Hundreds of people in Devon have been urged ‘not to drink’ tap water without boiling it after a microscopic parasite infiltrated their water supply.

South West Water revealed ‘small traces’ of cryptosporidium, commonly known as ‘crypto’, were found in the water in Brixham. 

The chlorine-resistant parasite, which can cause vomiting, stomach pains and a fever, can survive in water for up to a week.

It is spread by contaminated faecal matter entering the mouth.

So how safe is your tap water? And what else could be lurking in your supply? Could it be doing any harm? 

Our interactive graphic below shows the key pathogens we might unknowingly drink every day.

The specific level of substances detected varied across the country and represent only minute traces per litre. Of the thousands of tests conducted only a small fraction returned a positive result above threshold levels.

South West Water handing out emergency rations of bottled water to anyone affected by the Cryptosporidium outbreak yesterday in Broadsands car park, Brixham

South West Water handing out emergency rations of bottled water to anyone affected by the Cryptosporidium outbreak yesterday in Broadsands car park, Brixham

Figures from the Government’s Drinking Water Inspectorate (DWI) suggest bacteria normally found in our guts can sometimes be found in tap water. 

Both types measured by regulators (E.coli and Enterococci) can, in theory, make people ill, though for most people this is usually mild.

Instead their presence is normally measured as an indicator that water supplies may have been contaminated by human faecal matter.

As such the DWI sets the limit as 0 bacterium per 100ml, meaning that, at least in principle, no such bacteria should ever be detected in home supplies.

How can you test for cryptosporidium? 

To know for sure if you’ve been infected – and to tell it from other infections – is to ask the doctor to test a stool sample. 

Patients may be asked to submit several stool samples over several days. 

Private cryptosporidium stool tests are also available online but can cost as much as £150. 

According to the NHS, patients can expect results within one to three days. 

Public Health Wales, however, caution that the test may ‘occasionally’ fail to detect cryptosporidium in a sample especially if the parasite is present in low numbers. 

Negative test result ‘may be obtained for someone who does indeed have Cryptosporidium infection’, they say. 

This isn’t the case though, with 27 breaches detected in 2022. The vast majority (12) were from Severn Trent Water, which supplies 4.5million homes and businesses in the Midlands.

And at least 5,577 Britons on private supplies drank water contaminated with faecal matter in 2022.

Professor Paul Hunter, a renowned infectious diseases expert from the University of East Anglia and who has advised the WHO on standards for drinking water, said these pathogens are unlikely to make a Briton ill but are good indicators of contamination.

‘They are generally not hazardous in themselves but are an indication that the water could have been contaminated by faecal matter,’ he said.

‘There are some types of E. coli that can cause potentially severe diarrhoea, but the most common type of this often wouldn’t show as a positive even if present.

‘So the presence of an indicator E. coli or Enterococcus does not mean that disease-causing bacteria are present just that we cannot say they are absent.

‘You could probably drink water with quite a few indicator bacteria in it without getting sick. But the indicators are present you could not rule it out.’

He added that another aspect that can muddy the data is often people contaminate their own tap water by accidently touching a tap opening while washing their hands after going to the toilet.

This puts the bacteria right at the opening of the tap and, therefore, isn’t an indicator that the supply itself is contaminated.

Professor Hunter added that British drinking water is, overall, very safe and the fact that only 27 tests came back positive, out of the 150,000-plus carried out, was, in fact, a ‘good’ result.

Yesterday, however, UK Health Security Agency (UKHSA) officials said 22 cases of cryptosporidium infection have been confirmed in Brixham. 

For most people, cryptosporidiosis — the technical name for the infection — is mild.

South West Water posted a warning to customers in Brixham on its website

South West Water posted a warning to customers in Brixham on its website

UK Health Security Agency officials said 22 cases of cryptosporidium infection have been confirmed in Brixham. For most people, cryptosporidiosis ¿ the technical name for the infection ¿ is mild. It typically clears on its own without any treatment within a few days or weeks.

UK Health Security Agency officials said 22 cases of cryptosporidium infection have been confirmed in Brixham. For most people, cryptosporidiosis — the technical name for the infection — is mild. It typically clears on its own without any treatment within a few days or weeks.

It typically clears on its own without any treatment within a few days or weeks.

However, for vulnerable people, like those with weakened immune systems and the elderly or patients undergoing cancer treatment, it can be more serious.

Due to its highly infectious nature people with symptoms such as diarrhoea and vomiting are told to stay off work or school until they have been free from these symptoms for at least 48 hours.  

DWI figures also suggest pesticides, chemicals made to kill unwanted weeds and vermin, can enter British water supplies via runoff from gardens and farms as well as other sources.

The DWI sets a limit of 0.5μg/L for the total of amount of all pesticides in tap water, but this is set to 0.1μg/L for some specific types.

This latter limit was breached three times in 2022, all by water supplied by Northumbrian, Essex and Suffolk Water Ltd.

Other chemicals include PFAS, dubbed ‘forever chemicals’ for their ability to persist in the environment for years, copper, iron and even nickel. 

What is Cryptosporidium?

Cryptosporidium parasites are protected by a thick shell that allows them to survive in chlorinated swimming pool water

Cryptosporidium parasites are protected by a thick shell that allows them to survive in chlorinated swimming pool water

Cryptosporidium, also known as Crypto, are tiny parasites that live in water and enter the body through food or drink.

They cause an illness called Cryptosporidiosis, with the most common symptom being watery diarrhoea. It can also cause nausea, vomiting and fever.

Symptoms usually last about two weeks, but can go on longer. Young children and people with weak immune systems are more likely to be more seriously affected.

The parasites are protected by a thick outer shell that allows them to survive outside the body. In cool, moist conditions, they can live for several months.

They are also resistant to chlorine, so can live in swimming pools for up to a week.

Ingesting just 10 Cryptosporidium parasites is enough to make you ill

Ingesting just 10 Cryptosporidium parasites is enough to make you ill 

Outbreaks of cryptosporidiosis have been linked to drinking or swimming in contaminated water. Foods prepared with contaminated water, such salads that are washed with it, can also be a danger.

Farmers who handle livestock can also be at risk, as the infection can be caught from cows, goats and sheep – particularly lambs.

Once they are swallowed, the Cryptosporidium shells break open and the parasites are released.

However, some of the parasites will pass through a person’s digestive system intact, so infection can occur by ingesting poo particles from an infected person, such as by changing nappies of a poorly baby.

Infected people can shed up to 100 million parasites in a single bowel movement. Swallowing just ten is enough to get ill.

The UK Health Security Agency (UKHSA) provides advice on controlling outbreaks of cryptosporidiosis and monitors outbreaks to find the source.

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