The Medellin River Project involves implementing a sanitation program for the Medellin River, including a water treatment plant and interceptors. The river faces pollution issues from industrial and domestic waste, causing odor issues and changes in water quality. The San Fernando water treatment plant, operated by EPM, treats wastewater from surrounding municipalities to remove 80% of pollution before returning it to the Medellin River, improving water conditions. However, the plant does not address all contamination such as dumping of coloring agents that still discolor the river at times.