Complete Indicator Profile - Water and Wastewater Services (HA2020 Leading Health Indicator: 19)

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State of Alaska

Complete Indicator Profile of Water and Wastewater Services (HA2020 Leading Health Indicator: 19)


Rural community housing units with water and sewer services. "Rural Community" is defined as an Alaska community with between 25 and 2,000 people that is not part of a metropolitan area and that is not connected to a highway system. "Housing Unit" is defined as a resident's primary home, used for most of the year. Seasonal homes, vacation homes, lodges, public structures and commercial buildings are not included in this definition. "Water and Sewer Service" is defined as the provision of running water and sewer service inside the home via community piped or covered haul system, individual well and septic systems, or some combination thereof.


Number of rural community housing units with water and sewer services


Number of rural community housing units

Why Is This Important?

In-home water and wastewater services are key elements of public health progress, reducing waterborne diseases, contributing to lower infectious gastrointestinal and respiratory disease incidence. Despite major improvements in recent decades, Alaska still lags behind other states in having basic sanitation services.

Other Objectives

Healthy Alaskans 2020 Target: 87%

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs.

Strategy 1:
Establish sustainable water and sanitation services in communities where homes are unserved.

Evidence Base:
There is no existing evidence-based strategy for provision of water/sewer services. The approach used in Alaska is to build central water treatment and distribution facilities for communities. There are construction projects that are underway or are planned to address
part of the in-home water and sewer needs in rural Alaska.


Strategy 2:
Promote research and development that will address the technologic challenges of providing adequate quantities and affordable water and sanitation services.

Evidence Base:
Technologic challenges exist to provision of water and sewer services to all homes in all communities. The existing models of centralized treatment and delivery of water may not be feasible for communities and homes without service. These challenges need to be addressed based on current knowledge and technologies. There is no existing "evidence-based" approach that can be borrowed from elsewhere and applied to Alaska's situation.


Strategy 3:
To ensure homes with existing service don't lose that service, preserve function and prevent catastrophic failures of existing systems.

Evidence Base:
Much of the existing water and wastewater infrastructure in Alaska is aging, requires increased maintenance, faces an increased risk of catastrophic failure due to extreme environmental changes, and may require replacement in the near future. The health and financial benefits resulting from improved water and wastewater system operation and maintenance have been widely recognized by funding agencies. Once homes gain access to in-home water and wastewater services it is essential to protect, operate and maintain that infrastructure in order to continue a level of service that promotes health.


Related Indicators

Related Relevant Population Characteristics Indicator Profiles:

Related Health Care System Factors Indicator Profiles:

Graphical Data Views

Percentage of rural community housing units with water and sewer services, rural Alaska, 2000-2020

::chart - missing::

Urban/Rural Year Percentage with water and wastewater services
Record Count: 23
Rural 2000 67.0%
Rural 2001 69.0%
Rural 2002 71.0%
Rural 2003 72.0%
Rural 2004 72.0%
Rural 2005 **
Rural 2006 74.0%
Rural 2007 74.0%
Rural 2008 75.0%
Rural 2009 75.0%
Rural 2010 78.0%
Rural 2011 78.0%
Rural 2012 81.0%
Rural 2013 82.0%
Rural 2014 85.0%
Healthy Alaskans Goal 2013 87.0%
Healthy Alaskans Goal 2014 87.0%
Healthy Alaskans Goal 2015 87.0%
Healthy Alaskans Goal 2016 87.0%
Healthy Alaskans Goal 2017 87.0%
Healthy Alaskans Goal 2018 87.0%
Healthy Alaskans Goal 2019 87.0%
Healthy Alaskans Goal 2020 87.0%

Data Notes

Healthy Alaskans 2020 Target: 87%

** Data not available

Data Sources

DEC Alaska Department of Environmental Conservation 1

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 06/30/2015, Published on 06/30/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site ( The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 25 November 2015 13:17:37 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site:".

Content updated: Fri, 7 Aug 2015 10:00:12 AKDT