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Summary Swimming and other water-related activities provide ways for Americans to get the physical activity and recreation necessary for a healthy life. Each year, adults and children spend substantial time in pools, waterparks, splash-pads, and hot tubs/spas. While most people have a safe and healthy time enjoying the water, these activities do come with some risks. During this presentation, the National Association of County and City Health Officials (NACCHO) will present the key findings from a joint study with the CDC, describing the process for pool code updates. We’ll review the main barriers that prevent local jurisdictions from updating their pool codes, as well as the catalysts that promote changes. Participants will also hear about best practices from local health departments who are working to update and revise their pool codes based on the MAHC and what other national model codes are being utilized such as the International Swimming Pool & Spa Code. Learning Objectives: • Examine the current status of local pool codes • Identify which local agencies use the Model Aquatic Health Code in their jurisdictions • Identify best practices in using the Model Aquatic Health Code as a guideline to update local jurisdictions pool