Does Swimming Make Herpes Worse or Spread in Pools?

Herpes simplex virus (HSV), commonly known as herpes, is a widespread viral infection. It manifests as either oral herpes (cold sores, typically HSV-1) or genital herpes (typically HSV-2, though HSV-1 can also cause it). Many individuals with herpes have concerns about its transmission, particularly in shared public environments such as swimming pools. This article explores whether swimming can exacerbate herpes or lead to its spread in water.

How Herpes Spreads

Herpes viruses are primarily transmitted through direct skin-to-skin contact with an infected individual. This contact often occurs when active sores, blisters, or lesions are present, as these contain high concentrations of the virus. Transmission can also happen during periods of asymptomatic viral shedding, where the virus is present on the skin surface without visible symptoms. The herpes virus is delicate and does not survive well for extended periods outside the human body, especially on inanimate surfaces, as it requires a warm, moist environment to remain viable but rapidly dries out and becomes inactive when exposed to air or dry conditions. Consequently, the likelihood of transmission from surfaces like towels or toilet seats is very low due to this fragility outside the body.

Water and Herpes Transmission

Herpes transmission through water, such as in swimming pools, hot tubs, or natural bodies of water, is highly improbable, as the virus is quickly inactivated when diluted in large volumes of water. Furthermore, disinfectants commonly used in public pools, like chlorine, are effective at destroying viruses and bacteria. Chlorine works by disrupting the outer layer of viruses, rendering them unable to infect cells. The concentration of chlorine typically maintained in public swimming pools is sufficient to inactivate the herpes simplex virus rapidly. Even with lower disinfectant levels, the sheer dilution of potential viral particles in large bodies of water makes transmission virtually impossible, as herpes is not airborne or waterborne.

Swimming During an Outbreak

While water transmission is not a concern, swimming during an active herpes outbreak warrants personal considerations. Individuals with open sores or blisters may experience discomfort or irritation when exposed to chlorinated water or saltwater. The chemicals in pool water can sting or dry out healing lesions, potentially prolonging the healing process. Additionally, open lesions present a slight risk of secondary bacterial infections if exposed to inadequately disinfected water, as bacteria could enter the broken skin barrier. Therefore, the primary concerns during an active outbreak relate to personal comfort and the prevention of secondary infections, rather than transmitting the virus to others through the water itself.

General Swimming Guidelines

Individuals with herpes who wish to swim can generally do so without concern for transmitting the virus through the water. It is advisable to avoid swimming during an active outbreak if it causes personal discomfort or if lesions are weeping. This precaution helps prevent irritation to the sores and minimizes the minimal risk of secondary bacterial infections. Maintaining good hygiene practices is recommended, including showering before and after swimming, thoroughly drying affected areas, and avoiding sharing towels. These guidelines are primarily for an individual’s comfort and health, not due to a significant risk of waterborne herpes transmission.