Acute Hepatitis Associated with Real Water Drinking Water

  • fever
  • nausea
  • vomiting
  • abdominal pain
  • excessive fatigue
  • loss of appetite
  • dark urine
  • light colored stools
  • neurologic symptoms (numbness, tingling, blurred vision, or decreased balance)
  • confusion
  • excessive drowsiness
  • joint pain
  • yellow skin or eyes 

If you or someone you know experienced symptoms of acute non-viral hepatitis within 30 days after drinking Real Water brand alkaline water since August 2020, please complete the following survey:

Take the Survey

Once you complete the survey, a public health professional will assess the information provided and reach out to you if more information is needed. 

Healthcare providers are encouraged to report suspect cases of non-viral hepatitis associated with consuming Real Water to Maricopa County Department of Public Health by calling 602-506-6767 and asking to speak with a surveillance nurse.

About the Complaint

On Tuesday, June 1st, The Department of Justice released information regarding the companies Inc. and Real Water Inc , that formerly distributed bottled water under the brand names “Real Water Drinking Water” and “Real Alkalized Water.”  A Real Water Inc. facility was located in Mesa, AZ. 

According to the complaint filed in the U.S. District Court for the District of Nevada, the FDA received information that at least five children experienced acute non-viral hepatitis (resulting in acute liver failure) after drinking Real Water. The FDA documented other consumer complaints of illness, including nausea and vomiting, related to Real Water. Subsequently, the agency warned consumers, restaurants, distributors and retailers not to drink, cook with, sell or serve the product.

The complaint alleges that FDA inspections found: (a) multiple regulatory violations in the companies’ manufacturing processes, including significant deviations from preventative control requirements intended to control the risk of hazards in food; and (b) multiple failures to follow current good manufacturing practice requirements for water bottling facilities.

Maricopa County Department of Public Health and Environmental Services have been working closely with the Arizona Department of Health Services, FDA and the State of Nevada to look for any cases of non-infectious hepatitis related to consuming Real Water in Maricopa County.  No cases have been identified to date.

Report Symptoms

Those who require assistance to compete the web based survey can call Maricopa County Department of Public Health at 602-506-6767 and request to speak with a surveillance nurse.