There is a proactive interest in recovering water, nutrients and energy from waste streams with the increase in municipal wastewater volumes and innovations in resource recovery. Based on the synthesis of wastewater data, this study provides insights into the global and regional “potential” of wastewater as water, nutrient and energy sources while acknowledging the limitations of current resource recovery opportunities and promoting efforts to fast‐track high‐efficiency returns. The study estimates suggest that, currently, 380 billion m³ (m³ = 1,000 L) of wastewater are produced annually across the world which is a volume five‐fold the volume of water passing through Niagara Falls annually. Wastewater production globally is expected to increase by 24% by 2030 and 51% by 2050 over the current level. Among major nutrients, 16.6 Tg (Tg = million metric ton) of nitrogen are embedded in wastewater produced worldwide annually; phosphorus stands at 3.0 Tg and potassium at 6.3 Tg. The full nutrient recovery from wastewater would offset 13.4% of the global demand for these nutrients in agriculture. Beyond nutrient recovery and economic gains, there are critical environmental benefits, such as minimizing eutrophication. At the energy front, the energy embedded in wastewater would be enough to provide electricity to 158 million households. These estimates and projections are based on the maximum theoretical amounts of water, nutrients and energy that exist in the reported municipal wastewater produced worldwide annually. Supporting resource recovery from wastewater will need a step‐wise approach to address a range of constraints to deliver a high rate of return in direct support of Sustainable Development Goals (SDG) 6, 7 and 12, but also other Goals, including adaptation to climate change and efforts in advancing “net‐zero” energy processes towards a green economy.

The Sustainable Development Goal (SDG) 6, calling for access to safe water and sanitation for all by the year 2030 supports the efforts in water-scarce countries and regions to go beyond conventional resources and tap unconventional water supplies to narrow the water demand-supply gap. Among the unconventional water resources, the potential to collect water from the air, such as fog harvesting, is by far the most under-explored. Fog water collection is a passive, low maintenance, and sustainable option that can supply fresh drinking water to communities where fog events are common. Because of the relatively simple design of fog collection systems, their operation and maintenance are minimal and the associated cost likewise; although, in certain cases, some financially constrained communities would need initial subsidies. Despite technology development and demonstrated benefits, there are certain challenges to fog harvesting, including lack of supportive policies, limited functional local institutions, inexpert communities, gender inequality, and perceived high costs without undertaking comprehensive economic analyses. By addressing such challenges, there is an opportunity to provide potable water in areas where fog intensity and duration are sufficient, and where the competition for clean water is intensifying because water resources are at a far distance or provided by expensive sources.

Globally, the use of untreated, often diluted, or partly treated wastewater in agriculture covers about 30 million ha, far exceeding the area under the planned use of well-treated (reclaimed) wastewater which has been estimated in this paper at around 1.0 million ha. This gap has likely increased over the last decade despite significant investments in treatment capacities, due to the even larger increases in population, water consumption, and wastewater generation. To minimize the human health risks from unsafe wastewater irrigation, the WHO’s related 2006 guidelines suggest a broader concept than the previous (1989) edition by emphasizing, especially for low-income countries, the importance of risk-reducing practices from ‘farm to fork’. This shift from relying on technical solutions to facilitating and monitoring human behaviour change is, however, challenging. Another challenge concerns local capacities for quantitative risk assessment and the determination of a risk reduction target. Being aware of these challenges, the WHO has invested in a sanitation safety planning manual which has helped to operationalize the rather academic 2006 guidelines, but without addressing key questions, e.g., on how to trigger, support, and sustain the expected behaviour change, as training alone is unlikely to increase the adoption of health-related practices. This review summarizes the perceived challenges and suggests several considerations for further editions or national adaptations of the WHO guidelines.