What Diseases Can Sewage Backup Cause in a Home?
Last updated October 31, 2026
The short answer
Common Gastrointestinal Illnesses from Sewage
Sewage contains viruses, bacteria, and parasites that can make you very sick if ingested. Norovirus is a frequent culprit, leading to stomach cramps, vomiting, and severe diarrhea. Bacterial infections from E. Coli or Salmonella cause similar symptoms and can be particularly dangerous for young children or older adults. These organisms enter your body through accidental hand-to-mouth contact after touching contaminated surfaces or floodwater.
Direct ingestion is not the only risk. Simply preparing food on a countertop that had sewage splash on it can transfer pathogens. The germs are microscopic and easily spread. If you experience sudden gastrointestinal symptoms after a backup incident, it is wise to consult a doctor and mention the possible sewage exposure. Prompt, proper cleanup is essential to remove these health threats from your home.
Skin Infections and Wound Contamination
Contact with sewage water can lead to skin infections, especially if you have any cuts, scrapes, or rashes. Bacteria in the waste, such as Pseudomonas aeruginosa, can infect open wounds, causing redness, swelling, and pain. Tetanus is another concern if you get a puncture wound from a contaminated object like a nail. Always wear waterproof gloves, boots, and protective clothing if you must be near the affected area.
Even minor skin irritation can become a serious problem if pathogens enter your bloodstream. If you get sewage on your skin, wash the area thoroughly with soap and clean water as soon as possible. Watch for signs of infection like increased pain, pus, or red streaks. For any wound exposed to sewage, a doctor can assess the risk and recommend appropriate medical care.
Respiratory Risks from Airborne Contaminants
As sewage water sits, it can aerosolize, meaning bacteria and mold spores become airborne. Inhaling these particles can irritate your lungs and sinuses. This is a particular concern during cleanup activities like pumping or agitation. The resulting respiratory issues might include coughing, wheezing, or a sore throat, especially for individuals with asthma or allergies. In any climate, a damp environment can accelerate microbial growth after a spill.
Mold growth is a secondary but significant respiratory hazard. Damp materials left after water extraction provide an ideal environment for mold to flourish within 24 to 48 hours. Exposure to mold spores can trigger allergic reactions, asthma attacks, and other respiratory distress. Proper drying and dehumidification are critical steps that local water damage pros use to prevent this long-term air quality issue in your home.
- Inhalation of aerosolized bacteria from disturbed sewage.
- Irritation of the eyes, nose, and throat from contaminated air.
- Allergic reactions triggered by mold spores growing on wet surfaces.
- Aggravation of pre-existing conditions like asthma or bronchitis.
- Potential for more serious lung infections in immunocompromised individuals.
- Importance of using proper respiratory protection during any cleanup work.
Serious Bacterial and Parasitic Diseases
While less common, sewage can harbor organisms that cause severe systemic illnesses. Leptospirosis is a bacterial disease spread through contact with water contaminated by animal urine, which can be present in sewer backups. Symptoms can range from mild fever to kidney damage or liver failure. Another concern is campylobacteriosis, a bacterial infection that sometimes leads to Guillain-Barre syndrome, a serious nervous system disorder.
How to Protect Your Health After a Backup
Your immediate priority is to avoid contact with the contaminated water and materials. Keep children and pets far away from the affected area. Do not attempt to clean significant sewage spills yourself, as proper safety gear and disinfectants are needed. Instead, contact local water damage pros who are equipped for sewage backup cleanup and sanitation. They follow strict protocols to remove hazards and disinfect the space thoroughly.
Document the damage for your insurance company by taking photos before cleanup begins. Policies vary, and your insurer decides what is covered. Until the area is professionally cleaned and declared safe, treat it as a biohazard zone. Wash your hands frequently with soap and clean water, and see a doctor promptly if you develop any symptoms like fever, diarrhea, or skin infections after potential exposure.
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Call Now (410) 237-0394Frequently asked questions
Can I get sick from just the smell of sewage?
The smell itself is not a disease, but it indicates the presence of airborne contaminants. Inhaling these particles can irritate your respiratory system and cause headaches or nausea. If the odor is strong, it means harmful bacteria and gases are present, and you should leave the area until it is professionally cleaned.
How long after exposure do symptoms appear?
It depends on the specific pathogen. Gastrointestinal illness from viruses like norovirus can start within 12 to 48 hours. Bacterial infections may take a few days. Respiratory or skin issues might appear more quickly. If you were exposed, monitor your health for at least a week and seek medical advice for any new symptoms.
What should I do with items touched by sewage?
Porous materials like carpet, upholstery, and drywall that have absorbed sewage usually cannot be cleaned safely and should be discarded. Non-porous items like metal or glass can be disinfected by professionals. When in doubt, throw it out, as the health risk from retaining contaminated belongings is significant.
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