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In June 2007 a group of engineers, public health practitioners, local and international NGO staff, academics and government representatives gathered to discuss water and sanitation in South East Asia and the Pacific at the Let's Come Clean Conference in Melbourne, Australia. At the conference, consensus emerged on the need for greater regional exchange of experience in sanitation. It was agreed that more could be done to document and disseminate practical lessons learned from water, sanitation and hygiene initiatives throughout the region.