Primary (mechanical) treatment is designed to remove gross, suspended and floating solids from raw sewage. It includes screening to trap solid objects and sedimentation by gravity to remove suspended solids. This level is sometimes referred to as “mechanical treatment”, although chemicals are often used to accelerate the sedimentation process. Primary treatment can reduce the BOD of the incoming wastewater by 20-30% and the total suspended solids by some 50-60%. Primary treatment is usually the first stage of wastewater treatment. Many advanced wastewater treatment plants in industrialized countries have started with primary treatment, and have then added other treatment stages as wastewater load has grown, as the need for treatment has increased, and as resources have become available.