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Healthy or unhealthy workplace?

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“Historically, the heaviest mass inhalational exposures to chlorine resulted from World War I gassing. Currently potential human exposure to chlorine inhalation occurs in a variety of settings in the workplace”. Today’s discussion is the indoor swimming pool!

You know that pungent “chlorine” smell that hits you in the face when you walk into the pool area, it also gets stuck to your skin/hair and swimmers, the sudden shortness of breath, random cough, or maybe the red itchy or dry skin that develops into a rash or maybe that hair loss or those red stinging eyes and even those headaches you get?

Chances are you have experienced one or more of the above during or after swimming, but you shrug it off, just accepting it is all part of the job.

So, say you don’t shrug it off and instead you educate yourself by doing some research; sticking only to credible sources of information. You might come across the following:

“Chlorine species are highly reactive; tissue injury results from exposure to chlorine, hydrochloric acid, hypochlorous acid, or chloramines. Acute, high level exposure to chlorine gas in occupational or environmental settings results in a variety of doserelated lung effects ranging from respiratory mucus membrane irritation to pulmonary edema. Pulmonary function testing can reveal either obstructive or restrictive deficits immediately following exposure, with resolution over time in the majority of cases. However, some of those exposed may demonstrate long-term persistent obstructive or restrictive pulmonary deficits or increased nonspecific airway reactivity after high level exposure to chlorine gas”.

“As with all human and technological intervention, the use of chlorine-based products to disinfect swimming water may lead to a number of unwanted effects, in particular the presence of chlorine-containing compounds in the air. Consequently, chlorination may affect the respiratory health of either those who work as swimming attendants or instructors”.

But let’s say you are just a lifeguard and don’t even get in the water, but you still find yourself developing some health problems. You tell yourself ‘it can’t be the pool; I don’t get in the water’. Well think again!

Research shows whilst you absorb chemical by-products (mono-chloramine and dichloramines) dermally while in the water, you also inhale the gaseous forms of byproducts (tri-chloramines) known as nitrogen trichloride, when reacted with water. They are part of the chlorine by-product group called Trihalomethanes (THM’s).

“Swimming-pool asthma due to airborne nitrogen trichloride can occur in workers who do not enter the water because of this chloramine. The air above indoor swimming pools therefore needs to be assessed and managed as carefully as the water”.

According to Wikipedia, Nitrogen trichloride, trademarked as Agene, was at one time used to bleach flour, but this practice was banned in the United States in 1949 due to safety concerns.

Despite there is plenty of research having been conducted specifically on some health issues associated with swimming pool by-products and their results already published, there is still much more research to be done on other areas of health concerns, which it would seem is also the opinion of our fellow scientists:

“Although the issue of the chlorination of public water supplies has received considerable attention, mainly with regard to the presence of potentially carcinogenic or teratogenic chlorinated by-products, the respiratory hazards of chlorinated swimming water have been less well addressed. Thus, old and even more recent reports on indoor pollution do not deal with the air of chlorinated swimming pools, despite the generally obvious and readily noticeable irritant character of this type of environment”.

References:

Rupali Das, Paul D. Blanc: Chlorine Gas exposure and the lung: A review. May 1, 1993
https://journals.sagepub.com/doi/abs/10.1177/074823379300900304

B. Nemery, P.H.M Hoet, D. Nowak: Indoor swimming pools, water chlorination and respiratory health. 2012. European Respiratory Journal.
https://erj.ersjournals.com/content/19/5/790

K.M. Thicket, J.S. McCoach, J.M. Gerber, S. Sadhra, P.S. Burge: Occupational asthma caused by chloramines in indoor swimming-pool air. 2012. European Respiratory Journal.
https://erj.ersjournals.com/content/19/5/827.short

25/07/2019
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