The Asia-Pacific region has been known for its economic vibrancy and heady growth. Yet, the long-term sustainability of this development is now seriously threatened as a growing water crisis takes on an ominous dimension in large parts of Asia. Per capita fresh water availability in the Asian region is among the lowest in the world. Over abstraction of ground water has reached critical proportions in coastal cities like Dhaka, Jakarta and Manila. Helth risks continue to rise as many cities recklessly discard untreated human and hazardous wastes into fresh water bodies.