An in-depth accounting of toilet coverage is more vital than ever as the COVID-19 pandemic makes its way through India. While independent research is still emerging, available data is used to consider existing sanitation gaps in relation to the Swachh Bharat Mission’s objectives and claims, focusing on populations who are already at greater risk of compounded impacts from COVID-19. At a time when misinformation around current events and health issues abounds worldwide, good leadership must set an example by fostering ethics around data transparency.