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Clean Water Advocacy - Newsroom - AMSA in the News

EPA Report Cites Environmental, Health Problems from Sewer Overflows

Marty Coyne, Greenwire senior reporter

Sewer overflows from cities have made thousands of people sick and killed thousands of fish, but the causes of many outbreaks of waterborne illness and water quality problems from rainstorms remain unknown, according to a U.S. EPA report issued Thursday.

The report estimates that more than 9,000 combined sewer systems in the country spill 850 billion gallons of untreated waste mixed with stormwater each year. In communities where storm sewers and sanitary sewers are separated, between 23,000 and 75,000 sanitary sewer overflows account for 10 billion gallons of sewage that cities spill annually.

Toxics and two types of microbial pathogens -- bacteria and viruses -- in sewage can make people sick, according to the report. Viruses -- such as giardia and cryptosporidia -- and intestinal bacteria cause problems including skin rash, abdominal cramps, diarrhea, fever and vomiting. Drinking water or fish contaminated with heavy metals and synthetic chemicals may cause anemia, nervous system and blood problems, reproductive troubles and an increased risk of cancer. People become ill when they come in contact with or ingest water or fish contaminated with these pollutants from human waste. Exposure to waters contaminated by sewer overflows is common among swimmers, boaters and homeowners with flooded basements. Ingestion of sewage pathogens and toxics in unsafe amounts usually occurs through consumption of tap water.

EPA found that Shigella -- bacteria that cause diarrhea, fever and stomach cramps -- from sewer overflows caused nearly 1,200 documented cases of illness from recreational water use during that 15-year period. Most who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after exposure.

The report, however, comes with a large caveat for the human health consequences of sewer overflows. "In developing this report to Congress, EPA found an absence of direct cause-and-effect data" relating overflows to specific health problems because of a lack of a comprehensive tracking system for sewer overflows and waterborne disease outbreaks. As a result, EPA based its report in large part on existing data from the CDC and states.

Pathogens in swimming pools and hot tubs pose a greater human risk than recreation in contaminated lakes, rivers, streams and estuaries, according to the report. "For swimming pools and hot tubs, 191 recreational waterborne disease outbreaks with 14,836 cases of illness were reported to the CDC between 1985 and 2000. This is 265 times the number of illnesses reported for open recreational waters."

The EPA report also cites limited data on environmental problems caused by sewer overflows, which "are clearly the cause of documented environmental impacts in some cases and are a contributing factor in others." For example, the North Carolina Department of Environment and Natural Resources attributed the deaths of nearly 10,000 fish to sanitary sewer overflows between 1997 and 2002. And a combined sewer overflow from Marine Corps Base Camp Pendleton in California spilled 2.73 million gallons of sewage into coastal waters near the city of Oceanside, killing 556 fish and shellfish. More broadly, the report cites 1995 data from the National Oceanic and Atmospheric Administration that attributed 24 percent of shellfishing restrictions to "routine and accidental sewage discharge from public and private wastewater treatment plants."

While urban water pollution is often cited for beach closures, the EPA report confirms that sewer overflows play a small role in this problem. Combined sewer overflows cause 1 percent of beach closings and 2 percent of swimming advisories, while sanitary sewer overflows cause 6 percent of closings and advisories. The Natural Resources Defense Council, in the latest of its annual report on beach closures, noted that 70 percent of the sources of pollution responsible for all closures and advisories were unknown (Greenwire, Aug. 6). Although NRDC concluded that 88 percent of closing and advisories are from bacteria prevalent in sewer spills other sources of these pathogens include runoff from animal feedlots.

Nonetheless, NRDC thinks the paucity of information acknowledged by EPA in the report has hamstrung the agency. "It is abundantly clear, I think, that EPA doesn't have sufficient data to effectively manage this program to target environmental or public health risk reduction," said Nancy Stoner, director of the NRDC Clean Water Project. Cities should face tougher requirements for monitoring sewer overflows within their systems and at outfalls to waterbodies, she said.

Such requirements could be expensive and wastewater treatment plant operators seized on the EPA report's conclusion that cities are already spending billions of dollars to control overflows. The report demonstrates that "clean water facilities have done an outstanding job in reducing sewer overflows, but federal funding is needed to address the $88 billion and $50.6 billion EPA-estimated cost to fully control SSOs and CSOs, respectively, over the next 20 years," said Ken Kirk, the executive director of the Association of Metropolitan Sewerage Agencies.

A good chunk of the money spent by cities has come from EPA enforcement actions, which recently yielded a $2 billion sewer overflow settlement with Los Angeles (Greenwire, Aug. 13). Although the Los Angeles agreement does not limit overflows specifically, EPA estimates that enforcement actions and clean water permits have so far reduced overflows by 14 billion gallons annually.