I wonder how much human health is impacted by these leaky pipes. I would like to see a city where pipes are guaranteed leak free, for example by making them double walled with high pressure air in the outer layer, and then seeing if disease levels in the city are lower.
Considering the difficulty and cost of repairing underground anything, most of which will be there for many many decades, it's never going to be perfect, but there's a lot of resources that do go into improving this.