Is It Safe for Elementary Students to Swim in Warm Water Pools? - Pediatrics

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Enterovirus


Is it suitable for elementary school students to swim in a warm water pool now? Thank you.

mia, 40~49 year old female. Ask Date: 2008/06/21

Dr. Xiao Kaiwen reply Pediatrics


Swimming pools can indeed be a potential route for transmission; however, the chlorine added to the pool water has an inhibitory effect on enteroviruses.
As long as it is not during a peak outbreak of enteroviruses, parents need not be overly concerned and can still allow their children to play in regularly disinfected swimming pools.
It is advisable to rinse off before entering the pool and to rinse the mouth after swimming to reduce the risk of infection.
However, since we are currently in a peak period for enterovirus outbreaks, particularly with the more lethal enterovirus 71 strain this year, I believe it is best to avoid public places as much as possible.
If attendance is necessary, one should choose swimming pools that comply with regulatory disinfection standards and still pay attention to personal hygiene.

Reply Date: 2008/06/21

More Info


Swimming is a popular activity among elementary students, and warm water pools can provide a comfortable environment for them to enjoy. However, several factors need to be considered to ensure the safety and health of young swimmers.

First and foremost, warm water pools are generally safe for elementary students, provided that certain precautions are taken. Warm water can be soothing and beneficial for muscle relaxation, making it an excellent choice for children who may have stiffness or soreness from physical activities. However, it's crucial to monitor the water temperature. The ideal temperature for a warm water pool is typically between 85°F to 87°F (29°C to 31°C). Temperatures above this range can lead to overheating, especially in young children, who may not be able to regulate their body temperature as effectively as adults.

In addition to temperature, the cleanliness and maintenance of the pool are vital. Warm water pools can be breeding grounds for bacteria if not properly chlorinated and maintained. It's essential to ensure that the pool follows strict hygiene protocols, including regular testing of water quality and appropriate chlorination levels. Parents and guardians should also educate children about personal hygiene, such as showering before entering the pool and avoiding swimming when feeling unwell.

Another concern is the risk of drowning or near-drowning incidents, which can occur in any swimming environment. Lifeguards should be present to monitor the pool area, and children should always swim with adult supervision. Teaching children basic swimming skills and water safety practices is crucial. This includes understanding how to float, tread water, and signal for help if needed.

In terms of health risks, there is a potential for respiratory issues, such as inhalation pneumonia, particularly if children accidentally ingest water or are exposed to contaminated water. While the risk of developing aspiration pneumonia from a single incident of choking on water is relatively low, repeated incidents or exposure to contaminated water can increase this risk. Parents should be vigilant for signs of respiratory distress, such as coughing, wheezing, or fever, and seek medical attention if these symptoms arise.

Moreover, the concern about secondary drowning, which can occur when water is inhaled into the lungs and causes delayed respiratory issues, is valid. While this is rare, it can happen after a near-drowning event. Parents should be informed about the signs of secondary drowning, which may include difficulty breathing, persistent coughing, or unusual lethargy after swimming. If any of these symptoms occur, it is crucial to seek medical attention immediately.

Lastly, the use of water bottles and hydration practices should also be considered. Children often forget to wash their hands before drinking from water bottles, especially after playing in the pool. It is advisable to encourage children to wash their hands before consuming any food or drinks to minimize the risk of gastrointestinal infections.

In conclusion, elementary students can safely swim in warm water pools if proper precautions are taken. Monitoring water temperature, ensuring pool hygiene, supervising children, teaching water safety, and being aware of health risks are all essential components of a safe swimming experience. By following these guidelines, parents can help ensure that their children enjoy swimming while minimizing potential health risks.

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