In addition to human health related trends, our results also reveal trends in chemical releases that may affect the environment. Though our samples did not undergo the complete wastewater treatment process, many of the compounds we detected are not fully removed by standard treatment trains and are released with the effluent water or sewage sludge. We detected endocrine disrupting compounds including triclocarban, oxybenzone, and sertraline that can have negative impacts on marine organisms and cycle back to humans via consumption of local seafood . Much concern has been expressed about the potential ecological impacts of increased pharmaceutical loads in wastewater, particularly in developing areas where wastewater treatment is limited and access to antibiotic and antiviral medications is not controlled by prescriptions . Spread of resistance to antibiotic and antiviral medications is also a potential concern .