Nitrosamine Carcinogens Also Swim in Chlorinated Pools

Abstract

Highly carcinogenic N-nitrosodialkylamine (nitrosamine) disinfection byproducts were quantified in chlorinated swimming pools, hot tubs, and aquaria. N-Nitrosodimethylamine, the most abundant nitrosamine detected, was measured in swimming pools and hot tubs at levels up to 500-fold greater than the drinking water concentration of 0.7 ng/L associated with a one in one million lifetime cancer risk. Temperature, enclosure, amine and nitrite precursor loading, and the use of disinfection schemes with reduced chlorine doses contributed to statistically significant variability in its occurrence. N-Nitrosodibutylamine and N-nitrosopiperidine were also detected but together represented <5% of the total analyte distribution. The presence of N-nitrodimethylamine at levels comparable to N-nitrosodimethylamine points to a competition between the nitration and nitrosation of amines in chlorinated recreational waters. Since nitrosamines can cause bladder cancer, the significance of our measurements needs clarification with respect to recent epidemiological results that are suggestive of a link between swimming in chlorinated pools and bladder cancer.