Accidentally consuming small quantities of clean seawater is not harmful, especially if the seawater is taken along with a larger quantity of fresh water. However, drinking seawater to maintain hydration is counterproductive; more water must be excreted to eliminate the salt (via urine) than the amount of water obtained from the seawater itself. In normal circumstances, it would be considered ill-advised to consume large amounts of unfiltered seawater.
The renal system actively regulates the levels of sodium and chloride in the blood within a very narrow range around 9 g/L (0.9% by mass).
In most open waters concentrations vary somewhat around typical values of about 3.5%, far higher than the body can tolerate and most beyond what the kidney can process. A point frequently overlooked in claims that the kidney can excrete NaCl in Baltic concentrations of 2% (in arguments to the contrary) is that the gut cannot absorb water at such concentrations, so that there is no benefit in drinking such water. The salinity of Baltic surface water, however, is never 2%. It is 0.9% or less, and thus never higher than that of bodily fluids. Drinking seawater temporarily increases bloods NaCl concentration. This signals the kidney to excrete sodium, but seawaters sodium concentration is above the kidneys maximum concentrating ability. Eventually the bloods sodium concentration rises to toxic levels, removing water from cells and interfering with nerve conduction, ultimately producing fatal seizure and cardiac arrhythmia.
Survival manuals consistently advise against drinking seawater. A summary of 163 life raft voyages estimated the risk of death at 39% for those who drank seawater, compared to 3% for those who did not. The effect of seawater intake on rats confirmed the negative effects of drinking seawater when dehydrated.
The temptation to drink seawater was greatest for sailors who had expended their supply of fresh water and were unable to capture enough rainwater for drinking. This frustration was described famously by a line from Samuel Taylor Coleridges The Rime of the Ancient Mariner':
Although humans cannot survive on seawater, some people claim that up to two cups a day, mixed with fresh water in a 2:3 ratio, produces no ill effect. The French physician Alain Bombard survived an ocean crossing in a small Zodiak rubber boat using mainly raw fish meat, which contains about 40% water (like most living tissues), as well as small amounts of seawater and other provisions harvested from the ocean. His findings were challenged, but an alternative explanation was not given. In his 1948 book The Kon-Tiki Expedition, Thor Heyerdahl reported drinking seawater mixed with fresh in a 2:3 ratio during the 1947 expedition. A few years later, another adventurer, William Willis, claimed to have drunk two cups of seawater and one cup of fresh per day for 70 days without ill effect when he lost part of his water supply.
During the 18th century, Richard Russell advocated the medical use of this practice in the UK, and René Quinton expanded the advocation of this practice to other countries, notably France, in the 20th century. Currently, it is widely practiced in Nicaragua and other countries, supposedly taking advantage of the latest medical discoveries.
Most oceangoing vessels desalinate potable water from seawater using processes such as vacuum distillation or multi-stage flash distillation in an evaporator, or, more recently, reverse osmosis. These energy-intensive processes were not usually available during the Age of Sail. Larger sailing warships with large crews, such as Nelson's , were fitted with distilling apparatus in their galleys.
Animals such as fish, whales, sea turtles, and seabirds, such as penguins and albatrosses, have adapted to living in a high-saline habitat. For example, sea turtles and saltwater crocodiles remove excess salt from their bodies through their tear ducts.