The document discusses trends in sewerage system design, construction, operation, and maintenance with special reference to climate change. It covers several key topics:
1) Climate change impacts like global warming and greenhouse gases and how they affect waste water systems.
2) Future actions needed to address climate change like mitigation efforts and resolutions.
3) Population and economic growth are putting pressure on systems and exacerbating climate change impacts.
4) Proper sewerage system design, execution, operation, and maintenance are needed to handle current and future challenges. Public awareness and involvement are also important.