Airborne trichloramine (NCl 3) levels and self-reported health symptoms in indoor swimming pool workers: Dose-response relationships

Journal of Exposure Science and Environmental Epidemiology

Volumn 23, Issue 1, 2013, Pages 88-93

  Fantuzzi, Guglielmina ^a   Righi, Elena ^a   Predieri, Guerrino ^a   Giacobazzi, Pierluigi ^a   Petra, Berchotd ^a   Aggazzotti, Gabriella ^a  

^a UNIVERSITY OF MODENA AND REGGIO EMILIA   (Italy)

Author keywords

lifeguards and pool attendants; ocular and respiratory irritative symptoms; swimming pools; trichloramine in ambient air

Indexed keywords

CHLORIDE; NITROGEN CHLORIDE; NITROGEN DERIVATIVE;

ADULT; AIR POLLUTANT; ARTICLE; DOSE RESPONSE; FEMALE; HEALTH STATUS; HUMAN; ITALY; MALE; OCCUPATIONAL EXPOSURE; SWIMMING POOL;

ADULT; AIR POLLUTANTS; CHLORIDES; DOSE-RESPONSE RELATIONSHIP, DRUG; FEMALE; HEALTH STATUS; HUMANS; ITALY; MALE; NITROGEN COMPOUNDS; OCCUPATIONAL EXPOSURE; SWIMMING POOLS;

EMILIA;

EID: 84871420324     PISSN: 15590631     EISSN: 1559064X     Source Type: Journal    
DOI: 10.1038/jes.2012.56     Document Type: Article

References (21)

1. Weisel C.P., Richardson S.D., Nemery B., Aggazzotti G., Baraldi E., and Blatchley III E.R., et al. Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations. Environ Health Perspect 2009: 117: 500-507.
2. Hé ry M., Hecht G., Gendre J.C., Hubert G., and Rebuffaud I. Exposure to chloramines in the atmosphere of indoor swimming pools. Ann Occup Hyg 1995: 39: 427-439.
3. Li J., and Blatchley III E.R. Volatile disinfection by-product formation resulting from chlorination of organic-nitrogen precursors in swimming pools. Environ Sci Technol 2007: 41: 6732-6739. (Pubitemid 47548088)
4. Weaver W.A., Li J., Wen Y., Johnston J., Blatchley M.R., and Blatchley III E.R. Volatile disinfection by-product analysis from chlorinated indoor swimming pools. Water Res 2009: 43: 3308-3318.
5. Massin N., Bohadana A.B., Wild P., Hery M., Toamain J.P., and Hubert G. Respiratory symptoms and bronchial responsiveness in lifeguards exposed to nitrogen trichloride in indoor swimming pools. Occup Environ Med 1998: 5: 258-263. (Pubitemid 28179977)
6. Levesque B., Duchesne J.F., Gingras S., Lavoie R., Prud'Homme D., Bernard E., Boulet J.F., and Ernst P. The determinants of prevalence of health complaints among young competitive swimmers. Int Arch Occup Environ Health 2006: 80: 32-39. (Pubitemid 44489991)
7. Bernard A., Carbonnelle S., Michel O., Higuet S., De Burbure C., Buchet J., Hermans C., Dumont X., and Doyle I. Lung hyperpermeability and asthma prevalence in schoolchildren: unexpected associations with the attendance at indoor chlorinated swimming pools. Occup Environ Med 2003: 60: 385-394. (Pubitemid 36724191)
8. Bernard A., Carbonnelle S., de Burbure C., Michel O., and Nickmilder M. Chlorinated pool attendance, atopy, and the risk of asthma during childhood. Environ Health Perspect 2006: 114: 1567-1573. (Pubitemid 44509656)
9. Jacobs J.H., Spaan S., van Rooy G.B., Meliefste C., Zaat V.A., Rooyackers J.M., and Heederik D. Exposure to trichloramine and respiratory symptoms in indoor swimming pool workers. Eur Respir J 2007: 29: 690-698. (Pubitemid 46554618)
10. Goodman M., and Hays S. Asthma and swimming: a meta-analysis. J Asthma 2008: 45: 639-649.
11. Font-Ribera L., Kogevinas M., Zock J.P., Nieuwenhuijsen M.J., Heederik D., and Villanueva C.M. Swimming pool attendance and risk of asthma and allergic symptoms in children. Eur Respir J 2009: 34: 1304-1310.
12. Font-Ribera L., Villanueva C.M., Nieuwenhuijsen M.J., Zock J.P., Kogevinas M., and Henderson J. Swimming pool attendance, asthma, allergies and lung function in the ALSPAC cohort. Am J Respir Crit Care Med 2011: 183: 582-588.
13. Fantuzzi G., Righi E., Predieri G., Giacobazzi P., Mastroianni K., and Aggazzotti G. Prevalence of ocular, respiratory and cutaneous symptoms in indoor swimming pool workers and exposure to disinfection by-products (DBPs). Int J Environ Res Public Health 2010: 7(4): 1379-1391.
14. Chen L., Dang B., and Mueller C., et al. Health Hazard Evaluation Report: Investigation of Employee Symptoms at an Indoor Waterpark. US Department of Health and Human Services, CDC, National Institute for Occupational Safety and Health, Cincinnati, OH, 2008. Report no. HETA2007-0163-3062.
15. Centers for Disease Control and Prevention (CDC). Respiratory and ocular symptoms among employees of a hotel indoor waterpark resort-Ohio, 2007. MMWR Morb Mortal Weekly Rep 2009: 58(4): 81-85.
16. Thickett K.M., McCoach J.S., Gerber J.M., Sadhra S., and Burge P.S. Occupational asthma caused by chloramines in indoor swimming-pool air. Eur Respir J 2002: 19: 827-832. (Pubitemid 34567894)
17. European standard EN ISO 7393-2. Water quality - Determination of free chlorine and total chlorine - Part 2: Colorimetric method using N, N-diethyl-1,4- phenylenediamine for routine control purposes, 2000.
18. Predieri G., and Giacobazzi P. Determination of nitrogen trichloride (NCl3) levels in the air of indoor chlorinated swimming pools: an impinger method proposal. Int J Env Anal Chem 2012: 92: 645-654.
19. Parrat J., Donzé G., Iseli C., Perret D., Tomicic C., and Schenk O. Assessment of occupational and public exposure to trichloramine in Swiss indoor swimming pools: a proposal for an occupational exposure limit. Ann Occup Hyg 2012: 56(3): 264-277.
20. World Health Organization. Guidelines for Safe Recreational-Water Environments, Vol.2, Swimming Pools, Spas and Similar Recreational-Water Environments. World Health Organization, Geneva, 2006.
21. de Marco R., Cappa V., Accordini S., Rava M., Antonicelli L., Bortolami O., Braggion M., Bugiani M., Casali L., Cazzoletti L., Cerveri I., Fois A.G., Girardi P., Locatelli F., Marcon A., Marinoni A., Panico M.G., Pirina P., Villani S., Zanolin M.E., and Verlato G. for the GEIRD study group. Trends in the prevalence of asthma and allergic rhinitis in Italy between 1991 and 2010. Eur Respir J 2012: 39(4): 883-892.