Open defecation is common in south Asia, but human waste is an often overlooked source of nutrient pollution in marine pollution modeling. When nitrogen (N) and phosphorus (P) contributed by human waste was included in models for Bangladesh, India, and Pakistan, the estimated N and P inputs to bodies of water increased one to two orders of magnitude compared to previous models. River export of nutrients to coastal seas increases coastal eutrophication potential (ICEP). The ICEP of the Godavari River is three times higher when N and P inputs from human waste are included.