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NeurologicalNeurological
RespiratoryRespiratory SkinSkin
Wound InfectionsWound Infections
GastrointestinalGastrointestinalEarEar
NeurologicalNeurological
RespiratoryRespiratory SkinSkin
Wound InfectionsWound Infections
GastrointestinalGastrointestinalEarEar
Recreational Water
Illness Can Cause a Wide
Variety of Symptoms
EyeEye
Swimmer’s
Ear
Where Are RWIs
Found?
Swimming PoolsSwimming Pools
Oceans, Lakes, and RiversOceans, Lakes, and Rivers
Decorative Water FountainsDecorative Water Fountains
Hot TubsHot Tubs
Spray FeaturesSpray Features
Water ParksWater Parks
Spray Parks
Swimming Pools
Hot
Tubs
Lakes, Rivers, and Oceans
Who Is Most
Likely to Get Ill
From RWI?
Children
Pregnant Women
People With
Compromised
Immune
Systems
How Are RWIs Spread?
You
wouldn’t
drink
the
water
you
bathe
in…
Water Quality
Why
would
you
drink
the
water
you
swim
in?
Culprit
All right, Who Peed in the Pool?!
Contributors
Waste
Fishing for Brown Trout
Releases
The Unexpected
Why Doesn't Chlorine
Kill RWI Germs?
Chlorine kills most germs that
cause RWIs in < an hour
Crypto (short for cryptosporidium)
survives for days in a properly
disinfected pool
Chlorine vs. Pasteurization
How Can We
Prevent RWIs
For Swimmers:
Take a shower before
swimming.
Don’t swim when you
have diarrhea.
For Parents:
 Take kids on bathroom
breaks.
 Change diapers in bathroom,
not poolside.
 Wash baby bottoms
thoroughly.
 “Buddy up!”
 Get skilled.
 Know your limits.
 Swim in safe areas
only.
Swimming Smarts
 Watch the sun.
 Getting too cool.
 Alcohol and water
never mix.
Swim Safety Tip
"Buddy up!"
Always swim with a partner.
“Buddy Up!”
Experienced swimmers can become tired
or get muscle cramps, which might make it
difficult to get out of the water.
When people swim together, they can help
each other or go for help in case of an
emergency.
Experienced swimmers can become tired
or get muscle cramps, which might make it
difficult to get out of the water.
When people swim together, they can help
each other or go for help in case of an
emergency.
Get Skilled
Learn life-saving techniques,
such as CPR and rescue techniques.
Get Skilled
Take
a
Class
Save
a
Life
Wear Proper Gear
Know Your Limits
Don’t go in water that's
so deep you can't touch
the bottom.
Don't try to keep up
with skilled swimmers.
Unsafe for Swimming
Unsafe for Swimming
Swim in Safe Areas
Only
Be Careful Diving
Cannon Ball
Watch the Sun
Getting Too Cool
Icy Cold
Alcohol and Water Never
Mix
Alcohol is
involved in
numerous water-
related injuries
and up to half of
all water-related
deaths.
Alcohol and Water Never
Mix
The statistics for
teenage guys are
particularly scary:
One-half of all
adolescent male
drownings are tied to
alcohol use.
To Hot to Handle
Long
exposure
may result
in nausea,
dizziness or
fainting.
Ahhh!
Recreational Water Illness’s
in summary:
RWI’s are preventable.
We can protect ourselves & the environment, if
we become more aware of our surroundings.
There will always be a minimal amount of
contamination that will coincide in nature.
We need to protect ourselves from ourselves.
RWI’s are preventable.
We can protect ourselves & the environment, if
we become more aware of our surroundings.
There will always be a minimal amount of
contamination that will coincide in nature.
We need to protect ourselves from ourselves.
Enjoy Recreating
This Children's Environmental Health
presentation was made possible through
a grant from
The Dow Chemical Company Foundation
Credits
• Charles Lichon, R.S., M.P.H., Creator of Children’s EH Program,
Midland County Health Department (CHD) Michigan
• Nancy Atwood, Midland CHD (MI) Sanitarian
• Christine Rogers, Meth Response Coordinator, Kalamazoo CHD,
MI
• Robert Wolfe, Midland CHD (MI) Sanitarian
• John Demerjian and Linda Van Orden, Wayne CHD, MI, Body Art
• National Environmental Health Association (NEHA.org) for
website storage and oversight.
NOTE: Permission to use this and all Children’s EH Power Point
presentations is granted thru NEHA, however, all grant and credit notices
and informational slides must be used during each presentation.
Other presentations include:
 Body Art
 Careers in Environmental Health
 Food Safe Issues
 Household Hazardous Waste
 Meth and Teens
 Recreational Water
 Sun Wise
Contact NEHA.org for more information

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Recreational Water

Editor's Notes

  1. Recreational waters include: Lakes, Pools, Ocean, and any body of water that can be enjoyed. Our focus will include mostly pools.
  2. Depending on your contact with contaminated waters you may develop any of the above infections.
  3. Swimmer&amp;apos;s ear (also called otitis externa) is a painful condition of the visible or outer portion of your ear and ear canal. Men and women of all ages are affected equally, but children and teenagers most frequently develop this type of ear infection. Because the condition occurs most often during the summer with exposure of the ear to water while swimming, many people call it swimmer&amp;apos;s ear. Water from a bath or shower can trigger the condition, too.
  4. The most common illness spread through use of swimming pools is diarrhea. If swimmers are ill with diarrhea, the germs that they carry can contaminate the water if they have an &amp;quot;accident&amp;quot; in the pool. On average, people have about 0.14 grams of feces on their bottoms which, when rinsed off, can contaminate recreational water. When people are ill with diarrhea, their stool can contain millions of germs.
  5. Not all decorative or interactive fountains are chlorinated or filtered. Therefore, when people, especially diaper-aged children, play in the water, they can contaminate the water with fecal matter. Swallowing this contaminated water can then cause diarrheal illness. Some health inspectors refers to these features as a “Giant bidet” !
  6. To ensure that most germs are killed, chlorine or other disinfectant levels and pH should be checked regularly as part of good pool operation. 
  7. Hot TubsSkin infections like &amp;quot;hot tub rash&amp;quot; are the most common RWIs spread through hot tubs and spas. Chlorine and other disinfectant levels evaporate more quickly because of the higher temperature of the water in the tubs.
  8. Natures influence has a great impact too.
  9. The most vulnerable are the very young.
  10. Enough said!
  11. People that are immune compromised, such as cancer patients, prosthetic recipients, HIV infection, and other aliments are at a greater risk.
  12. Awww..
  13. Algae in general is dangerous to swim in because it can cause you can get entangled. Although, it is a great habitat for fish. Blue Green Algae can be toxic to people and animals when it “blooms”. It gives off a toxin that typically makes humans nauseous and causes vomiting, fun right. It is present in many of Michigan’s inland bodies of water.
  14. Well who hasn&amp;apos;t! Think about all the germs excreted from the human body. How many germs are actually found in urine of the typical healthy young adult? Answer: Urine is Sterile. Other illnesses of the kidney, bladder, and urethra may be excreted in the urine.
  15. Waterfowl and other animals contribute too.
  16. Releases are made to recreational water. Case in point –combined city sewers sometimes are overloaded due to heavy rainfall. Releases of untreated waste often occurs because treatment facilities are not sized large enough to handle influx of waste.
  17. What does this really mean?
  18. Unintentional or in some cases intentional releases are made to recreational water.
  19. Sometimes unexpected pollutants are in our Recreational waters from freak accidents. Sometimes aircrafts have to make an emergency landing and have to release there fuel or Oil freighter may run aboard.
  20. Chlorine in swimming pools does kill the germs that may make people sick, but it takes time. Chlorine in properly disinfected pools kills most germs that can cause RWIs in less than an hour. Chlorine takes longer to kill some germs such as Crypto (short for Cryptosporidium), which can survive for days in even a properly disinfected pool. This means that without your help, recreational water illnesses can be spread even in well-maintained pools.
  21. Chlorine acts on germs as pasteurization does in milk. Not all the germs are killed, but most pathogenic ones are targeted. Healthy swimming behaviors are needed to protect you and your family from RWIs and will help stop germs from getting in the pool.
  22. Always swim with a partner, every time, whether you&amp;apos;re swimming in a backyard pool or in a lake
  23. Even experienced swimmers can become tired or get muscle cramps, which might make it difficult to get out of the water. When people swim together, they can help each other or go for help in case of an emergency.
  24. - Speaking of emergencies, it&amp;apos;s good to be prepared. Learning some life-saving techniques, such as CPR and rescue techniques, can help you save a life.
  25. A number of organizations offer free classes for both beginning and experienced swimmers and boaters. Check with your YMCA or YWCA, local hospital, or chapter of the Red Cross
  26. Even this Mr. Ed look alike enjoys a dip in the water every once in while. .
  27. Swimming can be a lot of fun — and you might want to stay in the water as long as possible. If you&amp;apos;re not a good swimmer or you&amp;apos;re just learning to swim, don&amp;apos;t go in water that&amp;apos;s so deep you can&amp;apos;t touch the bottom and don&amp;apos;t try to keep up with skilled swimmers. That can be hard, especially when your friends are challenging you — but it&amp;apos;s a pretty sure bet they&amp;apos;d rather have you safe and alive.
  28. Many beaches from time to time have postings that address safety. Either excessive bacteria levels or dangerous situations like rip tides can causes beaches to temporarily close. STAY OUT for SAFETY SAKE!
  29. Amphibian swimming areas.
  30. Swimming in an open body of water (like a river, lake, or ocean) is different from swimming in a pool. You need more energy to handle the currents and other conditions in the open water.
  31. Most diving injuries are to the cervical spine. As you prepare to dive, you bend your head forward. This weakens the spine by stretching neck ligaments. Upon impact, the spine will dislocate, fracture and tear the spinal column, often causing paralysis. Every single such injury from diving is preventable. The bottom line is -- never dive.
  32. Sun reflecting off the water or off sand can intensify the burning rays. You might not feel sunburned when the water feels cool and refreshing, but the pain will catch up with you later — so remember to reapply sunscreen frequently and cover up much of the time.
  33. Speaking of temperature, it&amp;apos;s possible to get too cool.
  34. Polar bear plunge anyone?
  35. Long exposure may result in nausea, dizziness or fainting for even healthy people. Hot water immersion while under the influence of alcohol, narcotics, or medicines may lead to serious consequences and is not recommended. The spa maximum water temperature is 104º Fahrenheit (40º Celsius).
  36. RWI’s are preventable. We can protect ourselves and the environment, if we become more aware of our surroundings. There will always be a minimal amount of contamination that will coincide in nature. We need to protect ourselves from ourselves.
  37. Thank you for taking the time to learn about using recreational water. Hopefully this presentation enlightened your awareness to some of the dangers that lurk in our environment that many of us take for granted.