Chattanooga Times Free Press

Practice good etiquette at indoor public pool

DEAR DOCTOR: With cooler weather, our kids, who love swimming, are switching from the lake to the pool at our local Y. Just how dangerous is it to swim in a public pool?

- Elizabeth Ko, M.D., is an internist and primary care physician at UCLA Health. Send your questions to askthedoct­ors@mednet.ucla.edu, or write: Ask the Doctors, c/o Media Relations, UCLA Health, 924 Westwood Blvd., Suite 350, Los Angeles, CA 90095.

DEAR READER: Any time you share a common space, whether with one other person or a crowd, you run the risk of being exposed to whatever germs, viruses, parasites, bacteria, molds or other environmen­tal hitchhiker­s they may have brought along. While chlorine significan­tly reduces the potential health risks posed by public swimming pools, it’s not a guarantee.

When used in the proper amounts needed to maintain a consistent pH, chlorine eliminates all manner of nasty bugs including E. coli, norovirus, hepatitis A and giardia.

However, Cryptospor­idium, a microscopi­c parasite that causes a diarrheal disease that can last two to three weeks, is different. Due to a protective coating during part of its life cycle, Cryptospor­idium, commonly known as Crypto, can survive for up to 10 days in the pool, even one that is properly maintained. According to the Centers for Disease Control and Prevention, in recent years Cryptospor­idium has become the leading cause of pool-related outbreaks of diarrheal illness in the United States.

It’s not just swimming pools that are at risk when used by people infected with Crypto. Water parks,

hot tubs and recreation­al fountains can become contaminat­ed as well. So can lakes and the ocean, although there, with the vastly larger volume of water, the odds of contact are somewhat reduced.

Ironically, the very chemicals used to keep swimming pool water clean can themselves become health hazards. The scent of chlorine, particular­ly in indoor pools where adequate ventilatio­n can be difficult, is a sign that chloramine­s, a compound present in chlorinate­d water, has turned to gas. Chloramine­s can cause nasal irritation, coughing or wheezing, and can even trigger asthma attacks.

Your best defense is insisting on good pool etiquette.

› Choose a pool that insists patrons take a preswim shower.

› Make sure that anyone with diarrhea never goes into the pool.

› Take young children on frequent bathroom breaks.

› Remember: Diapers don’t belong in swimming pools.

› Any time you see feces in the water, or when the smell of chlorine becomes strong, tell pool management.

 ??  ?? Dr. Elizabeth Ko
Dr. Elizabeth Ko

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