Living in Utility Scarcity: Energy and Water Insecurity in Northwest Alaska

This study explored the links between energy and water insecurity in rural Inupiaq Eskimo villages in Alaska's Northwest Arctic Borough. High energy costs and the need for fuel-based transportation are 2 significant factors in domestic water access for these communities. Dramatic increases in the costs of energy have led to decreased domestic water access, with adverse effects on household hygiene practices. I traced the ways in which the high costs of energy determine water consumption from production to household acquisition and use. Improving sanitation and access to domestic water requires considering the water-energy nexus: the amount and cost of energy required to treat and distribute water as well as manage waste. I use the term utility scarcity to underscore the relationship between domestic water, energy, and health. (Am J Public Health. 2010;100:1010-1018. doi:10.2105/AJPH.2009.160846)