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CDC Centers for Disease Control and Prevention Home Page

Articles

U.S. GOVERNMENT 1: CDC Swimming Pool Report

If you're like millions of Americans, swimming is one of your favorite ways to exercise. It is also considered a very healthy activity. But did you know that swimming in a dirty pool can actually make you sick? The Center for Disease Control (CDC) is reporting an increase in the number of Americans who have become ill after swimming or bathing in contaminated pools and spas.

Two types of illness that can be caught in an unclean pool are diarrhea and skin infections. These are often caused by bacteria or parasites which are resistant to chlorine. The severity of illness can range from those who don't even feel ill to those who require hospitalization. Between January 2001 and December 2002, the CDC recorded a total of 2,536 swimmers who contracted water-borne diseases. The numbers represent a 21 percent increase in pool-related illness compared to the previous two years.

The CDC named several factors contributing to the higher numbers. Among them are poor pool and spa maintenance, watershed contamination, and the tendency of some people to swim even if they are sick. Babies who are still in diapers are also a frequent source of contamination.

Should you worry about going for a swim? Not if you are in good health. Those who are most at risk of getting ill are pregnant women, very young children, and people who have a weakened immune system. The most serious consequence is dehydration, which can occur if too much water is lost from the body after severe and prolonged diarrhea.

The CDC suggests that outbreaks of illness could be limited by improving public awareness of why it is important that we not go swimming in a public pool if we are sick. They also recommend that public pools adopt policies requiring bathroom breaks and separate water filtration systems for "kiddie" pools.

See The CDC Healthy Swimming Pool Site
 

 
 

Swimmers, Beware: Survey Shows Americans Practicing Unhealthy Pool Habits

National Consumers League, CDC, and Others Partner to Help Consumers Enjoy Healthy Summertime Swimming

Release Date: June 2, 2004
Contact: 202-835-3323,
media@nclnet.org

Washington, DC — According to a new survey released today by the National Consumers League (NCL), Americans’ summertime swimming habits leave much to be desired, with a lack of awareness of potential health dangers from dirty swimming pools and disagreement about where the responsibility of maintaining a pool’s health and safety lies. The telephone survey of 1,009 adults aged 18 and older (497 women and 512 men), conducted by Opinion Research Corporation last month, revealed that although consumers may enjoy a good swim, many may not be aware of what they’re getting into.

NCL released the survey today and announced its involvement in a partnership of national organizations that has launched a summer 2004 Healthy Pools campaign that includes a new Web site, www.healthypools.org. The organizations — the Centers for Disease Control and Prevention, Water Quality and Health Council, Chlorine Chemistry Council, and National Spa & Pool Institute — held a press conference this morning to announce a public education initiative that is designed to improve consumer awareness of the health risks associated with public swimming pools. The new site offers tips on how to recognize risky facilities and how to promote cleaner, healthier pools.

“Swimming pools are an important part of summertime fun, but consumers need to know what they’re getting into,” said Linda Golodner, NCL president. “It doesn’t have to be a guessing game. There are clear signs consumers can look for to protect themselves and their families from unhealthy pools. That’s why getting out this message — that dirty dipping is preventable — is so important.”

Survey Findings

According to the survey, Americans are frequently swimming, but they’re not thinking about the risks that come with potentially unhealthy pools.

  • Only 40 percent of respondents agreed that it is somewhat or very likely that someone can get sick from swimming in a swimming pool. In fact, swallowing, breathing, or having contact with contaminated water from swimming pools can and does spread illnesses. And in the past decade, the number of such outbreaks associated with swimming has increased.

While respondents said they were aware of safe swimming practices, many displayed a disconnect between what they know to be healthy habits and what’s actually being practiced at the pool.

  • A large majority (88 percent) of respondents agreed that you should use soap and water after using the bathroom before going into the pool.  However, less than half (48 percent) reported that the bathrooms were always well maintained and that adequate soap and water were available. 
  • Nearly three-quarters (74 percent) said that one should always shower before going into the pool. However, just 29 percent report that everyone was required to take a shower before entering the pool.

Healthy Pools: Who’s Responsible?

The survey found that those who use pools don’t place much accountability on themselves for maintaining the health of the water.

  • When asked who is most responsible for assuring that a pool — public or private — is clean and sanitary, most respondents said that the owner, manager, or maintenance staff was most responsible. Less than one-quarter (22 percent) said the people who use the pool, including those with children, are most liable. Unfortunately, swimmers are the group of people who have the highest potential for getting sick from an unhealthy pool, and there are things they can do to monitor and improve a pool’s health, such as showering before getting into the water.

Complete survey results and other resources are available at www.nclnet.org 

###


About NCL

The National Consumers League, founded in 1899, is America's pioneer consumer organization. Our mission is to identify, protect, represent, and advance the economic and social interests of consumers and workers. NCL is a private, nonprofit membership organization. For more information, visit www.nclnet.org.


 


Swimming and Waterborne Diseases (abridged article)

Millions of people go swimming and wading each year, and most of them don't get sick. But the actual incidence of water borne disease is not known. Swimming is communal bathing. When you are in the water you are bathing with everyone else in the pool, waterpark, hot tub, spa, lake, river, or ocean. Germs in contaminated water can enter your system if you accidentally swallow the water, and can cause infection in your eyes, nose, ears, as well as in cuts and scrapes.

A pool usually becomes contaminated with germs after someone has a fecal "accident" in the pool. These accidents may be in the form of watery diarrhea. Therefore they are not as easily noticed as a formed stool. In addition, lakes, rivers, and the ocean can become contaminated by sewage, animal waste, and waste water runoff, especially after heavy rains.

What kinds of diseases can I catch from swimming?
A variety of diarrheal diseases and other infections such as skin, ear, and respiratory infections have been linked to swimming. However diarrhea is one of the most common illnesses associated with swimming. Diarrhea is spread when disease-causing germs from human or animal feces get into the water. You can get diarrhea by accidentally swallowing small amounts of water that contains these germs.

Doesn't the chlorine in the pool, hot tub, and spa kill all the germs?
No. Chlorine does a good job of killing most germs, but it does not sterilize the water. A few germs can survive normal pool, hot tub, and spa levels of chlorine for several hours to days. Chlorine must be maintained at proper levels to kill most germs. The high water temperature of hot tubs and spas may cause chlorine to evaporate faster. As a result, chlorine levels in hot tubs and spas need to be checked more regularly than in swimming pools. Remember: even if you can smell the chlorine odor the water is not germ free.

Skin infections are the most common infections spread through hot tubs and spas

Can I get diarrhea from playing and wading in ornamental water fountains?
Yes, if you swallow the water. Several diarrheal disease outbreaks have been associated with playing in ornamental water fountains. Not all ornamental water fountains are chlorinated and filtered. When people, especially diaper-aged children, play in or soak themselves with the water jets, they can contaminate the water.

What is my chance of getting diarrhea when I go swimming?
We don't really know. If public pools are properly maintained and chlorinated, the risk is thought to be low. However, over the past 10 years, over 150 outbreaks have been reported, involving small community pools, large waterparks, hot tubs, spas, lakes, and rivers.

Many outbreaks go unnoticed because people do not consider the pool water as a possible source of illness. It may take up to several weeks for some germs to cause symptoms of illness. The longer the time period between swimming and development of illness, the less likely people are to associate their illness with swimming activity. As a result, the number of actual outbreaks is probably greater than those currently reported.

Is the water safe if I don't see fecal matter in the pool?
Not necessarily. The absence of visible fecal matter in a pool does NOT mean that the pool water is safe. Diarrhea contamination of a pool will most likely be invisible. The safest, well managed pools are maintained with proper chlorine levels at ALL times. Chlorine will kill most, but not all germs, so informed and considerate swimmers play a crucial role in preventing waterborne diseases.

 

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