algal blooms (HABs). The impacts of HABs include human illness and mortality (from either consumption of or indirect exposure to toxins), economic losses to coastal communities and commer- cial fisheries, and mortality of fish, birds and mammals (UNEP/ MAP 2011). The bioaccumulation of toxins in fish may also be re- sponsible for high mortality rates in dolphins (UNEP/MAP/MED POL 2005). Although coastal pollution is not the primary cause of algal blooms, there is a direct relation between it and their frequency (UNEP/MAP/MED POL and WHO 2008).
Eutrophication can also lead to hypoxic (low oxygen) and anox- ic (total oxygen depletion) conditions. The decrease in oxygen is due both to algae reducing dissolved oxygen through respi- ration and the decomposition of dead algae. In extreme cases, oxygen depletion can result in the death of marine organisms.
52 STATE OF THE MEDITERRANEAN MARINE AND COASTAL ENVIRONMENT
Both fish and shellfish kills have been recorded in the Mediter- ranean (UNEP/MAP/MED POL 2005).
Numerous Mediterranean species have been lost locally as a result of eutrophication. Echinoderms (e.g., starfish, sea urchins), crusta- ceans and other taxa tend to disappear from heavily disturbed or polluted areas, to be replaced by a smaller number of Polychaeta (marine worm) species (UNEP/MAP/MED POL 2005). There have been major reductions of benthic organisms in the North Adriatic Sea, for example, as a result of recurrent anoxia in the bottom wa- ters (UNEP/MAP/MED POL 2005). It is thought that some fifteen species of molluscs and three species of crustaceans have been lost because of these conditions. The creation of bacterial mats in anoxic zones can have long-lasting negative impacts on critical sea grass meadows (UNEP/MAP/MED POL 2005).