Well I would also be apprehensive about swimming in a river described as "swimmable on many days".
Of course, I don't claim to have been to most of the beaches out there, but I've been to a few! Have I just been getting really lucky?
The sewage problem is largely solved nowadays, thanks to modern sewage treatment plants, but thanks to the disastrous EU agricultural policy (CAP) there has been no improvement at all in the agricultural runoff for over 20 years.
It's like if you asked a lifeguard if it was safe to swim and they replied "Many people survive".