From January 2025 to January 2026, sewage-contaminated piped water caused disease outbreaks in 26 cities across 22 states and union territories, sickening at least 5,500 people and killing 34. Sixteen state capitals were on that list. In Gandhinagar, Gujarat’s capital, more than 150 children were hospitalised with typhoid in a single week after contaminated water entered the supply. In Bengaluru, residents of an entire layout reported diarrhoea and stomach infections after se