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For many Caribbean small island developing states, water scarcity is a way of life despite being surrounded by water. The region has 7 of the 36 most water scarce countries in the world according to the World Resources Institute. This scarcity is compounded by climate change-related pressures, such as drought which limits the available water quantity and extreme weather which, e.g. through contamination, can limit quality. While some islands have access to surface water sources, others have no permanent flowing streams. Many island governments and residents have had to find measures for management and conservation of their freshwater resources.