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'https://openalex.org/W2994180846', 'https://openalex.org/W2995098403', 'https://openalex.org/W2995942512', 'https://openalex.org/W2996776104', 'https://openalex.org/W2996787634', 'https://openalex.org/W2997611786', 'https://openalex.org/W3000095183', 'https://openalex.org/W3000242977', 'https://openalex.org/W3003390580', 'https://openalex.org/W3017822049', 'https://openalex.org/W3027992367', 'https://openalex.org/W3158100215', 'https://openalex.org/W4211003364', 'https://openalex.org/W4211041911', 'https://openalex.org/W4212781379', 'https://openalex.org/W4235455947', 'https://openalex.org/W4253609418', 'https://openalex.org/W4256603424', 'https://openalex.org/W4292257712', 'https://openalex.org/W4300072857', 'https://openalex.org/W4300465701', 'https://openalex.org/W4302392854', 'https://openalex.org/W4396946000', 'https://openalex.org/W608265930', 'https://openalex.org/W638835997', 'https://openalex.org/W72490731'], 'related_works': ['https://openalex.org/W4296706127', 'https://openalex.org/W4224269771', 'https://openalex.org/W3150758196', 'https://openalex.org/W3110408977', 'https://openalex.org/W2792447872', 'https://openalex.org/W2388437362', 'https://openalex.org/W2385372034', 'https://openalex.org/W2377305886', 'https://openalex.org/W2371790036', 'https://openalex.org/W2054461511'], 'abstract_inverted_index': {'<strong>Background:</strong>': [0], 'Pollution': [1, 164, 453], '–': [2, 14, 284, 544, 563, 662], 'unwanted': [3], 'waste': [4, 260, 562, 911, 1000], 'released': [5, 279, 556], 'to': [6, 68, 83, 123, 303, 310, 328, 478, 506, 533, 642, 712, 729, 769, 780, 785, 865, 873, 970, 977, 989, 993, 1055], 'air,': [7], 'water,': [8], 'and': [9, 45, 57, 71, 75, 92, 111, 125, 131, 155, 171, 190, 199, 217, 227, 236, 244, 251, 287, 318, 321, 343, 391, 404, 406, 417, 440, 444, 450, 454, 475, 488, 521, 528, 540, 550, 575, 588, 599, 608, 618, 625, 640, 681, 692, 717, 756, 772, 775, 801, 820, 824, 856, 860, 877, 892, 906, 926, 935, 944, 952, 962, 1001, 1016, 1037, 1041, 1052], 'land': [10], 'by': [11, 348, 435, 747, 924, 964], 'human': [12, 43, 69, 99, 133, 146, 495, 713, 822, 879, 1039], 'activity': [13], 'is': [15, 27, 51, 168, 178, 221, 240, 267, 278, 629, 672, 686, 791, 887, 975, 1046], 'the': [16, 23, 90, 112, 129, 140, 166, 210, 225, 232, 262, 268, 275, 325, 329, 368, 384, 387, 393, 427, 467, 491, 558, 572, 647, 659, 687, 696, 705, 828, 844, 857, 1011, 1057, 1060], 'largest': [17], 'environmental': [18, 663], 'cause': [19, 595, 609, 615], 'of': [20, 42, 47, 61, 77, 95, 115, 128, 142, 165, 182, 234, 248, 258, 271, 293, 299, 305, 364, 386, 395, 429, 446, 462, 502, 512, 554, 578, 646, 650, 689, 695, 707, 740, 806, 846, 882, 896, 909, 929, 933, 938, 948, 1013, 1024, 1044, 1050, 1059], 'disease': [21, 539], 'in': [22, 150, 172, 274, 356, 408, 481, 586, 638, 658, 1020], 'world': [24], 'today.': [25], 'It': [26, 64, 177, 208, 220, 412, 676, 685, 699, 703, 812, 826], 'responsible': [28], 'for': [29, 121, 159, 525, 537, 837], 'an': [30, 52, 252, 1047], 'estimated': [31, 253], 'nine': [32], 'million': [33, 255], 'premature': [34], 'deaths': [35], 'per': [36], 'year,': [37], 'enormous': [38], 'economic': [39, 724], 'losses,': [40], 'erosion': [41], 'capital,': [44], 'degradation': [46], 'ecosystems.': [48, 702], 'Ocean': [49, 334, 670, 732], 'pollution': [50, 97, 127, 144, 335, 399, 652, 671, 733, 743, 761, 774, 808, 867, 876, 883, 923, 943, 955], 'important,': [53], 'but': [54, 719], 'insufficiently': [55], 'recognized': [56], 'inadequately': [58], 'controlled': [59, 746], 'component': [60, 247], 'global': [62, 113, 349, 479, 674, 858], 'pollution.': [63, 782, 901, 914], 'poses': [65], 'serious': [66], 'threats': [67, 711], 'health': [70, 496, 648, 714, 823, 1040, 1058], 'well-being.': [72, 825, 1042], 'The': [73], 'nature': [74], 'magnitude': [76], 'these': [78, 116, 344, 507, 592, 767], 'impacts': [79, 94, 339, 345, 649], 'are': [80, 316, 346, 458, 490, 498, 715, 726, 776, 945, 959], 'only': [81, 727], 'beginning': [82, 728], 'be': [84, 730, 735, 745, 871, 971], 'understood.': [85, 500, 722], '<strong>Goals:</strong>': [86], '(1)': [87], 'Broadly': [88], 'examine': [89, 139], 'known': [91], 'potential': [93], 'ocean': [96, 143, 249, 371, 492, 651, 742, 781, 807, 847, 875], 'on': [98, 145, 340, 655, 665, 752, 903, 916, 1003, 1007], 'health.': [100, 134, 880], '(2)': [101], 'Inform': [102], 'policy': [103], 'makers,': [104], 'government': [105], 'leaders,': [106], 'international': [107, 953, 1053], 'organizations,': [108], 'civil': [109, 854], 'society,': [110], 'public': [114], 'threats.': [117], '(3)': [118], 'Propose': [119], 'priorities': [120], 'interventions': [122, 981], 'control': [124, 770, 790, 956], 'prevent': [126], 'seas': [130, 263, 320, 369, 559], 'safeguard': [132, 1030], '<strong>Methods:</strong>': [135], 'Topic-focused': [136], 'reviews': [137], 'that': [138, 359, 424, 584, 631, 758, 788, 958, 982, 997], 'effects': [141, 497], 'health,': [147], 'identify': [148], 'gaps': [149], 'knowledge,': [151], 'project': [152], 'future': [153], 'trends,': [154], 'offer': [156], 'evidence-based': [157, 863], 'guidance': [158], 'effective': [160], 'intervention.': [161], '<strong>Environmental': [162], 'Findings:</strong>': [163, 333, 486], 'oceans': [167, 211], 'widespread,': [169], 'worsening,': [170], 'most': [173, 228], 'countries': [174, 764], 'poorly': [175], 'controlled.': [176], 'a': [179, 241, 666, 673, 994], 'complex': [180], 'mixture': [181], 'toxic': [183], 'metals,': [184], 'plastics,': [185], 'manufactured': [186, 422], 'chemicals,': [187, 196, 552], 'petroleum,': [188], 'urban': [189], 'industrial': [191, 930], 'wastes,': [192, 473], 'pesticides,': [193, 474], 'fertilizers,': [194], 'pharmaceutical': [195, 472], 'agricultural': [197], 'runoff,': [198, 214, 439], 'sewage.': [200], 'More': [201], 'than': [202, 1006], '80%': [203], 'arises': [204, 677], 'from': [205, 280, 324, 560, 678, 884], 'land-based': [206, 885], 'sources.': [207, 762], 'reaches': [209], 'through': [212, 509], 'rivers,': [213], 'atmospheric': [215, 708], 'deposition': [216], 'direct': [218], 'discharges.': [219], 'often': [222], 'heaviest': [223], 'near': [224], 'coasts': [226, 233], 'highly': [229, 245], 'concentrated': [230], 'along': [231], 'low-': [235], 'middle-income': [237], 'countries.': [238, 1022], 'Plastic': [239, 398], 'rapidly': [242], 'increasing': [243, 297, 626], 'visible': [246], 'pollution,': [250, 449, 627, 741, 848], '10': [254], 'metric': [256], 'tons': [257], 'plastic': [259, 561, 905, 910, 913], 'enter': [261, 426], 'each': [264], 'year.': [265], 'Mercury': [266], 'metal': [269], 'pollutant': [270], 'greatest': [272], 'concern': [273], 'oceans;': [276], 'it': [277], 'two': [281], 'main': [282], 'sources': [283, 680, 886], 'coal': [285, 890], 'combustion': [286, 891], 'small-scale': [288], 'gold': [289], 'mining.': [290], 'Global': [291, 660], 'spread': [292], 'industrialized': [294], 'agriculture': [295], 'with': [296], 'use': [298], 'chemical': [300], 'fertilizer': [301], 'leads': [302], 'extension': [304], 'Harmful': [306], 'Algal': [307], 'Blooms': [308], '(HABs)': [309], 'previously': [311], 'unaffected': [312], 'regions.': [313], 'Chemical': [314], 'pollutants': [315, 353, 493, 508, 919], 'ubiquitous': [317], 'contaminate': [319], 'marine': [322, 341, 357, 388, 401, 430, 613, 701, 954], 'organisms': [323], 'high': [326, 630], 'Arctic': [327], 'abyssal': [330], 'depths.': [331], '<strong>Ecosystem': [332], 'has': [336], 'multiple': [337, 421, 679], 'negative': [338], 'ecosystems,': [342, 1032], 'exacerbated': [347], 'climate': [350, 623], 'change.': [351], 'Petroleum-based': [352], 'reduce': [354, 519, 568, 899, 912], 'photosynthesis': [355], 'microorganisms': [358, 382], 'generate': [360], 'oxygen.': [361, 709], 'Increasing': [362], 'absorption': [363], 'carbon': [365], 'dioxide': [366], 'into': [367, 415, 557], 'causes': [370], 'acidification,': [372], 'which': [373], 'destroys': [374], 'coral': [375, 802], 'reefs,': [376], 'impairs': [377], 'shellfish': [378], 'development,': [379], 'dissolves': [380], 'calcium-containing': [381], 'at': [383, 868], 'base': [385], 'food': [389], 'web,': [390], 'increases': [392, 815], 'toxicity': [394], 'some': [396], 'pollutants.': [397], 'threatens': [400], 'mammals,': [402], 'fish,': [403], 'seabirds': [405], 'accumulates': [407], 'large': [409], 'mid-ocean': [410], 'gyres.': [411], 'breaks': [413], 'down': [414], 'microplastic': [416], 'nanoplastic': [418], 'particles': [419], 'containing': [420], 'chemicals': [423, 543], 'can': [425, 515, 564, 594, 604, 734, 744], 'tissues': [428], 'organisms,': [431], 'including': [432, 634], 'species': [433], 'consumed': [434], 'humans.': [436], 'Industrial': [437, 470], 'releases,': [438], 'sewage': [441, 476], 'increase': [442, 522, 535, 576, 637], 'frequency': [443, 639, 947], 'severity': [445], 'HABs,': [447], 'bacterial': [448], 'anti-microbial': [451], 'resistance.': [452], 'sea': [455], 'surface': [456], 'warming': [457], 'triggering': [459], 'poleward': [460], 'migration': [461], 'dangerous': [463], 'pathogens': [464], 'such': [465], 'as': [466], '<em>Vibrio</em>': [468, 632], 'species.': [469], 'discharges,': [471, 931], 'contribute': [477], 'declines': [480], 'fish': [482, 587, 1035], 'stocks.': [483], '<strong>Human': [484], 'Health': [485], 'Methylmercury': [487], 'PCBs': [489, 925], 'whose': [494], 'best': [499], 'Exposures': [501], 'infants': [503], '<em>in': [504], 'utero</em>': [505], 'maternal': [510], 'consumption': [511], 'contaminated': [513], 'seafood': [514], 'damage': [516, 571], 'developing': [517], 'brains,': [518], 'IQ': [520], 'children’s': [523], 'risks': [524, 536], 'autism,': [526], 'ADHD': [527], 'learning': [529], 'disorders.': [530], 'Adult': [531], 'exposures': [532], 'methylmercury': [534], 'cardiovascular': [538], 'dementia.': [541], 'Manufactured': [542], 'phthalates,': [545], 'bisphenol': [546], 'A,': [547], 'flame': [548], 'retardants,': [549], 'perfluorinated': [551], 'many': [553, 810], 'them': [555, 779], 'disrupt': [565], 'endocrine': [566], 'signaling,': [567], 'male': [569], 'fertility,': [570], 'nervous': [573], 'system,': [574], 'risk': [577, 628], 'cancer.': [579], 'HABs': [580], 'produce': [581], 'potent': [582], 'toxins': [583, 593, 603], 'accumulate': [585], 'shellfish.': [589], 'When': [590], 'ingested,': [591], 'severe': [596], 'neurological': [597], 'impairment': [598], 'rapid': [600], 'death.': [601], 'HAB': [602], 'also': [605], 'become': [606], 'airborne': [607], 'respiratory': [610], 'disease.': [611], 'Pathogenic': [612], 'bacteria': [614], 'gastrointestinal': [616], 'diseases': [617], 'deep': [619], 'wound': [620], 'infections.': [621], 'With': [622], 'change': [624], 'infections,': [633], 'cholera,': [635], 'will': [636, 835, 870, 898, 1029], 'extend': [641], 'new': [643], 'areas.': [644], 'All': [645], 'fall': [653], 'disproportionately': [654], 'vulnerable': [656, 1034], 'populations': [657], 'South': [661], 'injustice': [664], 'planetary': [667], 'scale.': [668], '<strong>Conclusions:</strong>': [669], 'problem.': [675], 'crosses': [682], 'national': [683, 1051], 'boundaries.': [684], 'consequence': [688], 'reckless,': [690], 'shortsighted,': [691], 'unsustainable': [693], 'exploitation': [694], 'earth’s': [697], 'resources.': [698], 'endangers': [700], 'impedes': [704], 'production': [706], 'Its': [710, 723], 'great': [716, 984], 'growing,': [718], 'still': [720], 'incompletely': [721], 'costs': [725], 'counted.': [731], 'prevented.': [736], 'Like': [737], 'all': [738, 894, 1021], 'forms': [739], 'deploying': [748], 'data-driven': [749], 'strategies': [750], 'based': [751], 'law,': [753], 'policy,': [754], 'technology,': [755], 'enforcement': [757, 966], 'target': [759], 'priority': [760], 'Many': [763], 'have': [765, 796, 921, 940, 967], 'used': [766], 'tools': [768], 'air': [771], 'water': [773], 'now': [777], 'applying': [778], 'Successes': [783], 'achieved': [784], 'date': [786], 'demonstrate': [787], 'broader': [789], 'feasible.': [792], 'Heavily': [793], 'polluted': [794], 'harbors': [795], 'been': [797, 968], 'cleaned,': [798], 'estuaries': [799], 'rejuvenated,': [800], 'reefs': [803], 'restored.': [804], 'Prevention': [805, 881], 'creates': [809, 998], 'benefits.': [811], 'boosts': [813], 'economies,': [814], 'tourism,': [816], 'helps': [817], 'restore': [818], 'fisheries,': [819], 'improves': [821], 'advances': [827], 'Sustainable': [829], 'Development': [830], 'Goals': [831], '(SDG).': [832], 'These': [833], 'benefits': [834], 'last': [836], 'centuries.': [838], '<strong>Recommendations:</strong>': [839], 'World': [840], 'leaders': [841], 'who': [842], 'recognize': [843], 'gravity': [845], 'acknowledge': [849], 'its': [850], 'growing': [851], 'dangers,': [852], 'engage': [853], 'society': [855], 'public,': [859], 'take': [861], 'bold,': [862], 'action': [864], 'stop': [866], 'source': [869], 'critical': [872, 1031], 'preventing': [874], 'safeguarding': [878], 'key.': [888], 'Eliminating': [889], 'banning': [893], 'uses': [895], 'mercury': [897, 900], 'Bans': [902, 915], 'single-use': [904], 'better': [907], 'management': [908], 'persistent': [917], 'organic': [918], '(POPs)': [920], 'reduced': [922, 936], 'DDT.': [927], 'Control': [928], 'treatment': [932], 'sewage,': [934], 'applications': [937], 'fertilizers': [939], 'mitigated': [941], 'coastal': [942], 'reducing': [946], 'HABs.': [949], 'National,': [950], 'regional': [951], 'programs': [957], 'adequately': [960], 'funded': [961], 'backed': [963], 'strong': [965], 'shown': [969], 'effective.': [972], 'Robust': [973], 'monitoring': [974], 'essential': [976], 'track': [978], 'progress.': [979], 'Further': [980], 'hold': [983], 'promise': [985], 'include': [986], 'wide-scale': [987], 'transition': [988, 992], 'renewable': [990], 'fuels;': [991], 'circular': [995], 'economy': [996], 'little': [999], 'focuses': [1002], 'equity': [1004], 'rather': [1005], 'endless': [1008], 'growth;': [1009], 'embracing': [1010], 'principles': [1012], 'green': [1014], 'chemistry;': [1015], 'building': [1017], 'scientific': [1018], 'capacity': [1019], 'Designation': [1023], 'Marine': [1025], 'Protected': [1026], 'Areas': [1027], '(MPAs)': [1028], 'protect': [1033], 'stocks,': [1036], 'enhance': [1038], 'Creation': [1043], 'MPAs': [1045], 'important': [1048], 'manifestation': [1049], 'commitment': [1054], 'protecting': [1056], 'seas.': [1061]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W3108665729', 'counts_by_year': [{'year': 2024, 'cited_by_count': 124}, {'year': 2023, 'cited_by_count': 151}, {'year': 2022, 'cited_by_count': 112}, {'year': 2021, 'cited_by_count': 37}, {'year': 2020, 'cited_by_count': 2}], 'updated_date': '2024-09-23T20:28:05.491381', 'created_date': '2020-12-07'}