Step 1: Discharging untreated sewage increases the organic matter in the water, which leads to a sharp increase in the Biochemical Oxygen Demand (BOD). Step 2: Microorganisms consume the dissolved oxygen to decompose the organic waste, leading to a decline in Dissolved Oxygen (DO). Step 3: This lack of oxygen results in the mass mortality of fish and other aquatic organisms, and the water becomes a source of waterborne diseases like Cholera.