More than 50% of informal settlement residents in Namibia do not have access to toilets and defecate in riverbeds and other green spaces. More than 45 tonnes of faeces are so deposited openly every single day in Windhoek alone. This situation constitutes a health and environmental crisis of enormous scale. It deprives affected residents of human dignity, exposes women to sexual harassment and assault and puts children at high risk of illness. The lack of sanitation makes both the prevention of Hepatitis E and Covid- 19 extremely challenging.