Sandbaggers and residents affected by flood waters in Cape Girardeau need to take precautions against infections in contaminated water.

John Taylor, a registered nurse in the Southeast Missouri Hospital's emergency room, said flood water with untreated sewage might carry any number of viruses.

"Some of the organisms we're worried about are giardia and E. coli," Taylor said. "Those basically are fecal contaminants.

"Giardia is commonly found in the guts of sheep and cattle, and with a lot of fields flooding, there's a lot of fecal products washed into the streams."

Taylor said that as water levels rise and flood septic tanks, that waste also is added to the water now lapping up to many homes in the northeast and southeast sides of Cape Girardeau.

"There's some concern about untreated sewage in the area getting in the water," he said. "The best source of prevention of illness is thorough hand washing before eating, before smoking, before putting anything near your mouth."

Taylor suggested that people should shower immediately after working around and in the flood water and promptly wash clothing.

He also said it's important to boil well water from flooded lands before drinking it or only drink bottled water.

Upon request, the Cape Girardeau County Health Department will test water for contamination. The health department telephone number is 335-7846.

Charlotte Craig, director of the health department, said anyone concerned about infectious injuries associated with those working in and around the floodwaters.

The department will give free tetanus boosters between 1-2 p.m. today at the health department. Volunteer sandbaggers who need immunizations at different times can call 243-4957.

Next week, the boosters can be scheduled during business hours at the health department, 1121 Linden.

Infection from contaminated flood water isn't the only health concern associated with the flood of 1993. Taylor said those filling and stacking sand bags face the risk of over-exposure to the sun.

He said that to avoid heat stroke, persons should avoid prolonged exposure to the sun.

"Working in direct sunlight increases your risk for heat illnesses," Taylor added. "You need to take frequent breaks and drink plenty of fluids."

He also suggested wearing wide-brimmed hats and loose-fitting clothing.