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Access to safe drinking water is a basic need and is one of the most important contributors to public health and to the economic health of communities. Pacific island countries have yet to overcome the challenge of providing a safe and adequate supply of drinking water to its populations. Infectious, waterborne diseases, such as Typhoid and Cholera and newly emerging pathogens are a major cause of morbidity and mortality within the Pacific region. The World Health Organization (WHO) report that about 2 million people in the world die each year due to diarrhoeal diseases, most of them are children less that 5 years of age. The worst affected are the populations in developing countries. Lack of access to safe drinking water is one of the main contributors to this situation. Traditional approaches that rely on sampling and testing water have failed to achieve extensive improvement in access to safe drinking water. Pacific island countries are committed to achieving targets specified in the Millennium Development Goals (2000), including halving the proportion of people without access to safe drinking water by 2015. A new strategy is now being promoted globally that is based on risk management principles – drinking water safety planning.