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The ICPDR serves as a conduit for collaboration between Danube countries and the Black Sea region in matters necessitating coordinated action. It also collaborates with other international organizations in other river basins to tackle emerging challenges linked to water management (e.g., climate change adaptation). Partnerships with relevant international organizations to effectively address emerging challenges associated with water management, such as climate change adaptation are also part of the ICPDR's coopertaion activities.

The EU Water Framework Directive aims to make all waters cleaner and healthier. To meet these requirements, the ICPDR's Danube River Basin Management Plan closely examines the most important pressures affecting water status.
Significant water management issues, called SWMIs, are the central pressures of basin-wide importance affecting the ecological and chemical status of surface waters, including pollution by organic substances, nutrients, and hazardous substances, as well as hydromorphological alterations. The first interim overview on the Significant Water Management Issues was created in 2007 for the 1st DRBM. The SWMIs outlined in this report were derived based on the requirements of the WFD and mainly related to quality aspects. For transboundary groundwater bodies, both qualitative and quantitative issues are addressed.

The UN 2023 Water Conference took place at UN Headquarters in New Yor City this past 22-24 March 2023, the midterm of the International Decade for Action on "Water for Sustainable Development" (2018-2028). It was the first conference dedicated to freshwater since 1977.