Potentially harmful substances-e.g. pesticides, heavy metals and hydrocarbons-are often released into the aquatic environment. When large quantities of pollutants are released there may be an immediate impact as measured by large-scale sudden mortalities of aquatic organisms, e.g. fish kills resulting from contamination of waterways with agricultural pesticides. Lower levels of discharge may result in an accumulation of the pollutants in aquatic organisms. The end results, which may occur long after the pollutants have passed through the environment, include immunosuppression, reduced metabolism, and damage to gills and epithelia. However, the link between adverse water quality and fish diseases is not proven. Alleged pollution-related diseases include epidermal papilloma, fin/tail rot, gill disease, hyperplasia, liver damage, neoplasia and ulceration. Many surveys have indicated a greater proportion of diseased fish in polluted compared to non-polluted marine sites.