak page245?> being
from predicted values using regression. This occurs both due to the high population coverage and due
to the missing data primarily being from developing countries, where wastewater production per
capita and percentage collection and treatment rates are lower. The global quantification of
wastewater reuse relies more heavily on predicted values, constituting 23.4 % of reuse volume
globally. This occurs primarily due to poor data availability, particularly in countries with large
populations in eastern Europe and Central Asia (e.g. Russia, Turkey and Poland) and western European
countries, where wastewater treatment rates are generally high but the proportion of wastewater
reused relies on simulations (e.g. Germany, Italy and Greece).</p>
      <p id="d1e3677">Table 4 displays wastewater production per capita (<inline-formula><mml:math id="M149" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita) and wastewater
production, collection, treatment and reuse (<inline-formula><mml:math id="M150" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M151" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), aggregated from the
country data (reported <inline-formula><mml:math id="M152" display="inline"><mml:mo>+</mml:mo></mml:math></inline-formula> simulated) at the global scale and by region and level of economic
development. Figure 3 displays wastewater data plotted at the country scale in proportional terms
(<inline-formula><mml:math id="M153" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita for production; percentage of produced wastewater for collection,
treatment and reuse), facilitating direct comparisons between countries.</p>

<?xmltex \floatpos{t}?><table-wrap id="Ch1.T4" specific-use="star"><?xmltex \currentcnt{4}?><?xmltex \def\figurename{Table}?><label>Table 4</label><caption><p id="d1e3761">Wastewater production, collection, treatment and reuse (<inline-formula><mml:math id="M154" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M155" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) by region and level of economic development. The numbers in parentheses display the prediction uncertainty (2.5th and 97.5th confidence limits, in <inline-formula><mml:math id="M156" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M157" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) on the totals based on the results of 1000 bootstrap regressions with random sampling and replacement.</p></caption><oasis:table frame="topbot"><?xmltex \begin{scaleboxenv}{.95}[.95]?><oasis:tgroup cols="7">
     <oasis:colspec colnum="1" colname="col1" align="left"/>
     <oasis:colspec colnum="2" colname="col2" align="right"/>
     <oasis:colspec colnum="3" colname="col3" align="right"/>
     <oasis:colspec colnum="4" colname="col4" align="right"/>
     <oasis:colspec colnum="5" colname="col5" align="right"/>
     <oasis:colspec colnum="6" colname="col6" align="right"/>
     <oasis:colspec colnum="7" colname="col7" align="right"/>
     <oasis:thead>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Global</oasis:entry>
         <oasis:entry colname="col3">Production</oasis:entry>
         <oasis:entry colname="col4">Production</oasis:entry>
         <oasis:entry colname="col5">Collection</oasis:entry>
         <oasis:entry colname="col6">Treatment</oasis:entry>
         <oasis:entry colname="col7">Re-use</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2">Population (%)</oasis:entry>
         <oasis:entry colname="col3">(m<inline-formula><mml:math id="M158" display="inline"><mml:msup><mml:mi/><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:math></inline-formula> yr<inline-formula><mml:math id="M159" display="inline"><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:math></inline-formula> per capita)</oasis:entry>
         <oasis:entry colname="col4">(<inline-formula><mml:math id="M160" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> m<inline-formula><mml:math id="M161" display="inline"><mml:msup><mml:mi/><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:math></inline-formula> yr<inline-formula><mml:math id="M162" display="inline"><mml:mrow><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup><mml:mo>)</mml:mo></mml:mrow></mml:math></inline-formula></oasis:entry>
         <oasis:entry colname="col5">(<inline-formula><mml:math id="M163" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> m<inline-formula><mml:math id="M164" display="inline"><mml:msup><mml:mi/><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:math></inline-formula> yr<inline-formula><mml:math id="M165" display="inline"><mml:mrow><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup><mml:mo>)</mml:mo></mml:mrow></mml:math></inline-formula></oasis:entry>
         <oasis:entry colname="col6">(<inline-formula><mml:math id="M166" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> m<inline-formula><mml:math id="M167" display="inline"><mml:msup><mml:mi/><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:math></inline-formula> yr<inline-formula><mml:math id="M168" display="inline"><mml:mrow><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup><mml:mo>)</mml:mo></mml:mrow></mml:math></inline-formula></oasis:entry>
         <oasis:entry colname="col7">(<inline-formula><mml:math id="M169" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> m<inline-formula><mml:math id="M170" display="inline"><mml:msup><mml:mi/><mml:mn mathvariant="normal">3</mml:mn></mml:msup></mml:math></inline-formula> yr<inline-formula><mml:math id="M171" display="inline"><mml:mrow><mml:msup><mml:mi/><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup><mml:mo>)</mml:mo></mml:mrow></mml:math></inline-formula></oasis:entry>
       </oasis:row>
     </oasis:thead>
     <oasis:tbody>
       <oasis:row>
         <oasis:entry colname="col1">Global</oasis:entry>
         <oasis:entry colname="col2">100</oasis:entry>
         <oasis:entry colname="col3">49.0</oasis:entry>
         <oasis:entry colname="col4">359.4</oasis:entry>
         <oasis:entry colname="col5">225.6</oasis:entry>
         <oasis:entry colname="col6">188.1</oasis:entry>
         <oasis:entry colname="col7">40.7</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3">(<italic>48.8–49.2</italic>)</oasis:entry>
         <oasis:entry colname="col4">(<italic>358.0–361.4</italic>)</oasis:entry>
         <oasis:entry colname="col5">(<italic>224.4–226.9</italic>)</oasis:entry>
         <oasis:entry colname="col6">(<italic>186.6–189.3</italic>)</oasis:entry>
         <oasis:entry colname="col7">(<italic>37.2–47.0</italic>)</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry namest="col1" nameend="col7"><bold>Geographic region</bold></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">North America</oasis:entry>
         <oasis:entry colname="col2">4.9</oasis:entry>
         <oasis:entry colname="col3">209.5</oasis:entry>
         <oasis:entry colname="col4">74.7</oasis:entry>
         <oasis:entry colname="col5">59.1</oasis:entry>
         <oasis:entry colname="col6">50.6</oasis:entry>
         <oasis:entry colname="col7">9.1</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(209.5–209.5)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(74.7–74.7)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(59.1–59.1)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(50.6–50.6)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(8.8–9.5)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Latin America and</oasis:entry>
         <oasis:entry colname="col2">8.5</oasis:entry>
         <oasis:entry colname="col3">67.6</oasis:entry>
         <oasis:entry colname="col4">42.1</oasis:entry>
         <oasis:entry colname="col5">25.2</oasis:entry>
         <oasis:entry colname="col6">15.4</oasis:entry>
         <oasis:entry colname="col7">2.1</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Caribbean</oasis:entry>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(67.3–67.9)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(41.9–42.3)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(25.2–25.2)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(15.2–15.5)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(2.0–2.5)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Western Europe</oasis:entry>
         <oasis:entry colname="col2">5.7</oasis:entry>
         <oasis:entry colname="col3">91.7</oasis:entry>
         <oasis:entry colname="col4">38.5</oasis:entry>
         <oasis:entry colname="col5">33.7</oasis:entry>
         <oasis:entry colname="col6">33.0</oasis:entry>
         <oasis:entry colname="col7">6.7</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(91.7–91.8)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(38.4–38.5)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(33.7–33.7)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(33.0–33.0)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(4.1–9.5)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Middle East and</oasis:entry>
         <oasis:entry colname="col2">5.8</oasis:entry>
         <oasis:entry colname="col3">51.4</oasis:entry>
         <oasis:entry colname="col4">21.9</oasis:entry>
         <oasis:entry colname="col5">16.1</oasis:entry>
         <oasis:entry colname="col6">11.4</oasis:entry>
         <oasis:entry colname="col7">6.1</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">North Africa</oasis:entry>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(51.3–51.5)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(21.8–21.9)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(16.1–16.2)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(11.2–11.5)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(6.0–6.2)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Sub-Saharan</oasis:entry>
         <oasis:entry colname="col2">13.6</oasis:entry>
         <oasis:entry colname="col3">11.0</oasis:entry>
         <oasis:entry colname="col4">11.0</oasis:entry>
         <oasis:entry colname="col5">2.5</oasis:entry>
         <oasis:entry colname="col6">1.8</oasis:entry>
         <oasis:entry colname="col7">1.6</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Africa</oasis:entry>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(10.1–12.4)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(10.1–12.4)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(2.5–2.6)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(1.7–1.9)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(1.6–1.8)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">South Asia</oasis:entry>
         <oasis:entry colname="col2">23.8</oasis:entry>
         <oasis:entry colname="col3">14.6</oasis:entry>
         <oasis:entry colname="col4">25.6</oasis:entry>
         <oasis:entry colname="col5">7.8</oasis:entry>
         <oasis:entry colname="col6">4.0</oasis:entry>
         <oasis:entry colname="col7">0.5</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(14.5–14.7)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(25.4–25.7)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(7.8–7.8)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(4.0–4.1)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(0.5–0.8)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Eastern Europe and</oasis:entry>
         <oasis:entry colname="col2">6.6</oasis:entry>
         <oasis:entry colname="col3">57.9</oasis:entry>
         <oasis:entry colname="col4">28.2</oasis:entry>
         <oasis:entry colname="col5">18.4</oasis:entry>
         <oasis:entry colname="col6">14.9</oasis:entry>
         <oasis:entry colname="col7">2.6</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Central Asia</oasis:entry>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(57.2–58.8)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(27.8–28.6)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(18.2–18.7)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(14.7–15.1)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(1.3–4.4)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">East Asia and</oasis:entry>
         <oasis:entry colname="col2">31.1</oasis:entry>
         <oasis:entry colname="col3">51.5</oasis:entry>
         <oasis:entry colname="col4">117.6</oasis:entry>
         <oasis:entry colname="col5">62.8</oasis:entry>
         <oasis:entry colname="col6">57.0</oasis:entry>
         <oasis:entry colname="col7">11.9</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1">Pacific</oasis:entry>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(51.5–51.7)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(117.3–117.9)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(61.9–63.8)</italic></oasis:entry>
         <oasis:entry colname="col6">(<italic>56.1–57.8)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(11.7–13.5)</italic></oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry namest="col1" nameend="col7"><bold>Economic classification</bold></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">High</oasis:entry>
         <oasis:entry colname="col2">16.1</oasis:entry>
         <oasis:entry colname="col3">126.0</oasis:entry>
         <oasis:entry colname="col4">149.1</oasis:entry>
         <oasis:entry colname="col5">121.7</oasis:entry>
         <oasis:entry colname="col6">110.4</oasis:entry>
         <oasis:entry colname="col7">21.2</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(125.9–126.2)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(149.0–149.3)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(121.6–121.7)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(110.4–110.5)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(19.1–24.9)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Upper middle</oasis:entry>
         <oasis:entry colname="col2">34.8</oasis:entry>
         <oasis:entry colname="col3">54.7</oasis:entry>
         <oasis:entry colname="col4">139.5</oasis:entry>
         <oasis:entry colname="col5">74.8</oasis:entry>
         <oasis:entry colname="col6">60.2</oasis:entry>
         <oasis:entry colname="col7">15.1</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(54.5–54.8)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(139.1–139.9)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(74.6–74.9)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(59.7–60.6)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(13.9–16.9)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Lower middle</oasis:entry>
         <oasis:entry colname="col2">40.5</oasis:entry>
         <oasis:entry colname="col3">22.5</oasis:entry>
         <oasis:entry colname="col4">66.8</oasis:entry>
         <oasis:entry colname="col5">28.8</oasis:entry>
         <oasis:entry colname="col6">17.3</oasis:entry>
         <oasis:entry colname="col7">4.4</oasis:entry>
       </oasis:row>
       <oasis:row rowsep="1">
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(22.3–22.6)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(66.4–67.4)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(27.7–29.9)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(16.2–18.2)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(3.6–5.7)</italic></oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1">Low</oasis:entry>
         <oasis:entry colname="col2">8.6</oasis:entry>
         <oasis:entry colname="col3">6.4</oasis:entry>
         <oasis:entry colname="col4">4.0</oasis:entry>
         <oasis:entry colname="col5">0.4</oasis:entry>
         <oasis:entry colname="col6">0.2</oasis:entry>
         <oasis:entry colname="col7">0.0</oasis:entry>
       </oasis:row>
       <oasis:row>
         <oasis:entry colname="col1"/>
         <oasis:entry colname="col2"/>
         <oasis:entry colname="col3"><italic>(5.0–8.5)</italic></oasis:entry>
         <oasis:entry colname="col4"><italic>(3.2–5.3)</italic></oasis:entry>
         <oasis:entry colname="col5"><italic>(0.3–0.4)</italic></oasis:entry>
         <oasis:entry colname="col6"><italic>(0.1–0.2)</italic></oasis:entry>
         <oasis:entry colname="col7"><italic>(0.0–0.1)</italic></oasis:entry>
       </oasis:row>
     </oasis:tbody>
   </oasis:tgroup><?xmltex \end{scaleboxenv}?></oasis:table></table-wrap>

      <?xmltex \floatpos{t}?><fig id="Ch1.F3" specific-use="star"><?xmltex \currentcnt{3}?><?xmltex \def\figurename{Figure}?><label>Figure 3</label><caption><p id="d1e4783">Wastewater production (<inline-formula><mml:math id="M172" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita) <bold>(a)</bold>, collection (%) <bold>(b)</bold>, treatment (%) <bold>(c)</bold> and reuse (%) <bold>(d)</bold> at the country scale.</p></caption>
          <?xmltex \igopts{width=483.69685pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f03.png"/>

        </fig>

      <p id="d1e4824">Substantial differences in wastewater production, collection, treatment and reuse occur across
different geographic regions and by the level of economic development. Wastewater production per
capita is notably highest in North America at 209.5 <inline-formula><mml:math id="M173" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita, over double
that of western Europe (91.7 <inline-formula><mml:math id="M174" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita), the next highest producing region
per capita. When considering individual countries in these regions, the USA
(211 <inline-formula><mml:math id="M175" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita) and Canada (198 <inline-formula><mml:math id="M176" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita), in
addition to small, prosperous European countries (e.g. Andorra at 257 <inline-formula><mml:math id="M177" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per
capita, Austria at 220 <inline-formula><mml:math id="M178" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita and Monaco at 203 <inline-formula><mml:math id="M179" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per
capita), are the highest producers per capita. Comparatively, the larger western European countries
have lower wastewater production per capita, with Germany, the UK and France at 92, 92 and
66 <inline-formula><mml:math id="M180" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita, respectively. Conversely, most sub-Saharan African countries
produce less than 10 <inline-formula><mml:math id="M181" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita.<?pagebreak page246?> Wastewater production values are comparable
to the World Health Organization's absolute minimum water requirements for survival of
2.7 <inline-formula><mml:math id="M182" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita (WHO, 2011) in countries such as Niger (2.7 <inline-formula><mml:math id="M183" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita), Burkina Faso
(3.4 <inline-formula><mml:math id="M184" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) and Ethiopia (4.2 <inline-formula><mml:math id="M185" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita). Aggregated for
the region, sub-Saharan Africa produces approximately 20 times less wastewater than North America
per capita, at 11.0 <inline-formula><mml:math id="M186" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita.</p>
      <p id="d1e5109">In volumetric flow rate terms, the East Asia and Pacific region produces the most wastewater (<inline-formula><mml:math id="M187" display="inline"><mml:mrow><mml:mn mathvariant="normal">117.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M188" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), coinciding with the largest population share
(<inline-formula><mml:math id="M189" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">31</mml:mn><mml:mspace linebreak="nobreak" width="0.125em"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula>). Conversely, South Asia produces just <inline-formula><mml:math id="M190" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">7</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of global wastewater despite
a population share of <inline-formula><mml:math id="M191" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">24</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula>, whereas the <inline-formula><mml:math id="M192" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">5</mml:mn><mml:mspace linebreak="nobreak" width="0.125em"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of people living in North America
account for <inline-formula><mml:math id="M193" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">20</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of global wastewater production. Wastewater production also varies
greatly with level of economic development. The prominent discrepancies between economic
classifications indicate a strong relationship between wealth and wastewater production regardless
of geographic location. Wastewater production per capita more than doubles at each income
classification level from low income (6.4 <inline-formula><mml:math id="M194" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita) to high income
(126.0 <inline-formula><mml:math id="M195" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> per capita). With respect to population size, people living in high-income countries (<inline-formula><mml:math id="M196" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">16</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> global population) produce <inline-formula><mml:math id="M197" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">42</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of global wastewater,
compared to low- and lower-middle-income countries (<inline-formula><mml:math id="M198" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">50</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> global population) producing
<inline-formula><mml:math id="M199" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">20</mml:mn><mml:mspace linebreak="nobreak" width="0.125em"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of global wastewater.</p>
      <p id="d1e5306">Wastewater collection and treatment rates are highest in western Europe (88 % and 86 %,
respectively) and lowest in<?pagebreak page247?> South Asia (31 % and 16 %, respectively) and sub-Saharan
Africa (23 % and 16 %, respectively). Wastewater collection is notably low in the East Asia
and Pacific region, where total wastewater production is high. Conversely, wastewater collection in
the Middle East and North Africa region is relatively high at 74 %, likely resulting from the
lack of renewable water supplies. Wastewater treatment percentages follow similar regional
patterns. Notably, wastewater treatment is substantially lower than wastewater collection in the
Latin America and Caribbean and South Asia regions, potentially indicative of high rates of
untreated-wastewater reuse in these regions. Wastewater collection and treatment percentages follow
similar patterns as wastewater production with respect to income level, with high-income countries
collecting and treating the majority of their wastewater (82 % and 74 %, respectively) down
to low-income countries with small collection and treatment rates (9 % and 4 %,
respectively). The proportion of collected wastewater being treated also decreases with income
level, at 91 %, 73 %, 60 % and 47 % for high-, upper-middle-, lower-middle- and low-income classifications, respectively. The fact that 40 % and 53 % of collected wastewater is
untreated in the lower-middle- and low-income classifications, respectively, may also be indicative
of the higher prevalence of intentional untreated-wastewater reuse (whereby collected wastewater is
reused without undergoing treatment).</p>
      <p id="d1e5309">High utilisation of treated-wastewater reuse occurs predominantly in the Middle East and North
Africa, with the United Arab Emirates, Kuwait and Qatar reusing more than 80 % of their
produced wastewater. Water-scarce small island developed countries, including the Cayman Islands, US
Virgin Islands and Malta also have high rates of intentional treated-wastewater reuse of 78 %,
75 % and 67 %, respectively. Treated-wastewater reuse is prohibitively low in areas with
low wastewater treatment rates, such as sub-Saharan Africa and South Asia. In addition, treated-wastewater reuse is also low in areas with sufficient availability of conventional water resources
such as across Scandinavia (where reuse is <inline-formula><mml:math id="M200" display="inline"><mml:mrow><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">5</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula>).</p>
      <p id="d1e5325">In volumetric flow rate terms, intentional treated-wastewater reuse is estimated to be largest in the
East Asia and Pacific region (<inline-formula><mml:math id="M201" display="inline"><mml:mrow><mml:mn mathvariant="normal">11.9</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M202" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) and North America (<inline-formula><mml:math id="M203" display="inline"><mml:mrow><mml:mn mathvariant="normal">9.1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M204" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) and lowest in South Asia (<inline-formula><mml:math id="M205" display="inline"><mml:mrow><mml:mn mathvariant="normal">0.5</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M206" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) and
sub-Saharan Africa (<inline-formula><mml:math id="M207" display="inline"><mml:mrow><mml:mn mathvariant="normal">1.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M208" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>). Conversely the Middle East and North Africa
(27.8 %) and western Europe (17.5 %) dominate in percentage terms. In volumetric flow rate
units, the Middle East and North Africa (15 %) and western Europe (16 %) account for almost
a third of treated-wastewater reuse globally, despite only accounting for 5.8 % and 5.7 %
of the global population, respectively. Approximately half (52 %) of intentional treated-wastewater reuse occurs in high-income countries, with 37 % from upper-middle-income
countries. Intentional treated-wastewater reuse is contingent upon the availability of treated-wastewater resources, which is typically more prevalent in high-income countries (who both produce
more wastewater per capita and treat a higher percentage of the resource). However, the proportion
of treated wastewater intentionally reused is higher in the upper-middle- (25 %) and lower-middle-income (25 %) groups than in the high-income group (19 %).</p>
</sec>
<sec id="Ch1.S3.SS3">
  <label>3.3</label><title>Gridded wastewater production, collection, treatment and reuse</title>
      <p id="d1e5476">Figure 4 displays gridded wastewater production, collection, treatment and reuse, allowing for the
identification of hotspot regions and zones at 5 <inline-formula><mml:math id="M209" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> resolution. Wastewater<?pagebreak page248?> production
occurs across the globe, with hotspots coinciding with the largest metropolitan areas (e.g. Tokyo
and Mumbai) where the largest concentration of domestic and industrial activities occurs
(Fig. 4a). In contrast, wastewater production is close to zero in world regions with low
concentrations of people and industrial activities, such as the Sahara, inland Australia and
the high-latitude climate zones (e.g. northern Canada and Russia). In countries where municipal
activities are heavily concentrated in a small number of cities, such as in the Middle East and
Australia, small clusters of grid cells with very high wastewater production (<inline-formula><mml:math id="M210" display="inline"><mml:mrow><mml:mo>&gt;</mml:mo><mml:mn mathvariant="normal">5</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M211" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) occur. Wastewater collection (Fig. 4b) and treatment (Fig. 4c) are
typically more concentrated in urban areas within individual countries. This is particularly
prominent in South America and sub-Saharan Africa. Conversely, downscaled wastewater collection and
treatment reflect wastewater production in regions where wastewater collection and treatment rates
are very high, such as western Europe and Scandinavia. Wastewater reuse is constrained to the
lowest area (number of grid cells), being concentrated in regions where treated-wastewater
resources are available and where water scarcity issues are of particular concern.</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F4" specific-use="star"><?xmltex \currentcnt{4}?><?xmltex \def\figurename{Figure}?><label>Figure 4</label><caption><p id="d1e5526">Gridded wastewater production <bold>(a)</bold>, collection <bold>(b)</bold>, treatment <bold>(c)</bold> and reuse <bold>(d)</bold> (<inline-formula><mml:math id="M212" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M213" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) at 5 <inline-formula><mml:math id="M214" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> spatial resolution.</p></caption>
          <?xmltex \igopts{width=483.69685pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f04.png"/>

        </fig>

      <p id="d1e5587">Figure 5a displays the global distribution of the wastewater treatment plants and designated
wastewater reuse sites considered in this study. Plant capacities were compared to downscaled
quantifications for validation of wastewater treatment (Fig. 5b) and wastewater reuse
(Fig. 5c). Overall, a reasonable performance is obtained at most wastewater treatment and reuse
plants with linear <inline-formula><mml:math id="M215" display="inline"><mml:mrow><mml:msup><mml:mi>R</mml:mi><mml:mn mathvariant="normal">2</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> values of 0.57 (<inline-formula><mml:math id="M216" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>) and 0.50 (<inline-formula><mml:math id="M217" display="inline"><mml:mrow><mml:mi>p</mml:mi><mml:mo>&lt;</mml:mo><mml:mn mathvariant="normal">0.001</mml:mn></mml:mrow></mml:math></inline-formula>),
respectively. The observed negative normalised biases suggest that downscaled wastewater treatment
(<inline-formula><mml:math id="M218" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">0.32</mml:mn></mml:mrow></mml:math></inline-formula>) and reuse (<inline-formula><mml:math id="M219" display="inline"><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">0.51</mml:mn></mml:mrow></mml:math></inline-formula>) were underestimated with respect to the observed treatment
capacities. This may occur due to discrepancies between the design (i.e. maximum) capacity of
wastewater treatment plants, which is commonly the capacity that is reported, versus the actual
treated-wastewater volumes. Factors such as the construction year of wastewater treatment plant are
important, as plants are constructed to be larger than current requirements in anticipation of
future increases in wastewater flows. Furthermore, uncertainties in the data used as basis for
downscaling wastewater production (i.e. PCR-GLOBWB return flows) directly impacts the downscaled
results of wastewater treatment. For example, the underprediction of return flows in urban areas and
overprediction in rural areas could lead to the overprediction of wastewater treatment in areas
without treatment plants and underprediction of wastewater treatment for grid cells with large
treatment capacities.</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F5" specific-use="star"><?xmltex \currentcnt{5}?><?xmltex \def\figurename{Figure}?><label>Figure 5</label><caption><p id="d1e5648">Global distribution of wastewater treatment plants and designated wastewater reuse sites <bold>(a)</bold> and validation of downscaling approach for wastewater treatment <bold>(b)</bold> and wastewater reuse <bold>(c)</bold>.</p></caption>
          <?xmltex \igopts{width=341.433071pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f05.png"/>

        </fig>

</sec>
</sec>
<sec id="Ch1.S4">
  <label>4</label><title>Data availability</title>
      <p id="d1e5675">The country-level and spatially explicit (5 <inline-formula><mml:math id="M220" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula>) wastewater production, collection,
treatment and reuse datasets can be accessed at <ext-link xlink:href="https://doi.org/10.1594/PANGAEA.918731" ext-link-type="DOI">10.1594/PANGAEA.918731</ext-link> (Jones
et al., 2020).</p>
</sec>
<sec id="Ch1.S5" sec-type="conclusions">
  <label>5</label><title>Discussion and conclusions</title>
      <p id="d1e5698">This study aimed to develop a consistent and comprehensive spatially explicit assessment of global
domestic and industrial wastewater production, collection, treatment and reuse for the reference
year of 2015. Multiple linear regression models using a diverse set of social, economic, geographic
and hydrological datasets were fit for country-level wastewater data collated for a variety of
sources. These relationships applied for predictions of wastewater production, collection, treatment
and reuse for countries where data were unavailable. Bootstrapping with random sampling and
replacement was employed to quantify prediction uncertainty. It should be noted that bootstrapping
only accounts for uncertainty in the regression terms, not for uncertainties in the underpinning
source data. Uncertainties associated with wastewater observations are not accounted for in this
study, despite likely being substantial. Nevertheless, this study represents the first attempt to
simultaneously analyse wastewater production, collection, treatment and reuse for all countries
across the globe. While agricultural runoff is also a substantial source of pollution, this is
outside the scope of this study. Country-level data on agricultural runoff were sparse, necessitating
modelling approaches to quantify irrigation return flow by calculating net demand (e.g. based on
crop composition and irrigated area per grid cell), gross irrigation demand (to account for
irrigation efficiency and losses) and water withdrawals (Sutanudjaja et al., 2018). Agricultural
runoff is also rarely collected or treated (UNEP, 2016) and, hence, is less applicable for inclusion in
this study.</p>
      <p id="d1e5701">Our global quantification of wastewater production of <inline-formula><mml:math id="M221" display="inline"><mml:mrow><mml:mn mathvariant="normal">359.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M222" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M223" display="inline"><mml:mrow><mml:mn mathvariant="normal">358.0</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M224" display="inline"><mml:mrow><mml:mn mathvariant="normal">361.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M225" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) is broadly in accordance with previous quantifications, such as <inline-formula><mml:math id="M226" display="inline"><mml:mrow><mml:mn mathvariant="normal">380</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M227" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> quantified based on reported data and urban population (Qadir et al.,
2020) and <inline-formula><mml:math id="M228" display="inline"><mml:mrow><mml:mn mathvariant="normal">450</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M229" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> quantified by modelling of return flows in WaterGAP3
(Water – Global Analysis and Prognosis; Flörke et al., 2013). Few studies were found analysing the global state of wastewater
collection, treatment and reuse. Our quantification of wastewater collection, which is estimated at
<inline-formula><mml:math id="M230" display="inline"><mml:mrow><mml:mn mathvariant="normal">225.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M231" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M232" display="inline"><mml:mrow><mml:mn mathvariant="normal">224.4</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M233" display="inline"><mml:mrow><mml:mn mathvariant="normal">226.9</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M234" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), can give an important indication of the amount
of collected wastewater that goes untreated. At the global scale, this study estimates that
wastewater treatment is <inline-formula><mml:math id="M235" display="inline"><mml:mrow><mml:mn mathvariant="normal">188.1</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M236" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (<inline-formula><mml:math id="M237" display="inline"><mml:mrow><mml:mn mathvariant="normal">186.6</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M238" display="inline"><mml:mrow><mml:mn mathvariant="normal">189.3</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M239" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), or 52 % of the
produced wastewater. By extension, 48 % of produced wastewater is released to the environment
without treatment (either directly or following collection). This is substantially lower than the
commonly cited statistic that <inline-formula><mml:math id="M240" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">80</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mi mathvariant="italic">%</mml:mi></mml:mrow></mml:math></inline-formula> of global wastewater is released to the environment
without treatment (WWAP, 2017; UNESCO, 2017). Our
quantifications of wastewater treatment must be treated with caution however – particularly in the
developing world – as wastewater treatment plants typically operate at capacities below the
installed (and usually reported) capacities (Mateo-Sagasta et al., 2015; Murray and Drechsel, 2011)
that are used for country-level estimates. Similarly, wastewater plants may be entirely
non-functional (mothballed) due to a lack of funding and maintenance or have unsuitable treatment
processes for the incoming wastewater, yet the associated wastewater volumes are still reported as
treated (Qadir et al., 2010). Therefore,<?pagebreak page250?> it is possible that the actual treated volume of wastewater
is somewhat below our estimated 52 % and that the proportion of collected wastewater which is not
treated could far exceed 16 %. “Wastewater treatment” is also a generic term that may refer to
any form of wastewater treatment regardless of level (e.g. primary, secondary or tertiary), which
this study does not attempt to distinguish between. This is due to different data sources reporting
different levels of treatment, for instance with the GWI only reporting secondary treatment or above,
while FAO AQUASTAT also includes primary treatment.</p>
      <p id="d1e6045">In percentage terms, wastewater treatment by economic classification is broadly in line with
previous work (Sato et al., 2013), which estimates wastewater treatment to be 70 %, 38 %,
28 % and 8 % for high-income, upper-middle-income, lower-middle-income and low-income
countries, respectively, compared to our quantifications of 74 %, 43 %, 26 % and
4.2 %. While similar, these estimations could potentially indicate that percentage collection
and treatment have increased in the developed world but have decreased in the developing
world. This could be caused by wastewater production, particularly in the developing world, rising
at a faster pace than the development of collection infrastructure and treatment facilities (Sato et
al., 2013). It should be noted that while the aim of wastewater collection and treatment is to
reduce pollutant loadings to minimise risks to human health and the environment, these facilities
can also act as point sources of pollution. Wastewater collection concentrates pollutants which can
pose serious water quality issues if discharged with insufficient treatment. Furthermore, a range
of emerging pollutants (e.g. pharmaceuticals, pesticides and industrial chemicals) are concentrated
in wastewater collection networks (Geissen et al., 2015). These pollutants are of particular concern,
as they are not typically monitored for or sufficiently removed in wastewater treatment processes,
with ambiguous risks posed to human and environmental health even in low concentrations (Deblonde et
al., 2011; Geissen et al., 2015). The solution is not however to collect less wastewater but to
increase treatment in terms of percentage of collected wastewater, treatment level and the number of
pollutants (UNEP, 2016).</p>
      <p id="d1e6048">The drivers behind wastewater reuse are a complex mixture of social, economic, geographic and
hydrological factors, and data are highly limited globally. Nevertheless, this study represents the
first attempt to quantify intentional treated-wastewater reuse at the country scale. It should be
noted that this study does not aim to quantify either de facto (unintentional) treated-wastewater
reuse or any form (intentional or unintentional) of untreated-wastewater reuse. The total volume
of wastewater reused for human purposes is therefore likely much greater than the <inline-formula><mml:math id="M241" display="inline"><mml:mrow><mml:mn mathvariant="normal">40.7</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M242" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> of intentional treated-wastewater reuse estimated in this study. For
example, previous research has indicated that the magnitude of intentional untreated-wastewater
reuse may be approximately 10 times greater than intentional treated-wastewater reuse (Scott et
al., 2010).</p>
      <p id="d1e6087">This study sought to downscale country-level wastewater estimates to spatially explicit (grid-based)
quantifications for purposes such as large-scale water resource assessments and water quality
modelling. Wastewater production has previously been quantified based only on simulated return flows
in hydrological models (Flörke et al., 2013). We instead used the proportions of simulated
return flows to downscale country-based volumes of wastewater production. Our results also represent
the first efforts to quantify global wastewater collection, treatment and reuse at the sub-national
level. Our validation results suggest that our downscaled estimates of wastewater treatment and
reuse are, in general, realistic. However, a number of uncertainties should also be
considered. Firstly, our downscaling for wastewater production inherently relies on the ability to
accurately simulate domestic and industrial return flows and, hence, on the methodology for
calculating gross and net water demand (Wada et al., 2014). As we downscale using the return flows
proportionally, accurate spatial disaggregation of return flows is more important than the absolute
simulated flow volumes. The accuracy of downscaled wastewater collection relies on the assumption
that this preferentially occurs in areas where wastewater production is highest. Due to the high
capital costs of wastewater treatment plants, combined with economies of scale, we deem this a
logical assumption (Hernández-Chover et al., 2018; Hernandez-Sancho et al., 2011). Lacking more
detailed information on the spatial variance in wastewater collection compared to treatment, we
assume an equal wastewater treatment rate across all cells that have a collected wastewater
allocation. Wastewater reuse is downscaled with the only additional criteria being an indicator of
water scarcity. While water scarcity is an important driver of wastewater reuse, site-specific
social, economic and political factors will also have a large influence on the viability of
wastewater reuse on a case-by-case basis (WWAP, 2017). Accounting for these factors is outside the
scope of this study. Furthermore, uncertainties in the validation datasets, both in terms of
treatment capacity and geographical location, must also be recognised. Overall, due to the global
scale of this work and the available data for validation, we purposely opt for more simple and
parsimonious approaches where possible.</p>

      <?xmltex \floatpos{t}?><fig id="Ch1.F6" specific-use="star"><?xmltex \currentcnt{6}?><?xmltex \def\figurename{Figure}?><label>Figure 6</label><caption><p id="d1e6092">Gridded untreated-wastewater flows to the environment (<inline-formula><mml:math id="M243" display="inline"><mml:mrow><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M244" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>) at 5 <inline-formula><mml:math id="M245" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> spatial resolution.</p></caption>
        <?xmltex \igopts{width=483.69685pt}?><graphic xlink:href="https://essd.copernicus.org/articles/13/237/2021/essd-13-237-2021-f06.png"/>

      </fig>

      <p id="d1e6140">This study did not target acreage in its considerations of wastewater reuse, which has been a
common method in previous work. For example, estimates made a decade ago suggest that up to 200 million farmers practice wastewater irrigation over an area of <inline-formula><mml:math id="M246" display="inline"><mml:mrow><mml:mn mathvariant="normal">4.5</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula>–<inline-formula><mml:math id="M247" display="inline"><mml:mrow><mml:mn mathvariant="normal">20.0</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M248" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">ha</mml:mi></mml:mrow></mml:math></inline-formula>
worldwide (Jiménez and Asano, 2008; Raschid-Sally and Jayakody, 2008). More recently, a global,
spatially explicit assessment of irrigated croplands influenced by municipal wastewater flows
estimated the area under direct and indirect wastewater irrigation at <inline-formula><mml:math id="M249" display="inline"><mml:mrow><mml:mn mathvariant="normal">36</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M250" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">ha</mml:mi></mml:mrow></mml:math></inline-formula>, of
which <inline-formula><mml:math id="M251" display="inline"><mml:mrow><mml:mn mathvariant="normal">29</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M252" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">ha</mml:mi></mml:mrow></mml:math></inline-formula> are likely exposed to untreated-wastewater flows (Thebo et al.,
2017).<?pagebreak page251?> These estimates were based on modelling studies and considered wastewater in both diluted and
undiluted forms with a cropping intensity of 1.48 (Thebo et al., 2014). Considering the same
cropping intensity and recent estimates of wastewater production (<inline-formula><mml:math id="M253" display="inline"><mml:mrow><mml:mn mathvariant="normal">380</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">9</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M254" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">m</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula>), the irrigation potential of undiluted wastewater was estimated at
<inline-formula><mml:math id="M255" display="inline"><mml:mrow><mml:mn mathvariant="normal">42</mml:mn><mml:mo>×</mml:mo><mml:msup><mml:mn mathvariant="normal">10</mml:mn><mml:mn mathvariant="normal">6</mml:mn></mml:msup></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M256" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">ha</mml:mi></mml:mrow></mml:math></inline-formula> (Qadir et al., 2020).</p>
      <p id="d1e6286">Our results have a range of important applications including as input data for water resource
assessments and as a baseline for informing and evaluating economic and management policies related
to wastewater. For example, our data can be used to assess progress towards SDG 6.3 aimed at halving
the proportion of untreated wastewater discharged into water bodies. As our data are standardised for
2015 and provide full geographic coverage, problems of discrepancies in data reporting years and
missing data are reduced. Similarly, our data allow for identification of hotspot regions, whereby
the proportions of wastewater collected and treated are low, and of areas where large volumes of
wastewater are entering the environment untreated (Fig. 6). Volumetrically, substantial untreated-wastewater flows to the environment are found across South and Southeast Asia, particularly in the
populous regions of Pakistan, Malaysia, Indonesia, India and China. Information on untreated-wastewater flows have a diverse range of important implications for global water quality modelling
and human health assessments.</p>
      <p id="d1e6289">Our results also highlight the vast potential of treated wastewater as an unconventional water
resource for augmenting water resources and alleviating water scarcity, particularly in water-scarce
regions. To put wastewater as a potential resource into perspective, its estimated global volume of
<inline-formula><mml:math id="M257" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">360</mml:mn><mml:mspace width="0.125em" linebreak="nobreak"/><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">km</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:mrow></mml:math></inline-formula> is comparable to the global consumptive use of non-renewable
groundwater for irrigation of 150–400 <inline-formula><mml:math id="M258" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">km</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace width="0.125em" linebreak="nobreak"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> over the years 2000–2010 (Bierkens and Wada,
2019)  and more than 10 times greater than the current global desalination capacity of <inline-formula><mml:math id="M259" display="inline"><mml:mrow><mml:mo>∼</mml:mo><mml:mn mathvariant="normal">35</mml:mn></mml:mrow></mml:math></inline-formula> <inline-formula><mml:math id="M260" display="inline"><mml:mrow class="unit"><mml:msup><mml:mi mathvariant="normal">km</mml:mi><mml:mn mathvariant="normal">3</mml:mn></mml:msup><mml:mspace linebreak="nobreak" width="0.125em"/><mml:msup><mml:mi mathvariant="normal">yr</mml:mi><mml:mrow><mml:mo>-</mml:mo><mml:mn mathvariant="normal">1</mml:mn></mml:mrow></mml:msup></mml:mrow></mml:math></inline-formula> (Jones et al., 2019). As wastewater production continues to rise with population and economic growth, wastewater
management and reuse practices will become more important in the future (WWAP, 2017). Expansion in
reuse of wastewater must be accompanied by strong legislation and regulations to ensure its safety
(Smol et al., 2020; Voulvoulis, 2018). However, in response to concerns related to groundwater
contamination, disruption to industrial processes and impacts for human health, tightening
regulation can also be a barrier to expansion in treated-wastewater reuse (Voulvoulis, 2018). It
should also be recognised that wastewater reuse is not viable in all regions due to economic,
technical and social considerations (Voulvoulis, 2018). Particularly in water-scarce developing
countries with economic constraints, the application of untreated wastewater (diluted or undiluted)
will likely remain the dominant form of wastewater reuse (Qadir et al., 2010). This is especially
true in dry areas, despite official restrictions and regardless of potential health implications,
where untreated-wastewater reuse is triggered because (1) wastewater is a reliable or often the
only guaranteed water source available throughout the year; (2) the need to apply fertilisers
decreases as wastewater is a source of nutrients; (3) wastewater reuse can be cheaper and less
energy intensive than other water sources, such as if the alternative clean water source is deep
groundwater; and (4) additional economic benefits include higher income generation from the
cultivation and marketing of high-value crops, which can create year-round employment opportunities.</p>
      <p id="d1e6369">The continued failure to address wastewater as a major social and environmental challenge prohibits
progress towards the 2030 Agenda for Sustainable Development (WWAP, 2017). Ultimately, the cost of
action must also be weighed<?pagebreak page252?> against the cost of inaction (Hernández-Sancho et al., 2015). A
paradigm shift in wastewater management is required from viewing wastewater as solely an
environmental problem associated with pollution control and regulations to recognising the economic
opportunities of wastewater, which can provide a means of financing management and treatment
(Wichelns et al., 2015; WWAP, 2017). In addition to revenue from selling treated wastewater for
reuse, these opportunities include fit-for-purpose treatment (Chhipi-Shrestha et al., 2017),
recovery of energy and nutrients (Qadir et al., 2020), and cascading reuse of water from high to
lower quality (Hansen et al., 2016). Creative exploitation of these opportunities offers the potential
to support the transition to a circular economy (Smol et al., 2020; Voulvoulis, 2018) and make
progress towards many interconnected SDGs such as achieving a water-secure future for all (WWAP,
2017).</p>
</sec>

      
      </body>
    <back><notes notes-type="authorcontribution"><title>Author contributions</title>

      <p id="d1e6376">ERJ performed the analyses, drafted the paper, and developed the study
with the input of MTHvV and MFPB. MTHvV, MQ and MFPB provided feedback and
guidance throughout the entire process. All authors contributed to and
approved the paper.</p>
  </notes><notes notes-type="competinginterests"><title>Competing interests</title>

      <p id="d1e6382">The authors declare that they have no conflict of interest.</p>
  </notes><ack><title>Acknowledgements</title><p id="d1e6388">The authors are grateful to Edwin Sutanudjaja, Rens van Beek and Yoshihide Wada for providing data
from PCR-GLOBWB2 and WFaS to support this work. Manzoor Qadir appreciates support of the government of Canada for UNU-INWEH through Global Affairs
Canada.</p></ack><notes notes-type="reviewstatement"><title>Review statement</title>

      <p id="d1e6393">This paper was edited by David Carlson and reviewed by two anonymous referees.</p>
  </notes><ref-list>
    <title>References</title>

      <ref id="bib1.bib1"><label>1</label><?label 1?><mixed-citation>Beard, J., Bierkens, M. F. P., and Bartholomeus, R.: Following the Water: Characterising
de facto Wastewater Reuse in Agriculture in the Netherlands, Sustainability, 11, 5936,
<ext-link xlink:href="https://doi.org/10.3390/su11215936" ext-link-type="DOI">10.3390/su11215936</ext-link>, 2019.</mixed-citation></ref>
      <ref id="bib1.bib2"><label>2</label><?label 2?><mixed-citation>Bierkens, M. F. P. and Wada, Y.: Non-renewable groundwater use and groundwater
depletion: a review, Environ. Res. Lett., 14, 063002, <ext-link xlink:href="https://doi.org/10.1088/1748-9326/ab1a5f" ext-link-type="DOI">10.1088/1748-9326/ab1a5f</ext-link>, 2019.</mixed-citation></ref>
      <ref id="bib1.bib3"><label>3</label><?label 15?><mixed-citation>Country-specific data on total volume of municipal wastewater produced at the national
level, available at: <uri>https://www.globalwaterintel.com</uri> (last access: 5 January 2020), 2015.</mixed-citation></ref>
      <ref id="bib1.bib4"><label>4</label><?label 3?><mixed-citation>Chhipi-Shrestha, G., Hewage, K., and Sadiq, R.: Fit-for-purpose wastewater treatment:
Conceptualization to development of decision support tool (I), Sci. Total Environ., 607–608,
600–612, <ext-link xlink:href="https://doi.org/10.1016/j.scitotenv.2017.06.269" ext-link-type="DOI">10.1016/j.scitotenv.2017.06.269</ext-link>, 2017.</mixed-citation></ref>
      <ref id="bib1.bib5"><label>5</label><?label 9?><mixed-citation>Data on generation and discharge of wastewater in volume in EU member countries,
potential EU candidate countries and other European countries, available at:
<uri>http://ec.europa.eu/eurostat/data/database</uri>, last access: 5 January 2020.</mixed-citation></ref>
      <ref id="bib1.bib6"><label>6</label><?label 4?><mixed-citation>de Graaf, I. E. M., van Beek, L. P. H., Wada, Y., and Bierkens, M. F. P.: Dynamic
attribution of global water demand to surface water and groundwater resources: Effects of
abstractions and return flows on river discharges, Adv. Water Resour., 64, 21–33,
<ext-link xlink:href="https://doi.org/10.1016/j.advwatres.2013.12.002" ext-link-type="DOI">10.1016/j.advwatres.2013.12.002</ext-link>, 2014.</mixed-citation></ref>
      <ref id="bib1.bib7"><label>7</label><?label 5?><mixed-citation>Deblonde, T., Cossu-Leguille, C., and Hartemann, P.: Emerging pollutants in wastewater:
a review of the literature, Int. J. Hyg. Environ. Health, 214, 442–448,
<ext-link xlink:href="https://doi.org/10.1016/j.ijheh.2011.08.002" ext-link-type="DOI">10.1016/j.ijheh.2011.08.002</ext-link>, 2011.</mixed-citation></ref>
      <ref id="bib1.bib8"><label>8</label><?label 7?><mixed-citation>El Moussaoui, T., Wahbi, S., Mandi, L., Masi, S., and Ouazzani, N.: Reuse study of
sustainable wastewater in agroforestry domain of Marrakesh city, J. Saudi Soc. Agric. Sci., 18,
288–293, <ext-link xlink:href="https://doi.org/10.1016/j.jssas.2017.08.004" ext-link-type="DOI">10.1016/j.jssas.2017.08.004</ext-link>, 2019.</mixed-citation></ref>
      <ref id="bib1.bib9"><label>9</label><?label 44?><mixed-citation>Environmental Indicators:
<uri>https://unstats.un.org/unsd/envstats/qindicators</uri>, last access: 5 January 2020.</mixed-citation></ref>
      <ref id="bib1.bib10"><label>10</label><?label 45?><mixed-citation>EPA Facility Registry Service (FRS): Wastewater Treatment Plants, available at:
<uri>https://edg.epa.gov/data/PUBLIC/OEI/OIC/FRS_Wastewater.zip</uri>, last access: 5 January 2020.</mixed-citation></ref>
      <ref id="bib1.bib11"><label>11</label><?label 8?><mixed-citation>Ercin, A. E. and Hoekstra, A. Y.: Water footprint scenarios for 2050: A global analysis,
Environ. Int., 64, 71–82, <ext-link xlink:href="https://doi.org/10.1016/j.envint.2013.11.019" ext-link-type="DOI">10.1016/j.envint.2013.11.019</ext-link>, 2014.</mixed-citation></ref>
      <ref id="bib1.bib12"><label>12</label><?label 11?><mixed-citation>Flörke, M., Teichert, E., Bärlund, I., Eisner, S., Wimmer, F., and Alcamo, J.:
Domestic and industrial water uses of the past 60 years as a mirror of socio-economic development:
A global simulation study, Glob. Environ. Change, 23, 144–156,
<ext-link xlink:href="https://doi.org/10.1016/j.gloenvcha.2012.10.018" ext-link-type="DOI">10.1016/j.gloenvcha.2012.10.018</ext-link>, 2013.</mixed-citation></ref>
      <ref id="bib1.bib13"><label>13</label><?label 12?><mixed-citation>Garcia, X. and Pargament, D.: Reusing wastewater to cope with water scarcity: Economic,
social and environmental considerations for decision-making, Resour. Conserv.  Recycl., 101,
154–166, <ext-link xlink:href="https://doi.org/10.1016/j.resconrec.2015.05.015" ext-link-type="DOI">10.1016/j.resconrec.2015.05.015</ext-link>, 2015.</mixed-citation></ref>
      <ref id="bib1.bib14"><label>14</label><?label 13?><mixed-citation>Geissen, V., Mol, H., Klumpp, E., Umlauf, G., Nadal, M., van der Ploeg, M., van de Zee,
S. E. A. T. M., and Ritsema, C. J.: Emerging pollutants in the environment: A challenge for water
resource management, Int. Soil Water Conserv. Res., 3, 57–65, <ext-link xlink:href="https://doi.org/10.1016/j.iswcr.2015.03.002" ext-link-type="DOI">10.1016/j.iswcr.2015.03.002</ext-link>,
2015.</mixed-citation></ref>
      <ref id="bib1.bib15"><label>15</label><?label 10?><mixed-citation>Global information system on water and agriculture, available at:
<uri>http://www.fao.org/nr/water/aquastat/wastewater/index.stm</uri>, last access: 5 January 2020.</mixed-citation></ref>
      <ref id="bib1.bib16"><label>16</label><?label 14?><mixed-citation>Gude, V. G.: Desalination and water reuse to address global water scarcity,
Rev. Environ. Sci. Biol., 16, 591–609, <ext-link xlink:href="https://doi.org/10.1007/s11157-017-9449-7" ext-link-type="DOI">10.1007/s11157-017-9449-7</ext-link>, 2017.</mixed-citation></ref>
      <ref id="bib1.bib17"><label>17</label><?label 16?><mixed-citation>Hanasaki, N., Fujimori, S., Yamamoto, T., Yoshikawa, S., Masaki, Y., Hijioka, Y.,
Kainuma, M., Kanamori, Y., Masui, T., Takahashi, K., and Kanae, S.: A global water scarcity
assessment under Shared Socio-economic Pathways – Part 2: Water availability and scarcity,
Hydrol. Earth Syst. Sci., 17, 2393–2413, <ext-link xlink:href="https://doi.org/10.5194/hess-17-2393-2013" ext-link-type="DOI">10.5194/hess-17-2393-2013</ext-link>, 2013.
bibitem17 Hansen, E., Rodrigues, M., and Aquim, P.: Wastewater reuse in a cascade based system of
a petrochemical industry for the replacement of losses in cooling towers, J. Environ. Manage.,
181, 157–162, <ext-link xlink:href="https://doi.org/10.1016/j.jenvman.2016.06.014" ext-link-type="DOI">10.1016/j.jenvman.2016.06.014</ext-link>, 2016.</mixed-citation></ref>
      <ref id="bib1.bib18"><label>18</label><?label 18?><mixed-citation>Hernández-Chover, V., Bellver-Domingo, Á., and Hernández-Sancho, F.:
Efficiency of wastewater treatment facilities: T<?pagebreak page253?>he influence of scale economies,
J. Environ. Manage., 228, 77–84, <ext-link xlink:href="https://doi.org/10.1016/j.jenvman.2018.09.014" ext-link-type="DOI">10.1016/j.jenvman.2018.09.014</ext-link>, 2018.</mixed-citation></ref>
      <ref id="bib1.bib19"><label>19</label><?label 19?><mixed-citation>Hernandez-Sancho, F., Molinos-Senante, M., and Sala-Garrido, R.: Cost modelling for
wastewater treatment processes, Desalination, 268, 1–5, <ext-link xlink:href="https://doi.org/10.1016/j.desal.2010.09.042" ext-link-type="DOI">10.1016/j.desal.2010.09.042</ext-link>, 2011.</mixed-citation></ref>
      <ref id="bib1.bib20"><label>20</label><?label 20?><mixed-citation> Hernández-Sancho, F., Lamizana-Diallo, B., Mateo-Sagasta, J., and Qadir, M.:
Economic valuation of wastewater: The cost of action and the cost of no action, UNEP, Nairobi,
2015.</mixed-citation></ref>
      <ref id="bib1.bib21"><label>21</label><?label 21?><mixed-citation> Jiménez, B. and Asano, T.: Water Reuse: An International Survey of Current
Practice, Issues and Needs, IWA Publishing, 2008.</mixed-citation></ref>
      <ref id="bib1.bib22"><label>22</label><?label 22?><mixed-citation>Jones, E., Qadir, M., van Vliet, M. T. H., Smakhtin, V., and Kang, S.-M.: The state of
desalination and brine production: A global outlook, Sci. Total Environ., 657, 1343–1356,
<ext-link xlink:href="https://doi.org/10.1016/j.scitotenv.2018.12.076" ext-link-type="DOI">10.1016/j.scitotenv.2018.12.076</ext-link>, 2019.</mixed-citation></ref>
      <ref id="bib1.bib23"><label>23</label><?label 23?><mixed-citation>Jones, E., van Vliet, M. T. H., Qadir, M., and Bierkens, M. F. P.: Country-level and
gridded wastewater production, collection, treatment and re-use, PANGAEA,
<ext-link xlink:href="https://doi.org/10.1594/PANGAEA.918731" ext-link-type="DOI">10.1594/PANGAEA.918731</ext-link>, 2020.</mixed-citation></ref>
      <ref id="bib1.bib24"><label>24</label><?label 24?><mixed-citation>Khalil, M. and Hussein, H.: Use of waste water for aquaculture: An experimental field
study at a sewage-treatment plant, Egypt, Aquac. Res., 28, 859–865,
<ext-link xlink:href="https://doi.org/10.1046/j.1365-2109.1997.00910.x" ext-link-type="DOI">10.1046/j.1365-2109.1997.00910.x</ext-link>, 2008.</mixed-citation></ref>
      <ref id="bib1.bib25"><label>25</label><?label 25?><mixed-citation>Kummu, M., Guillaume, J., Moel, H., Eisner, S., Flörke, M., Porkka, M., Siebert,
S., Veldkamp, T. I. E., and Ward, P.: The world's road to water scarcity: Shortage and stress in
the 20th century and pathways towards sustainability, Sci. Rep., 6, 38495,
<ext-link xlink:href="https://doi.org/10.1038/srep38495" ext-link-type="DOI">10.1038/srep38495</ext-link>, 2016.</mixed-citation></ref>
      <ref id="bib1.bib26"><label>26</label><?label 26?><mixed-citation>Luthy, R. G., Sedlak, D. L., Plumlee, M. H., Austin, D., and Resh, V. H.:
Wastewater-effluent-dominated streams as ecosystem-management tools in a drier climate,
Front. Ecol. Environ., 13, 477–485, <ext-link xlink:href="https://doi.org/10.1890/150038" ext-link-type="DOI">10.1890/150038</ext-link>, 2015.</mixed-citation></ref>
      <ref id="bib1.bib27"><label>27</label><?label 27?><mixed-citation> Mateo-Sagasta, J., Raschid-Sally, L., and Thebo, A.: Global Wastewater and Sludge
Production, Treatment and Use, in: Wastewater: Economic Asset in an Urbanizing World, edited by:
Drechsel, P., Qadir, M., and Wichelns, D., Springer Netherlands, Dordrecht, 15–38, 2015.</mixed-citation></ref>
      <ref id="bib1.bib28"><label>28</label><?label 28?><mixed-citation>Morote, Á., Olcina, J., and Hernández, M.: The Use of Non-Conventional Water
Resources as a Means of Adaptation to Drought and Climate Change in Semi-Arid Regions:
South-Eastern Spain, Water, 11, 93, <ext-link xlink:href="https://doi.org/10.3390/w11010093" ext-link-type="DOI">10.3390/w11010093</ext-link>, 2019.</mixed-citation></ref>
      <ref id="bib1.bib29"><label>29</label><?label 29?><mixed-citation>Murray, A. and Drechsel, P.: Why do some wastewater treatment facilities work when the
majority fail? Case study from the sanitation sector in Ghana, Waterlines, 30, 135–149,
<ext-link xlink:href="https://doi.org/10.3362/1756-3488.2011.015" ext-link-type="DOI">10.3362/1756-3488.2011.015</ext-link>, 2011.</mixed-citation></ref>
      <ref id="bib1.bib30"><label>30</label><?label 32?><mixed-citation> Qadir, M., Boelee, E., Amerasinghe, P., and Danso, G.: Costs and Benefits of Using
Wastewater for Aquifer Recharge, in: Wastewater: Economic Asset in an Urbanizing World, edited by:
Drechsel, P., Qadir, M., and Wichelns, D., Springer Netherlands, Dordrecht,
153–167, 2015.</mixed-citation></ref>
      <ref id="bib1.bib31"><label>31</label><?label 34?><mixed-citation>Qadir, M., Drechsel, P., Jiménez Cisneros, B., Kim, Y., Pramanik, A., Mehta, P.,
and Olaniyan, O.: Global and regional potential of wastewater as a water, nutrient and energy
source, Nat. Resour. Forum, 44, 40–51, <ext-link xlink:href="https://doi.org/10.1111/1477-8947.12187" ext-link-type="DOI">10.1111/1477-8947.12187</ext-link>, 2020.</mixed-citation></ref>
      <ref id="bib1.bib32"><label>32</label><?label 33?><mixed-citation>Qadir, M., Jiménez, G., Farnum, R., Dodson, L., and Smakhtin, V.: Fog Water
Collection: Challenges beyond Technology, Water, 10, 372, <ext-link xlink:href="https://doi.org/10.3390/w10040372" ext-link-type="DOI">10.3390/w10040372</ext-link>, 2018.</mixed-citation></ref>
      <ref id="bib1.bib33"><label>33</label><?label 30?><mixed-citation>Qadir, M., Sharma, B. R., Bruggeman, A., Choukr-Allah, R., and Karajeh, F.:
Non-conventional water resources and opportunities for water augmentation to achieve food security
in water scarce countries, Agr. Water Manage., 87, 2–22, <ext-link xlink:href="https://doi.org/10.1016/j.agwat.2006.03.018" ext-link-type="DOI">10.1016/j.agwat.2006.03.018</ext-link>, 2007.</mixed-citation></ref>
      <ref id="bib1.bib34"><label>34</label><?label 31?><mixed-citation>Qadir, M., Wichelns, D., Raschid-Sally, L., McCornick, P. G., Drechsel, P., Bahri, A.,
and Minhas, P. S.: The challenges of wastewater irrigation in developing countries, Agr. Water
Manage., 97, 561–568, <ext-link xlink:href="https://doi.org/10.1016/j.agwat.2008.11.004" ext-link-type="DOI">10.1016/j.agwat.2008.11.004</ext-link>, 2010.</mixed-citation></ref>
      <ref id="bib1.bib35"><label>35</label><?label 35?><mixed-citation> Raschid-Sally, L. and Jayakody, P.: Drivers and Characteristics of Wastewater
Agriculture in Developing Countries: Results from a Global Assessment, International Water
Management Institute, Colombo, Sri Lanka, 2008.</mixed-citation></ref>
      <ref id="bib1.bib36"><label>36</label><?label 36?><mixed-citation>Rice, J., Wutich, A., and Westerhoff, P.: Assessment of De Facto Wastewater Reuse
across the U.S.: Trends between 1980 and 2008, Environ. Sci. Technol., 47, 11099–11105,
<ext-link xlink:href="https://doi.org/10.1021/es402792s" ext-link-type="DOI">10.1021/es402792s</ext-link>, 2013.</mixed-citation></ref>
      <ref id="bib1.bib37"><label>37</label><?label 37?><mixed-citation>Sato, T., Qadir, M., Yamamoto, S., Endo, T., and Zahoor, A.: Global, regional, and
country level need for data on wastewater generation, treatment, and use, Agr. Water Manage., 130,
1–13, <ext-link xlink:href="https://doi.org/10.1016/j.agwat.2013.08.007" ext-link-type="DOI">10.1016/j.agwat.2013.08.007</ext-link>, 2013.</mixed-citation></ref>
      <ref id="bib1.bib38"><label>38</label><?label 38?><mixed-citation> Scott, C., Drechsel, P., Bahri, A., Mara, D., Redwood, M., Raschid-Sally, L., and
Jiménez, B.: Wastewater irrigation and health: Challenges and outlook for mitigating risks in
low-income countries, in: Wastewater irrigation and health: Assessing and mitigating risk in
low-income countries, edited by: Drechsel, P., Scott, C., Raschid-Sally, L., Redwood, M., and
Bahri, A., Earthscan, London, 381–394, 2010.</mixed-citation></ref>
      <ref id="bib1.bib39"><label>39</label><?label 39?><mixed-citation>Smol, M., Adam, C., and Preisner, M.: Circular economy model framework in the European
water and wastewater sector, J. Mater. Cycl. Waste, 22, 682–697,
<ext-link xlink:href="https://doi.org/10.1007/s10163-019-00960-z" ext-link-type="DOI">10.1007/s10163-019-00960-z</ext-link>, 2020.</mixed-citation></ref>
      <ref id="bib1.bib40"><label>40</label><?label 40?><mixed-citation>Sutanudjaja, E. H., van Beek, R., Wanders, N., Wada, Y., Bosmans, J. H. C., Drost, N.,
van der Ent, R. J., de Graaf, I. E. M., Hoch, J. M., de Jong, K., Karssenberg, D., López
López, P., Peßenteiner, S., Schmitz, O., Straatsma, M. W., Vannametee, E., Wisser, D., and
Bierkens, M. F. P.: PCR-GLOBWB 2: a 5 <inline-formula><mml:math id="M261" display="inline"><mml:mrow class="unit"><mml:mi mathvariant="normal">arcmin</mml:mi></mml:mrow></mml:math></inline-formula> global hydrological and water resources
model, Geosci. Model Dev., 11, 2429–2453, <ext-link xlink:href="https://doi.org/10.5194/gmd-11-2429-2018" ext-link-type="DOI">10.5194/gmd-11-2429-2018</ext-link>, 2018.</mixed-citation></ref>
      <ref id="bib1.bib41"><label>41</label><?label 41?><mixed-citation>Thebo, A. L., Drechsel, P., and Lambin, E. F.: Global assessment of urban and
peri-urban agriculture: irrigated and rainfed croplands, Environ. Res. Lett., 9, 114002,
<ext-link xlink:href="https://doi.org/10.1088/1748-9326/9/11/114002" ext-link-type="DOI">10.1088/1748-9326/9/11/114002</ext-link>, 2014.</mixed-citation></ref>
      <ref id="bib1.bib42"><label>42</label><?label 42?><mixed-citation>Thebo, A. L., Drechsel, P., Lambin, E. F., and Nelson, K. L.: A global,
spatially-explicit assessment of irrigated croplands influenced by urban wastewater flows,
Environ. Res. Lett., 12, 074008, <ext-link xlink:href="https://doi.org/10.1088/1748-9326/aa75d1" ext-link-type="DOI">10.1088/1748-9326/aa75d1</ext-link>, 2017.</mixed-citation></ref>
      <ref id="bib1.bib43"><label>43</label><?label 43?><mixed-citation> UNEP: A Snapshot of the World's Water Quality: Towards a global assessment, United
Nations Environment Programme, Nairobi, Kenya, 162pp, 2016.</mixed-citation></ref>
      <ref id="bib1.bib44"><label>44</label><?label 46?><mixed-citation>van Vliet, M., Flörke, M., and Wada, Y.: Quality matters for water scarcity, Nat.
Geosci., 10, 800–802, <ext-link xlink:href="https://doi.org/10.1038/ngeo3047" ext-link-type="DOI">10.1038/ngeo3047</ext-link>, 2017.</mixed-citation></ref>
      <ref id="bib1.bib45"><label>45</label><?label 47?><mixed-citation>Voulvoulis, N.: Water reuse from a circular economy perspective and potential risks
from an unregulated approach, Curr. Opin. Environ. Sci. Health, 2, 32–45,
<ext-link xlink:href="https://doi.org/10.1016/j.coesh.2018.01.005" ext-link-type="DOI">10.1016/j.coesh.2018.01.005</ext-link>, 2018.</mixed-citation></ref>
      <?pagebreak page254?><ref id="bib1.bib46"><label>46</label><?label 48?><mixed-citation>Wada, Y., Beek, L. P. H., Viviroli, D., Dürr, H., Weingartner, R., and Bierkens,
M. F. P.: Global monthly water stress: II. Water demand and severity of water, Water Resour. Res.,
47, <ext-link xlink:href="https://doi.org/10.1029/2010WR009792" ext-link-type="DOI">10.1029/2010WR009792</ext-link>, 2011.</mixed-citation></ref>
      <ref id="bib1.bib47"><label>47</label><?label 51?><mixed-citation>Wada, Y., Flörke, M., Hanasaki, N., Eisner, S., Fischer, G., Tramberend, S., Satoh, Y.,
van Vliet, M. T. H., Yillia, P., Ringler, C., Burek, P., and Wiberg, D.: Modeling global water use
for the 21st century: the Water Futures and Solutions (WFaS) initiative and its approaches,
Geosci. Model Dev., 9, 175–222, <ext-link xlink:href="https://doi.org/10.5194/gmd-9-175-2016" ext-link-type="DOI">10.5194/gmd-9-175-2016</ext-link>, 2016.</mixed-citation></ref>
      <ref id="bib1.bib48"><label>48</label><?label 49?><mixed-citation>Wada, Y., Wisser, D., Eisner, S., Flörke, M., Gerten, D., Haddeland, I., Hanasaki,
N., Masaki, Y., Portmann, F. T., Stacke, T., Tessler, Z., and Schewe, J.: Multimodel projections
and uncertainties of irrigation water demand under climate change, Geophys. Res. Lett., 40,
4626–4632, <ext-link xlink:href="https://doi.org/10.1002/grl.50686" ext-link-type="DOI">10.1002/grl.50686</ext-link>, 2013.</mixed-citation></ref>
      <ref id="bib1.bib49"><label>49</label><?label 50?><mixed-citation>Wada, Y., Wisser, D., and Bierkens, M. F. P.: Global modeling of withdrawal, allocation
and consumptive use of surface water and groundwater resources, Earth Syst. Dynam., 5, 15–40,
<ext-link xlink:href="https://doi.org/10.5194/esd-5-15-2014" ext-link-type="DOI">10.5194/esd-5-15-2014</ext-link>, 2014.
</mixed-citation></ref><?xmltex \hack{\newpage}?>
      <ref id="bib1.bib50"><label>50</label><?label 6?><mixed-citation>Waterbase – UWWTD: Urban Waste Water Treatment Directive – reported data, available at:
<uri>https://www.eea.europa.eu/data-and-maps/data/waterbase-uwwtd-urban-waste-water-treatment-directive-6</uri>
(last access: 5 January 2020), 2019.</mixed-citation></ref>
      <ref id="bib1.bib51"><label>51</label><?label 6?><mixed-citation>
World Health Organization (WHO): Guidelines for drinking-water quality: fourth edition, Geneva, Switzerland, 564 pp., 2011.</mixed-citation></ref>
      <ref id="bib1.bib52"><label>52</label><?label 52?><mixed-citation> Wichelns, D., Drechsel, P., and Qadir, M.: Wastewater: Economic Asset in an Urbanizing
World, in: Wastewater: Economic Asset in an Urbanizing World, edited by: Drechsel, P., Qadir, M.,
and Wichelns, D., Springer Netherlands, Dordrecht, 3–14, 2015.</mixed-citation></ref>
      <ref id="bib1.bib53"><label>53</label><?label 53?><mixed-citation> WWAP: The United Nations World Water Development Report 2017. Wastewater: The Untapped
Resource, Paris, UNESCO, 2017.</mixed-citation></ref>
      <ref id="bib1.bib54"><label>54</label><?label 54?><mixed-citation>Zhang, Y. and Shen, Y.: Wastewater irrigation: past, present, and future: Wastewater
irrigation, WIRES Water, e1234, <ext-link xlink:href="https://doi.org/10.1002/wat2.1234" ext-link-type="DOI">10.1002/wat2.1234</ext-link>, 2017.</mixed-citation></ref>

  </ref-list></back>
    <!--<article-title-html>Country-level and gridded estimates of wastewater production, collection, treatment and reuse</article-title-html>
<abstract-html><p>Continually improving and affordable wastewater management provides opportunities for both
pollution reduction and clean water supply augmentation, while simultaneously promoting
sustainable development and supporting the transition to a circular economy. This study aims to
provide the first comprehensive and consistent global outlook on the state of domestic and
manufacturing wastewater production, collection, treatment and reuse. We use a data-driven approach,
collating, cross-examining and standardising country-level wastewater data from online data
resources. Where unavailable, data are estimated using multiple linear regression. Country-level
wastewater data are subsequently downscaled and validated at 5&thinsp;arcmin
( ∼ 10 km) resolution. This study estimates global wastewater production at 359.4×10<sup>9</sup>&thinsp;m<sup>3</sup> yr<sup>−1</sup>, of which 63&thinsp;% (225.6×10<sup>9</sup>&thinsp;m<sup>3</sup> yr<sup>−1</sup>) is
collected and 52&thinsp;% (188.1×10<sup>9</sup>&thinsp;m<sup>3</sup> yr<sup>−1</sup>) is treated. By extension, we
estimate that 48&thinsp;% of global wastewater production is released to the environment untreated,
which is substantially lower than previous estimates of  ∼ 80 <i>%</i>. An estimated 40.7×10<sup>9</sup>&thinsp;m<sup>3</sup> yr<sup>−1</sup> of treated wastewater is intentionally reused. Substantial
differences in per capita wastewater production, collection and treatment are observed across
different geographic regions and by level of economic development. For example, just over 16&thinsp;%
of the global population in high-income countries produces 41&thinsp;% of global wastewater. Treated-wastewater reuse is particularly substantial in the Middle East and North Africa (15&thinsp;%) and
western Europe (16&thinsp;%), while comprising just 5.8&thinsp;% and 5.7&thinsp;% of the global population,
respectively. Our database serves as a reference for understanding the global wastewater status
and for identifying hotspots where untreated wastewater is released to the environment, which are
found particularly in South and Southeast Asia. Importantly, our results also serve as a baseline
for evaluating progress towards many policy goals that are both directly and indirectly connected
to wastewater management. Our spatially explicit results available at 5&thinsp;arcmin
resolution are well suited for supporting more detailed hydrological analyses such as water
quality modelling and large-scale water resource assessments and can be accessed at
<a href="https://doi.org/10.1594/PANGAEA.918731" target="_blank">https://doi.org/10.1594/PANGAEA.918731</a> (Jones
et al., 2020).</p></abstract-html>
<ref-html id="bib1.bib1"><label>1</label><mixed-citation> Beard, J., Bierkens, M. F. P., and Bartholomeus, R.: Following the Water: Characterising
de facto Wastewater Reuse in Agriculture in the Netherlands, Sustainability, 11, 5936,
<a href="https://doi.org/10.3390/su11215936" target="_blank">https://doi.org/10.3390/su11215936</a>, 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib2"><label>2</label><mixed-citation> Bierkens, M. F. P. and Wada, Y.: Non-renewable groundwater use and groundwater
depletion: a review, Environ. Res. Lett., 14, 063002, <a href="https://doi.org/10.1088/1748-9326/ab1a5f" target="_blank">https://doi.org/10.1088/1748-9326/ab1a5f</a>, 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib3"><label>3</label><mixed-citation> Country-specific data on total volume of municipal wastewater produced at the national
level, available at: <a href="https://www.globalwaterintel.com" target="_blank"/> (last access: 5 January 2020), 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib4"><label>4</label><mixed-citation> Chhipi-Shrestha, G., Hewage, K., and Sadiq, R.: Fit-for-purpose wastewater treatment:
Conceptualization to development of decision support tool (I), Sci. Total Environ., 607–608,
600–612, <a href="https://doi.org/10.1016/j.scitotenv.2017.06.269" target="_blank">https://doi.org/10.1016/j.scitotenv.2017.06.269</a>, 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib5"><label>5</label><mixed-citation> Data on generation and discharge of wastewater in volume in EU member countries,
potential EU candidate countries and other European countries, available at:
<a href="http://ec.europa.eu/eurostat/data/database" target="_blank"/>, last access: 5 January 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib6"><label>6</label><mixed-citation> de Graaf, I. E. M., van Beek, L. P. H., Wada, Y., and Bierkens, M. F. P.: Dynamic
attribution of global water demand to surface water and groundwater resources: Effects of
abstractions and return flows on river discharges, Adv. Water Resour., 64, 21–33,
<a href="https://doi.org/10.1016/j.advwatres.2013.12.002" target="_blank">https://doi.org/10.1016/j.advwatres.2013.12.002</a>, 2014.
</mixed-citation></ref-html>
<ref-html id="bib1.bib7"><label>7</label><mixed-citation> Deblonde, T., Cossu-Leguille, C., and Hartemann, P.: Emerging pollutants in wastewater:
a review of the literature, Int. J. Hyg. Environ. Health, 214, 442–448,
<a href="https://doi.org/10.1016/j.ijheh.2011.08.002" target="_blank">https://doi.org/10.1016/j.ijheh.2011.08.002</a>, 2011.
</mixed-citation></ref-html>
<ref-html id="bib1.bib8"><label>8</label><mixed-citation> El Moussaoui, T., Wahbi, S., Mandi, L., Masi, S., and Ouazzani, N.: Reuse study of
sustainable wastewater in agroforestry domain of Marrakesh city, J. Saudi Soc. Agric. Sci., 18,
288–293, <a href="https://doi.org/10.1016/j.jssas.2017.08.004" target="_blank">https://doi.org/10.1016/j.jssas.2017.08.004</a>, 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib9"><label>9</label><mixed-citation> Environmental Indicators:
<a href="https://unstats.un.org/unsd/envstats/qindicators" target="_blank"/>, last access: 5 January 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib10"><label>10</label><mixed-citation> EPA Facility Registry Service (FRS): Wastewater Treatment Plants, available at:
<a href="https://edg.epa.gov/data/PUBLIC/OEI/OIC/FRS_Wastewater.zip" target="_blank"/>, last access: 5 January 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib11"><label>11</label><mixed-citation> Ercin, A. E. and Hoekstra, A. Y.: Water footprint scenarios for 2050: A global analysis,
Environ. Int., 64, 71–82, <a href="https://doi.org/10.1016/j.envint.2013.11.019" target="_blank">https://doi.org/10.1016/j.envint.2013.11.019</a>, 2014.
</mixed-citation></ref-html>
<ref-html id="bib1.bib12"><label>12</label><mixed-citation> Flörke, M., Teichert, E., Bärlund, I., Eisner, S., Wimmer, F., and Alcamo, J.:
Domestic and industrial water uses of the past 60 years as a mirror of socio-economic development:
A global simulation study, Glob. Environ. Change, 23, 144–156,
<a href="https://doi.org/10.1016/j.gloenvcha.2012.10.018" target="_blank">https://doi.org/10.1016/j.gloenvcha.2012.10.018</a>, 2013.
</mixed-citation></ref-html>
<ref-html id="bib1.bib13"><label>13</label><mixed-citation> Garcia, X. and Pargament, D.: Reusing wastewater to cope with water scarcity: Economic,
social and environmental considerations for decision-making, Resour. Conserv.  Recycl., 101,
154–166, <a href="https://doi.org/10.1016/j.resconrec.2015.05.015" target="_blank">https://doi.org/10.1016/j.resconrec.2015.05.015</a>, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib14"><label>14</label><mixed-citation> Geissen, V., Mol, H., Klumpp, E., Umlauf, G., Nadal, M., van der Ploeg, M., van de Zee,
S. E. A. T. M., and Ritsema, C. J.: Emerging pollutants in the environment: A challenge for water
resource management, Int. Soil Water Conserv. Res., 3, 57–65, <a href="https://doi.org/10.1016/j.iswcr.2015.03.002" target="_blank">https://doi.org/10.1016/j.iswcr.2015.03.002</a>,
2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib15"><label>15</label><mixed-citation> Global information system on water and agriculture, available at:
<a href="http://www.fao.org/nr/water/aquastat/wastewater/index.stm" target="_blank"/>, last access: 5 January 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib16"><label>16</label><mixed-citation> Gude, V. G.: Desalination and water reuse to address global water scarcity,
Rev. Environ. Sci. Biol., 16, 591–609, <a href="https://doi.org/10.1007/s11157-017-9449-7" target="_blank">https://doi.org/10.1007/s11157-017-9449-7</a>, 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib17"><label>17</label><mixed-citation> Hanasaki, N., Fujimori, S., Yamamoto, T., Yoshikawa, S., Masaki, Y., Hijioka, Y.,
Kainuma, M., Kanamori, Y., Masui, T., Takahashi, K., and Kanae, S.: A global water scarcity
assessment under Shared Socio-economic Pathways – Part 2: Water availability and scarcity,
Hydrol. Earth Syst. Sci., 17, 2393–2413, <a href="https://doi.org/10.5194/hess-17-2393-2013" target="_blank">https://doi.org/10.5194/hess-17-2393-2013</a>, 2013.
bibitem17 Hansen, E., Rodrigues, M., and Aquim, P.: Wastewater reuse in a cascade based system of
a petrochemical industry for the replacement of losses in cooling towers, J. Environ. Manage.,
181, 157–162, <a href="https://doi.org/10.1016/j.jenvman.2016.06.014" target="_blank">https://doi.org/10.1016/j.jenvman.2016.06.014</a>, 2016.
</mixed-citation></ref-html>
<ref-html id="bib1.bib18"><label>18</label><mixed-citation> Hernández-Chover, V., Bellver-Domingo, Á., and Hernández-Sancho, F.:
Efficiency of wastewater treatment facilities: The influence of scale economies,
J. Environ. Manage., 228, 77–84, <a href="https://doi.org/10.1016/j.jenvman.2018.09.014" target="_blank">https://doi.org/10.1016/j.jenvman.2018.09.014</a>, 2018.
</mixed-citation></ref-html>
<ref-html id="bib1.bib19"><label>19</label><mixed-citation> Hernandez-Sancho, F., Molinos-Senante, M., and Sala-Garrido, R.: Cost modelling for
wastewater treatment processes, Desalination, 268, 1–5, <a href="https://doi.org/10.1016/j.desal.2010.09.042" target="_blank">https://doi.org/10.1016/j.desal.2010.09.042</a>, 2011.
</mixed-citation></ref-html>
<ref-html id="bib1.bib20"><label>20</label><mixed-citation> Hernández-Sancho, F., Lamizana-Diallo, B., Mateo-Sagasta, J., and Qadir, M.:
Economic valuation of wastewater: The cost of action and the cost of no action, UNEP, Nairobi,
2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib21"><label>21</label><mixed-citation> Jiménez, B. and Asano, T.: Water Reuse: An International Survey of Current
Practice, Issues and Needs, IWA Publishing, 2008.
</mixed-citation></ref-html>
<ref-html id="bib1.bib22"><label>22</label><mixed-citation> Jones, E., Qadir, M., van Vliet, M. T. H., Smakhtin, V., and Kang, S.-M.: The state of
desalination and brine production: A global outlook, Sci. Total Environ., 657, 1343–1356,
<a href="https://doi.org/10.1016/j.scitotenv.2018.12.076" target="_blank">https://doi.org/10.1016/j.scitotenv.2018.12.076</a>, 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib23"><label>23</label><mixed-citation> Jones, E., van Vliet, M. T. H., Qadir, M., and Bierkens, M. F. P.: Country-level and
gridded wastewater production, collection, treatment and re-use, PANGAEA,
<a href="https://doi.org/10.1594/PANGAEA.918731" target="_blank">https://doi.org/10.1594/PANGAEA.918731</a>, 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib24"><label>24</label><mixed-citation> Khalil, M. and Hussein, H.: Use of waste water for aquaculture: An experimental field
study at a sewage-treatment plant, Egypt, Aquac. Res., 28, 859–865,
<a href="https://doi.org/10.1046/j.1365-2109.1997.00910.x" target="_blank">https://doi.org/10.1046/j.1365-2109.1997.00910.x</a>, 2008.
</mixed-citation></ref-html>
<ref-html id="bib1.bib25"><label>25</label><mixed-citation> Kummu, M., Guillaume, J., Moel, H., Eisner, S., Flörke, M., Porkka, M., Siebert,
S., Veldkamp, T. I. E., and Ward, P.: The world's road to water scarcity: Shortage and stress in
the 20th century and pathways towards sustainability, Sci. Rep., 6, 38495,
<a href="https://doi.org/10.1038/srep38495" target="_blank">https://doi.org/10.1038/srep38495</a>, 2016.
</mixed-citation></ref-html>
<ref-html id="bib1.bib26"><label>26</label><mixed-citation> Luthy, R. G., Sedlak, D. L., Plumlee, M. H., Austin, D., and Resh, V. H.:
Wastewater-effluent-dominated streams as ecosystem-management tools in a drier climate,
Front. Ecol. Environ., 13, 477–485, <a href="https://doi.org/10.1890/150038" target="_blank">https://doi.org/10.1890/150038</a>, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib27"><label>27</label><mixed-citation> Mateo-Sagasta, J., Raschid-Sally, L., and Thebo, A.: Global Wastewater and Sludge
Production, Treatment and Use, in: Wastewater: Economic Asset in an Urbanizing World, edited by:
Drechsel, P., Qadir, M., and Wichelns, D., Springer Netherlands, Dordrecht, 15–38, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib28"><label>28</label><mixed-citation> Morote, Á., Olcina, J., and Hernández, M.: The Use of Non-Conventional Water
Resources as a Means of Adaptation to Drought and Climate Change in Semi-Arid Regions:
South-Eastern Spain, Water, 11, 93, <a href="https://doi.org/10.3390/w11010093" target="_blank">https://doi.org/10.3390/w11010093</a>, 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib29"><label>29</label><mixed-citation> Murray, A. and Drechsel, P.: Why do some wastewater treatment facilities work when the
majority fail? Case study from the sanitation sector in Ghana, Waterlines, 30, 135–149,
<a href="https://doi.org/10.3362/1756-3488.2011.015" target="_blank">https://doi.org/10.3362/1756-3488.2011.015</a>, 2011.
</mixed-citation></ref-html>
<ref-html id="bib1.bib30"><label>30</label><mixed-citation> Qadir, M., Boelee, E., Amerasinghe, P., and Danso, G.: Costs and Benefits of Using
Wastewater for Aquifer Recharge, in: Wastewater: Economic Asset in an Urbanizing World, edited by:
Drechsel, P., Qadir, M., and Wichelns, D., Springer Netherlands, Dordrecht,
153–167, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib31"><label>31</label><mixed-citation> Qadir, M., Drechsel, P., Jiménez Cisneros, B., Kim, Y., Pramanik, A., Mehta, P.,
and Olaniyan, O.: Global and regional potential of wastewater as a water, nutrient and energy
source, Nat. Resour. Forum, 44, 40–51, <a href="https://doi.org/10.1111/1477-8947.12187" target="_blank">https://doi.org/10.1111/1477-8947.12187</a>, 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib32"><label>32</label><mixed-citation> Qadir, M., Jiménez, G., Farnum, R., Dodson, L., and Smakhtin, V.: Fog Water
Collection: Challenges beyond Technology, Water, 10, 372, <a href="https://doi.org/10.3390/w10040372" target="_blank">https://doi.org/10.3390/w10040372</a>, 2018.
</mixed-citation></ref-html>
<ref-html id="bib1.bib33"><label>33</label><mixed-citation> Qadir, M., Sharma, B. R., Bruggeman, A., Choukr-Allah, R., and Karajeh, F.:
Non-conventional water resources and opportunities for water augmentation to achieve food security
in water scarce countries, Agr. Water Manage., 87, 2–22, <a href="https://doi.org/10.1016/j.agwat.2006.03.018" target="_blank">https://doi.org/10.1016/j.agwat.2006.03.018</a>, 2007.
</mixed-citation></ref-html>
<ref-html id="bib1.bib34"><label>34</label><mixed-citation> Qadir, M., Wichelns, D., Raschid-Sally, L., McCornick, P. G., Drechsel, P., Bahri, A.,
and Minhas, P. S.: The challenges of wastewater irrigation in developing countries, Agr. Water
Manage., 97, 561–568, <a href="https://doi.org/10.1016/j.agwat.2008.11.004" target="_blank">https://doi.org/10.1016/j.agwat.2008.11.004</a>, 2010.
</mixed-citation></ref-html>
<ref-html id="bib1.bib35"><label>35</label><mixed-citation> Raschid-Sally, L. and Jayakody, P.: Drivers and Characteristics of Wastewater
Agriculture in Developing Countries: Results from a Global Assessment, International Water
Management Institute, Colombo, Sri Lanka, 2008.
</mixed-citation></ref-html>
<ref-html id="bib1.bib36"><label>36</label><mixed-citation> Rice, J., Wutich, A., and Westerhoff, P.: Assessment of De Facto Wastewater Reuse
across the U.S.: Trends between 1980 and 2008, Environ. Sci. Technol., 47, 11099–11105,
<a href="https://doi.org/10.1021/es402792s" target="_blank">https://doi.org/10.1021/es402792s</a>, 2013.
</mixed-citation></ref-html>
<ref-html id="bib1.bib37"><label>37</label><mixed-citation> Sato, T., Qadir, M., Yamamoto, S., Endo, T., and Zahoor, A.: Global, regional, and
country level need for data on wastewater generation, treatment, and use, Agr. Water Manage., 130,
1–13, <a href="https://doi.org/10.1016/j.agwat.2013.08.007" target="_blank">https://doi.org/10.1016/j.agwat.2013.08.007</a>, 2013.
</mixed-citation></ref-html>
<ref-html id="bib1.bib38"><label>38</label><mixed-citation> Scott, C., Drechsel, P., Bahri, A., Mara, D., Redwood, M., Raschid-Sally, L., and
Jiménez, B.: Wastewater irrigation and health: Challenges and outlook for mitigating risks in
low-income countries, in: Wastewater irrigation and health: Assessing and mitigating risk in
low-income countries, edited by: Drechsel, P., Scott, C., Raschid-Sally, L., Redwood, M., and
Bahri, A., Earthscan, London, 381–394, 2010.
</mixed-citation></ref-html>
<ref-html id="bib1.bib39"><label>39</label><mixed-citation> Smol, M., Adam, C., and Preisner, M.: Circular economy model framework in the European
water and wastewater sector, J. Mater. Cycl. Waste, 22, 682–697,
<a href="https://doi.org/10.1007/s10163-019-00960-z" target="_blank">https://doi.org/10.1007/s10163-019-00960-z</a>, 2020.
</mixed-citation></ref-html>
<ref-html id="bib1.bib40"><label>40</label><mixed-citation> Sutanudjaja, E. H., van Beek, R., Wanders, N., Wada, Y., Bosmans, J. H. C., Drost, N.,
van der Ent, R. J., de Graaf, I. E. M., Hoch, J. M., de Jong, K., Karssenberg, D., López
López, P., Peßenteiner, S., Schmitz, O., Straatsma, M. W., Vannametee, E., Wisser, D., and
Bierkens, M. F. P.: PCR-GLOBWB 2: a 5&thinsp;arcmin global hydrological and water resources
model, Geosci. Model Dev., 11, 2429–2453, <a href="https://doi.org/10.5194/gmd-11-2429-2018" target="_blank">https://doi.org/10.5194/gmd-11-2429-2018</a>, 2018.
</mixed-citation></ref-html>
<ref-html id="bib1.bib41"><label>41</label><mixed-citation> Thebo, A. L., Drechsel, P., and Lambin, E. F.: Global assessment of urban and
peri-urban agriculture: irrigated and rainfed croplands, Environ. Res. Lett., 9, 114002,
<a href="https://doi.org/10.1088/1748-9326/9/11/114002" target="_blank">https://doi.org/10.1088/1748-9326/9/11/114002</a>, 2014.
</mixed-citation></ref-html>
<ref-html id="bib1.bib42"><label>42</label><mixed-citation> Thebo, A. L., Drechsel, P., Lambin, E. F., and Nelson, K. L.: A global,
spatially-explicit assessment of irrigated croplands influenced by urban wastewater flows,
Environ. Res. Lett., 12, 074008, <a href="https://doi.org/10.1088/1748-9326/aa75d1" target="_blank">https://doi.org/10.1088/1748-9326/aa75d1</a>, 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib43"><label>43</label><mixed-citation> UNEP: A Snapshot of the World's Water Quality: Towards a global assessment, United
Nations Environment Programme, Nairobi, Kenya, 162pp, 2016.
</mixed-citation></ref-html>
<ref-html id="bib1.bib44"><label>44</label><mixed-citation> van Vliet, M., Flörke, M., and Wada, Y.: Quality matters for water scarcity, Nat.
Geosci., 10, 800–802, <a href="https://doi.org/10.1038/ngeo3047" target="_blank">https://doi.org/10.1038/ngeo3047</a>, 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib45"><label>45</label><mixed-citation> Voulvoulis, N.: Water reuse from a circular economy perspective and potential risks
from an unregulated approach, Curr. Opin. Environ. Sci. Health, 2, 32–45,
<a href="https://doi.org/10.1016/j.coesh.2018.01.005" target="_blank">https://doi.org/10.1016/j.coesh.2018.01.005</a>, 2018.
</mixed-citation></ref-html>
<ref-html id="bib1.bib46"><label>46</label><mixed-citation> Wada, Y., Beek, L. P. H., Viviroli, D., Dürr, H., Weingartner, R., and Bierkens,
M. F. P.: Global monthly water stress: II. Water demand and severity of water, Water Resour. Res.,
47, <a href="https://doi.org/10.1029/2010WR009792" target="_blank">https://doi.org/10.1029/2010WR009792</a>, 2011.
</mixed-citation></ref-html>
<ref-html id="bib1.bib47"><label>47</label><mixed-citation> Wada, Y., Flörke, M., Hanasaki, N., Eisner, S., Fischer, G., Tramberend, S., Satoh, Y.,
van Vliet, M. T. H., Yillia, P., Ringler, C., Burek, P., and Wiberg, D.: Modeling global water use
for the 21st century: the Water Futures and Solutions (WFaS) initiative and its approaches,
Geosci. Model Dev., 9, 175–222, <a href="https://doi.org/10.5194/gmd-9-175-2016" target="_blank">https://doi.org/10.5194/gmd-9-175-2016</a>, 2016.
</mixed-citation></ref-html>
<ref-html id="bib1.bib48"><label>48</label><mixed-citation> Wada, Y., Wisser, D., Eisner, S., Flörke, M., Gerten, D., Haddeland, I., Hanasaki,
N., Masaki, Y., Portmann, F. T., Stacke, T., Tessler, Z., and Schewe, J.: Multimodel projections
and uncertainties of irrigation water demand under climate change, Geophys. Res. Lett., 40,
4626–4632, <a href="https://doi.org/10.1002/grl.50686" target="_blank">https://doi.org/10.1002/grl.50686</a>, 2013.
</mixed-citation></ref-html>
<ref-html id="bib1.bib49"><label>49</label><mixed-citation> Wada, Y., Wisser, D., and Bierkens, M. F. P.: Global modeling of withdrawal, allocation
and consumptive use of surface water and groundwater resources, Earth Syst. Dynam., 5, 15–40,
<a href="https://doi.org/10.5194/esd-5-15-2014" target="_blank">https://doi.org/10.5194/esd-5-15-2014</a>, 2014.

</mixed-citation></ref-html>
<ref-html id="bib1.bib50"><label>50</label><mixed-citation> Waterbase – UWWTD: Urban Waste Water Treatment Directive – reported data, available at:
<a href="https://www.eea.europa.eu/data-and-maps/data/waterbase-uwwtd-urban-waste-water-treatment-directive-6" target="_blank"/>
(last access: 5 January 2020), 2019.
</mixed-citation></ref-html>
<ref-html id="bib1.bib51"><label>51</label><mixed-citation>
World Health Organization (WHO): Guidelines for drinking-water quality: fourth edition, Geneva, Switzerland, 564 pp., 2011.
</mixed-citation></ref-html>
<ref-html id="bib1.bib52"><label>52</label><mixed-citation> Wichelns, D., Drechsel, P., and Qadir, M.: Wastewater: Economic Asset in an Urbanizing
World, in: Wastewater: Economic Asset in an Urbanizing World, edited by: Drechsel, P., Qadir, M.,
and Wichelns, D., Springer Netherlands, Dordrecht, 3–14, 2015.
</mixed-citation></ref-html>
<ref-html id="bib1.bib53"><label>53</label><mixed-citation> WWAP: The United Nations World Water Development Report 2017. Wastewater: The Untapped
Resource, Paris, UNESCO, 2017.
</mixed-citation></ref-html>
<ref-html id="bib1.bib54"><label>54</label><mixed-citation> Zhang, Y. and Shen, Y.: Wastewater irrigation: past, present, and future: Wastewater
irrigation, WIRES Water, e1234, <a href="https://doi.org/10.1002/wat2.1234" target="_blank">https://doi.org/10.1002/wat2.1234</a>, 2017.
</mixed-citation></ref-html>--></article>
