/Acute Non-viral Hepatitis Illness linked to “Real Water” Brand Alkaline Water

Acute Non-viral Hepatitis Illness linked to “Real Water” Brand Alkaline Water

March 16, 2021

LAS VEGAS – The Southern Nevada Health District is working with the U.S. Food and Drug Administration (FDA) and its state partners to investigate reports of acute non-viral hepatitis in Clark County.

The Health District received initial reports of five cases of acute non-viral hepatitis in November 2020. The cause of their illness was unknown. All five children required hospitalization but have since recovered. The patients lived in four different households. Six additional people have reported experiencing less severe symptoms that include vomiting, nausea, loss of appetite, and fatigue. These patients include three adults and three children.

To date, the consumption of “Real Water” brand alkaline water was found to be the only common link identified between all the cases. The FDA is conducting a further investigation into the facility. The Health District is continuing to monitor for cases of acute non-viral hepatitis.

The FDA is recommending that consumers, restaurants, and retailers discontinue drinking, cooking with, selling, or serving “Real Water” alkaline water.

Acute non-viral hepatitis is an inflammation of the liver that can be caused by exposure to toxins, autoimmune disease or drinking too much alcohol. Though hepatitis can have many causes, symptoms often include fever, fatigue, loss of appetite, nausea, vomiting, abdominal pain, dark urine, light-colored stools, joint pain, and yellow skin or eyes. Anyone who is experiencing these symptoms should contact their health care provider.


The Southern Nevada Health District serves as the local public health authority for Clark County, Boulder City, Henderson, Las Vegas, Mesquite and North Las Vegas. The agency safeguards the public health of the community’s residents and visitors through innovative programs, regulations, and initiatives focused on protecting and promoting their health and well-being. More information about the Health District, its programs, services, and the regulatory oversight it provides is available at www.SNHD.info.