Respiratory, ocular and skin health in recreational and competitive swimmers: Beneficial effect of a new method to reduce chlorine oxidant derivatives.

BACKGROUND: Chlorine by-products may irritate the eyes, nose, skin and airways of swimmers and may cause chronic airway inflammation. OBJECTIVE: To assess the salutary effects on swimmers health of a new method of water disinfection. METHODS: Recreational (n=320) and competitive swimmers (n=53) participated in the study. The first part of the study (Phase A) was carried out while using the current standard method. The second part (Phase B) began 8 weeks after the new method had been introduced. Total oxidants in air and chlorine species in water were assessed by standard methods. All swimmers completed a questionnaire on health complaints. Exhaled breath condensate (EBC) was used to monitor the levels of leukotriene B4 (LTB4) and cysteinyl leukotrienes (CysLTs) in airway from competitive swimmers. RESULTS: The new system resulted in a 75% and 39% reduction in the concentration of total oxidants and of nitrogen trichloride respectively in the air of the swimming pool. With the new system recreational swimmers experienced fewer symptoms of cough and irritation of the eyes, nose and skin. A decrease in eye irritation symptoms was also noted by competitive swimmers. The baseline concentration of CysLTs in EBC decreased significantly in Phase B with respect to Phase A. CONCLUSIONS: The new method markedly reduced the levels of irritant oxidant substances in the pool atmosphere that resulted in a reduction of eye, nose, skin and cough complaints in recreational swimmers, and eye irritation in competitive swimmers. It was also associated with reduced CysLT levels in the airways of competitive swimmers.

Benefits of carbon dioxide as pH reducer in chlorinated indoor swimming pools.

Carbon dioxide is seldom used as pH reducer in swimming pools. Nevertheless it offers two interesting advantages. First, its use instead of the usual hydrochloric acid avoids the characteristic and serious accident of mixing the disinfectant with that strong acid, which forms a dangerous chlorine gas cloud and, second, it allows the facility to become slightly a depository of that greenhouse gas. This work introduces the experience of using CO(2) as pH reducer in real working swimming pools, showing three more advantages: lower chlorine consumption, lower presence of oxidants in the air above the swimming pool and a diminished formation of trihalomethanes in the swimming pool water. Experiments lasted 4years and they were run in three swimming pools in the Barcelona area, where the conventional system based upon HCl and a system based upon CO(2) were consecutively exchanged.

Macrocephaly-cutis marmorata telangiectatica congenita: report of six new patients and a review.

We report on six additional patients with macrocephaly-cutis marmorata telangiectatica congenita (M-CMTC; MIM 602501) and review the literature. This syndrome is a multiple congenital anomalies/mental retardation and overgrowth disorder comprising macrocephaly, cutis marmorata, vascular marks of lip and/or philtrum, syndactyly, hemihypertrophy, CNS anomalies, and developmental delay. Based on the findings in our 6 patients and on 69 patients previously reported we listed the very frequent (observed in >75%), frequent (25-75%), and less frequent (>25%) components of the syndrome.