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Domestic sewage is a major threat to receiving waters throughout the world. In Canada, a high proportion of the population (81%) is served by municipal wastewater treatment facilities. Nevertheless, discharges from wastewater treatment plants, stormwater sewers and combined sewers have caused adverse impacts on some lakes, rivers and coastal waters. The most publicly recognized impacts are shellfish harvesting restrictions and beach closures resulting from microbial contamination. Habitat degradation and contamination also occur and these, in turn, have altered the abundance and diversity of aquatic organisms. Our findings on the effects of municipal wastewater discharge suggest that there is a need to review sewage treatment requirements in Canada. Further research is also required on the interactive and cumulative responses to habitat degradation and to long-term exposure to persistent and …