Dr McElnay said algal mats are identifiable by a strong musty odour and can vary in colour from dark green/brown to a pale brown/whitish colour when dry.
"Any contact with a toxic form of the algal mat may cause vomiting, diarrhoea and skin irritations in humans," Dr McElnay said.
"Dogs are particularly susceptible to the toxins, and owners are advised to avoid allowing their dogs to scavenge on the river's edge."
Dr McElnay said swimming should be avoided in the detected areas and warning signs had been erected.
"Anyone who displays signs of illness after being in a river bed should seek medical advice from a doctor immediately," Dr McElnay said.
"Similarly, any dogs or other animals that get sick after being in a river should get prompt veterinary attention," she said.
Hawke's Bay Regional Council would continue to carry out routine monitoring on a weekly basis and the public would be kept up-to-date of any changes in algal mat coverage.