Can Water Make You Sick? Signs of Waterborne Illness

Water is essential for life, but it can carry harmful elements, leading to various illnesses. While we rely on water for drinking and recreation, understanding its potential to make us sick is important for well-being. This article explores how water becomes contaminated, the signs of waterborne illnesses, and practical ways to protect your water supply.

Pathways to Contamination

Water can become contaminated through various pathways. Contaminants are categorized into microbiological and chemical types. They can enter water supplies at their source, such as lakes or groundwater, or during distribution through pipes.

Microbiological contaminants include bacteria, viruses, and parasites. Bacteria like E. coli O157, Salmonella, and Campylobacter often enter water through sewage discharges, animal waste, or failing septic systems. Viruses such as Norovirus and Hepatitis A can contaminate water due to poor hygiene or sewage exposure, causing gastrointestinal and liver infections. Parasites like Giardia and Cryptosporidium possess outer shells that make them resistant to chlorine disinfection and can cause severe gastroenteritis.

Chemical contaminants include substances, both naturally occurring and man-made. Heavy metals like lead and arsenic can leach into water from natural geological formations or aging infrastructure, such as pipes. Industrial pollutants, agricultural runoff containing pesticides and fertilizers, and even pharmaceuticals can enter water bodies, posing long-term health risks. Stormwater runoff, originating from streets and other surfaces, often picks up chemicals and germs before entering waterways.

Untreated private wells, where regular testing is not always mandated, and aging municipal water systems with cracked pipes are potential sources. Natural bodies of water like lakes and rivers can harbor contaminants from animal feces or human activity. Even bottled water can cause illness if improperly handled or stored.

Signs of Waterborne Illness

Waterborne illnesses primarily affect the gastrointestinal system. Symptoms include nausea, vomiting, diarrhea, and abdominal cramps. These can appear from a few hours to several days after exposure, with severity depending on the specific contaminant and the individual’s overall health.

Beyond digestive issues, other symptoms can occur. Individuals might experience fever, headaches, and fatigue. Less common but more serious symptoms include skin, ear, or eye problems. Severe dehydration can result from persistent vomiting and diarrhea, which may require medical attention.

Certain pathogens, like Naegleria fowleri, can cause a severe infection affecting the central nervous system. This leads to symptoms such as stiff neck, confusion, and seizures, and is often fatal.

Safeguarding Your Water Supply

Protecting your water supply requires proactive measures. For municipal water users, staying informed about local water quality reports and adhering to boil water advisories is key. While public systems treat and monitor water, consumers should remain vigilant.

Private well owners bear direct responsibility for their water’s safety, necessitating regular testing and maintenance. Experts recommend annual testing for total and fecal coliform bacteria, with additional tests for heavy metals, nitrates, and lead every two to five years. Wells should also be inspected after any repairs or flooding events, which can introduce contaminants.

In emergency situations or when traveling to areas with uncertain water quality, several methods can purify water. Boiling is effective for killing most microorganisms; water should be brought to a rolling boil for at least one minute, or longer at high altitudes. Chemical disinfection using household chlorine bleach can also be used, requiring 8 drops per gallon of clear water, followed by a 30-minute waiting period. Portable water filters and purification tablets are also available, with specific instructions.

Recreational water safety is important in preventing waterborne illnesses. When swimming in natural bodies of water or public pools, avoid swallowing the water. Practicing good hygiene, such as showering before swimming and not entering the water if experiencing diarrhea, helps prevent the spread of germs.

When to Consult a Doctor

Consult a doctor if you suspect a waterborne illness, particularly if symptoms are severe or persistent. Early medical attention can prevent complications and aid recovery.

Consult a doctor if you experience severe dehydration, such as decreased urination, extreme thirst, or lethargy. High fever, bloody diarrhea, or symptoms lasting more than a few days also require medical evaluation. Infants, the elderly, or those with compromised immune systems are at higher risk of serious illness from waterborne pathogens and should seek medical help promptly if symptoms appear.