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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}}
In [[developing countries]], most wastewater is still not treated when discharged into the environment. The [[People's Republic of China]] discharged about 55 percent of all sewage without treatment of any type, as of 2001.<ref>"[[World Bank]] Supports China's Wastewater Treatment", ''The People’s Daily'', November 30, 2001, Beijing</ref> In a relatively developed [[Middle East]]ern country such as [[Iran]], the majority of [[Tehran]]'s population has totally untreated sewage injected to the
In many countries there are obligations to measure and report SSO occurrence using real-time [[telemetry]] to warn the public, bathers and shellfishery operators.{{citation needed|date=June 2016}}
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