Travelers should exercise extreme caution when swimming abroad, particularly in developing countries where emergency services may not be readily available. River and ocean currents have the potential to be swift and dangerous. There may be no lifeguards or signs warning of dangerous beaches. Also, in locations that experience heavy seasonal rains, currents can rapidly change in strength and speed. It is our experience that individuals from non-coastal areas often lack experience in assessing ocean currents for riptides and other water hazards related to coastal life.
When possible, swim at designated beaches with clear warning systems. Swim between the flags only where a lifeguard is present, and never swim alone. Travelers should not consume alcohol before or during swimming activities.
If swimming is a part of your program or travel experience:
- Do not swim alone
- Be clear about your swimming abilities
- Develop a “safety plan” with fellow swimming companions
- Stay in areas designated by your program provider, travel agent, or other responsible party administering your travel experience
- Heed all warning signs/flags
- Refrain from consuming alcohol prior to swimming activities
- Wear a life jacket
- Understand how to manage rip currents, a very common water danger
The most common cause of water-borne illness is bacteria, such as E. coli, cholera and salmonella, but illness can also be caused by protozoa (including giardia and cryptosporidium), viruses (like hepatitis A, polio and rotavirus) and chemical pollutants.
In many cases, travelers become ill simply because the pathogens in the water are foreign to their immune systems, while locals have adapted to the water supply and can drink it without problems.
The best way to protect yourself is to avoid local tap water and opt for bottled water; when that’s not available, boiling tap water generally kills most micro-organisms, and there are a number of good water filters and purification tablets that can easily be stowed in your carry-on. Read on for tips on how to keep yourself safe drinking water on your next trip.
Know the Risks
Mexico is well known for its unsafe drinking water, but travelers also face high risk in Central America, most of Africa and Asia, and the Middle East. Drinking water is generally safest in developed areas of the world like the U.S., Canada, Australia, New Zealand, Northern and Western Europe, many parts of the Caribbean, and Japan.
Keep in mind that water quality may vary depending on where you are in a particular country. For example, in Costa Rica you’ll probably find safe tap water at a major city hotel, but you may have to boil water before drinking it if you’re staying in a small rural village. If you’re not sure, consult a reliable guidebook or do some internet research before you leave.
So-called developed countries aren’t necessarily risk-free; cryptosporidium outbreaks have appeared in the U.S. Midwest and Northwest, as well as in highly populated cities in Australia. Giardia has been found in the water supply in St. Petersburg, Russia. Check the Centers for Disease Control’s website to see region-specific health info.
Some cities may advertise their drinking water as being chlorinated, but this doesn’t necessarily mean that the water is contaminant-free. Your best approach when faced with potentially unsafe drinking water is avoidance.
What (Not) to Drink
Bottled water is generally safe, but only in sealed, tamper-proof containers. Ask someone at your hotel to recommend a reliable local brand.
In addition to bottled water, you’ll usually be safe drinking tea, coffee, canned soda and juice.
Prolonged exposure to higher temperatures will kill many parasites. Drinking from a hot water bottle is slightly safer than drinking untreated cold water.
You don’t need to drink contaminated water to be exposed; always consider alternate sources of exposure, like the water you use to brush your teeth, or to wash your contact lenses or dentures. Be sure to use bottled, boiled or purified water for these purposes as well.
Freezing water does not kill bacteria. Ice cubes present the same problem that tap water does. You can make your own ice if you boil the water first.
Avoid food that may have been rinsed in contaminated water, such as salad and fresh fruit.
Drinking Water Purification Tactics
Boiling water is generally the most effective way to remove parasite contamination. Maintain a rolling boil for at least one minute (longer at higher altitudes, where the boiling point may be lower). Let the water cool itself slowly without adding ice. Allow any sediments and particles to settle before drinking, and then decant the water from the top into another container.
Commercially available iodine or chlorine tablets kill bacteria and viruses, but are ineffective against some protozoa (like cryptosporidium). Iodine is the more effective of the two solutions, but is not recommended for long-term use, especially by pregnant women or travelers with a history of thyroid problems. Potable Aqua, composed of the iodine compound tetraglycine hydroperiodide, is the most popular brand of water purification tablet. The company also offers chlorine dioxide tablets, which are effective against cryptosporidium as well as the other organisms killed by iodine. Read directions on all tablets systems for tablet-water ratios and dissolving times; 20 minutes or more may be required for the tablets to dissolve completely, especially in colder water.
For more tips on making water safe to drink, visit the CDC’s website.
What to Do if You Get Sick from Drinking Water
Symptoms of water-borne illness generally include diarrhea, vomiting, nausea, fever, aches and/or chills. These symptoms will usually clear up on their own after a few days; if they worsen or are very severe, seek medical attention. Otherwise, try to stay hydrated with sports drinks, boiled or bottled water, or other safe fluids (steer clear of alcohol and caffeinated beverages, both of which can make dehydration worse). Oral rehydration salts and anti-diarrheal medications may also be helpful.