Respiratory and Ocular Symptoms Among Employees of an Indoor Waterpark Resort - Ohio, 2016
被引:0
|
作者:
Chiu, Sophia K.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
CDC, Natl Inst Occupat Safety & Hlth, Div Surveillance Hazard Evaluat & Field Studie, Atlanta, GA 30333 USACDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
Chiu, Sophia K.
[1
,2
]
Burton, Nancy C.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Natl Inst Occupat Safety & Hlth, Div Surveillance Hazard Evaluat & Field Studie, Atlanta, GA 30333 USACDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
Burton, Nancy C.
[2
]
Dunn, Kevin H.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Natl Inst Occupat Safety & Hlth, Div Appl Res & Technol, Atlanta, GA 30333 USACDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
Dunn, Kevin H.
[3
]
de Perio, Marie A.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Natl Inst Occupat Safety & Hlth, Div Surveillance Hazard Evaluat & Field Studie, Atlanta, GA 30333 USACDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
de Perio, Marie A.
[2
]
机构:
[1] CDC, Epidem Intelligence Serv, Atlanta, GA 30333 USA
[2] CDC, Natl Inst Occupat Safety & Hlth, Div Surveillance Hazard Evaluat & Field Studie, Atlanta, GA 30333 USA
[3] CDC, Natl Inst Occupat Safety & Hlth, Div Appl Res & Technol, Atlanta, GA 30333 USA
What is already known about this topic? Indoor waterparks are complex environments where problems with air and water quality can result in illness. Chloramines, formed when disinfectant chlorine reacts with nitrogen-containing substances (e.g., urine, sweat) from swimmers' bodies, are known causes of ocular and upper respiratory symptoms in aquatic facilities. What is added by this report? Investigation of reported illness in an indoor waterpark resort in Ohio found that waterpark employees were approximately four times more likely to have work-related ocular and respiratory symptoms than were employees in other resort areas. Environmental assessment found that levels of combined chlorine, of which chloramines are a subset, in water exceeded recommended guidelines, but levels of chlorine and chloroform (a representative disinfection byproduct) in air were low. Improperly functioning ventilation systems, resulting in accumulation of disinfection byproducts and temperature below and relative humidity above recommended ranges, likely contributed to the higher prevalence of symptoms among waterpark employees compared with nonwaterpark employees. What are the implications for public health practice? To prevent recreational water-associated illness caused by endotoxins and disinfection byproducts in indoor waterparks, vigilant monitoring and maintenance of ventilation and water systems are needed. Employees and patrons of indoor waterparks should promptly report symptoms, which might indicate that further attention to water and air quality and ventilation system functioning is needed. Showering before entering the water and taking regular bathroom breaks can reduce levels of disinfection byproduct precursors introduced into the water.
机构:NIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Dang, Bich
Chen, Lilia
论文数: 0引用数: 0
h-index: 0
机构:
NIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USANIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Chen, Lilia
Mueller, Charles
论文数: 0引用数: 0
h-index: 0
机构:NIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Mueller, Charles
Dunn, Kevin H.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Ctr Environm Hlth, CDC, Div Appl Res & Technol, Atlanta, GA USANIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Dunn, Kevin H.
Almaguer, Daniel
论文数: 0引用数: 0
h-index: 0
机构:
Natl Ctr Environm Hlth, CDC, Div Appl Res & Technol, Atlanta, GA USANIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Almaguer, Daniel
Roberts, Jennifer L.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Ctr Environm Hlth, CDC, Div Appl Res & Technol, Atlanta, GA USANIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
Roberts, Jennifer L.
Otto, Charles S.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Ctr Environm Hlth, CDC, Div Emergency & Environm Hlth Serv, Atlanta, GA USANIOSH, Ctr Dis Control & Prevent, CDC, Div Surveillance Hazard Evaluat & Field Studies, Cincinnati, OH 45226 USA
机构:
Umea Univ, Dept Occupat & Environm Med, Umea, SwedenFac Med & Hlth, Dept Occupat & Environm Med, Orebro, Sweden
Eriksson, Kare
Westberg, Hakan
论文数: 0引用数: 0
h-index: 0
机构:
Fac Med & Hlth, Dept Occupat & Environm Med, Orebro, Sweden
Univ Orebro, Dept Sci, Man Technol Environm Res Ctr MTM, Orebro, SwedenFac Med & Hlth, Dept Occupat & Environm Med, Orebro, Sweden
机构:
King Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia
Aljohaney, Ahmed A.
Daali, Shahad M.
论文数: 0引用数: 0
h-index: 0
机构:
King Abdulaziz Univ, Dept Pediat, Fac Med, Jeddah, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia
Daali, Shahad M.
Al-juaid, Hanouf A.
论文数: 0引用数: 0
h-index: 0
机构:
King Fahad Armed Forces Hosp, Dept Neurol, Jeddah, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia
Al-juaid, Hanouf A.
Ageel, Maysaa T.
论文数: 0引用数: 0
h-index: 0
机构:
King Abdul Aziz Med City, Dept Family Med, Natl Guard Hlth Affairs, Jeddah, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia
Ageel, Maysaa T.
Sukker, Samaher A.
论文数: 0引用数: 0
h-index: 0
机构:
King Abdulaziz Univ, Dept Pediat, Fac Med, Jeddah, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia
Sukker, Samaher A.
Alhejaili, Faris F.
论文数: 0引用数: 0
h-index: 0
机构:
King Abdulaziz Univ, Dept Internal Med, Fac Med, Jeddah, Saudi ArabiaKing Abdulaziz Univ, Dept Internal Med, Fac Med, POB 21589, Jeddah 80215, Saudi Arabia