The health of the world’s ocean is in serious decline—and human health is suffering as a result. That’s according to a comprehensive report investigating the societal impacts of marine pollution, published in the December 3 Annals of Global Health. The report, co-authored by John Stegeman, WHOI biologist and director of the Woods Hole Center for Oceans and Human Health, takes a deep dive into the impacts of climate change, plastic dumping, nutrient runoff, oil spills, and other pollutants on human well-being. “This report is part of a global effort to address questions related to oceans and human health,” says Stegeman. Yet people in lower-income nations bear the majority of the burden, despite their relatively low contribution to the problem.