How to swim safely this summer
Summer is here. Kids are out of school. Summer camps and different outdoor activities are here for our kids to enjoy. Parents are looking forward to this time, as our kids will spend more time outside and less inactive time watching television.
Swimming is one of the most fun activities during the summer. Pediatricians, as part of their anticipatory guidance, will discuss with parents several pieces of advice regarding swimming. We advise on safety precautions, having secure fences around swimming pools, swimming lessons, the need to always watch kids closely in and around the water, and never have a false sense of security, particularly for the younger children (even if they know how to swim).
One important element that we often add to this guidance is how swimmers, both adults and children, must keep the swimming pool water clean. This is critical to protect your child’s health and the health of all those who share the swimming pool with your kids.
Last week, the Center for Disease Control (CDC) put out a news release stating that the number of diarrheal cases connected to swimming pools is on the rise. The most common bug that causes these diarrheal illnesses after swimming in a pool is a parasite called Crypto (Cryptosporidium). I hate to use the word dirty pool, as Crypto is not easily killed by chlorine. The pool water can be clear and treated appropriately, but the water can be contaminated with the parasite. Crypto can lasts up to 10 days in pool water or playground water (like water parks).
Children that are affected by crypto will develop diarrhea, stomach pain, stomach cramps and at times vomiting, fevers and weight loss. Some people can have crypto and have no symptoms. But people with low immunity can get very sick. Kids can get dehydrated. So it is critical to keep up with fluids. Crypto can affect people of any age, from very young babies to older individuals. Although Crypto diarrhea is the focus of this column, there are other recreational water illnesses that are prevalent in the summer. These might include infections of the eyes, ears and skin. Other bugs can also be acquired in the water, including Escherichia Coli (E.Coli 0157:H7) and another parasite called Giardia.
There are several ways to keep children safe from getting sick with Crypto diarrhea. Kids who are sick with diarrhea of any kind should not be brought to the pool to swim. These children should only swim two weeks after the diarrheal illness has stopped entirely. Adults and children should shower or rinse profusely right before getting into the swimming pool. Diapers should be changed in the diaper-change area. Diapers should be checked regularly while kids are swimming in the pool. Kids should be taken out of the pool often for bathroom breaks. Remind every child that they should not swallow the swimming pool water.
As I highlight the news release from the CDC, I would like to remind our readers that the majority of our swimming pools and public swimming pools are well maintained and they are safe. The cases of Crypto are still few. The concern is that the number of Crypto outbreaks has doubled from 16 in 2014 to 32 in 2016. So public health officials are worried that the number of cases will continue to increase if we do not take the proper precautions.
There is nothing like summer fun. As our kids start swimming for the summer vacation, one must remember that the water overall is clean, but chlorine does not kill everything and the pool water is not germ-free. The CDC, in putting out a press release, does not discourage swimming. It wants our families to practice healthy swimming.
For more information regarding healthy swimming, please check out this website on your mobile phone, tablet or computer: www.cdc.gov/ healthywater/swimming/.