In the report, the independent expert begins by outlining the international and domestic legal framework on the rights to water and sanitation. She then makes a general assessment of the enjoyment of the rights to water and sanitation in the United States of America, looking specifically at the following issues: sanitation, safety, affordability and excluded groups. This assessment is then underpinned by an analysis of the right to non- discrimination and equality. The last section examines United States official development assistance in the area of water and sanitation. She concludes the report with recommendations addressed to the Government.