How dangerous this is to public health is a matter of debate. There is no doubt that sewage overflow can carry bacteria, viruses, protozoa (parasitic organisms), helminths (intestinal worms), and borroughs (inhaled molds and fungi). These diseases may cause health issues ranging in severity from mild gastroenteritis (causing stomach cramps and diarrhea) to life-threatening ailments such as cholera, dysentery, infections hepatitis, and severe gastroenteritis.
That, of course, doesn't mean they will or do. I can always avoid walking that route on the way to the beach and stop swimming in the lagoon (never liked that idea anyway). Besides, drinking bottled water is probably far more dangerous, given that most bottled water worldwide contains micro-plastic particles.
From a tourism perspective. it's may be more a matter of perception. Tourists generally don't like the idea of getting sick on the their holidays. If they read that they could get sick somewhere, they don't research the claim. They go somewhere else.
Of course some of us may like the idea of keeping tourists away.
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