E. coli levels in the Wairoa River were nearly four times the acceptable limit last week.
Warning signs dot the banks of the waterway cautioning people against swimming after high levels of E. coli were detected. The water is being tested this week to check whether levels are improving.
A Hawke's Bay District Health Board spokeswoman said E. coli levels should be less than 260 E. coli per 100ml, but last week's level was 970.
"The Wairoa River is often borderline and is graded as very poor by regional council monitoring over the summer swim season," she said.
"This week's test will help determine whether signage can be removed or needs to stay up, but it's a call the medical officer of health will decide based on the test results."