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Totaro M, Vaselli O, Nisi B, Frendo L, Cabassi J, Profeti S, Valentini P, Casini B, Privitera G, Baggiani A. Assessment, control, and prevention of microbiological and chemical hazards in seasonal swimming pools of the Versilia district (Tuscany, central Italy). JOURNAL OF WATER AND HEALTH 2019; 17:490-498. [PMID: 31095523 DOI: 10.2166/wh.2019.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Although in Europe the quality of swimming pools (SPs) is dictated by regulations, microbiological and chemical hazards are described in the literature. Environmental bacteria or toxic disinfection by-product (DBP) compounds may indeed be recovered in waters even after disinfection. We evaluated the water quality from 26 outdoor seasonal SPs of the Versilia district, according to requirements of Regional Decree 54R/2015. In spring 2017, supply and reinstatement waters were collected after shock hyperchlorination (10 mg/L) while in summertime, a second sampling of waters before entering the pools, as well as in the pools, was performed after SPs were open to the public. In all samples, microbiological and chemical parameters were determined as defined by Directive 98/83/EC and the Italian Health Ministry. Microbiological data were within suggested limits. The first chemical analyses showed that in 35% of the feeding-pool seawater samples, the halogenated organic compounds were higher than the maximum permissible concentrations (30 μg/L). Pool waters were then dechlorinated and re-treated with hydrogen peroxide (10 mg/L) to ensure the abatement of DBPs (from 164 ± 107 to 0.9 ± 0.8 μg/L; p = 0.002). Results highlighted the need of self-controlled procedures for the SPs waters to prevent waterborne diseases and suggested hydrogen peroxide as the most appropriate disinfection method.
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Affiliation(s)
- Michele Totaro
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Orlando Vaselli
- Department of Earth Sciences, University of Florence, Via G. La Pira 4, 50121 Florence, Italy; CNR-IGG Institute of Geosciences and Earth Resources, Via G. La Pira 4, 50121 Florence, Italy
| | - Barbara Nisi
- CNR-IGG Institute of Geosciences and Earth Resources, Via Moruzzi, 1, 56124 Pisa, Italy
| | - Lorenzo Frendo
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Jacopo Cabassi
- CNR-IGG Institute of Geosciences and Earth Resources, Via G. La Pira 4, 50121 Florence, Italy
| | - Sara Profeti
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Paola Valentini
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Beatrice Casini
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Gaetano Privitera
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
| | - Angelo Baggiani
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via San Zeno 35-39, 56100 Pisa, Italy E-mail:
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Salas LA, Baker ER, Nieuwenhuijsen MJ, Marsit CJ, Christensen BC, Karagas MR. Maternal swimming pool exposure during pregnancy in relation to birth outcomes and cord blood DNA methylation among private well users. ENVIRONMENT INTERNATIONAL 2019; 123:459-466. [PMID: 30622071 PMCID: PMC6599635 DOI: 10.1016/j.envint.2018.12.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 11/30/2018] [Accepted: 12/10/2018] [Indexed: 05/19/2023]
Abstract
Swimming in pools during pregnancy may expose the fetus to water disinfection by-products (DBP). As yet, our understanding of the impacts on DBPs on the fetus is uncertain. Individuals with public water systems are typically exposed to DBPs through drinking, showering and bathing, whereas among those on private water systems, swimming in pools may be the primary exposure source. We analyzed the effects of maternal swimming on birth outcomes and cord blood epigenetic changes in the New Hampshire Birth Cohort Study, a cohort of pregnant women with households on private water systems. Information about swimming in pools during pregnancy was obtained from 1033 women via questionnaires. Swimming pool use and duration were modeled using linear regression with newborn weight, length, and head circumference (z-scores) and genome wide cord blood DNA methylation as the outcomes and with adjustment for potential confounders. Overall 19.7% of women reported swimming in a pool during pregnancy. Among swimmers, duration of swimming was inversely related to head circumference (-0.02 z-score per 10% increase in duration, P = 0.004). No associations were observed with birth weight, length or DNA methylation modifications. Our findings suggest swimming pool exposure may impact the developing fetus although longer-term studies are needed.
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Affiliation(s)
- Lucas A Salas
- Department of Epidemiology, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon 03756, NH, USA; The Children's Environmental Health and Disease Prevention Research Center at Dartmouth, Lebanon 03756, NH, USA.
| | - Emily R Baker
- Department of Obstetrics and Gynecology, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon 03756, NH, USA.
| | - Mark J Nieuwenhuijsen
- ISGlobal, The Barcelona Institute for Global Health, Barcelona 08003, Catalonia, Spain; Universitat Pompeu Fabra (UPF), Barcelona 08003, Catalonia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona 08003, Catalonia, Spain.
| | - Carmen J Marsit
- Department of Environmental Health, Rollins School of Public Health of Emory University, Atlanta 30322, GA, USA.
| | - Brock C Christensen
- Department of Epidemiology, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon 03756, NH, USA; Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth, Lebanon 03756, NH, USA; Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Lebanon 03756, NH, USA.
| | - Margaret R Karagas
- Department of Epidemiology, The Geisel School of Medicine at Dartmouth, Dartmouth College, Lebanon 03756, NH, USA; The Children's Environmental Health and Disease Prevention Research Center at Dartmouth, Lebanon 03756, NH, USA.
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