There are several ways of exposure to these hepatotoxins that humans can encounter one of which is through recreational activities like swimming, surfing, fishing, and other activities involving direct contact with contaminated water. Another rare, yet extremely toxic, route of exposure that has been identified by scientists is through hemodialysis surgeries. One of the fatal cases for microcystic intoxication through hemodialysis was studied in Brazil where 48% of patients that received the surgery in a specific period of time died because the water used in the procedure was found to be contaminated. Microcystins are chemically stable over a wide range of temperature and
pH, possibly as a result of their cyclic structure.
Microcystin-LR water contamination is resistant to boiling and microwave treatments. Microcystin-producing bacteria
algal blooms can overwhelm the filter capacities of
water treatment plants. Some evidence shows the toxin can be transported by
irrigation into the food chain.
Lake Erie blooms In 2011, a record outbreak of blooming microcystis occurred in
Lake Erie, in part related to the wettest spring on record, and expanded lake bottom dead zones, reduced fish populations, fouled beaches, and damaged the local tourism industry, which generates more than $10 billion in revenue annually. An Ohio state task force found that Lake Erie received more phosphorus than any other Great Lake, both from crop land, due to the farming practices, and from urban water-treatment centers.
Iowa In 2018, the
Iowa Department of Natural Resources found microcystins at levels of 0.3 µg/L, or micrograms per liter (
ppb), in the raw water supplies of 15 out of 26 public water systems tested.
Oregon In 2023, the
Oregon Department of Environmental Quality (DEQ) and
Oregon Health Authority issued a cyanobacteria advisory for much of the
Willamette River as it runs through
Portland. The advisory affected the Willamette from the
Ross Island Lagoon through
Cathedral Park. Testing by the DEQ showed microcystin levels at 549 ppb. ==Human health effects upon exposure==