Disinfection By-products In Swimming Pools Research Articles

Swimming benefits outweigh risks of exposure to disinfection byproducts in pools

Disinfection of swimming pool water is critical to ensure the safety of the recreational activity for swimmers. However, swimming pools have a constant loading of organic matter from input water and anthropogenic contamination, leading to elevated levels of disinfection byproducts (DBPs). Epidemiological studies have associated increased risks of adverse health effects with frequent exposure to DBPs in swimming pools. Zhang et al. (2023b) investigated the occurrence of trihalomethanes (THMs), haloacetic acids (HAAs), haloacetonitriles (HANs), and haloacetaldehydes (HALs) in eight swimming pools and the corresponding input water in a city in Eastern China. The concentrations of THMs, HAAs, HANs, and HALs in swimming pools were 1–2 orders of magnitude higher than those detected in the input water. The total lifetime cancer and non-cancer health risks of swimmers through oral, dermal, inhalation, buccal, and aural exposure pathways were assessed using the United States Environmental Protection Agency's (USEPA) standard model and Swimmer Exposure Assessment Model (SWIMODEL). The results showed that dermal and inhalation pathways were the most significant for the associated cancer and non-cancer risks. This article provides an overview and perspectives of DBPs in swimming pools, the benefits of swimming, the need to improve the monitoring of DBPs, and the importance of swimmers’ hygiene practices to keep swimming pools clean. The benefits of swimming outweigh the risks from DBP exposure for the promotion of public health.

Exhaled breath of children swimmers conveniently collected in Teflon bags and used for trihalomethane determination by SPME-GC-MS.

Trihalomethanes (THMs) are the most common disinfection by-products in swimming pools; however, they exhibit strong cytotoxicity and genotoxicity, posing health risks. Children are more vulnerable to swimming-related health risks than adults; therefore, a rapid and accurate assessment of internal THM exposure in children swimmers is important for health risk assessment. For internal exposure measurement, collecting exhaled breath samples is more convenient, non-invasive, and easier to perform than collecting blood and urine. Therefore, this study aimed to develop a rapid, accurate, and reproducible method for determining THMs in children swimmers' exhaled breath using solid-phase microextraction (SPME)-gas chromatography-mass spectrometry (GC-MS). The factors influencing the pretreatment procedure, including selecting SPME fibers, extraction temperature, and time, were systematically evaluated. Under the optimized conditions, the instrumental linearity range was 1-200 ng L-1 with correlation coefficients >0.998. The limit of detection for this method was 0.3-0.5 ng L-1. The recovery values ranged between 76.87 and 111.49%. Detecting THMs at three different calibration levels using this method had an intra-day precision of 1.31-5.07%, while the inter-day precision was 1.59-11.10% (n = 6). Additionally, the SPME-GC-MS method was used to detect the concentration of THMs in children swimmers' exhaled breath before and after swimming. Trichloromethane was the most abundant THM in the air around the pool and children's exhaled breath, and THM concentrations in the children swimmers' exhaled breath increased significantly after swimming. This study found no significant differences in the concentrations of THMs in the children swimmers' exhaled breath with different swimming durations or frequencies, which may be a result of the unrepresentative sample population and small sample size, and more in-depth and comprehensive studies are needed to verify this conclusion.

Overlooked inorganic DBPs in trichloroisocyanuric acid (TCCA) disinfected indoor swimming pool: Evidences from concentration, cytotoxicity, and human health risk

Trichloroisocyanuric acid (TCCA) is a popular disinfectant for swimming pools in China. However, the occurrence and importance of regulated disinfection byproducts (DBPs) in TCCA-disinfected swimming pools are less understood. This study analyzed 12 regulated DBPs (4 trihalomethanes (THMs), 5 haloacetic acid (HAAs), bromate, chlorate, and chlorite) in 85 swimming pool water samples and 17 input tap water samples from one swimming pool for 17 days continuously. Considering water temperature, pH, free chlorine, total chlorine, and urea, most of swimming pool water samples were within the water quality limits for China. Total concentrations of THMs, HAAs, and inorganic DBPs of 20.4–42.2, 82.0–229, and 100–729 μg/L in the swimming pool, and 16.6–28.3, 8.2–12.8, and 64.4–95.6 μg/L in the tap water, indicating inorganic DBPs are the dominant swimming pool and drinking water pollutants. Cancer risk values of regulated DBPs in swimming pools and input tap water are 2.7E-05 and 8.1E-05, respectively, and exceed the US EPA's threshold (1.0E-06). The non-cancer risk is below the US EPA's threshold. Following TCCA disinfection, the concentration and calculated cytotoxicity of regulated DBPs had a 3.6-fold and 1.9-fold increase, respectively. Inorganic DBPs contribute to the calculated concentration and cancer risks of DBPs in swimming pools and tap water at sufficient concentrations warranting regulation. This study provides data on 12 regulated DBPs in TCCA-disinfected indoor swimming pools, highlighting the importance of inorganic DBPs from evidences of concentration, cytotoxicity, and cancer risk for the first time.

Occurrence of Disinfection By-Products in Swimming Pools in the Area of Thessaloniki, Northern Greece. Assessment of Multi-Pathway Exposure and Risk.

This study investigated the occurrence of disinfection by-products (DBPs) (trihalomethanes (THMs), haloacetic acids (HAAs), halonitriles (HANs), halonitromethane (TCNM) and haloketones (HKs)) in different type of swimming pools in the area of Thessaloniki, northern Greece by employing the EPA methods 551.1 and 552.3. Moreover, general water quality parameters (pH, residual chlorine, dissolved organic carbon, UV254 absorption, total nitrogen, alkalinity and conductivity) were also measured. The concentrations of DBPs showed great variability among swimming pools as well as within the same pool between sampling campaigns. HAAs exhibited the highest concentrations followed by THMs, HANs, TCNM and HKs. Exposure doses for four age groups (3–<6 y, 6–<11 y, 11–<16 y and adults) were calculated. Route-specific exposures varied among DBPs groups. Inhalation was the dominant exposure route to THMs and TCNM (up to 92–95%). Ingestion and dermal absorption were the main exposure routes to HAAs (40–82% and 18–59%, respectively), depending on the age of swimmers. HANs contributed up to 75% to the calculated cytotoxicity of pool water. Hazard indices for different exposure routes were <1, suggesting non-carcinogenic risk. Inhalation posed the higher carcinogenic risk for THMs, whereas risk via oral and dermal routes was low. Ingestion and dermal contact posed the higher risk for HAAs. Risk management strategies that minimise DBPs exposure without compromising disinfection efficiency in swimming pools are necessary.

Impact of swimming pool water treatment system factors on the content of selected disinfection by-products

Recommendations regarding disinfection by-products (DBPs) in pool waters consider the content of trihalomethanes (THMs) and combined chlorine (CC) as indicators of DBPs based on which the health risk for swimmers and staff of pool facility can be determined. However, the content of DBPs in swimming pools depends on many factors. In this paper, the influence of selected factors (physicochemical parameters of water and technological parameters) on the content of THMs and CC in pool water was determined. During the 6-month period, 9 pools of various functions were analyzed. The water in pools was subjected to the same method of treatment. The content of THMs and CC was compared against the content of organic matter, free chlorine and nitrates, pH, temperature, redox potential and turbidity, technological, and operational parameters. The THM content did not exceed the limit value of 0.1 mg/L. The content of CC varied significantly, from 0.05 to 1.13 mg Cl2/L. It was found that a very large water volume per person, in comparison to a very small one, contributed to the low content of CC and THMs. The high load expressed as m3 of water per person or m2 of water per person and the specific function of hot tubs (HT1 and HT2) led to the average concentration of CC in these pools exceeding 0.3 mg Cl2/L. The THM concentrations in hot tubs (especially in HT1) were also among the largest (0.038–0.058 mg/L). In terms of the analyzed microbiological indicators, the quality of the tested pool water samples was not in doubt. It was found that the purpose of the pool, its volume, and number of swimmers should be the key parameters that determine the choice of methods of water treatment. The research on the pool water quality in the actual working conditions of swimming pool facilities is necessary due to the need to preserve the health safety of swimmers and staff.

Health risks and predictive modeling of disinfection byproducts in swimming pools

Disinfection is an indispensable water treatment process used to inactivate pathogens and prevent outbreaks of infectious diseases in swimming pools. However, toxic disinfection byproducts (DBPs) are inevitably formed during the process. To improve the supervision and regulation of DBPs in swimming pools, the reliability of using trihalomethanes (THMs) as the sole indicator of organic DBPs and the possibility of using easily detectable water quality parameters as predictors of DBPs were discussed based on the occurrence of 29 typical DBPs in swimming pools. Among the target DBP categories, THMs and haloacetic acids (HAAs) were the prominent species, and the concentrations of HAAs were the highest. The risk assessment results indicated that the total risk values in most pools were higher than the acceptable value (10−6). Compared with nitrosamines and THMs, HAAs were the main contributors to the cancer risks posed by dermal absorption and ingestion. THMs (r = 0.619; p < 0.01) and HAAs (r = 0.989; p < 0.01) were both significantly correlated with total DBPs (the sum of 29 DBPs). A stepwise multivariate regression model was developed by analyzing the correlations between total DBPs and water quality parameters, and the relationship coefficient R2 was 0.756. This study provides important information and perspectives for the improvement and implementation of standards for swimming pool water.

Precise exposure assessment revealed the cancer risk and disease burden caused by trihalomethanes and haloacetic acids in Shanghai indoor swimming pool water

Swimming pool disinfection byproducts (DBPs) are becoming increasingly common worldwide. Precise exposure and health risk assessment for DBPs in swimming pool water with optimized parameters for local and specific population is more urgently needed. This study aimed to determine the levels of trihalomethanes (THMs) and haloacetic acids (HAAs) in 16 public indoor swimming pools in Shanghai, China. Swimming habits were also investigated to obtain more accurate exposure assessment parameters. Precise exposure assessment through multiple pathways, resulting cancer risk, and disability-adjusted life years (DALYs) were assessed. Results indicated that the highest total level of THMs and HAAs occurred in autumn. The surveyed swimmers 9–17 years of age had higher average daily dose (ADD) of DBPs than swimmers ≥18 years of age. The total lifetime cancer risk (LCR) attributable to THMs and HAAs exceeded 10−6, which represents a negligible risk level (NRL). The cancer risk from inhalation exposure predominantly by THMs contributed more than 99% of the total risk. Annual disease burden was 19.0 person-years attributed to exposure of DBPs in swimming pool water in Shanghai. This study provides a paradigm and strategic reference of precise exposure assessments, risk assessments, and disease burden estimation of hazards in swimming pool water for other regions.

Exposure to disinfection by-products in swimming pools and biomarkers of genotoxicity and respiratory damage – The PISCINA2 Study

BackgroundSwimming in pools is a healthy activity that entails exposure to disinfection by-products (DBPs), some of which are irritant and genotoxic. ObjectivesWe evaluated exposure to DBPs during swimming in a chlorinated pool and the association with short-term changes in genotoxicity and lung epithelium permeability biomarkers. MethodsNon-smoker adults (N = 116) swimming 40 min in an indoor pool were included. We measured a range of biomarkers before and at different times after swimming: trihalomethanes (THMs) in exhaled breath (5 min), trichloroacetic acid (TCAA) in urine (30 min), micronuclei in lymphocytes (1 h), serum club cell protein (CC16) (1 h), urine mutagenicity (2 h) and micronuclei in reticulocytes (4 days in a subset, N = 19). Several DBPs in water and trichloramine in air were measured, and physical activity was extensively assessed. We estimated interactions with polymorphisms in genes related to DBP metabolism. ResultsMedian level of chloroform, brominated and total THMs in water was 37.3, 9.5 and 48.5, μg/L, respectively, and trichloramine in air was 472.6 μg/m3. Median exhaled chloroform, brominated and total THMs increased after swimming by 10.9, 2.6 and 13.4, μg/m3, respectively. Creatinine-adjusted urinary TCAA increased by 3.1 μmol/mol. Micronuclei in lymphocytes and reticulocytes, urine mutagenicity and serum CC16 levels remained unchanged after swimming. Spearman correlation coefficients showed no association between DBP exposure and micronuclei in lymphocytes, urine mutagenicity and CC16. Moderate associations were observed for micronuclei in reticulocytes and DBP exposure. ConclusionsThe unchanged levels of the short-term effect biomarkers after swimming and null associations with personal estimates of exposure to DBPs suggest no measurable effect on genotoxicity in lymphocytes, urine mutagenicity and lung epithelium permeability at the observed exposure levels. The moderate associations with micronuclei in reticulocytes require cautious interpretation given the reduced sample size.

Occurrence of disinfection by-products in swimming pools and the estimated resulting cytotoxicity

Swimming pools are disinfected to protect against the risk of microbial disease, however, the formation of disinfection by-products (DBPs) is an unwanted consequence. While many studies have reported the occurrence of commonly investigated DBPs (trihalomethanes and haloacetic acids) in pools, few studies have investigated emerging DBP classes, such as the haloketones or haloacetaldehydes, and the nitrogenous haloacetamides, halonitromethanes, haloacetonitriles and N-nitrosamines. This study investigated the occurrence of sixty four DBPs from the eight aforementioned DBP classes in pools employing different treatment methods. Approximately 70% of the DBPs were detected in at least one of the pools, with most concentrations being equal to or greater than those previously reported. Chloral hydrate (trichloroacetaldehyde) was one of many DBPs detected in all chlorinated waters (202 to 1313 μg/L), and, on a molar basis, was the predominant DBP. Several other DBPs, namely chloroacetic acid, dichloroacetic acid, trichloroacetic acid, dichloroacetamide, dibromoacetamide, dibromochloroacetamide and trichloroacetamide, and many of the N-nitrosamines, were measured at concentrations greater than previously reported: up to 200 to 479 μg/L for the haloacetic acids, 56 to 736 μg/L for the haloacetamides and up to 1093 ng/L for some N-nitrosamines. The higher disinfectant residuals required to be employed in Australian pools, and poor pool management (e.g. of chlorine residual and pH) are likely factors contributing to these relatively high DBP concentrations. Where possible, the cytotoxicity values of the investigated DBPs were evaluated, with chloral hydrate representing over 90% of the total chronic cytotoxicity despite only representing up to 64% of the total molar DBP concentration. This study is the first report of bromodichloroacetaldehyde and bromochloroacetaldehyde in pools and is the first investigation of N-nitrosamines in a brominated pool. Furthermore, this work aids in understanding DBPs in both chlorine and bromine treated pools, the latter being the subject of only limited previous studies.

Occurrence, origin, and toxicity of disinfection byproducts in chlorinated swimming pools: An overview.

Disinfection treatments are critical to conserve the microbiological quality of swimming pool water and to prevent water-borne infections. The formation of disinfection byproducts (DBPs) in swimming pools is an undesirable consequence resulting from reactions of disinfectants (e.g. chlorine) with organic and inorganic matter present in pool water, mainly brought by bathers. A considerable body of occurrence studies has identified several classes of DBPs in swimming pools with more than 100 compounds detected, mainly in chlorinated freshwater pools. Trihalomethanes (THMs), haloacetic acids (HAAs), haloacetaldehydes (HALs) are among the major DBPs in swimming pools. Other DBPs such as haloacetonitriles (HAN), haloamines, nitrosamines, and halobenzoquinones have also been detected. Researchers have been interested in identifying the precursors responsible for the formation of DBPs. In swimming pools, anthropogenic organic loads brought by swimmers increase the complexity of pool water chemistry. When human inputs (e.g. sweat, urine, hair, skin and personal care products) containing very diverse organic compounds are introduced to pools by swimmers, they react with chlorine resulting in the formation of complex mixtures of DBPs. The overwhelming majority of the total organic halide (TOX) content is still unknown in swimming pools. Exposure of swimmers to DBPs can take place through multiple routes, depending on the chemical properties of each DBP. Toxicological studies have shown that swimming pool water can be mutagenic with different potencies reported in different studies. Many DBPs have been shown to be genotoxic and carcinogenic. DBPs were also shown to induce reproductive and neurotoxic adverse effects in animal studies. Epidemiologic studies in humans have shown that exposure to DBPs increases the risk of respiratory adverse effects and bladder cancer. Association between DBPs and other health effects are still inconclusive. Data gathered in the present review (occurrence, toxicity, and toxicological reference values) could be used in conducting chemical risk assessment studies in swimming pools.

Effect of chloride on the formation of volatile disinfection byproducts in chlorinated swimming pools

Chloride can accumulate in chlorinated swimming pool water. Although substantial efforts have been made to examine the effects of halide ions on the formation of volatile disinfection byproducts (DBPs), most have focused on bromide. The effects of chloride ion concentration on the formation of volatile DBPs in swimming pools remain largely unstudied. In this study, chlorination of typical precursors and body fluid analogue (BFA) were investigated with variable chloride concentration and pH. The formation of three volatile DBPs (NCl3, CHCl3 and CNCHCl2) was observed to be linearly correlated with chloride concentration, both in bench experiments and in actual swimming pool water samples. Free chlorine consumption was also observed to increase with chloride concentration. These behaviors appear to be attributable to shifts in speciation of free chlorine, with higher chloride resulting in higher concentration of molecular chlorine (Cl2), which is much more reactive than HOCl. The results of this work suggest that changes in pool management strategies to promote low chloride concentration could be important for control of volatile DBPs in pools and to economize free chlorine usage.

Occurrence and health risk assessment of halogenated disinfection byproducts in indoor swimming pool water

Swimming pool disinfection byproducts (DBPs) have become a concern in many countries all over the world. In this study, the concentrations of several categories of DBPs, including trihalomethanes (THMs), haloacetic acids (HAAs), haloacetonitriles (HANs), haloketones (HKs) and trichloronitromethane (TCNM), in 13 public indoor swimming pools in Nanjing, China were determined, the correlations between DBPs and water quality parameters as well as between different DBP categories were evaluated, and the health risks of the DBPs to human were examined. The results indicate that the DBP levels in the swimming pools in Nanjing were relatively high, with HAAs as the most dominant category, followed by THMs, HANs, HKs and TCNM sequentially. Bromochloroacetic acid (BCAA), trichloromethane (TCM), dichloroacetonitrile (DCAN), and 1,1,1-trichloropropanone (1,1,1-TCP) were the most dominant species among HAAs, THMs, HANs, and HKs, respectively. For all the different categories of DBPs, the concentrations in the pool disinfected with ozonation/chlorination were lower than those in the pool disinfected with chlorination. The DBP levels were generally not affected by the number of swimmers and the DBP levels on different dates were relatively stable. Besides, the chlorine residual seemed to be a critical concern in most of the swimming pools in this study. Moreover, there were some correlations between DBPs and water quality parameters as well as between different DBP categories. It is to be noted that the predicted cancer and health risks of the DBPs in these swimming pools were generally higher than the regulatory limits by USEPA, and thus DBPs in these swimming pools should be concerned.

A comparison of membership function shapes in a fuzzy-based fugacity model for disinfection byproducts in indoor swimming pools

Aleatory and epistemic uncertainty in human health risk assessment is virtually unavoidable. While probabilistic methods may adequately address exposure and risk model parameters with variability (body weight, exposure duration, exposure frequency), other methods are more helpful for handling uncertainty that arises from an incomplete understanding of the processes being modeled (mass transport). Due to the potential for cancer and other health risks, it is essential to understand of the concentrations of disinfection byproducts in swimming pool facilities and the related exposures. This study builds on previous probabilistic and fuzzy based fugacity models which estimate exposure to disinfection byproducts in swimming pools (Dyck, Water Res 45:5084–5098, 2011; Annual meeting of the North American Fuzzy Information Processing Society (NAFIPS), 2012). Those models estimated environmental concentrations based on mass transfer processes for which there are many possible formulas. The influence of membership function shape on the final estimated concentration required further investigation. In this study, three different trapezoidal membership functions are derived for the gas-side mass transfer coefficient k G . One triangular and one trapezoidal membership function are derived for the liquid-side mass transfer coefficient, k L . According to graphical output and percent difference between the actual concentration and the defuzzified output of the fuzzy based model, the best combination of shapes to use is the trapezoidal k G membership function which uses seven calculated values (to define the shape of the trapezoid) with either the triangular or trapezoidal k L membership function. Further study is recommended to combine the fuzzy based methods for poorly understood model processes with probabilistic methods for model parameters with aleatory uncertainty.

7th International Symposium on Enabling Technologies for Life Sciences (ETP)

7^th International Symposium on Enabling Technologies for Life Sciences (ETP)

Health impact of disinfection by-products in swimming pools

This article is focused on the epidemiological evidence on the health impacts related to disinfection by-products (DBPs) in swimming pools, which is a chemical hazard generated as an undesired consequence to reduce the microbial pathogens. Specific DBPs are carcinogenic, fetotoxic and/or irritant to the airways according to experimental studies. Epidemiological evidence shows that swimming in pools during pregnancy is not associated with an increased risk of reproductive outcomes. An epidemiological study suggested an increased risk of bladder cancer with swimming pool attendance, although evidence is inconclusive. A higher prevalence of respiratory symptoms including asthma is found among swimming pool workers and elite swimmers, although the causality of this association is unclear. The body of evidence in children indicates that asthma is not increased by swimming pool attendance. Overall, the available knowledge suggests that the health benefits of swimming outweigh the potential health risks of chemical contamination. However, the positive effects of swimming should be enhanced by minimising potential risks.

Definition and quantification of initial anthropogenic pollutant release in swimming pools

Pollutants, brought into a swimming pool by bathers, will react with chlorine to form disinfection by-products (DBPs). Some of these DBPs are found to be respiratory and ocular irritant and might be associated with asthma, or might even be carcinogenic. As DBPs in swimming pools are formed from bather-shed-pollutants, a reduction of these pollutants will lead to a reduction of DBPs. Until now, however, the release of pollutants by bathers has not been studied in detail. The study described in this paper focuses on the release of these pollutants, further called anthropogenic pollutants. The objective was to define and quantify the initial anthropogenic pollutants, by using a standardised shower cabin and a standardised showering protocol in laboratory time-series experiments and on-site experiments in swimming pools. The time-series experiments resulted in a definition of the initial anthropogenic pollutant release: the amount of pollutants released from a person in a standardised shower cabin during the first 60 s of showering. The data from the time-series experiments were used to create a model of pollutant release. The model can be used to predict the initial anthropogenic pollutant release as well as the effects of showering. On-site experiments were performed at four different swimming pools, including one outdoor pool. Results of these on-site showering experiments correspond with the time-series and model outcomes. Anthropogenic pollutant release (both chemical and microbiological) in swimming pool water can be reduced by pre-swim showering, very likely resulting in decreased DBPs formation and chlorine demand.

Production of various disinfection byproducts in indoor swimming pool waters treated with different disinfection methods

In this study, the concentrations of disinfection byproducts (DBPs), including trihalomethanes (THMs; chloroform, bromodichloromethane, dibromochloromethane, and bromoform), haloacetic acids (HAAs; dichloroacetic acid and trichloroacetic acid), haloacetonitriles (HANs; dichloroacetonitrile, trichloroacetonitrile, bromochloroacetonitrile, and dibromoacetonitrile), and chloral hydrate (CH) were measured in 86 indoor swimming pools in Seoul, Korea, treated using different disinfection methods, such as chlorine, ozone and chlorine, and a technique that uses electrochemically generated mixed oxidants (EGMOs). The correlations between DBPs and other environmental factors such as with total organic carbon (TOC), KMnO(4) consumption, free residual chlorine, pH, and nitrate (NO(3)(-)) in the pools were examined. The geometric mean concentrations of total DBPs in swimming pool waters were 183.1±2.5μg/L, 32.6±2.1μg/L, and 139.9±2.4μg/L in pools disinfected with chlorine, ozone/chlorine, and EGMO, respectively. The mean concentrations of total THMs (TTHMs), total HAAs (THAAs), total HANs (THANs), and CH differed significantly depending on the disinfection method used (P<0.01). Interestingly, THAAs concentrations were the highest, followed by TTHMs, CH, and THANs in all swimming pools regardless of disinfection method. TOC showed a good correlation with the concentrations of DBPs in all swimming pools (chlorine; r=0.82, P<0.01; ozone/chlorine; r=0.52, P<0.01, EGMO; r=0.39, P<0.05). In addition, nitrate was positively correlated with the concentrations of total DBPs in swimming pools disinfected with chlorine and ozone/chlorine (chlorine; r=0.58; ozone/chlorine; r=0.60, P<0.01), whereas was negative correlated with the concentrations of total DBPs (r=-0.53, P<0.01) in the EGMO-treated pools.

Changes in Markers of Genotoxicity in Relation to Exposure to Disinfection By-Products in Swimming Pools

Changes in Markers of Genotoxicity in Relation to Exposure to Disinfection By-Products in Swimming Pools