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  • People with a medical history of heart disease, circulatory problems, diabetes, or blood pressure problems and pregnant women should check with their physician before using a spa.
  • People who are taking medications that might cause drowsiness—such as tranquilizers, narcotics, antihistamines, or anticoagulants—should not use a spa without first consulting a physician. Soaking in hot water could lead to sleep or unconsciousness and possibly result in drowning.
  • Water temperature that is too hot can raise body temperature high enough to cause heat stroke. For pregnant women, prolonged soaks at high temperatures may rise core body temperatures high enough to risk birth defects, particularly during the first three months of pregnancy.
  • Alcoholic beverages should not be used before or during spa use. Alcohol is a depressant which causes slowed reflexes and drowsiness. Consuming alcohol while soaking in hot water could result in sleep or unconsciousness and possible drowning.
  • An accurate, shatterproof thermometer should be used to monitor your water temperature. The water temperature should not be warmer than 100° to 104° Fahrenheit. A temperature of 100° is considered safe for healthy adults. At higher temperatures, you should use your spa for shorter periods of time. For example, at 102° F, you should use the spa for no more than 20 minutes at a time.
  • Never use a spa or hot tub alone. Do not allow children to use a spa without supervision.
  • Broken or missing drain covers should be replaced immediately to avoid entrapment of body parts or long hair. An anti-vortex drain cover is recommended.
  • All electrical equipment should be wired according to the National Electrical Code and all relevant local codes under city, county, or state permit. Look for an Underwriters Laboratories (UL) logo on the manufacturer’s nameplate for portable spas and all hot tub electrical equipment. Do not use electrical appliances while using your spa.
  • Tape a list of emergency numbers to your telephone. Include local emergency, medical personnel, or fire department as well as your own address so a non-family member could easily direct emergency personnel to your home if necessary.

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