About half a dozen people may have contracted gastroenteritis after swimming at contaminated swimming holes in the Bay.
Bay of Plenty Regional Council and Toi Te Ora have issued warnings about waterways and swimming holes which have recorded unsafe levels of bacteria.
Welcome Bay's Kaiate Falls recorded unsafe levels of faecal contamination three weeks ago and it was registered as a site of "caution" this week.
Chief medical officer of health Jim Miller said Toi Te Ora was aware of about six people who suffered vomiting and diarrhoea in the past month after spending time in the falls and other waterways.
While each person had spent time in or around potentially contaminated water, it was not certain the waterways were the definitive cause of their illness.