Dear Editor,
The novel coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a highly transmissible human respiratory disease. This zoonotic virus is transmitted by droplets, fecal-oral route, and direct contact1. To date (14 August 2020), 21 million people across 215 countries and territories have been infected by COVID-19, and more than 0.76 million people have died2. One of the best precautions to minimize the risk of being infected or spreading COVID-19 is to frequently wash hands on both sides by scrubbing with soap for at least 20 seconds followed by rinsing with clean water3.
A 15 to 20-second handwash would use about two litres of water if the faucet is open, or one litre when the tap is off while the soap is scrubbed4. It is assumed that each person would use around 10 to 20 litres of water every day if he or she cleans his or her hands at least ten times per day to prevent COVID-19 infection4. A family of five members would, therefore, need about 50 to 100 litres of water every day for handwashing, resulting in an increased water demand by 20 to 25% amid the COVID-19 pandemic4. Such a sudden increase in water demand could lead to severe water shortages, especially in areas/countries where supply is already strained. For instance, a water sector department of Jordan recently stated that when the government ordered their people to stay home as part of the home-quarantine measure, the demand of water rose by 40%5. The water demand for clean water increased during the outbreak of Ebola in West Africa in 2014–2016 in order to prevent the disease and treat the infected people5.
Around 2 billion people living worldwide are experiencing water stress, which is indeed soaring day-by-day6. This is especially evident in small and medium-sized countries in the world, which might be attributed to several reasons: 1) limited water in those areas, 2) water loss due to dryness or climate change, 3) water being unsuitable for use due to contamination of local water supplies, and 4) nearest water source may be far from home. At the same time, the global water demand is rising at about 1% per year, and the demand has been unexpectedly increased as a consequence of the COVID-19 pandemic7 and predicted to worsen with time. Such an unanticipated global demand for water would bring enormous pressure on limited water resources exacerbating the existing insufficiency in the water supply. Thus, some options include raising awareness about closing taps or using sensor taps that turn off automatically while scrubbing hands with the soap. Alternatively, the use of alcohol-based hand gel could be a reasonable solution to prevent water loss, if the cost is low.