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- BookSummary: Despite significant progress in water and sanitation, much still remains to be done. This report shows how the world has changed since 1990. It provides an assessment of progress towards the MDG target, and insight into the remaining challenges. Section A provides an overview of progress against the parameters specified in the MDG target for water and sanitation, in both urban and rural areas. It presents data for the world as a whole, and compares progress across regions. The report goes on to examine trends over the MDG period by region and by level of service. It pays particular attention to the numbers of people who have gained the highest level of service in drinking water supply -- piped water on premises -- and those with no service at all, who use surface water for drinking and practise open defecation.Digital Access WHO 2015