Over recent weeks, the Western Cape has emerged as the epicentre of the COVID-19 virus. On 26 May, the province accounted for 65.2% of South Africa’s 24,264 confirmed COVID-19 cases. Many of these residents rely on shared water and sanitation facilities or have limited access to water and sanitation, making them particularly vulnerable to COVID-19. Sub-districts such as Tygerberg, Khayelitsha, and Southern – home to many informal settlements – have emerged as COVID-19 hotspots.