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=== Water and sanitation === Tajikistan has the highest average annual precipitation in its region, along with numerous rivers, natural lakes (such as [[Karakul (Tajikistan)|Lake Karakul]]), and glaciers. Most of the outdated Dushanbe water system was built during the Soviet era in 1932 and not significantly expanded afterwards even with a rising population.<ref>{{Cite web|url=https://www.acted.org/en/water-in-tajikistan-abundant-yet-challenging/|title=Water in Tajikistan, abundant yet challenging|date=5 December 2017|website=ACTED}}</ref> The Big Gissar Canal was constructed in 1942 and irrigates much of southern Tajikistan and goes from the [[Kofarnihon River|Kofarnihon river]] to the [[Surxondaryo River|Surxondaryo]].<ref>{{Cite web|date=2020-03-13|title=Tajik and Uzbek specialists clear 'Big Gissar Canal'|url=https://dailymailnews.pk/2020/03/14/tajik-and-uzbek-specialists-clear-big-gissar-canal/|access-date=2020-09-27|website=Daily Mail Pakistan}} {{Dead link|date=February 2021 |bot=InternetArchiveBot |fix-attempted=yes }}</ref> As of 2004, the length of the city's water supply network was {{cvt|476|km}} and mainly got its water from the [[Varzob District|Varzob]], [[Kofarnihon River|Kofarnikhon]] and the South-West.<ref>{{Cite book|url=https://www.worldcat.org/oclc/65068362|title=Dushanbe : ėnt︠s︡iklopedii︠a︡|publisher=Glavnai︠a︡ nauchnai︠a︡ redakt︠s︡ii︠a︡ Tadzhikskoĭ nat︠s︡ionalʹnoĭ ėnt︠s︡iklopedii|others=Dinorshoev, Muso.|year=2004|isbn=5-89870-071-4|location=Dushanbe|chapter=Housing and Utilities|oclc=65068362|archive-url=https://web.archive.org/web/20101028115236/http://dushanbe.tj/img/ENS.doc|archive-date=28 October 2010}}</ref> Water is supplied through two ground and two surface water treatment plants.<ref name="CDC-1998">{{Cite journal|last=Centers for Disease Control and Prevention (CDC)|date=1998-09-18|title=Epidemic typhoid fever--Dushanbe, Tajikistan, 1997|url=http://www.jstor.org/stable/23309014|journal=MMWR. Morbidity and Mortality Weekly Report|volume=47|issue=36|pages=752–756|jstor=23309014|issn=0149-2195|pmid=9756457}}</ref> As of 2018, 40% of the city's population did not have access to sewage systems.<ref>{{Cite web|date=2019-04-28|title=Антимонопольная служба объяснила, почему вода в Душанбе подорожала {{!}} Новости Таджикистана ASIA-Plus|url=https://news.tj/ru/news/tajikistan/economic/20190130/antimonopolnaya-sluzhba-obyasnila-pochemu-voda-v-dushanbe-podorozhala-na-300|access-date=2020-09-18|archive-url=https://web.archive.org/web/20190428130746/https://news.tj/ru/news/tajikistan/economic/20190130/antimonopolnaya-sluzhba-obyasnila-pochemu-voda-v-dushanbe-podorozhala-na-300|archive-date=28 April 2019}}</ref>
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