There are no criteria for the "worst" case of water pollution so it is impossible to identify the winner. Contenders for the title would be:
- The pollution of Lake Erie with phosphorous from detergents which ended commercial fishing for many years.
- The release of Mercury from pulp and paper mills that made fish dangerous to eat
- The contamination of the Thames River in England in the 18th and 19th centuries
- The Rhine River contamination in Germany
- The Canals of Venice
- Mercury losses in Japan leading to Minamata disease
- Ohio's Cuyahoga River, which had been compared to "an open septic tank," and frequently caught fire
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