Last month, CO-ED Magazine reported that there has been an increase of orally-transmitted herpes due to the not-so-sanitary game of beer pong.

The 230-percent increase in herpes simplex virus-1 (HSV-1) is so disturbing that you can’t help but wonder what other diseases could be floating in the dark, murky waters of your Solo cups. When playing beer pong, you have a possibility of getting any type of disease transferable via saliva. So the next time you decide to invite your neighbors over for a friendly round of drinking games, play smart or you’ll end up with one of these nasty ailments:

Gonorrhea, a.k.a. The Clap
Although it’s more commonly transmitted through sexual intercourse, there’s still a possibility of spreading Gonorrhea orally. If the infection is only down there, no need to worry. However, the bacteria Neisseria gonorrhoeae could also thrive in the throat. (If you don’t get how one could possibly catch an STD in one’s mouth, you have bigger problems). To avoid any risks, I’d closely monitor your beer pong partner/opponents before the game.

Infectious mononucleosis, a.k.a. Mono
Also known as the “kissing disease,” mono induces extreme fatigue, muscle soreness, sore throat, and fever. Mono may have been a popular sickness when we were in middle school and high school, but that doesn’t mean it goes away once we hit college. I’d think twice about sharing cups—especially in beer pong.

Hepatitis A
If you and your friends are the type to play practical jokes on each other (say light each other’s crotches on fire), I’d keep an eye out for them in beer pong. Their next brilliant idea may be to use toilet water to fill the ball-rinsing cup. If so, you could find yourself in a state of nausea, vomiting, diarrhea and fever—due to feces-contaminated water. Let’s hope you’re up-to-date with your Hepatitis A vaccination.