Table I.

Prevention measures of SARS-CoV-2 transmission in rehabilitation pools and therapeutic water environments

Specific recommendations
For technical staff	Ensure the proper application of standard guidance from the French Public Health Code in order to prevent microbiological risks in pools •Appropriate procedure of water disinfection using chlorine or other disinfecting product •Monitoring physicochemical indicators •Monthly microbiological control of water •Pool closing and maintenance operation in case of non-conformity •Frequent surfaces disinfection with appropriate product a
For patients	Ensure the respect of hygiene and behavioural rules before entrance into pools •Use individual dressing rooms •Clothes storage on hangers in individual dedicated compartments •Shower using soap and water (before and after bathing) •Booth bath •Wearing of swim cap •Wearing of swimming goggles
	Avoid access to bathers suspected of/affected with COVID-19 b Avoid or restrict access to bathers presenting respiratory and/or digestive symptoms b
	Ensure that bathers respect strict barrier measures in order to prevent cross-transmission outside of pools •Strict hand hygiene at the entrance to the building and in case of bathroom use •Surgical mask wearing until reaching the dressing room and once dressed after bathing •Physical distancing of at least 1 m •Sneeze and cough into hands then directly wash their hands with soap and water c •Avoid touching face, nose, mouth and eyes
For healthcare workers	Ensure the strict respect of barrier measures in order to prevent cross-transmission outside of pools •Surgical mask wearing •Physical distancing of at least 1 m •Regular hand hygiene •Avoid touching face and eyes •Wearing of goggles or face shield in case of close contact with patient

^aDisinfection of common surfaces at both opening and closure of pools, and disinfection of dressing rooms and high-touch surfaces between patients. Recommended disinfectants are 0.5% bleach, 70° alcohol or usual disinfectant with virucidal activity according to the norm EN14464+A2 (July 2019).

^bBy reviewing clinical record of patients.

^cBecause it appears impossible to cough and sneeze in the elbow when bathing, we recommend using hands then immediately performing hand hygiene by washing hands with soap and water for at least 30 s as the use of hydro-alcoholic solution is not recommended on wet hands.