Sewage is Category 3: the standard says remove, not clean
The industry water-damage standard, IICRC S500, classifies sewage as Category 3: grossly contaminated water. Under that standard, porous materials it soaks (carpet and pad, drywall, insulation, particle-board flooring) are typically removed and discarded rather than sanitized in place. That is why a sewage job is scoped so differently from a burst-pipe job.
Source: IICRC — Institute of Inspection, Cleaning and Restoration Certification