During 1999–2000, the water quality of the reservoir has been investigated from 16 sampling points on the river and its tributaries, by the Ministry of Environment and the Litani River Authority as a part of an exercise to evolve management plan for the Litani River and Lake Qaroun's catchment. It has been noted that seven sewer networks drain directly into the river. Untreated sewage from the towns of Baalbek, Houch el Rafqa, Qaa er Rim, Zahle, Chtoura, Qabb Elias, Bar Elias, Joub Jannine and Qaraoun flow into the Litani River or its tributaries, apart from industrial effluents many factories related to manufacture of sugar, paper, lead, limestone crushers, agro-industries and also from poultry farms, tanneries and slaughterhouses. The pollution is noted by the high recorded values of BOD5 (79 mg/L) and nitrates (1.7 mg/L) in the Litani River.