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Does the health risk to swimmers increase as indicator bacterial levels increase?

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Does the health risk to swimmers increase as indicator bacterial levels increase?

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Swimming in water with sewage contamination or elevated bacterial levels may increase the risk of contracting illnesses such as skin rashes, diarrhea, and ear infections. Past studies show that as the indicator bacteria levels increase, the swimming-associated illness rate increases. Several studies have established a statistically significant relationship between increasing bacterial levels and increased rates of illness.

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