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CDC issues guidance to improve health 
and safety at public pools 
The What, Why 
When & How 
What : The Centers for Disease 
Control and Prevention has issued 
the first national Model Aquatic 
Health Code, guidelines that public 
pool operators can follow to help 
keep swimmers healthy and safe and 
that state and local health 
departments can use when they 
create or update public pool 
regulations. 
The code provides tips on safe 
operation of public aquatic facilities, 
including design and construction, 
water filtration and disinfection, 
safety, ventilation and air quality and 
staff training. 
Why 
Americans make more than 300 
million visits to pools each year. The 
number of pool-associated 
outbreaks—mostly of diarrhea—has 
significantly increased during the 
past 20 years. In 2009-2010, the last 
year for which data were available, 
outbreaks involving 57 pools 
sickened more than 1,000 people 
and sent 40 swimmers to the 
hospital. Injuries caused by 
improperly used pool chemicals led 
to about 5,000 emergency 
department visits in 2012 alone. On 
average, nearly 4,000 swimmers 
drown each year; children younger 
than 5 years old are the most 
frequent victims. 
More than two-thirds of local health 
departments inspect public pools each 
year. Studies of data from more than 
120,000 pool inspections found that 1 
in 8 public pools were closed 
immediately because of health and 
safety issues. The Model Aquatic 
Health Code is designed to provide a 
blueprint for health departments and 
public pool owners and operators to 
follow to help decrease illnesses and 
injuries and provide a healthy and safe 
environment for swimmers. 
When 
The Model Aquatic Health Code was 
published today on CDC’s website at 
www.cdc.gov/healthywater/swimming/ 
pools/mahc/. 
How 
All swimming pool codes and legislation 
are developed at the state or local level, 
leading to great variability in standards 
and requiring each locality to devote time 
and resources to regularly updating pool 
codes. A collaboration among CDC, state 
and local public health departments, the 
aquatics sector, and academic experts, 
the MAHC was developed to provide the 
most up-to-date guidance on safely 
building and operating pools. CDC 
developed the MAHC 1st Edition after 
work with more than 150 experts and 
review of more than 4,400 public 
comments. 
For more information about recreational 
water illnesses and healthy swimming, 
go to www.cdc.gov/healthyswimming.

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CDC to improve Health and Safety in Public Pools

  • 1. CDC issues guidance to improve health and safety at public pools The What, Why When & How What : The Centers for Disease Control and Prevention has issued the first national Model Aquatic Health Code, guidelines that public pool operators can follow to help keep swimmers healthy and safe and that state and local health departments can use when they create or update public pool regulations. The code provides tips on safe operation of public aquatic facilities, including design and construction, water filtration and disinfection, safety, ventilation and air quality and staff training. Why Americans make more than 300 million visits to pools each year. The number of pool-associated outbreaks—mostly of diarrhea—has significantly increased during the past 20 years. In 2009-2010, the last year for which data were available, outbreaks involving 57 pools sickened more than 1,000 people and sent 40 swimmers to the hospital. Injuries caused by improperly used pool chemicals led to about 5,000 emergency department visits in 2012 alone. On average, nearly 4,000 swimmers drown each year; children younger than 5 years old are the most frequent victims. More than two-thirds of local health departments inspect public pools each year. Studies of data from more than 120,000 pool inspections found that 1 in 8 public pools were closed immediately because of health and safety issues. The Model Aquatic Health Code is designed to provide a blueprint for health departments and public pool owners and operators to follow to help decrease illnesses and injuries and provide a healthy and safe environment for swimmers. When The Model Aquatic Health Code was published today on CDC’s website at www.cdc.gov/healthywater/swimming/ pools/mahc/. How All swimming pool codes and legislation are developed at the state or local level, leading to great variability in standards and requiring each locality to devote time and resources to regularly updating pool codes. A collaboration among CDC, state and local public health departments, the aquatics sector, and academic experts, the MAHC was developed to provide the most up-to-date guidance on safely building and operating pools. CDC developed the MAHC 1st Edition after work with more than 150 experts and review of more than 4,400 public comments. For more information about recreational water illnesses and healthy swimming, go to www.cdc.gov/healthyswimming.