Warning over fish pedicures

People with weak immune systems or underlying medical conditions are at risk of infection from fish pedicures, the Health Protection Agency has warned.

The beauty treatment sees customers place their feet in tanks of water containing tiny Garra rufa fish which nibble on dead skin. While the pampering carries a "very low" risk for healthy clients, those with conditions including diabetes and psoriasis have now been advised against it.

The pedicures - which are popular in Asia - have been banned in some US states, including Florida, Texas, New Hampshire and Washington amid fears that infections could spread through open wounds.

The Health Protection Agency (HPA) today issued new guidance after a panel found fish tank water contained a number of micro-organisms and that infections could be transmitted either from fish to person (during the nibbling process), water to person (from the bacteria which can multiply in water), or person to person (via water, surrounding surfaces and the fish).

While it advised certain individuals to avoid treatment, it said any risk was "very low" for healthy clients when spas adhered to strict codes of cleanliness.

Dr Hilary Kirkbride, consultant epidemiologist at the HPA, said: "Provided that good standards of hygiene are followed by salons, members of the public are unlikely to get an infection from a fish spa pedicure, however the risk will be higher for certain people.

"This is why we feel it's important for salons to ensure the client has no underlying health conditions that could put them at risk, and that a thorough foot examination is performed to make sure there are no cuts, grazes or existing skin conditions that could spread infection."

Garra Rufa fish - a type of toothless carp - have become increasingly popular in salons across Britain, in part because of their novelty value.

Dr Paul Cosford, director of health protection services at the HPA, said the risk posed by the fish tanks could be kept to a minimum if spas followed "strict standards of cleanliness".

"If a member of the public is concerned about the level of cleanliness of a salon they visit, they should report this to their local environmental health department," he said.

Anyone considering a fish pedicure can help reduce health risks by ensuring cuts or infections on the feet or legs are given time to heal before treatment.

Clients are also urged to wait at least 24 hours after having a leg wax or shaving to minimise the chances of contracting an infection.

The HPA guidance has been endorsed by the Chartered Institute of Environmental Health and the Royal Environmental Health Institute of Scotland.

News
peopleFrankie Boyle responds to referendum result in characteristically offensive style
Arts and Entertainment
Friends is celebrating its 20th anniversary this year
tvSeries celebrates 20th anniversary
Sport
Yaya Touré (left) and Bayern Munich’s Spanish defender Juan Bernat
football
Life and Style
Jack Cooksey goes for the grand unveiling - moments before dropping his new iPhone 6 on the floor
iphone launch
PROMOTED VIDEO
Life and Style
ebooksA superb mix of recipes serving up the freshest of local produce in a delicious range of styles
Life and Style
ebooksFrom the lifespan of a slug to the distance to the Sun: answers to 500 questions from readers
Life and Style
Life and Style
Customers look at the new iPhones on display at the launch of the new Apple iPhone 6 and iphone 6 plus at the Apple IFC store in Hong Kong
Arts and Entertainment
Liam Neeson said he wouldn't
tv

Liam Neeson's Downton dreams

Sport
Wembley Stadium
footballNews follows deal with Germany
Arts and Entertainment
A spell in the sun: Emma Stone and Colin Firth star in ‘Magic in the Moonlight’
filmReview: Magic In The Moonlight
Voices
voicesApple continually kill off smaller app developers, and that's no good for anyone
Sport
A 'Sir Alex Feguson' tattoo
football

Arts and Entertainment
Ben Whishaw is replacing Colin Firth as the voice of Paddington Bear
tv

Thriller is set in the secret world of British espionage

Life and Style
life

News
ScienceGallery: Otherwise known as 'the best damn photos of space you'll see till 2015'
Life and Style
fashion

Bomber jacket worn by Mary Berry sells out within an hour

Sport
Andros Townsend is challenged by Vladimir Volkov
football
Arts and Entertainment
Rapper Jay Z performs on the Pyramid Stage at Glastonbury in 2008
musicSinger sued over use of the single-syllable sample in 'Run This Town'
Latest stories from i100
Have you tried new the Independent Digital Edition apps?

ES Rentals

    Independent Dating
    and  

    By clicking 'Search' you
    are agreeing to our
    Terms of Use.

    iJobs Job Widget
    iJobs General

    Nursery assistants required across Cambridgeshire

    £21000 - £35000 per annum: Randstad Education Cambridge: Nursery assistants re...

    SEN 1:1 Teacher

    £120 - £130 per day: Randstad Education Chelmsford: Are you a qualified teache...

    SEN Teachers and Support Staff

    £50 - £130 per day: Randstad Education Chelmsford: Are you an SEN Teacher or L...

    English and Media Teacher

    £100 - £120 per day: Randstad Education Chelmsford: English & Media Teacher - ...

    Day In a Page

    Mystery of the Ground Zero wedding photo

    A shot in the dark

    Mystery of the wedding photo from Ground Zero
    His life, the universe and everything

    His life, the universe and everything

    New biography sheds light on comic genius of Douglas Adams
    Save us from small screen superheroes

    Save us from small screen superheroes

    Shows like Agents of S.H.I.E.L.D are little more than marketing tools
    Reach for the skies

    Reach for the skies

    From pools to football pitches, rooftop living is looking up
    These are the 12 best hotel spas in the UK

    12 best hotel spas in the UK

    Some hotels go all out on facilities; others stand out for the sheer quality of treatments
    These Iranian-controlled Shia militias used to specialise in killing American soldiers. Now they are fighting Isis, backed up by US airstrikes

    Widespread fear of Isis is producing strange bedfellows

    Iranian-controlled Shia militias that used to kill American soldiers are now fighting Isis, helped by US airstrikes
    Topshop goes part Athena poster, part last spring Prada

    Topshop goes part Athena poster, part last spring Prada

    Shoppers don't come to Topshop for the unique
    How to make a Lego masterpiece

    How to make a Lego masterpiece

    Toy breaks out of the nursery and heads for the gallery
    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Meet the ‘Endies’ – city dwellers who are too poor to have fun

    Urbanites are cursed with an acronym pointing to Employed but No Disposable Income or Savings
    Paisley’s decision to make peace with IRA enemies might remind the Arabs of Sadat

    Ian Paisley’s decision to make peace with his IRA enemies

    His Save Ulster from Sodomy campaign would surely have been supported by many a Sunni imam
    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

    Exclusive extract from Janis Winehouse's poignant new memoir
    Is this the role to win Cumberbatch an Oscar?

    Is this the role to win Cumberbatch an Oscar?

    The Imitation Game, film review
    England and Roy Hodgson take a joint step towards redemption in Basel

    England and Hodgson take a joint step towards redemption

    Welbeck double puts England on the road to Euro 2016
    Relatives fight over Vivian Maier’s rare photos

    Relatives fight over Vivian Maier’s rare photos

    Pictures removed from public view as courts decide ownership
    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    ‘Fashion has to be fun. It’s a big business, not a cure for cancer’

    Donatella Versace at New York Fashion Week