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Occupational Exposure to Trichloramine and Endotoxins: Adverse Health Effects Among Personnel in Adventure and Rehabilitation Swimming Pool Facilities
Ist Teil von
Journal of occupational and environmental medicine, 2022-05, Vol.64 (5), p.361-369
Erscheinungsjahr
2022
Beschreibungen/Notizen
Objective:
To study occupational exposure totrichloramine and endotoxins in air at adventure and rehabilitation swimming pool facilities from an adverse health effects perspective.
Methods:
Air concentrations of trichloramine and endotoxins were measured in five adventure and 10 rehabilitation facilities. Respiratory and ocular symptoms were self-reported, and spirometry and fraction of exhaled nitric oxide
(FE
no
)
were measured.
Results:
Compared to rehabilitation facilities, the mean trichloramine concentrations in the adventure facilities were higher, both personal (80 μg/m
3
(
n
=
41) vs 19 μg/m
3
(
n
= 21)) and stationary (183 μg/m
3
(
n
= 51) vs 23 μg/m
3
(
n
= 32)), with higher frequency of ocular and respiratory symptoms. Low stationary endotoxin levels (<0.64 to 25 EU/m
3
) were found, compared to the reference value (90 EU/m
3
).
Conclusions:
Higher trichloramine concentrations in air and more ocular and respiratory symptoms in adventure facilities call for adequate occupational exposure limits.