By Glen Clark, MD, chief, Emergency Services, Beaumont Hospital, Grosse Pointe
Q: I overhead someone talking about recreational water illnesses. I've never heard this term used before. What is it and what should I know about it?
A: The term recreational water illness (RWIs) refers to the transmission of germs spread by swallowing, breathing or having contact with contaminated water. RWIs can be present in pools, spas, lakes, rivers and oceans. RWIs can cause a wide variety of symptoms, including gastrointestinal, skin, ear, respiratory, eye, neurologic and wound infections.
Feces is the most common culprit in the spread of RWIs. Children who are not potty trained should wear approved swim diapers at all times. Individuals with diarrhea should refrain from swimming until symptoms are non-existent.
Before jumping into your favorite swimming hole, consider the condition of the water and the surroundings. In addition to asking the attendant about pool policies and cleaning schedules, there are a few things you can do. The sides of the pool should not be sticky or slippery.
The water should be clear and free from odor. If there is a strong chemical smell, it indicates there are maintenance deficiencies. A well-chlorinated pool has no order. Chlorine and pH levels should be checked twice a day. Ask what the health inspector's grade was for the pool at the last inspection.
Natural bodies of water can be contaminated by animal waste, sewage spills and runoff from rainfalls. Pay special attention to posted "no swimming" signs.
To help protect against RWIs, practice healthy swimming behaviors. Do not swim if you have diarrhea; shower with soap before and after swimming; wash your hands after using the bathroom while swimming; and most importantly, do not swallow any pool water or get pool water in your mouth.
If you have a backyard swimming pool, check chlorine and pH levels of the water often. Allow only approved swim diapers and do not allow the family pet in the pool.
Swimming is an all-time favorite summer pastime. Keep it safe by being a smart swimmer.
For more information contact: Glen Clark, MD, chief, Emergency Services, Beaumont Hospital, Grosse Pointe at 313-417-6940.
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