About Swimmer’s Itch
Swimmer’s itch is a skin reaction by sensitized people, to a larval stage (cercaria) of a group of flatworms whose adults usually live in the veins associated with the intestine of its vertebrate hosts. The microscopic-sized worms lay eggs that work their way into the lumen of the intestine of the vertebrate host so that they can be passed out with the feces. Upon contact with water and light, a ciliated form (miracidium) hatches and swims in a zigzag pattern hoping to contact a specific species of snail. When it gets closer, there appears to be a chemical attraction emitted from the snail which leads to the miracidium penetrating the snail. The miracidium does not enter just any snail, but members of a single species.
Once in the snail, the miracidium migrates to an internal organ, changes to form a network of tubes (sporocysts) that begin reproducing at an incredible rate. About a month later, the end products (cercariae) are released daily, usually early in the morning, stimulated by light. The number of cercariae released each day can be up to several thousand. These forms, living for nearly 24 hours, are dispersed by wind and wave action. This process is repeated daily for each snail from the late spring to early fall. Size of snail, age of the infection and water temperature are important factors in determining how many cercariae are released each day. If the cercariae come in contact with a person, they will penetrate the epidermis; however, in people, they do not have the proper enzymes to proceed further, so they die. In birds, they continue to enter their natural hosts and develop into adult worms.
In sensitized people, the cercaria enters the epidermis and dies. Immediately, a small, red area forms. Within 30 hours, this area of the skin becomes much larger in diameter and then becomes reddened and raised. It is now called a papule that will itch intensely for up to two weeks. There is often a reduced reaction when someone is exposed for the first time. Subsequent exposures usually cause a more severe reaction and children and adults with fair complexions, are usually affected the most.
During the past half century, many myths have resulted from attempts to reduce the adverse effects of swimmer’s itch. Unfortunately, these myths continue to be perpetuated on line, on signs posted at the beaches, and by lake association newsletters. The most common one is advising swimmers to “towel off” and or shower immediately after leaving the water. This advice was introduced decades ago when a few unimportant species were thought to cause swimmer’s itch. Today the great majority of cases of swimmer’s itch is caused by cercariae that penetrate the skin while a person is in the water. In fact, some people can feel a “pricking” sensation when the cercariae penetrate. Once that happens, it is too late.
Another suggestion for reducing swimmer’s itch is for swimmers to go to deeper water, away from infected snails. It is likely that there are fewer cercariae in deeper water but water currents, wave action and off shore winds may distribute cercariae to other regions irrespective of where the cercariae originated. Furthermore, there is evidence that infected snails may go down to a depth of at least 10 meters so deeper water is not a reliable way to prevent swimmer’s itch.
Swimmer’s Itch Guard is a topical cream that prevents swimmer’s itch. It is not an anti-itch or treatment cream for it, but a cream that, when applied properly before entering the water, actually prevents the parasite from penetrating the exposed skin. Since introducing this product in 2010, we estimate there have been well over 100,000 successful applications of Swimmer’s Itch Guard. Click here for more information.