A recent report prepared by the RAND Corporation warns that if the chronic state of emergency in Gaza’s water and sewage sector continues, an endemic disease outbreak or other public health crisis is imminent, with the risk of it spreading to Israel and Egypt. The projection is based on data collected by Water Sanitation and Hygiene (WASH) partners and authorities over previous years, analysis of the expected impact of recent developments, and lessons learnt from disease outbreaks in Haiti, Yemen and Iraq. The report emphasised that cooperation between the Palestinian Authority, Israel and Egypt is vital if an epidemic is to be pre-empted.