The operation will address the main problems of the sewerage system in Central Georgetown through the rehabilitation of its major components. Currently, the system suffers from frequent blockages, interruptions and ruptures. These problems lead to risks of wastewater overflows into the drainage canals and backs-up onto streets and backyards. Inadequate operation and lack of maintenance of sewerage infrastructure can also facilitate the proliferation of Lymphatic Filariasis (LF) vectors and other water-related Neglected Tropical Diseases (NTD). The operation will also implement activities to eradicate LF and prevent intestinal helminthiasis transmission.