[ON THE PROBLEM OF FORMATION OF A SURFACE FILM ON THE WATER OF SWIMMING POOLS].
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In an effort to determine if bacterial water quality was related to the incidence of otitis externa ("swimmer's ear") in kindergarten children, a prospective study was conducted between May and September 1980 in 11 communal agricultural settlements (kibbutzim) in Israel. High total bacterial count, total coliforms and fecal coliform counts were found to be positively associated with otitis externa. This association was enhanced when nondivers were separated from divers. Among the divers, the rate of ear inflammation was high regardless of water quality. Among nondivers at the time of the study, the rate of otitis externa was as high as 35.7% in swimming pools with poor quality water, and as low as 17.0% in those with good quality water (P = 0.03). Younger children had a slightly higher risk of otitis externa than had older children.
The aim of our study was to investigate the risk and characteristics of self-reported skin diseases among hydrotherapists. We attempted to contact 400 adults who participated in 1 of 2 training courses. 248 were reached and 190 of them (76.6%) completed the questionnaires. The data were collected by means of a telephone interview and a detailed questionnaire sent by mail. Statistical analysis included descriptive statistics, univariate and multifactorial analysis. Of those completing the questionnaire (75.8% females and 24.2% males), 44.4% of the hydrotherapists reported on the development of skin disease for the first time after the beginning of work at the swimming pool. The most common symptoms included pruritus and erythematous patches affecting mainly the extremities and trunk. Both smoking and increased exposure hours to pool water were independently associated with skin disease, suggesting a dose-response relationship. We conclude that contact dermatitis should be recognized as an occupational disease in hydrotherapists.
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Water of basins and filters taken from 9 indoor-pools and 5 heated outdoor-pools has been tested for free-living amoebae by means of filtration and subsequent cultivation on agar and in fluid media. In 94.6% of the samples taken from basins and in 60.7% of the samples taken from flushing back filter water, amoebae could be cultivated which all belonged to the genus of Acanthamoeba. They were tested for pathogenic symptoms by means of mouse inoculation tests, temperature tolerance tests, cross-reaction in the immunofluorescence test, and on tissue culture. 19 strains of amoebae could be re-isolated from lungs and brains of healthy mice. Only after the third series of inoculation from animal to animal, for mice characteristic pathogenic symptoms could be observed. The importance of acanthamoebae in swimming pools to the health of men cannot be estimated yet. But existing findings did not deliver reason for grave concern.
Swimming is the second most popular exercise activity in the United States, with approximately 360 million annual visits to recreational water venues (1). This exposure increases the potential for the spread of recreational water illnesses (RWIs) (e.g., cryptosporidiosis, giardiasis, and shigellosis). Since the 1980s, the number of reported RWI outbreaks has increased steadily (2). Local environmental health programs inspect public and semipublic pools periodically to determine compliance with local and state health regulations. During inspections for regulatory compliance, data pertaining to pool water chemistry, filtration and recirculation systems, and management and operations are collected. This report summarizes pool inspection data from databases at six sites across the United States collected during May 1--September 1, 2002. The findings underscore the utility of these data for public-health decision making and the need for increased training and vigilance by pool operators to ensure high-quality swimming pool water for use by the public.
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A survey was conducted on 30 halogenated public swimming pools, located in Albany, Schenectady, and Rensselaer counties, to determine their open-water limax amoeba densities. Six were outdoor pools. Other variables measured were the standard plate count, total seston, free residual chlorine or bromine, total alkalinity, total hardness, orthophosphate, total soluble phosphorus, specific conductance, pH, temperature, and several engineering parameters including the rate and type of filtration as well as a saturation index. Amoebae were isolated on agar plates at 37 degrees C using heat-killed bacterial suspensions of Enterobacter cloacae or Escherichia coli. Most probable number estimates of amoebic densities ranged from not detectable (<0.01) to 110 amoebae per liter. The median concentration of amoebae was 0.9/liter. Eighty percent of the pools examined had less than 5 amoebae per liter. Significant correlations (P < 0.05) were found between amoebic densities and the log(10) of the standard plate count, orthophosphate, and total soluble phosphorus. No significant difference was found between amoebic densities in outdoor and indoor pools. Preliminary tests for the presence of the human pathogen Naegleria fowleri were inconclusive.
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Several reports indicate an increased prevalence of dental erosion among intensive swimmers due to low pH gas-chlorinated pool water. Contrary to other extrinsic factors which induce erosion located on the facial aspect, low pH pool water results in general dental erosion. Additionally, a case report is presented which describes the very rapid occurrence of excessive general dental erosion of a competitive swimmer due to gas-chlorinated pool water within 27 days. The observation of several authors as well as this case underscore the significance of a regular pH monitoring of chlorinated swimming pool water. The high incidence indicates that dental erosion due to frequent swimming is of considerable diagnostic and therapeutic significance. Furthermore, it is recommended to fluoridate the teeth of intensive swimmers regularly to prevent dental erosion.
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