Swimmer's ear is America's most common waterborne illness, accounting for about 65% of annual waterborne illnesses and 20% of hospitalizations in that category.

Learn about swimmer's ear, which sickens 1 in 10 Americans

This outer ear infection—in the tube leading from the ear opening to the eardrum—is usually caused by bacteria. Formally called otitis externa, this condition is commonly called swimmer's ear because microbes can enter the ear canal while swimming.

Swimming boosts the risk of contracting swimmer's ear by fivefold

The term swimmer's ear is a bit of a misnomer since other factors including scratches to your ear from Q tips, trapped perspiration inside the ear when you sweat, and living in tropical climates can elevate the risk of contracting this outer ear infection. But swimming poses the greatest risk: widely cited research has found that swimming elevates the risk of contracting this infection fivefold.

Swimmer's ear is not contagious

Though a lot of people may have symptoms of swimmer's ear at the same time at the same pool, that's because they are all swimming and the moisture is remaining in their ears—not because they are passing this bacterial or fungal-caused infection to each other. People of any age swimming in a pool, lake, or other body of water are all at risk, though children are considered particularly vulnerable.

Explore why swimmer's ear will not go away on its own

This infection is typically treated with ear drops to reduce inflammation and fight the bacteria or fungus that led to the issue. But without treatment, complications can arise, including a deep tissue infection, bone or cartilage damage, or—very rarely—spreading beyond the ear into the skull bones and surrounding areas.

Ear infections can arise from chlorinated water, too

Any water remaining in the ear can lead to swimmer's ear. Chlorinated water, however, can also strip the skin of the oils and wax that would otherwise protect the ear.

Doctors explain that most ear infections—but not swimmer's ear—affect the middle ear

A typical ear infection occurs in the area behind the eardrum, but swimmer's ear is an infection of the ear canal. Its characteristic symptom is pain whenever the ear is moved, though it can also include itching and a sense of fullness. Symptoms typically begin within a few days or a week of a water buildup not being addressed.

Children are at increased risk of contracting swimmer's ear

Kids may be more likely to spend time at the pool so they have that water exposure. They also tend to have narrow ear canals, a prime location for water to get trapped. Frequently wearing earbuds or excessively trying to rid ears of earwax, however, can also increase the chances of painful swimmer's ear infections at any age.

Exactly who coined the term 'swimmer's ear' remains unknown

There is no record of anyone being the first person to call otitis externa by its most commonly known name, swimmer's ear. The earliest known use of the term was in a 1917 news article, according to the Oxford English Dictionary. The article in Connecticut's The Day stated that the illness was appearing among swimmers and bathers that summer.

Listen to why extensive ear rinsing can create problems

The clinician who hosts this podcast discusses how his patient developed swimmer's ear after he flooded his ears with water during his daily showers, ostensibly to clean them. The resulting itchy, painful ears were the result of removing protective earwax in the ear and also altering the typical pH of the ear.

Watch how to safely remove water from your ears without increasing your risk of infection.

Surfer's ear, from repeated cold water exposure, leads to new bony protrusions in the ear

Frequent exposure to icy cold water, typical in surfing, can cause tiny bony growths to develop in the ear canal, informally called surfer's ear. While the exact cause for these growths is unknown, it may be the body's protective response to shield the ear drum from the cold. These protrusions can heighten the risk of swimmer's ear, lead to wax buildup, and result in hearing loss.

We can get food poisoning from spending time in swimming pools, lakes, rivers, and ponds

Some of the same pathogens that may sicken us in food or water may also sicken us in recreational swimming environments. Bacteria can rub off of people’s (or animal’s) bodies or contaminate the water through a diarrheal episode. Washing your hands for at least 20 seconds before eating food if you are at the beach, pool, or other similar environments and being sure not to swallow the water are ways to help keep safe.

Foodborne illnesses cost our country an estimated $74.7 billion in 2023

A US government estimate puts the cost of all foodborne illness in 2023 at almost $75 billion dollars. In a report published by the US Department of Agriculture’s Economic Research Service, government analysts detailed how the burden of foodborne illness includes medical costs, but also more hidden costs like lost wages. The analysis also breaks down estimated costs by pathogen.

Although rare, HFMD can spreads in pools due to poor bathroom hygiene

In pools with inadequate levels of chlorine, this disease can spread via the poop-to-mouth route, though this isn't one of the most common ways the disease is transmitted. People can become infected by swallowing contaminated pool water after little kids (or their parents) don't do an adequate job removing virus-laden feces from the child before the child enters the water.

One in six Americans contracts food poisoning each year.

The US had about 155.4 million emergency room visits in 2022, and more than a third involved injuries, including poisonings.

See why wearing earbuds—instead of over-the-ear headphones—can cause ear infections

Earbud headphones can heighten the risk of ear infections. They can lead to earwax buildup and create a dark, moist environment as you sweat—ideal conditions for germs to thrive. Wearing external over-the-ear headphones or ones that don't enter deep into the ear canal can help.

Fungal diseases cost the US around $19B annually.

Q-tips can cause more problems than they solve

Swabbing the ear with a Q-tip can disrupt the ear wax that naturally protects the ear from dirt and bacteria. It can also tear the delicate skin of the ear drum, causing permanent hearing loss and constant discomfort that's similar to the symptoms of swimmer's ear. (Some users may encounter a paywall.)

Norovirus is the leading cause of food poisoning in the US

The illness is typically transmitted when virus-laden feces gets into another person’s mouth. That occurs when people do not properly wash their hands, contaminating food or surfaces.

There were 23 reported cruise ship outbreaks of gastrointestinal illness in 2025—something that happens often enough that there's a whole program at the US CDC devoted to tracking them.

Mosquito-borne illnesses have killed two captive orcas at SeaWorld since they became water park attractions.

Pickleball injuries were responsible for $350M in medical costs in 2023

Unsurprisingly, picklers over 50 account for 90% of the injuries, with the most common being sprains, strains, and fractures. Experts say a substantial pregame warm-up can prevent most injuries.

1 in 4 people around the world don't have access to clean water

Poor water sanitation puts people at risk of acquiring this diarrheal infection. Cholera infections are on the rise due to extreme weather events and conflict. In recent years there have been cholera outbreaks in locations that hadn't seen the disease in many years, including Haiti.

Lyme disease is the most common vector-borne illness in the US

In the US, ticks account for 90% of all disease transmission from bites, including mosquitoes. And Lyme disease is the most common vector-borne disease in the US overall, with estimates suggesting there are about 475,000 Lyme cases annually across the nation.

Restaurants are where most of us contract food poisoning in the US.

Infants are particularly at-risk for ear infections

The Eustachian tubes, which connect the middle ear to the upper throat and help to drain fluids and equalize pressure, are relatively flat at birth, making it hard for gravity to assist with drainage. The angle of these tubes changes and becomes steeper as we age, making fluid buildup in the ear canal less common.

There are more than 200,000 cases of HFMD annually, and there's no cure

The highly contagious disease is caused by several viruses and it primarily affects little kids. It causes red spots in and around the mouth, hands, feet, and even the buttocks. They often become painful water-filled blisters that can burst and cause small ulcers. Eating and drinking is uncomfortable for about a week so patients need to be careful not to become dehydrated.

Hand, foot, and mouth is usually seasonal—peaking in summer—but not always

This painful, contagious disease most commonly has outbreaks in summer and early fall in the US because the enteroviruses that cause disease can most readily survive and be transmitted in warmer, humid conditions. It can still show up throughout the year, however.

Read the 2012 study about captive orcas and the threat of mosquito-borne illness

Written by orca trainers who went on to become scientists, it states mosquitoes bite orcas at night when the animals hang out close to the surface. What's more, antibiotics used to keep captive orcas healthy also may depress their immune response, boosting the risks of them being unable to fight off diseases like West Nile Virus and encephalitis, which have killed orcas at US water parks.

Tinnitus is the most common compensated claim for US veterans

Since 2003, tinnitus has been the top-ranked compensated claim among US veterans. In 2024 alone, there were more than 3.2 million awards for tinnitus. (Some users may encounter a paywall.)

More than 4,000 people died from cholera in 2023

This global health threat sickened more than half a million people in 2023 and killed 4,007 people. That's a 71% increase in deaths as compared to a year earlier. (Report only offered in PDF format.)

Becoming an Olympic swimmer costs tens of thousands of dollars

When you see Olympic athletes win gold, it's the culmination of years of hard work and discipline. But it isn't all sweat equity. Before ever stepping foot on the world stage, these athletes have to pay or find funding for private coaching and lessons, club memberships, and meet fees, with estimates that it costs $25K to $40K to make it to the Olympics.

More than 20 mosquito-borne and tick-borne diseases are found in the US

Children, older adults, and people with compromised immune systems are at particular risk of poorer health outcomes from these diseases. But dog owners and outdoor enthusiasts are among those at particular risk of contracting these illnesses, which include Lyme disease, Zika, and the condition Alpha-gal Syndrome.

See Virginia's spike in HFMD cases in 2025

The state's own tracking showed a significant jump in HFMD cases in July 2025 as compared to the prior few years, and that more people were visiting the emergency room and urgent care centers for the disease, but epidemiologists could not explain why the numbers were so high.

If kids have ear tubes, over-the-counter ear drop solutions to clear buildup shouldn't be used

Mixes of acetic acid or alcohol to help speed water evaporation in the ears shouldn't be placed into children's ears if they have a hole in the eardrum or if they had ear tubes inserted—hollow cylinders made of plastic or metal that are inserted into the eardrum by a doctor to help drain fluid and improve airflow in the middle ear. Alcohol or acids can cause irritation to the middle ear and intense pain as they pass through the hole or tube.

CDC does not require docs to report hand, foot, and mouth cases which makes tracking difficult

Mid-Atlantic states saw a surge of hand, foot, and mouth disease in 2025 for as-yet unknown reasons. Virginia, Maryland, and New Jersey, reported elevated outbreak numbers in 2025 as compared to other recent years, but since the US Centers for Disease Control and Prevention does not require mandatory reporting of positive HFMD cases—unlike strictly notifiable diseases like measles—it's hard to truly know the extent of the outbreaks and how significant the caseload is as compared to prior years across the region or country.

The canal carried germs as well as goods

In 1832, North America’s first cholera epidemic spread inland by way of the Erie Canal, carried by immigrants arriving on ships. Fearful towns barred passengers from disembarking, yet cholera, smallpox, and other diseases still traveled the waterway.

Lyme disease may cost about $1B annually in the US

The economic burden of the disease in this estimate includes direct medical costs and societal costs, including productivity losses. It does not include suspected, undiagnosed, or nonacute cases, which would push that figure upward.

Environmental conditions, shifting immunity, and viral strain could help explain 2025 spike

The surge in HFMD in the summer and early fall of 2025 in the mid-Atlantic could be the result of a confluence of factors, including a more virulent strain of disease-causing virus, good environmental conditions for the virus to spread—hot, humd—and a potential immunity gap among kids due to milder HFMD outbreaks the previous year.

Candida auris spreads easily in healthcare facilities and causes high death rates

This fungus has spread rapidly in healthcare settings since the first US case was reported in 2016, and it has grown increasingly resistant to echinocandins, the antifungal medicine most commonly used to treat it. Often, it’s resistant to multiple antifungal drugs, contributing to its high death toll. It can most readily infect those with invasive medical devices like intravenous catheters and those with frequent or long-duration stays in healthcare facilities.

Mental illness in the US costs roughly $282B annually nationwide.

The first major norovirus outbreak, in 1968, sickened half an elementary school.

More than 5% of the world's population has disabling hearing loss

Disabling hearing loss is defined as hearing loss greater than 35 decibels in the better hearing ear. (For context, that means the sound of leaves rustling, at roughly 30 decibels, would be inaudible even to your better-hearing ear.) The World Health Organization's data suggests that more than 5% of the world's population has this level of loss requiring rehabilitation, which amounts to 430 million people—including 34 million children.

In 2012, a virus that causes HFMD may have killed dozens of kids in Asia

More than 50 young children in Cambodia died in spring 2012 for unknown reasons, but laboratory testing of samples available from a limited number of those children came back positive for Enterovirus 71. That virus, which can cause HFMD, is known to cause severe complications among some people who contract the disease. But health officials concluded that poor baseline health and then incorrect treatment using steroids helped exacerbate their condition, helping lead to the deaths.

Neanderthals commonly had surfer's ear, a potential sign of extensive seafood collection

Analysis from 2019 found that about half of the 23 Neanderthal skulls scientists examined seemed to have the bony growths in the inner ear, signifying they had surfer's ear. Those growths suggest our ancient relatives, dating back to between perhaps 100,000 and 40,000 years ago, were potentially hunting fish, mollusks, or other marine resources in chilly waters.

Read a study about racial differences in Lyme disease diagnosis

The research published in September 2025 examined differences in Lyme disease diagnosis among Medicaid and Medicare beneficiaries using data from 2016 to 2021. It notes that though US Lyme disease surveillance data indicates more than 90% of diagnosed Lyme cases are among white people, people of color—particularly those who identify as Black or African American—have higher rates of more severe disease of Lyme, with symptoms including arthritis and neurologic impacts.

Healthcare fraud may cost the US more than $100B annually—see this dashboard tracking healthcare fraud cases nationwide.

Fireworks-related ER visits in 2024 increased by 52% as compared to the prior year.

West Nile was reported in 47 states in 2025, with more than 1,400 people severely affected

Tracking numbers from the CDC indicate that the virus spread widely that year, with more than 2,000 reported human cases and many states seeing more than 25 sickened people. More than 1,400 people had neuroinvasive cases of the disease—meaning the virus had entered the nervous system, which can cause severe, potentially life-threatening illness.