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PubMed1973

The effect of saline on the eye irritation caused by swimming-pool water.

In laboratory experiments the acute eye irritation produced by exposure to tap water was not significantly increased when chlorine compounds were added to the water at concentrations of 1 mg./l. The greatest irritation was produced by 2 mg. Cl(2)/l. as NH(2)Cl. The addition of NaCl at concentrations above about 0.5% abolished the irritant effect of tap water, and prevented irritation even when 1 mg. Cl(2)/l. was present.In a field experiment involving two swimming baths, one with fresh and the other with saline water (0.5% NaCl), eye irritation in the saline bath was significantly lower than in the freshwater bath only when the swimming time did not exceed 30 min.

Adolescent↗
PubMedDate not supplied

Changes in serum pneumoproteins caused by short-term exposures to nitrogen trichloride in indoor chlorinated swimming pools.

Nitrogen trichloride (NCl(3)) is an irritant gas released in the air of indoor pools sanitized with chlorine-based disinfectants. In the present study we investigated the effects of NCl(3) on the pulmonary epithelium of pool attendees by measuring the leakage into serum of three lung-specific proteins (pneumoproteins): the alveolar surfactant-associated proteins A and B (SP-A and SP-B) and the bronchiolar 16 kDa Clara cell protein (CC16). These pneumoproteins were measured in the serum of 29 recreational swimmers (16 children and 13 adults) before and after attending a chlorinated pool with a mean NCl(3) concentration of 490 microg m(-3). Pneumoprotein changes in serum were also studied in 14 trained swimmers performing an intensive 45 min standardized swimming session in a chlorinated pool (mean NCl(3) concentration of 355 microg m(-3)) and for the purposes of comparison in a non-chlorinated pool sanitized by the copper/silver method. Serum CC16 was not increased in recreational swimmers, but in trained swimmers serum levels of this protein peaked immediately after strenuous exercise, both in the copper/silver pool and in the chlorinated pool. This acute increase in airway permeability is probably the consequence of the mechanical stress on the epithelial barrier caused by overinflation and/or hyperventilation during intense exercise. Serum levels of SP-A and SP-B were unaffected by strenuous exercise in the copper/silver pool. The two proteins were, however, significantly increased in a time-dependent manner in recreational and trained swimmers attending the chlorinated pool. The intravascular leakage of SP-A and SP-B was already statistically significant after only 1 h of exposure to pool air without exercising and remained elevated for 12 h after. These changes were not associated with decrements in lung function. The ability of NCl(3) to acutely disrupt the lung epithelium barrier was confirmed in mice using serum CC16 and plasma proteins in bronchoalveolar lavage fluid as permeability markers. The significance of these permeability changes induced by NCl(3) in the deep lung is presently unknown. In view of the increasing and widespread human exposure to this gas not only in indoor pools but also in a variety of other situations, these findings warrant further study.

Adolescent↗
PubMedDate not supplied

[Infections transmitted in swimming pools].

Public swimmingpools can be the source of infections due to micro-organism such as mycobacterium balnei, adeno and enteroviruses, the virus of plantar warts and molluscum contagiosum, the TRIC-Agent of swimmingpool-conjonctivitis and pathogenic fungi. The transmission of trichomonas vaginalis is considered unlikely-Water of pools, supposed to present satisfactory qualities by standard controls, was found to contain pathogenic staphylococci and pseudomonas aeruginosa. Effective preventive measures include the continuous recording of the redox-potential of the water, limiting the number of visitors to pool design specifications, better desinfection of sanitary installations, regular maintenance of technical equipment including frequent backwashing of filters and exclusion of visitors with communicable disease.

Adenoviridae Infections↗
PubMed1987

Chlorine inhalation toxicity from vapors generated by swimming pool chlorinator tablets.

We have presented two cases of serious respiratory injury after brief exposure to vapors from solid chlorine compounds. We could find no previous reports of such accidents and, therefore, have related these cases to alert the medical community. We would recommend that physicians caring for children include warnings about these preparations in their routine counseling of parents.

Child↗
PubMed1971

Bacteriological evaluation of two test methods for chlorine in swimming pools.

It was found that orthotolidine and plastic test strips containing a mixture of syringaldazine and vanillinazine gave different results as to chlorine content of water samples containing urine or large amounts of bacteria while giving consistently similar results with water samples having only sodium hypochlorite added. Orthotolidine was found to give erroneously "safe" readings when in fact viable bacteria were observed on membrane filters after filtration.

Anti-Bacterial Agents↗
PubMed1980

[Studies of limax-amoebae in a physiotherapeutical indoor-swimming-pool (author's transl)].

A physiotherapeutical indoor swimmingpool in a hospital was inspected for the presence of potentially pathogenic Limax-amoebae. In cultures inoculated with material from water samples and from cotton swabs taken from the bottom and walls of the pool the following species of Limax-amoebae could be cloned and identified: Naegleria gruberi, Hartmannella vermiformis, Acanthamoeba castellamii, A. polyphaga, A. palestinesis, Vannella mira, V. platypodia, Platyamoeba stenopodia, Echinamoebia exundans and Vexillifera bacilipedes. Two further strains of unidentified Acanthamoeba and 1 of the genus Vanella were observed. 3 to 5 species remained unidentified. Beyond this numerous monotrichous flagellates and Colpoda steini, a holotrichous ciliate, multiplied in water samples and agar plates. The concentration of the total number of pelagic amoebae increased from 10 to 20/liter one week after exchange of the pool-water to 100-1000/liter after 3 weeks and finally to more than 10(4) per liter after a period of 2 months. The isolated strains of Nageleria, Acanthamoeba and Hartmannella were tested for pathogenicity by means of the intranasal mice inoculation test. The clones of Naegleria were submitted to a temperature- and salt-tolerance test. All of the strains tested by these methods proved to be nonpathogenic.

Amoeba↗
PubMed1977

Antialgal substances for iodine-disinfected swimming pools.

Forty substances were tested for antialgal activity against Chlorella pyrenoidosa (Wis. 2005) and Phormidium inundatum (Wis. 1093). C. pyrenoidosa exhibited greater resistance to adverse effects of test compounds than did P. inundatum. Although several structurally unrelated compounds were inhibitory to both alga species, even at an initial concentration of 1.0 mg/liter, methylthio-s-triazines, ametryne, prometryne, and terbutryne, at 0.1 mg/liter, restricted growth to less than 25% of control (untreated) cultures. The methylthio-s-triazines were virtually chemically unreactive with free iodine. Inhibition of Staphylococcus aureus by free iodine dosages of 0.25, 0.5, 0.75, and 1.0 mg/liter was unaffected by the presence of 2.0 mg of terbutryne per liter.

Chlorella↗
PubMed1996

Spinal muscular atrophy type II (intermediary) and III (Kugelberg-Welander). Evolution of 50 patients with physiotherapy and hydrotherapy in a swimming pool.

We added hydrotherapy to 50 patients with spinal muscular atrophy (SMA) who were being treated with individual conventional physiotherapy. Hydrotherapy performed at an approximate temperature of 30 degrees Celsius, twice a week, for thirty minutes in children and forty-five minutes in adults during a 2-year period. The outcome derived from this combined modality of treatment was rated according to physiotherapeutic evaluations, the MMT (Manual Muscular Test), and the Barthel Ladder. Patients were reevaluated at 2-month intervals. After two years of ongoing treatment, we were able to observe that the deformities in hip, knee and foot were progressive in all SMA Type II patients, and in some Type III. Muscle strength stabilized in most SMA Type III patients, and improved in some. MMT was not done in SMA Type II. In all patients we were able to detect an improvement in the Barthel Ladder scale. This study suggests that a measurable improvement in the quality of daily living may be obtained in patients with SMA Types II and III subjected to conventional physiotherapy when associated with hydrotherapy.

Adolescent↗
PubMed2006

Outbreak of norovirus illness associated with a swimming pool.

On 3 February 2004, the Vermont Department of Health received reports of acute gastroenteritis in persons who had recently visited a swimming facility. A retrospective cohort study was conducted among persons attending the facility between 30 January and 2 February. Fifty-three of 189 (28%) persons interviewed developed vomiting or diarrhoea within 72 h after visiting the facility. Five specimens tested positive for norovirus and three specimen sequences were identical. Entering the smaller of the two pools at the facility was significantly associated with illness (RR 5.67, 95% CI 1.5-22.0, P=0.012). The investigation identified several maintenance system failures: chlorine equipment failure, poorly trained operators, inadequate maintenance checks, failure to alert management, and insufficient record keeping. This study demonstrates the vulnerability of recreational water to norovirus contamination, even in the absence of any obvious vomiting or faecal accident. Our findings also suggest that norovirus is not as resistant to chlorine as previously reported in experimental studies. Appropriate regulations and enforcement, with adequate staff training, are necessary to ensure recreational water safety.

Acute Disease↗
PubMed1999

Escherichia coli O157:H7 outbreak associated with an improperly chlorinated swimming pool.

A cluster of gastrointestinal illnesses, including one case of hemolytic-uremic syndrome and one culture-confirmed Escherichia coli O157:H7 infection, followed a trailer park pool party. We interviewed a cohort of party attendees and park residents. A primary case was defined as the first gastrointestinal illness within a household between 5 July and 20 July in which the titer of IgG antibody to E. coli O157 (if determined) was elevated. Of 51 party attendees and trailer park residents, 18 developed a gastrointestinal illness, including 10 who met the definition of a primary case. Swimming in the pool significantly increased the risk of primary illness (relative risk = 6.3; 95% confidence interval = 1.8-18.9). No other exposure was significantly associated with primary illness, after pool exposure was controlled for. The implicated pool had little to no chlorine added during the period of 4-10 July. This outbreak provides new evidence of the importance of proper pool maintenance in controlling the spread of E. coli O157:H7.

Chlorides↗
PubMed1985

Pseudomonas dermatitis associated with a swimming pool.

One hundred forty-seven (66%) of 224 scouts and chaperons were interviewed after a weekend visit to a dude ranch in upstate New York. One hundred seventeen (80%) complained of papular rashes or eye and ear inflammation. Onset of illness occurred within 24 to 48 hours of arrival at the ranch. After controlling for participation in other available activities, only swimming was found to be associated with illness. Pseudomonas aeruginosa serotype 0 11 grew from a culture of pool water and from 17 cultures of skin, eye, and ear lesions in visitors to the ranch. Follow-up was obtained for 76 of the affected persons for whom initial information was available. Mean duration of illness was 14.5 days (range, one to 40+ days). The recurrence rate was 24%.

Adult↗
PubMed1985

Cholinergic receptor blockade in the rat impairs locale but not taxon strategies for place navigation in a swimming pool.

Normal rats and rats drugged with atropine sulfate, a cholinergic muscarinic blocker, were evaluated in the Morris water task for their use of spatial navigation strategies. Atropine-treated rats were impaired on a place response of swimming to a platform hidden in a pool filled with opaque water. With extended training, they did learn the place response, though not with control precision, as shown by better than chance heading angles upon swim initiation, searches in the old location for a platform that had been moved, and by correct swims from novel starting locations. Acquisition could not be accounted for by habituation to the drug. In contrast with the acquisition deficit, pretrained rats were relatively unimpaired by the drug. In separate experiments, the strategies used by the drugged animals were examined. Atropine-treated rats were not impaired in acquisition or retention of a cue task, swimming to a visible platform, or a position response task, turning left to locate a platform, but both control and atropine-treated rats were unable to reverse position responses. Possibly, atropine-treated rats can use cue and position response strategies in part or in combination to acquire a place response. Atropine-treated rats were unable to acquire a place learning set, which involved swimming to a new location each day, a response that is eventually performed by normal rats in approximately one trial. They also were unable to perform a learning-set response, which they had acquired when undrugged. Insofar as the impairments following atropine are characteristic of a deficit in the use of a locale strategy, that is, making rapid use of relational properties of distal cues, whereas their successes are characteristic of the use of taxon strategies, that is, cue or position responses, the results suggest that locale systems of navigation are more importantly dependent on cholinergic brain mechanisms than taxon strategies. The resistance of preacquired place responses to atropine may suggest that normally rats acquire place responses by using a locale strategy but effect rehearsed responses by using taxon strategies. Finally, characteristic differences in acquisition, retention, and reversal of atropine-treated and control rats using different navigational strategies suggest new possibilities for interpreting various performance features displayed by animals after other types of treatment.

Animals↗