Prevention – General Public
The following recommendations are intended to help prevent and control cryptosporidiosis in members of the general public. For recommendations for immunocompromised persons, please see the Cryptosporidiosis in Immunocompromised Personspage.
Practice Good Hygiene
Everywhere
- Wash hands with soap and water for at least 20 seconds, rubbing hands together vigorously and scrubbing all surfaces:
- Before preparing or eating food
- After using the toilet
- After changing diapers or cleaning up a child who has used the toilet
- Before and after tending to someone who is ill with diarrhea
- After handling an animal or animal waste
At child care facilities
- To reduce the risk of disease transmission, children with diarrhea should be excluded from child care settings until the diarrhea has stopped.
At recreational water venues (pools, interactive fountains, lakes, ocean)
- Protect others by not swimming if you are experiencing diarrhea (this is essential for children in diapers). If diagnosed with cryptosporidiosis, do not swim for at least 2 weeks after diarrhea stops.
- Shower before entering the water.
- Wash children thoroughly (especially their bottoms) with soap and water after they use the toilet or their diapers are changed and before they enter the water.
- Take children on frequent bathroom breaks and check their diapers often.
- Change diapers in the bathroom, not at the poolside.
Around animals
- Minimize contact with the feces of all animals, particularly young animals.
- When cleaning up animal feces, wear disposable gloves, and always wash hands when finished.
- Wash hands after any contact with animals or their living areas.
Outside
- Wash hands after gardening, even if wearing gloves.
Immunocompromised persons
- Avoid close contact with any person or animal that has cryptosporidiosis. Cryptosporidiosis can become a life threatening disease for immunocompromised persons.
- Do not handle animal feces because infection can be life threatening for immunocompromised persons.
More on: Water-related Hygiene
More on: Healthy Swimming and Recreational Water
More on: Cryptosporidiosis in Immunocompromised Persons
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Avoid Water That Might Be Contaminated
Note:
You may not be protected in a chlorinated recreational water venue (for example, swimming pool, water park, water play area, splash pad, spray pad) becauseCryptosporidium is chlorine-resistant and can live for days in chlorine-treated water.
- Do not swallow water while swimming in swimming pools, hot tubs, interactive fountains, lakes, rivers, springs, ponds, streams or the ocean.
- Reduce contamination of treated recreational water venues by having pool operators install in-line secondary disinfection systems (for example, ultraviolet light, ozone) to inactive this chlorine-tolerant parasite.
- Do not drink untreated water from lakes, rivers, springs, ponds, streams, or shallow wells.
- Do not drink inadequately treated water or ice made from water during communitywide outbreaks caused by contaminated drinking water.
- Do not use or drink inadequately treated water or use ice when traveling in countries where the water supply might be unsafe.
- If the safety of drinking water is questionable (for example, outbreak, poor sanitation, lack of water treatment systems):
- Drink bottled water
- Disinfect it by heating the water to a rolling boil for 1 minute, or
- Use a filter that has been tested and rated by National Safety Foundation (NSF) Standard 53 or NSF Standard 58 for cyst and oocyst reduction; filtered water will need additional treatment to kill or inactivate bacteria and viruses.
More on: Healthy Swimming and Recreational Water
More on: Cryptosporidium & Water Filters
More on: Commercially-Bottled Water and Other Beverages
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Avoid Eating Food That Might Be Contaminated
- Use safe, uncontaminated water to wash all food that is to be eaten raw.
- After washing vegetables and fruit in safe, uncontaminated water, peel them if you plan to eat them raw.
- Avoid eating uncooked foods when traveling in countries with poor water treatment and food sanitation.
Practice Extra Caution While Traveling
More on: Traveler's Health: Safe Food and Water
Prevent Contact and Contamination With Feces During Sex
- Use a barrier during oral-anal sex.
- Wash hands immediately after handling a condom used during anal sex and after touching
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Why Should I Be Concerned about Crypto?
Crypto is one of the most common causes of recreational water illness (disease caused by germs spread through pool water) in the United States and can cause prolonged diarrhea (for 1–2 weeks).
It can make anyone sick, but certain groups of people are more likely to become seriously ill when infected with Crypto:
- Young children
- Pregnant women
- Individuals with weakened immune systems
During the past two decades, Crypto has become recognized as one of the most common causes of waterborne illness in the United States. The germ is found in every part of the United States and the world.
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How is Crypto Spread at Aquatic Facilities?
Crypto is not spread by contact with blood. Crypto can be spread by:
- Swallowing recreational water contaminated with Crypto. You share the water—and the germs in it—with every person who enters the pool. This means that just one person with diarrhea can easily contaminate the water. Swallowing even a small amount of pool water that has been contaminated with the Crypto germ can make you sick. Recreational water is water from swimming pools, hot tubs, fountains, lakes, rivers, springs, ponds, or streams that can be contaminated with sewage or feces from humans or animals.
- Putting something in your mouth or swallowing something (such as food) that has come in contact with the stool of a person or animal infected with Crypto.
- Swallowing Crypto picked up from surfaces (such as lounge chairs, picnic tables, bathroom fixtures, changing tables) contaminated with stool from an infected person.
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How Do I Protect Myself and My Family?
Take action! Because Crypto can stay alive for days even in well-maintained pools, stopping the germ from getting there in the first place is essential.
Three Steps for All Swimmers
Keep germs from causing recreational water illnesses (RWIs):
- Don't swim when you have diarrhea. You can spread germs in the water and make other people sick.
- Don't swallow the pool water. Avoid getting water in your mouth.
- Practice good hygiene. Shower with soap before swimming and wash your hands after using the toilet or changing diapers. Germs on your body end up in the water.
Three Steps for Parents of Young Kids
Keep germs out of the pool:
- Take your kids on bathroom breaks or check diapers often. Waiting to hear "I have to go" may mean that it's too late.
- Change diapers in a bathroom or a diaper-changing area and not at poolside. Germs can spread in and around the pool.
- Wash your child thoroughly (especially the rear end) with soap and water before swimming. Invisible amounts of fecal matter can end up in the pool.
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