Submit a sickness report

Sick from sewage? We’re all ears.

From Shetland to Scilly, water lovers across the UK are getting sick from sewage. So we’re collecting thousands of sickness reports to provide the evidence we need to demand water companies clean up their act. 

Want to tell your story? Fill in the form below or submit a report directly through the Safer Seas & Rivers Service. The information you give us will be used in our sickness report analysis, but the details will not be published without your permission. 

Don’t know how sewage makes us sick? We’ll tell you how!

Please ensure you read our privacy policy before providing any personal details to understand how your information will be used and protected.

Sickness Report Form

These files and their contents will not be published without the persons permission. We may use a summary of cases but would not use peoples actual names without permission.

Personal information

You don’t have to leave your personal information but if you do, we’ll keep your data safe and will never, ever, share it. You will not be subscribed to email lists and we will only contact you if have said you're happy to share you story.

Name

First Last

Email(Required)

Phone

Employment Status

Employed

Studying

Unemployed

Retired

Prefer not to say

Occupation

Where you taking part in an official event?

Yes

No

Event

Share Your Story?(Required)

We are sometimes contacted by the press or run campaigns to raise awareness about public health impacts. Would you be open to sharing your story publicly as part of this? Don’t worry, one of our team members will reach out to you before sharing any information.

Yes

No

Location

Location Name(Required)

This field is hidden when viewing the form

Geocoder

Nearest Address to Where You Entered the Water(Required)

Please search for the nearest postcode, street name or address to the location where you entered the water.

Coordinates

Map

Your Sickness Information

Date Entered Water(Required)

MM slash DD slash YYYY

Water Company

Please select the water company from the listSouth West WaterSouthern WaterWessex WaterScottish WaterAnglian WaterUnited UtilitiesNorthumbrian WaterThames WaterSevern TrentWelsh WaterHafren DyfrdwyNorthern Ireland WaterYorkshire WaterOtherNot Sure

Enter the waste water company in the region your entered the water,

Sickness experienced(Required)

Gastroenteritis (stomach)

Respiratory (chest)

Ear, nose and throat infection

Eye infection

Non-specific viral

Skin Infection

Other

Please provide further details below(Required)

Did you visit a doctor(Required)

Yes

No

Has the doctor attributed your illness to contaminated water exposure?

Yes

No

Did you take time off work/school due to illness?(Required)

Yes

No

How many days did you take off work?

Please enter a number from 0 to 100.

Additional Information

Telling your personal stories is a great way to get the offending polluters to listen. We'd love to hear your story of how you got sick, the more detail the better.

Image

Max. file size: 128 MB.

Submitting an image with your sickness report can be helpful, whether it’s a photo of your symptoms or an image of the water on the day you were exposed, as it provides valuable context for our investigation.

Name

This field is for validation purposes and should be left unchanged.