EXPOSURE ASSESSMENT TO TRIHALOMETHANES IN SWIMMING POOLS G

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EXPOSURE ASSESSMENT TO TRIHALOMETHANES IN SWIMMING POOLS G. Fantuzzi, E. Righi, and G. Aggazzotti

EXPOSURE ASSESSMENT TO TRIHALOMETHANES IN SWIMMING POOLS G. Fantuzzi, E. Righi, and G. Aggazzotti Università di Modena e Reggio Emilia – Italy

Guglielmina Fantuzzi Associate Professor of Hygiene, Faculty of Sciences Elena Righi Fellowship in Environmental

Guglielmina Fantuzzi Associate Professor of Hygiene, Faculty of Sciences Elena Righi Fellowship in Environmental Epidemiology, Faculty of Medicine Gabriella Aggazzotti Full Professor of Epidemiology, Faculty of Medicine

Disinfection by-products Trihalomethanes: Chloroform Bromodichloromethane Dibromochloromethane Bromoform

Disinfection by-products Trihalomethanes: Chloroform Bromodichloromethane Dibromochloromethane Bromoform

Health risk assessment Hazard identification Dose-response relationship Exposure assessment Risk characterization

Health risk assessment Hazard identification Dose-response relationship Exposure assessment Risk characterization

Exposure assessment to THMs Environmental monitoring • Water • Ambient air Biological monitoring •

Exposure assessment to THMs Environmental monitoring • Water • Ambient air Biological monitoring • Alveolar air • Blood

 g/l Environmental monitoring: THMs in pool water Swimming pools

g/l Environmental monitoring: THMs in pool water Swimming pools

Environmental monitoring: THMs in ambient air g/m 3 Swimming pools

Environmental monitoring: THMs in ambient air g/m 3 Swimming pools

mg/l Biological monitoring: chloroform in plasma Indoor swimming pools

mg/l Biological monitoring: chloroform in plasma Indoor swimming pools

Chloroform in plasma g/l

Chloroform in plasma g/l

Biological monitoring: g/m 3 chloroform in alveolar air Indoor swimming pools

Biological monitoring: g/m 3 chloroform in alveolar air Indoor swimming pools

Chloroform in alveolar air mg/m 3 200 y= 9. 06 + 0. 555 x

Chloroform in alveolar air mg/m 3 200 y= 9. 06 + 0. 555 x n=16 r= 0. 804 p<0. 001 100 0 0 100 200 Chloroform in ambient air 300 mg/m 3

Chloroform in alveolar air mg/m 3 120 100 80 60 40 20 0 competitive

Chloroform in alveolar air mg/m 3 120 100 80 60 40 20 0 competitive learners visitors

Chloroform uptake U= (C amb - C alv) x t x V

Chloroform uptake U= (C amb - C alv) x t x V

Chloroform uptake (µg/h) Subjects 1 2 3 4 5 Before swimming 28 27 28

Chloroform uptake (µg/h) Subjects 1 2 3 4 5 Before swimming 28 27 28 24 22 After swimming 209 202 193 134 146

Kinetics of chloroform elimination g/m 3 Time after exposure min

Kinetics of chloroform elimination g/m 3 Time after exposure min

Conclusions 1 Attending swimming pools, mainly indoor ones, causes exposure to THMs which are

Conclusions 1 Attending swimming pools, mainly indoor ones, causes exposure to THMs which are present in water and air.

Conclusions 2 As chloroform represents about 95% of the total amount of THMs, biological

Conclusions 2 As chloroform represents about 95% of the total amount of THMs, biological monitoring can be performed only on this compound.

Conclusions 3 Chloroform in plasma and in alveolar air depends on environmental levels and

Conclusions 3 Chloroform in plasma and in alveolar air depends on environmental levels and is influenced by the intensity of the physical activity.

Conclusions 4 Agonistic swimmers are more exposed than non agonistic ones and visitors: however

Conclusions 4 Agonistic swimmers are more exposed than non agonistic ones and visitors: however chloroform elimination via exhaled breath usually stops within ten hours.