The E.P.A.’s report follows a growing body of research that has found that sludge can be contaminated with human-made “forever chemicals” known as per- and polyfluoroalkyl substances, or PFAS, which are used in a wide range of household items such as nonstick cookware, waterproof clothing and stain-resistant carpets.

Chemicals in sewage sludge that is spread on pasture land as fertilizer are causing cancer, according to the Environmental Protection Agency.