The community in focus here is the Israeli city of Beit She’an. Beit She’an is located in the Jordan Valley area of Israel, and has a population of 16,000. Despite limited cooperation between the region’s governments on some aspects of water allocation, sustainable management of water resources has not been achieved in the Middle East peace process. Lack of sewage treatment, over-pumping of aquifers, excessive diversion of surface water flows, and difficulty in implementing critical water-demand management policies threaten scarce water resources. These circumstances pose environmental and health hazards to communities that can be a significant source of cross-border tension in addition to animosity that exists in relation to water allocation and unequal distribution.