Centers for Disease Control and Prevention
 CDC Home Search Health Topics A-Z

Division of Parasitic Diseases
Parasitic Disease Information

Alphabetical Listing | Travel
DPD Logo

Home
Professional Info
Public Info

About DPD
Announcements
Recent Publications
DPD Search

 

BackFact Sheet
Preventing Cryptosporidiosis:
A Guide to Water Filters and Bottled Water

Filtering tap water: Many, but not all available home water filters remove Cryptosporidium. Some filter designs are more suitable for removal of Cryptosporidium than others. Filters that have the words "reverse osmosis" on the label protect against Cryptosporidium. Many other types of filters that work by micro-straining also work. Look for a filter that will remove particles that are less than or equal to 1 micron in diameter. There are two types of these - "absolute 1 micron" filters and "nominal 1 micron" filters. The absolute 1 micron filter will more consistently remove Cryptosporidium than a nominal filter. Some nominal 1 micron filters will allow 20% to 30% of 1 micron particles to pass through.

NSF-International (NSF) does independent testing of filters to determine if they remove Cryptosporidium. To find out if a particular filter is certified to remove Cryptosporidium, you can look for the NSF trademark plus the words "cyst reduction" or "cyst removal" on the product label information. You can also contact the NSF at 789 N. Dixboro Road, Ann Arbor, MI 48105 USA, toll free1-877-867-3435, fax 313-769-0109, email info@nsf.org, or visit their Web site at www.nsf.org/certified/DWTU/. At their Web site, you can enter the model number of the unit you intend to buy to see if it is on their certified list, or you can look under the section entitled "Reduction claims for drinking water treatment units - Health Effects" and check the box in front of the words "Cyst Reduction." This will display a list of filters tested for their ability to remove Cryptosporidium.

Because NSF testing is expensive and voluntary, some filters that may work against Cryptosporidium have not been NSF-tested. If you chose to use a product not NSF-certified, select those technologies more likely to reduce Cryptosporidium, this includes filters with reverse osmosis and those that have an absolute pore size of 1 micron or smaller.

Package and Label information for purchasing water filters:

Filters designed to remove crypto
(any of the four messages below on a package label indicate that the filter should be able to remove crypto)

Filters labeled only with these words may NOT be designed to remove crypto

Reverse osmosis (with or without NSF testing)

Nominal pore size of 1 micron or smaller

Absolute pore size of 1 micron or smaller 
(with or without NSF testing)

One micron filter

Tested and certified by NSF Standard 53 or NSF Standard 58 for cyst removal

Effective against Giardia

Tested and certified by NSF Standard 53 or NSF Standard 58 for cyst reduction

Effective against parasites

 

Carbon filter

 

Water purifier

 

EPA approved — Caution: EPA does not approve or test filters

 

EPA registered — Caution: EPA does not register filters based on their ability to remove Cryptosporidium

 

Activated carbon

 

Removes chlorine

 

Ultraviolet light

 

Pentiodide resins

 

Water softener

Note: Filters collect germs from water, so someone who is not HIV infected or immune impaired should change the filter cartridges. Anyone changing the cartridges should wear gloves and wash hands afterwards. Filters may not remove Cryptosporidium as well as boiling does because even good brands of filters may sometimes have manufacturing flaws that allow small numbers of Cryptosporidium to get in past the filter. Selection of NSF-Certified filters provides additional assurance against such flaws. Also, poor filter maintenance or failure to replace the filter cartridges as recommended by the manufacturer can cause a filter to fail.

If you drink bottled water, read the label and look for this information:

Water so labeled has been processed by method effective against crypto

Water so labeled may not have been processed by method effective against crypto

Reverse osmosis treated

Filtered

Distilled

Micro-filtered

Filtered through an absolute 1 micron or smaller filter

Carbon-filtered

"One micron absolute"

Particle-filtered

Multimedia-filtered

Ozonated

Ozone-treated

Ultraviolet light-treated

Activated carbon-treated

Carbon dioxide-treated

Ion exchange-treated

Deionized

Purified

Chlorinated

Bottled water labels reading "well water," "artesian well water," "spring water," or "mineral water" do not guarantee that the water does not contain crypto. However, water that comes from protected well or protected spring water sources is less likely to contain crypto than bottled water or tap water from less protected sources, such as rivers and lakes.

Home distillers: You can remove crypto and other germs from your water with a home distiller. If you use one, you need to carefully store your water as recommended for storing purified water.

Other drinks: Soft drinks and other beverages may or may not contain crypto. You need to know how they were prepared to know if they might contain crypto.

If you consume prepared beverages, look for drinks from which crypto has been removed:

Crypto killed or removed in preparation

Crypto may not be killed or removed in preparation

Canned or bottled soda, seltzer, and fruit drinks

Fountain drinks

Steaming hot (175 degrees F or hotter) tea or coffee

Fruit drinks you mix with tap water from frozen concentrate

Pasteurized drinks

Iced tea or coffee

Juices made from fresh fruit can also be contaminated with crypto. Several people became ill after drinking apple cider made from apples contaminated with crypto. You may wish to avoid unpasteurized juices or fresh juices if you do not know how they were prepared.


This fact sheet is for information only and is not meant to be used for self-diagnosis or as a substitute for consultation with a health care provider. If you have any questions about the disease described above or think that you may have a parasitic infection, consult a health care provider.

Fact SheetCryptosporidiosis

Fact SheetPreventing Cryptosporidiosis: A Guide for People with Compromised Immune Systems

DPDx Lab AssistanceCryptosporidiosis

Travel InformationCryptosporidiosis

More InformationCryptosporidiosis

Back

 

Top

Home | Professional Info | Public Info  
  About DPD | Recent Publications | DPD Search

CDC Home | CDC Search | CDC Health Topics A-Z

This page last reviewed September 17, 2004

Centers for Disease Control and Prevention
National Center for Infectious Diseases
Division of Parasitic Diseases