Not to forget the amount of litter you see in the current near the islands, floating close to the coast together with patches of oil, ropes, and debris of all kind.
I have been travelling to the Maldives since 2004 and things, so far, have only got worst. The islands where the resorts are located are well kept, but this unfortunately doesn't happen in the islands where the locals stay, and Male is the living example for this, and those where nobody lives, which supposedly are inhabited by the local birds and visited by the tourists who sail around the Maldives with a mother vessel, and lands to those patches of sand and palms, to breath the purest essence of this, supposed-to-be, paradise in the Indian ocean.
Keeping the islands clean would be a source of income for some people and finding the better way to treat the litter is a major problem that the Maldives have to face in the nearest future. Not an easy task, yet not an impossible one.