Next Article in Journal
Suicidal Behavior and Alcohol Abuse
Previous Article in Journal
Alcohol and HCV Chronic Infection Are Risk Cofactors of Type 2 Diabetes Mellitus for Hepatocellular Carcinoma in Italy
Int. J. Environ. Res. Public Health 2010, 7(4), 1379-1391; doi:10.3390/ijerph7041379
Article

Prevalence of Ocular, Respiratory and Cutaneous Symptoms in Indoor Swimming Pool Workers and Exposure to Disinfection By-Products (DBPs)

* ,
,
,
,
 and
Received: 12 January 2010; in revised form: 5 February 2010 / Accepted: 9 March 2010 / Published: 29 March 2010
View Full-Text   |   Download PDF [130 KB, uploaded 19 June 2014]
Abstract: The objective of this cross-sectional study was to investigate the prevalence of self-reported respiratory, ocular and cutaneous symptoms in subjects working at indoor swimming pools and to assess the relationship between frequency of declared symptoms and occupational exposure to disinfection by-products (DBPs). Twenty indoor swimming pools in the Emilia Romagna region of Italy were included in the study. Information about the health status of 133 employees was collected using a self-administered questionnaire. Subjects working at swimming pools claimed to frequently experience the following symptoms: cold (65.4%), sneezing (52.6%), red eyes (48.9%) and itchy eyes (44.4%). Only 7.5% claimed to suffer from asthma. Red eyes, runny nose, voice loss and cold symptoms were declared more frequently by pool attendants (lifeguards and trainers) when compared with employees working in other areas of the facility (office, cafe, etc.). Pool attendants experienced generally more verrucas, mycosis, eczema and rash than others workers; however, only the difference in the frequency of self-declared mycosis was statistically significant (p = 0.010). Exposure to DBPs was evaluated using both environmental and biological monitoring. Trihalomethanes (THMs), the main DBPs, were evaluated in alveolar air samples collected from subjects. Swimming pool workers experienced different THM exposure levels: lifeguards and trainers showed the highest mean values of THMs in alveolar air samples (28.5 ± 20.2 µg/m3), while subjects working in cafe areas (17.6 ± 12.1 µg/m3), offices (14.4 ± 12.0 µg/m3) and engine rooms (13.6 ± 4.4 µg/m3) showed lower exposure levels. Employees with THM alveolar air values higher than 21 µg/m3 (median value) experienced higher risks for red eyes (OR 6.2; 95% CI 2.6–14.9), itchy eyes (OR 3.5; 95% CI 1.5–8.0), dyspnea/asthma (OR 5.1; 95% CI 1.0–27.2) and blocked nose (OR 2.2; 95% CI 1.0–4.7) than subjects with less exposure. This study confirms that lifeguards and trainers are more at risk for respiratory and ocular irritative symptoms and cutaneous diseases than subjects with other occupations at swimming pool facilities.
Keywords: respiratory; ocular and cutaneous symptoms; irritative symptoms; occupational exposure; swimming pools; trihalomethanes respiratory; ocular and cutaneous symptoms; irritative symptoms; occupational exposure; swimming pools; trihalomethanes
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Export to BibTeX |
EndNote


MDPI and ACS Style

Fantuzzi, G.; Righi, E.; Predieri, G.; Giacobazzi, P.; Mastroianni, K.; 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, 1379-1391.

AMA Style

Fantuzzi G, Righi E, Predieri G, Giacobazzi P, Mastroianni K, Aggazzotti G. Prevalence of Ocular, Respiratory and Cutaneous Symptoms in Indoor Swimming Pool Workers and Exposure to Disinfection By-Products (DBPs). International Journal of Environmental Research and Public Health. 2010; 7(4):1379-1391.

Chicago/Turabian Style

Fantuzzi, Guglielmina; Righi, Elena; Predieri, Guerrino; Giacobazzi, Pierluigi; Mastroianni, Katia; Aggazzotti, Gabriella. 2010. "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 7, no. 4: 1379-1391.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert