Can you get a brain-eating amoeba from tap water?

If water contaminated with N. fowleri gets into the nose — for example, when someone dives or jumps into water — these amoebas can travel via the olfactory nerve to the brain. There, they begin destroying brain tissue, triggering inflammation that can cause a condition called primary amoebic meningoencephalitis (PAM). Patients with PAM normally end up in a coma and die within five days after their symptoms begin.

Related: Rare 'brain-eating' amoeba infection behind death of 2-year-old in Nevada

But can you acquire a brain-eating-amoeba infection from tap water? 

The short answer is no — assuming the tap water is properly disinfected.

"Tap water is an almost-unheard-of source of these infections," Dr. William Schaffner, a professor of preventive medicine at Vanderbilt University Medical Center in Tennessee, told Live Science. That's because conventional tap water from your city or community water supply is usually filtered and treated with chlorine, he said. Indeed, one part per million of free chlorine is enough to kill 99.9% of the amoebas in water within nine minutes. 

However, there are a couple of exceptions. People who use neti pots to rinse their noses, for instance, may accidentally contaminate the tap water they add to it if their fingers have residual bits of dirt that contains the amoebas. If the pot isn't thoroughly cleaned before use, they may end up inhaling this contaminated water up their nose. 

Additionally, in rural areas, people may get their water from wells that are untreated. Again, if they then use a neti pot, or forcefully inhale this untreated water, N. fowleri may get into their nose and lead to infection, Schaffner said. 

There have been cases in the U.S. where people have gotten brain-eating-amoeba infections via tap water, Dennis Kyle, director of the Center for Tropical and Emerging Global Diseases at the University of Georgia, told Live Science. However, this is usually because the water was not properly chlorinated, he said. 

Elsewhere in the world — for example, in Pakistan — there have been reported cases of people being infected with N. fowleri after cleaning their nose with contaminated water during ritual ablutions, or cleansing ceremonies, Kyle said. 

"There's so much we don't know about these amoebae that we really have to learn: better tests for diagnosis and more effective drugs," he added. "But tap water should be safe if it's properly chlorinated."

This article is for informational purposes only and is not meant to offer medical advice.

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