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Take Me to the River: Things to Know before Diving Into Freshwater

When the summer sun heats up there’s nothing nicer than plunging into a refreshing lake or river. We’ve all had those moments where the heat is so unbearable that before realizing it, we have removed most of our clothing and are posed to dive into a fresh stream headfirst. And why not? When its time to cool down, most people will do anything to alleviate the oppressive temperatures . . . Well, almost anything.

Hives, rashes, and ear infections are common ailments caused when water, along with waterborne bacteria and viruses, attack virgin flesh and get into our ear canals. Much like when new and different foods upset a traveler’s stomach, the same theory applies to sensitive skin in foreign environments. Animal waste, agricultural run-off, and unfamiliar bacteria are all present in fresh water lakes and rivers across the world and can cause your skin to react in sometimes alarming ways.

Allergic reactions to waterborne bacteria such as hives, rashes, and swelling can be easily treated by rinsing off with water or showering, applying calamine lotion, and taking an anti-histamine--in that order, depending on the degree of irritation. Ear infections occur when water gets inside your ear canal and then heats to your cozy 98.6°, causing bacteria to flourish. This common ailment is treatable with antibiotics and generally, after minor aches and pains, goes away.

Schistosomiasis (a.k.a. bilharzia), however, is another matter. This infection is caused by a tiny worm whose eggs are passed in human urine or feces. A certain type of snail ingests the eggs and after a month, releases them into the water, where they then penetrate unbroken human skin and mature inside another human body. And so the cycle begins again. Damage to the liver, bowels, and bladder are all products of the schistosmiasis infection. Stay out of fresh water in tropical Africa, the Amazon, some parts of the Caribbean, and rural areas of Asia. Consult the Centers for Disease Control and Prevention (CDC) if you are planning a trip to one of these regions for more specific information.

Much like avoiding pregnancy, the best way to avoid reacting to polluted water is to abstain from risky behavior all together. Whenever possible avoid contact with freshwater in foreign countries. That said, there will be times that a refreshing dip is absolutely irresistible and you simply must indulge. Here are some general guidelines to make your skin happier through safer swimming:

  • Limit your swimming to chlorinated pools.
  • Take a good look around and see if locals are swimming in the water. If they brave the water, you can too. Chances are you may still have an allergic reaction to the water and its bacteria, but you probably won’t catch any strange tropical diseases.
  • Swim upriver versus down-river. Agricultural waste is disposed of near large bodies of water and generally travels downstream, building up potency as it goes.
  • Towels are your best friends. As a precautionary measure sit on a towel, blanket, or piece of clothing if chairs or hammocks are not available. Thoroughly shake out all your fabric after use so you don't bring any unwanted guests home with you.
  • Avoid freshwater lakes and rivers in tropical Africa, the Amazon, the Caribbean, and rural areas of Asia. They may contain the snails that transmit schistosomiasis to humans.
  • Wear footwear when the going is rough. Rubber thongs or shoes made to be worn in water offer some protection when wading or swimming. In areas frequented by animals, sand and soil may be contaminated. Walking barefoot exposes you to poisonous plants and animals, parasites, fungal infections, puncture wounds, and cuts and bruises.
  • Shower or rinse off as soon as possible after contact with freshwater. Allergic reactions to chemicals or foreign parasites can be severely limited or altogether avoided by cleaning off immediately.

   
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