A New Year Brings Enduring Challenges: Financing for Water and Sanitation Utilities During COVID-19 Eleven months have passed since COVID-19 was declared a global pandemic by the World Health Organization (WHO). As we rang in the new year, the world surpassed two million deaths due to COVID-19. While it is encouraging that 77 countries have distributed 168 million COVID-19 vaccine doses, only a small fraction of these are in low-income countries. Vaccinations may not be widely distributed in most of sub-Saharan Africa until 2022-2023. Furthermore, the new COVID-19 variant recently discovered in South Africa is estimated to be 50 percent more contagious, underscoring the need for a collaborative international response.