In recent years, the longstanding shortage of adequate sanitation infrastructure in the Gaza Strip has resulted in the discharge of around 90 million litres of untreated or partially treated sewage into the sea every day, posing serious health and environmental hazards. Development of water and sanitation infrastructure has been severely impacted by the import restrictions imposed by Israel in its nine-year blockade of the Gaza Strip. At present, as many as 23 WASH items such as pumps, drilling equipment and disinfectant chemicals are on the Israeli “dual use” list, meaning that entry of such items to Gaza is severely restricted.