Disparities in Water and Sewer Services in North Carolina: An Analysis of the Decision-Making Process

North Carolinians rely on wells and septic systems at nearly twice the rate of citizens in other states. In the American Journal of Public Health, we interviewed NC policymakers, utility providers, and residents about factors affecting access to water and sewer services. Both residential and municipal participants identified the cost of extending service instead of the benefits to public health. Improving the mechanisms that inform policymakers about the risks of self-supplied systems and the value of extending services – including economic development– can influence decision-making.

Naman, Julia Marie, and Jacqueline MacDonald Gibson. 2015. “Disparities in Water and Sewer Services in North Carolina: An Analysis of the Decision-Making Process.” American Journal of Public Health 105(10): e20-6. doi: 10.2105/AJPH.2015.302731.