https://www.sciencedaily.com/releases/2021/11/211110145428.htm

Human sewage can introduce disease-causing pathogens and nitrogen into the ocean, potentially impacting human health as well as coastal ecosystems and the communities that depend on them for such purposes as fishing. However, most research into humans' impact on coastal ecosystems has focused on agricultural runoff, while investigations on human sewage have been limited.

To better capture the impact of sewage on coastal ecosystems, Tuholske and colleagues conducted a novel analysis in which they estimated and mapped nitrogen and pathogen inputs into the ocean from sewage for about 135,000 watersheds around the world at a resolution of 1 kilometer. The assessment employed newly available, high-resolution data on global human populations and modeled how wastewater plumes entering the ocean would overlap with different ecosystems.