In some urban areas, municipal wastewater is carried separately in sanitary sewers and runoff from streets is carried in storm drains. Access to either of these is typically through a manhole. During high precipitation periods a combined sewer overflow can occur, forcing untreated sewage to flow back into the environment. This can pose a serious threat to public health and the surrounding environment.
Sewage may drain directly into major watersheds with minimal or no treatment. When untreated, sewage can have serious impacts on the quality of an environment and on the health of people. Pathogens can cause a variety of illnesses. Some chemicals pose risks even at very low concentrations and can remain a threat for long periods of time because of bioaccumulation in animal or human tissue.