Model Aquatic Health Code


The Centers for Disease Control and Prevention's Model Aquatic Health Code (MAHC) is a set of guidelines intended to prevent injury and illness at public aquatic venues, such as pools, hot tubs, and splash pads, and created in a collaborative effort between public health officials and aquatics sector leaders.

The MAHC Network is a community for MAHC users, subject matter experts, and those hoping to learn about the code itself. Members will receive updates on the code, have access and provide input to newly developed resources, and join bi-monthly webinars featuring the code and users.

View our policy statement in recreational water safety.

Date Title Description Information
May 2026 Increased Risk Aquatic Venues: Understanding and Preventing Outbreaks Join guest speaker Dewey Case, Technical Director for the Council for the Model Aquatic Health Code on May 26 from 2:00–3:00 PM ET, where Dewey will provide an overview of waterborne disease outbreaks associated with increased-risk aquatic venues. He will highlight how pathogens like Cryptosporidium and Naegleria fowleri pose a serious threat when maintenance, design, policy, and routine operations fall short. Attendees will gain practical, evidence-based strategies to reduce risk and improve water safety systems. Register here
March 2026 Cold Plunge Pools and Safety Measures Sarah Cheshire, REHS is an Environmental Health Scientist for the Utah Department of Health. She presented on cold plunge pools and provided a comprehensive history of cold plunge therapy across various cultures, discussed the physical and mental health benefits, and outlined significant health risks including the cold shock response, hypothermia, and cardiovascular stress. She shared insights from her personal experience at a cold plunge facility and explained current regulations in the state of Utah. The presentation concluded with an overview of operational considerations including disinfection challenges, water balance issues, and the need for proper signage and supervision. Webinar Recording

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Webinar Q&A

Resources shared during webinar
May 2025 Freshwater Beach Monitoring: Best Practices, Challenges, and Future Goals This presentation provided a comprehensive overview of Ottawa County’s freshwater beach monitoring program in Ohio. The webinar covered what it takes to operate a successful monitoring program, including best practices, challenges, and optimal outcomes. Additionally, the presenters outlined their goals for the program’s future. Webinar Recording

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February 2025 Latest Model Aquatic Health Code Updates The Council for the Model Aquatic Health Code discussed key changes in the latest version of the MAHC. The 5th Edition was released on December 16, 2024. CMAHC provided a brief explanation of the MAHC revision process, and the changes that jurisdictions can expect to see in the updated CDC aquatics guidance. Webinar Recording

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May 2024 Creativity, Compliance, and Outreach in Water Safety (feat. Columbus Public Health) Columbus Public Health (CPH) is a recipient of the Pool Safety grant from the U.S. Consumer Product Safety Commission, which seeks to improve water safety, prevent drownings, and drain entrapments in accordance with the Virginia Graeme Baker Pool and Spa Safety Act. CPH discussed the water safety issues that Columbus, Ohio faces, and how CPH has been able to address these issues, improve drain cover compliance, and establish better community rapport through creativity and residential outreach. Webinar Recording

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February 2024 Using Environmental Health Data to Inform Pool Regulatory Efforts in the City of Long Beach, California The City of Long Beach (California) Water Quality Program is utilizing environmental health data to evaluate an intervention conducted for lower-compliance public pools and spas. The intervention includes a self-inspection checklist used by pool operators and their maintenance staff to increase awareness, knowledge, and compliance. Learn about the City of Long Beach’s results to date and lessons learned along the way for other health departments looking to do similar work. Webinar Recording

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Webinar Q&A
December 2023 Waterborne Infectious Disease Burden and Recreational Water-Associated Illness in the United States CDC speakers discussed the latest research on the burden of waterborne infectious disease, with a particular focus on estimates and prevention of recreational water-associated illness. Learn about how the CDC has created a suite of prevention resources, including the MAHC, to help prevent recreational water-associated illness. Webinar Recording

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Webinar Q&A
July 2023 Implementation of the Model Aquatic Health Code in Pueblo County, CO The Pueblo Department of Public Health and Environment shared their experience adopting the MAHC in 2022 and implementing the new codes after adoption. They also shared best practices and lessons learned for local jurisdictions who are looking to do the same. Webinar Recording

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Webinar Q&A
May 2023 Swimming Safe with the Latest Edition of the Model Aquatic Health Code Local jurisdictions joined NACCHO, the CDC, and the Council for the Model Aquatic Health Code to review the latest changes to the 4th edition of the MAHC and look to the 5th edition update cycle to learn how local health departments can contribute to submitting change requests. Webinar Recording

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February 2023 Indoor Air Quality in Swimming Facilities: Dynamics of Gas-Phase Trichloramine Trichloramine is a disinfection byproduct found in chlorinated swimming facilities from reactions between chlorine and the body waste of swimmers (e.g., sweat and urine). Exposure to trichloramine has been linked to asthma and can irritate respiratory airways, skin, and eyes. In this webinar, attendees learned the importance of taking steps to prevent gas-phase trichloramine production in their indoor pool facilities. Webinar Recording

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November 2022 Interim Guidance for Safe Operation of Artificial Swimming Lagoons The webinar describes how artificial swimming lagoons work, and the interim guidance developed in collaboration with the CMAHC Ad Hoc Committee, the CDC, and partners, on design and construction as well as operation and maintenance of the lagoons. Webinar Recording

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May 2022 Considerations for Increased Risk Venues To promote healthy and safe swimming, this webinar highlights increased risk venues such as spray pads, wading pools, and therapy pools. CMAHC discuss what makes a venue increased risk and how these risks can be mitigated using guidance from the MAHC. Webinar Recording

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February 2022 Provisional Model Aquatic Health Code Updates The CDC discusses change requests provisionally accepted by the agency for the 4th edition of the MAHC. Webinar Recording

Slides

For more MAHC Network webinars, visit NACCHO's YouTube Playlist.

Environmental Health

Preventing Pool Chemical Injuries: A Quick Guide

Safety, Storage, and Emergency Preparedness Best Practices for Health Departments and Pool Operators.

Environmental Health

Preventing Pool Chemical Injuries: A Quick Guide

Environmental Health

Quick Guide: Preventing Exposure to Harmful Algal Blooms

A guide for local, state, tribal, and territorial health departments to understand public health recommendations for HAB exposure.

Environmental Health

Quick Guide: Preventing Exposure to Harmful Algal Blooms

Environmental Health

Quick Guide: Reducing the Spread of Cryptosporidium

A guide for health departments for preventing Cryptosporidium spread in aquatic venues.

Environmental Health

Quick Guide: Reducing the Spread of Cryptosporidium

Environmental Health

Managing Chloramines in Pools and Other Aquatic Facilities

Quick guide for health departments and pool operators for preventing chloramine exposure in aquatic environments.

Environmental Health

Managing Chloramines in Pools and Other Aquatic Facilities

Environmental Health

Quick Guide on Splash Pads

Health departments and pool operators can use this as a tool for understanding CDC’s recommendations for operation and maintenance of splash pads.

Environmental Health

Quick Guide on Splash Pads

Environmental Health

Quick Guide: Floatation Tanks

Health departments and pool operators can use this to understand CDC's recommendations regarding operation and maintenance of floatation tanks.

Environmental Health

Quick Guide: Floatation Tanks

View Now

Pueblo County’s Model Aquatic Health Code Adoption Process

A resource library available on NACCHO's Toolbox to help local health departments adopt and implement CDC's MAHC.

View Now

Pueblo County’s Model Aquatic Health Code Adoption Process

Access Now

Implementing the Model Aquatic Health Code Locally

From early catalyst to present day progress and future plans, see Pueblo County's full experience adopting the MAHC.

Access Now

Implementing the Model Aquatic Health Code Locally

Read

Best Practices on Using the 5th Edition of the MAHC

A fact sheet offering valuable insights for health professionals into the implementation of the latest edition of the Model Aquatic Health Code.

Read

Best Practices on Using the 5th Edition of the MAHC

Environmental Health

Stories from the Field

Learn how the Aquatic Health and Safety Pilot Program encouraged local health depts. to advance pool code updates & utilize CDC’s MAHC as a resource.

Environmental Health

Stories from the Field

Read

Pool Code Adoption in Local Jurisdictions: MAHC

NACCHO worked with the CDC to understand the adoption and implementation of pool codes by LHDs.

Read

Pool Code Adoption in Local Jurisdictions: MAHC

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How Local Agencies Update Pool Codes

Discover the barriers and catalysts for pool code updates and use of the MAHC in local agencies.

Read Now

How Local Agencies Update Pool Codes

CDC Model Aquatic Health Code Website

See the latest edition of the MAHC here.

CDC Model Aquatic Health Code Website

CDC Model Aquatic Health Code Tools & Training

Forms, protocols, and other resources for public health officials and aquatics staff using MAHC recommendations.

CDC Model Aquatic Health Code Tools & Training

Join the Council for the Model Aquatic Health Code

A nonprofit organization that promotes the health and safety of people, families, and workers at public swimming facilities.

Join the Council for the Model Aquatic Health Code

Follow the instructions below to join the MAHC Network and receive announcements about upcoming webinars and other opportunities.

  1. Log in to MyNACCHO (or create a free account).
  2. Go to “My Subscriptions.”
  3. Check the box next to "The Model Aquatic Health Code (MAHC) Network" (and any other e-newsletters you wish you receive).
  4. Click “Save” at the bottom of the page.

Join our Community of Practice

NACCHO's MAHC Network Community of Practice provides a space for individuals who are interested in, or work with, MAHC. This community forum can be used to share information, best practices, and resources relevant to MAHC, and allow for participants to virtually network with others who work in this area of public health. To join, go to https://virtualcommunities.naccho.org/communities/allcommunities and search for "Model Aquatic Health Code Network."

Have questions? Email [email protected].

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