Triathletes are very intense exposed to the contaminated water during training and triathlon competitions. They can become infected due to water ingestion and/or due to skin or mucous membrane contact with the water (Schep 1992). It is very plausible that, during a competition, some athletes are more prone to develop infections than under normal circumstances. There are several physiological mechanisms during exercise that may lower the resistance to infections during and shortly after an endurance effort like a triathlon. It is mainly based upon three mechanisms:
- 1.Goof S. Water quality in international triathlons. Rijksuniversitet Utrect-ETU Medical Committee 1992.Google Scholar
- 2.US EPA. Implementation guidance for ambient water quality criteria for bacteria, EPA-823 B-02-033. Washington, DC: EPA Office of Water; 2002.Google Scholar
- 3.Bathing water quality EEA. http://www.eea.europa.eu/data-and-maps/indicators/bathing-water-quality.
- 5.Briancesco R. Indicatori microbiologici e valutazione della qualità delle acque superficiali. Ann Ist Sp Sanità. 2005;41(3):353–8.Google Scholar
- 6.Foulon G, Maurin J, Quoi N, Martin-Buoyer G. Etude de la morbiditè humaine en relation avec la pollutionbacteriologique des eaux de bagnade en mer. Rev Fr Sci Eaux. 1983;2:127–43.Google Scholar
- 9.Wade JW, Nikita P, Eisenberg JNS, Colford JM Jr. Do us enviromental protection agency water quality guidelines for recreational waters prevent gastrointestinal illness? A systematic review and meta-analysis. Environ Health Perspect. 2003;111(8)Google Scholar
- 10.Levy DA, Bens MS, Craun GF, Calderon RL. Herwaldt, surveillance of waterborne-diseases outbreaks US 1995–1996. Morb MortalWkly Rep. 1998;47:1–34.Google Scholar
- 11.Migliorini S. ITU medical committee report. ITU Congress Gold Coast Queensland (AUS). 2009;Google Scholar
- 12.Scotland.gov.uk. Blue-green algae (cyanobacteria) in inland waters: assessment and control of risks to public health. http://www.scotland.uk/publications/2002/05/14852/5357.
- 13.WHO Water quality: Guidelines, Standards and Health. Indicator of microbial water quality. London: IWA Pubblishing; 2001.Google Scholar
- 14.Nikopoulos T, Migliorini S. ITU water quality matrix. 2018.Google Scholar