“…Studies conducted in rivers throughout the United Kingdom have demonstrated the feminization of male fish and the presence of intersex (ova-testes) in wild populations of roach (Rutilus rutilus), which was associated with the proximity to municipal wastewater-treatment plants (MWWTPs) [ [1][2][3]. In addition to intersex, MWWTP effluents have been associated with vitellogenin induction in male fish [7,8], altered steroid hormone production [9,10], reduced secondary sex characteristics [11,12], disrupted behavior [13,14], impaired gametogenesis [15,16], and effects on somatic indices, including gonad somatic index (GSI) and liver somatic index (LSI) [8,17,18]. In addition to intersex, MWWTP effluents have been associated with vitellogenin induction in male fish [7,8], altered steroid hormone production [9,10], reduced secondary sex characteristics [11,12], disrupted behavior [13,14], impaired gametogenesis [15,16], and effects on somatic indices, including gonad somatic index (GSI) and liver somatic index (LSI) [8,17,18].…”