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SSOs can cause [[gastrointestinal illness]]es ([[waterborne diseases]]), beach closures and restrictions on fish and [[shellfish]] consumption.
▲===United States===
The [[U.S. Environmental Protection Agency]] (EPA) estimates that at least 23,000 to 75,000 SSO events occur in the United States each year.<ref>{{cite web |url=https://www.epa.gov/npdes/sanitary-sewer-overflows-ssos |title=Sanitary Sewer Overflows |author=<!--Staff writer(s); no by-line.--> |date=2015-11-16 |access-date=2023-02-17 |website=National Pollutant Discharge Elimination System |publisher=U.S. Environmental Protection Agency (EPA) |___location=Washington, D.C.}}</ref> EPA estimated that upgrading every municipal treatment and collection system to reduce the frequency of overflow events to no more than once every five years would cost about $88 billion as of 2004.<ref name="EPA-RTC">{{cite report |date=August 2004 |title=Report to Congress: Impacts and Control of CSOs and SSOs |url=https://www.epa.gov/npdes/2004-npdes-cso-report-congress |access-date=2023-02-17 |publisher=EPA |id=EPA-833-R-04-001}}</ref> This cost would be in addition to approximately $10 billion already invested. Although the volume of untreated sewage discharged to the environment is less than 0.01 percent of all treated sewage in the United States, the total volume amounts to several billion gallons per annum and accounts for thousands of cases of gastrointestinal illness each year.<ref name="EPA-RTC" />{{rp|Ch. 6}}
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Developed European countries and Japan have similar or somewhat larger percentages of SSO events compared to the U.S.{{citation needed|date=June 2015}}
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