Water pollution
Sanitation and sewage treatment

Municipal wastewater can be treated by centralized sewage treatment plants, decentralized wastewater systems, nature-based solutions or in onsite sewage facilities and septic tanks. For example, waste stabilization ponds can be a low cost treatment option for sewage. UV light (sunlight) can be used to degrade some pollutants in waste stabilization ponds (sewage lagoons). The use of safely managed sanitation services would prevent water pollution caused by lack of access to sanitation.

Well-designed and operated systems (i.e., with secondary treatment stages or more advanced tertiary treatment) can remove 90 percent or more of the pollutant load in sewage. Some plants have additional systems to remove nutrients and pathogens. While such advanced treatment techniques will undoubtedly reduce the discharges of micropollutants, they can also result in large financial costs, as well as environmentally undesirable increases in energy consumption and greenhouse gas emissions.

Sewer overflows during storm events can be addressed by timely maintenance and upgrades of the sewerage system. In the US, cities with large combined systems have not pursued system-wide separation projects due to the high cost, but have implemented partial separation projects and green infrastructure approaches. In some cases municipalities have installed additional CSO storage facilities or expanded sewage treatment capacity.
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