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Waterborne Illnesses

What are waterborne illnesses?

Waterborne illnesses are pathogens spread or transmitted through water. The symptoms of waterborne illnesses vary, depending on the pathogen, but commonly include diarrhea and vomiting.
 
You can be exposed to waterborne illnesses while in contact with water that contains a waterborne pathogen(s). Exposure can occur from:
  • Ingesting or swallowing water containing a waterborne pathogen(s)
  • Breathing in water that contains a waterborne pathogen(s)
  • Visiting, wading, swimming or playing in a body of water that contains a waterborne pathogen(s)  

Examples of Waterborne Illnesses

  • Diarrheal Illnesses
    • Campylobacteriosis-2023.pdf (PDF)
    • Cryptosporidiosis-2023.pdf (PDF)
    • Cyclosporiasis-2023.pdf (PDF)
    • E. Coli Infection-2023.pdf (PDF)
    • Giardiasis-2023.pdf (PDF)
    • Norovirus-2023.pdf (PDF)
    • Shigellosis-2023.pdf (PDF)
  • Respiratory Illnesses
  • Skin Irritation / Rash
    • Pseudomonas Infection
    • Vibriosis-2012.pdf (PDF)

Recreational Water Illnesses (RWIs)

Recreational Water Illnesses (RWIs) are types of waterborne illnesses that you can be exposed to when visiting, wading, swimming or playing in swimming pools, hot tubs, splash pads, lakes, rivers or oceans.

  • Recreational Water Illnesses-2025.pdf (PDF)
  • Notice to Swimmers-2025.pdf (PDF)
Preventing RWIs
  • Stay out of the water if you have diarrhea.
  • Shower before and after swimming.
  • Do not swallow the water.
  • Take children on frequent bathroom breaks. Wash hands thoroughly.
  • Change diapers frequently. Wash hands thoroughly.
  • Ensure/verify appropriate disinfectant levels in swimming pools and hot tubs. 

Public Health Water Advisory

During an emergency, DC Water may issue a Boil Water Advisory for areas impacted by potential water contamination. DC Health’s Public Health Water Advisory will accompany DC Water’s Boil Water Advisory.
 
Refer to DC Water’s website, a map of the impacted areas will be available. Locate your address of concern on the map to determine if you reside/work/etc. within the impacted areas. Within the impacted areas, utilize tap/drinking water alternatives, as a safety precaution, to lower your risk of getting sick.
  • Public Health Water Advisory-2025.pdf (PDF)
  • Public Health Water Advisory Quick Guide-2025.pdf (PDF)
Report waterborne illnesses to DC Health by emailing [email protected] and [email protected] or by calling 202-754-0369.