Disparities in access to water, sanitation, and hygiene within high-income countries are common and often occur across racial/ethnic lines. The Arab-Bedouins in Israel, a formerly nomadic ethno-national minority, have experienced displacement, forced sedentarization, and poverty since Israel was founded. Land disputes with the government have led to precarious living arrangements, including unrecognized villages that the government considers illegal. We administered a structured questionnaire in one government-planned, two legally recognized, and two unrecognized Bedouin communities in the Negev (190 households). Only 44% (95% CI 37%, 51%) of households had access to both safely managed drinking water and sanitation; nationally Israel reports over 99% coverage for each. In one unrecognized village, only 15% of households had access to safely managed water and sanitation, comparable to low-income countries. The overall 1-week prevalence of diarrhea in children under 5 years of age was 22% (95% CI 17%, 27%), with substantial variation between communities. These results highlight that universal access to safely managed drinking water and sanitation remains a relevant goal, not only for low- and middle-income countries but for high-income countries. Bedouin communities in the Negev are a prime example, emphasizing that historic gains in global development have not uniformly reached marginalized groups within high-income countries.

高收入国家在获得水、环境卫生和个人卫生方面的差异很常见，而且经常出现在不同种族/族裔之间。以色列的阿拉伯贝都因人以前是游牧民族，自以色列建国以来，他们经历了流离失所、被迫定居和贫困。与政府的土地纠纷导致生活安排不稳定，包括政府认为非法的未经认可的村庄。我们在内盖夫的一个政府规划的贝都因社区、两个法律认可的贝都因社区和两个未经认可的贝都因社区（190 户）进行了结构化调查问卷。只有 44%（95% CI 37%、51%）的家庭可以获得安全管理的饮用水和卫生设施；以色列全国报告的覆盖率均超过 99%。在一个不为人知的村庄里，与低收入国家相比，只有 15% 的家庭能够获得安全管理的水和卫生设施。5 岁以下儿童腹泻的 1 周总体患病率为 22%（95% CI 17%，27%），社区之间存在显着差异。这些结果凸显，普遍获得安全管理的饮用水和卫生设施仍然是一个相关目标，不仅对低收入和中等收入国家如此，对高收入国家也是如此。内盖夫的贝都因社区就是一个典型的例子，他们强调全球发展的历史性成果并没有统一惠及高收入国家的边缘化群体。这些结果凸显，普遍获得安全管理的饮用水和卫生设施仍然是一个相关目标，不仅对低收入和中等收入国家如此，对高收入国家也是如此。内盖夫的贝都因社区就是一个典型的例子，他们强调，全球发展的历史性成果并未全部惠及高收入国家的边缘化群体。这些结果凸显，普遍获得安全管理的饮用水和卫生设施仍然是一个相关目标，不仅对低收入和中等收入国家如此，对高收入国家也是如此。内盖夫的贝都因社区就是一个典型的例子，他们强调，全球发展的历史性成果并未全部惠及高收入国家的边缘化群体。