Most pristine rivers will have a 5-day carbonaceous BOD below 1 mg/L. Moderately polluted rivers may have a BOD value in the range of 2 to 8 mg/L. Rivers may be considered severely polluted when BOD values exceed 8 mg/L. Municipal sewage that is efficiently treated by a three-stage process would have a value of about 20 mg/L or less. Untreated sewage varies, but averages around 600 mg/L in Europe and as low as 200 mg/L in the U.S., or where there is severe groundwater or surface water infiltration/inflow. The generally lower values in the U.S. derive from the much greater water use per capita than in other parts of the world.