You can pick up a parasite from a glass of tap water, a piece of sushi, a salad bar, a pet, or even the dirt under your fingernails. The word “parasite” covers a huge range of organisms — single-celled protozoa, microscopic worms, and larger helminths — and each one has its own route into the human body. Most infections worldwide trace back to contaminated water and food, but soil, animals, and person-to-person contact account for plenty of cases too.
Here is the short answer. Parasites come from water that carries human or animal waste, food grown or washed with that water, undercooked meat and fish, soil contaminated with feces, and close contact with infected people or animals. The route matters because it tells you what you can actually control.
Where Do Parasites Come From Water Food And More?
Water is the single largest source of parasitic infection globally. The World Health Organization has long identified unsafe drinking water and poor sanitation as major drivers of diarrheal disease, and parasites are a significant part of that burden.
The main waterborne offenders are protozoa. Giardia and Cryptosporidium are the two most common in the United States. Both form tough cysts that survive chlorination, which is why outbreaks occasionally happen even in treated municipal supplies. Entamoeba histolytica causes amoebic dysentery and is more common in places with poor sanitation.
Recreational water counts too. Lakes, rivers, and swimming pools can carry Cryptosporidium, and swallowing a mouthful is enough. This is why public health agencies warn against swimming with diarrhea.
Food is the second big category. The parasites involved depend heavily on what you eat and how it was handled.
- Undercooked pork can carry Trichinella and Taenia solium (pork tapeworm).
- Undercooked beef can carry Taenia saginata (beef tapeworm).
- Raw freshwater fish can carry liver flukes and Diphyllobothrium (fish tapeworm).
- Raw or undercooked crab and crayfish can carry Paragonimus, a lung fluke.
- Fresh produce washed in contaminated water can carry Cyclospora, Giardia, and others.
The “and more” in the question is not a footnote. Soil, animals, and direct human contact fill in the rest of the picture, and the next few sections cover those routes.
How Does Contaminated Water Spread Parasites?
Water spreads parasites through a simple cycle. An infected person or animal sheds parasite eggs, cysts, or larvae in feces. That waste reaches a water source — a river, a well, a reservoir, a swimming pool. Someone else drinks, swallows, or bathes in that water and becomes infected.
This is called the fecal-oral route, and it is the backbone of most parasite transmission. The organisms are built for it. Cryptosporidium oocysts, for example, are highly resistant to chlorine and can survive for long periods in water and the environment.
In the U.S., municipal water treatment removes or kills most parasites. Boil-water notices exist precisely because that protection can fail after flooding, pipe breaks, or treatment problems. In many lower-income countries, untreated surface water is a daily reality, and the infection rates reflect it.
Well water is worth a mention. Private wells are not regulated the same way as public systems, and testing is the owner’s responsibility. If you rely on a well, testing for parasites and bacteria is a reasonable step, especially after flooding.
Which Foods Are Most Likely to Carry Parasites?
Any food can carry a parasite if it is contaminated or undercooked, but some categories carry far more risk than others. The pattern is consistent across public health data.
Raw and undercooked meat is a major route. Pork and wild game are the classic sources of Trichinella, though U.S. commercial pork is now far safer than it was decades ago because of changes in feeding practices. Beef and pork can both carry tapeworm larvae.
Raw freshwater fish carries flukes and tapeworms. Saltwater fish are generally lower risk for human parasites, but they are not zero risk — and freezing, not just refrigeration, is what kills many parasites in fish served raw.
Fresh produce is a real source, especially imported items. Cyclospora outbreaks in the U.S. have been linked to imported fresh herbs and berries. Washing helps but does not guarantee removal of every parasite, which is why public health investigations trace outbreaks to specific farms and shipments.
Unpasteurized milk and juice can carry Cryptosporidium and other organisms. Pasteurization is effective against them.
A useful rule: cooking to a safe internal temperature kills parasites in meat and fish. Freezing at recommended temperatures for sufficient time kills parasites in fish intended for raw consumption. Washing produce under running water reduces contamination but does not sterilize it.
Can You Get Parasites From Soil, Pets, and Other People?
Yes. Soil is an underrated source. Hookworm larvae can penetrate bare skin from contaminated soil. Ascaris (roundworm) eggs are swallowed from soil-contaminated hands or produce. Children playing in dirt and putting hands in their mouths are especially exposed.
Pets and animals contribute too. Toxoplasma gondii is shed in cat feces, and people can be infected by handling litter boxes or gardening in soil cats use. Giardia and Cryptosporidium can pass from pets and livestock to people. Dog and cat roundworms can infect humans, though serious disease is uncommon.
Person-to-person spread happens with several parasites. Pinworm is the clearest example — eggs spread easily in households, schools, and daycare centers through shared surfaces and hands. Giardia can also spread between people in close settings.
Sexual contact is a route for Trichomonas vaginalis, which is a common sexually transmitted parasite. It is worth naming because people often do not connect it to the word “parasite.”
Insects and ticks transmit some parasites as well. Mosquitoes spread malaria and filarial worms. Ticks spread babesiosis. These routes are geographically limited but important where they occur.
Which Parasites Are Most Common in the United States?
The U.S. picture is different from the global one. Serious parasitic disease is uncommon, but a handful of organisms account for most cases.
Pinworm is probably the most common intestinal parasite in the country, especially in children. Giardia is the most commonly reported waterborne parasite. Cryptosporidium causes regular outbreaks linked to pools, water parks, and contaminated water. Toxoplasma is common in the population, though most infections cause no symptoms.
Others appear less often but matter. Cyclospora shows up in imported produce. Trichinella is now rare in commercial pork. Tapeworms occur but are uncommon.
One clarification worth making: not everyone with a parasite gets sick. Many infections are mild or silent, and some people clear them without treatment. Symptoms like diarrhea, abdominal pain, itching, or fatigue are common but not specific — many other conditions cause the same things.
How Can You Reduce Your Risk of Parasitic Infection?
Risk reduction is practical and mostly unglamorous. The evidence behind these steps is solid, even if none of them is a guarantee.
- Wash hands with soap and water after using the bathroom, changing diapers, handling pets, gardening, and before eating or preparing food.
- Cook meat and fish to safe internal temperatures. Use a food thermometer rather than guessing.
- Freeze fish properly if you plan to eat it raw. Follow established freezing guidance for parasite control.
- Wash produce under running water. Peel items when practical.
- Avoid untreated water from lakes, streams, and wells when traveling or hiking. Boiling or filtering with a filter rated for parasites works; chlorine alone does not reliably kill Cryptosporidium.
- Do not swallow pool or lake water. Keep kids with diarrhea out of pools.
- Wear gloves when gardening or handling soil that cats may use, and wash hands afterward.
- Deworm pets as your veterinarian advises and clean litter boxes daily — Toxoplasma eggs need time in the environment before they become infectious.
Travelers to areas with poor sanitation should be especially careful with tap water, ice, and raw produce. Some clinicians recommend preventive measures for certain high-risk travelers, but that is a conversation with a clinician, not a blanket rule.
If you have persistent diarrhea, unexplained itching, or other symptoms and you suspect a parasite, see a healthcare provider. Diagnosis usually requires specific stool tests, and not every lab test checks for every parasite. Telling your provider about travel, food history, and animal exposure helps them order the right tests.
Frequently Asked Questions
Can you get parasites from tap water in the US?
It is possible but uncommon, because U.S. municipal water treatment removes or kills most parasites. Risk rises during boil-water notices and with private wells that are not properly tested.
What is the most common way people get parasites?
Contaminated water and food are the leading routes worldwide, mostly through the fecal-oral route. Soil contact, animals, and person-to-person spread also account for many infections.
Does washing vegetables remove parasites?
Washing under running water reduces contamination but does not reliably remove or kill all parasites. Cooking is the more dependable step when risk is a concern.
Can you get parasites from your pets?
Yes. Giardia, Cryptosporidium, and roundworms can pass from pets to people. Regular veterinary care, handwashing, and prompt cleanup of pet waste lower the risk.

