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Access to water and sanitation service in industrialized countries is nearly taken for granted, but in many developing countries less than half of the population has access to such services. Decades of effort on a global scale have been invested to solve this problem. One such effort--Brazil's participatory approach to water and sanitation--is Nance's subject in Engineers and Communities. In the early 1980s, Brazilian engineers created participatory sanitation (known locally as condominial sewerage) to make basic sanitation service more inclusive. Fiercely contested at first, the technology's...