This chapter begins by discussing urban sanitation and waste management within a broader international context. It discusses the implications of the country's urban waste problem and cleanup schemes for different groups of urban residents. The recent interest in matters of urban environmental sanitation is arguably a function of rapid rates of urbanization in less developed countries. The responsibility for urban sanitation and waste disposal in the Township of Limbe falls in the hands of private citizens and the Limbe Urban Council. Government Delegates, appointees of the Head of State, administer 'Special Status' councils. Cameroonian municipal councils generally comprise a decision making body. Municipal councils in Cameroon have two major sources of revenue, namely direct council taxes and income council taxes. The Cameroonian sanitation policy, which in some cases amounts to inaction, is discriminatory against the poor. The chapter shows that the problem is severe, especially in the larger cities, where it already poses serious dangers to human health.