Social distancing and self-isolation are essential in slowing the spread of COVID-19. This is considerably more challenging without access to a household toilet. Shared facilities pose a greater risk as they are more likely to be a source of both airborne and contact exposures to the disease, especially if there is not adequate water and soap ( Caruso et al, 2020 ). Who is at most risk? 32% of sanitation in urban Sub-Saharan Africa is shared. Women are disproportionately at risk due to more frequent use for meeting their own needs such as menstruation, but also for assisting dependents. Open defecation practices may increase to avoid the potential risks at facilities. However, this untreated human waste can spread deadly and chronic diseases in the environment ( Caruso et al, 2020 ). The pandemic has highlighted the importance of everyone having access to clean water to prevent the spread and has exposed how governments have continually neglected to invest in clean water, so...