Occupational Asthma Reference

Nitter,TB, Hirsch Svendsen KV, Covariation amongst pool management, trichloramine exposure and asthma for swimmers in Norway, Science of The Total Environment, 2020;723:138070,https://doi.org/10.1016/j.scitotenv.2020.138070

Keywords: nitrogen trichloride, NCl3, chloramone, CO2, carbon dioxide, air measurement, swimming pool, asthma, norway

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The association between asthma and exposure to the air in swimming facilities has been acknowledged. However, the variation in, long-term exposure to and management of the respiratory irritant trichloramine (NCl3) is not well understood. In this study, 313 swimmers above 18 years of age licensed by the Norwegian Swimming Association answered a questionnaire about health and swimming. The prevalence of asthma amongst the most-exposed swimmers was 36%. Two facilities, those with the highest and lowest reported prevalence of asthma, were chosen for further investigation. For each facility, a one-week-long monitoring campaign was performed, during which pool management, air and water quality were investigated. The results of this study showed that time of day, occupancy and pool management affect the concentration of NCl3, which ranged from 58 µg/m3 to 461 µg/m3. Furthermore, in one of the facilities, the concentration of CO2 was measured to evaluate whether this contaminant could be used to predict the number of pool occupants as well as the concentration of NCl3 in the air. The concentration of CO2 was significantly correlated with occupancy level (? = 0.82, p = 0.01) and NCl3 concentration (r = 0.80, p = 0.01). Furthermore, according to the random intercept model the concentration of CO2 explained 52% of the variation observed in the air concentration of NCl3. CO2 sensors to control the air supply can help reduce the air concentrations of NCl3 and balance the air supply based on occupancy level.

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A rather wordy paper, but does suggest that there is a reasonable correlation between air measurements of carbon dioxide (easily measured) and nitrogen trichloride (more difficult to measure) in the air above indoor chlorinated pools.

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