Evaluation of disinfectant efficacy against biofilm and suspended bacteria in a laboratory swimming pool model

Estimating airborne trichloramine levels in indoor swimming pools using the well-mixed box model

Exposure to airborne disinfection by-products, especially trichloramine (TCA), could cause various occupational health effects in indoor swimming pools. However, TCA concentration measurements involve specialized analysis conducted in specific laboratories, which can result in significant costs and time constraints. As an alternative, modeling techniques for estimating exposures are promising in addressing these challenges. This study aims to predict airborne TCA concentrations in indoor swimming pools using a mathematical model, the well-mixed box model, found in the IHMOD tool, freely available on the American Industrial Hygiene Association website. The model's predictions are compared with TCA concentrations measured during various bather load scenarios. The research involved conducting 2-hr successive workplace measurements over 16- to 18-hr periods in four indoor swimming pools in Quebec, Canada. TCA concentrations were estimated using the well-mixed box model, assuming a homogeneous mixing of air within the swimming pool environment. A novel approach was developed to estimate the TCA generation rate from swimming pool water, incorporating the number of swimmers in the model. Average measured concentrations of TCA were 0.24, 0.26, 0.14, and 0.34 mg/m3 for swimming pools 1, 2, 3, and 4, respectively. The ratio of these measured average concentrations to their corresponding predicted values ranged from 0.51 to 1.30, 0.67 to 1.04, 0.57 to 1.14, and 0.68 to 1.49 for the respective swimming pools. In a worst-case scenario simulating the swimming pool at full capacity (maximum bathers allowed), TCA concentrations were estimated as 0.23, 0.36, 0.14, and 0.37 mg/m3 for swimming pools 1, 2, 3, and 4. Recalculated concentrations by adjusting the number of swimmers so as not to exceed the recommended occupational limit concentration of 0.35 mg/m3 gives a maximum number of swimmers of 63 and 335 instead of currently 80 and 424 for swimming pools 2 and 4, respectively. Similarly, for swimming pools 1 and 3, the maximum number of swimmers could be 173 and 398 (instead of the current 160 and 225, respectively). These results demonstrated that the model could be used to estimate and anticipate airborne TCA levels in indoor swimming pools across various scenarios.

Characterization and chlorine reactivity of particulate matter released by bathers in indoor swimming pools

Disinfecting swimming pool water is essential for preventing waterborne diseases. An unforeseen consequence of treating water with disinfectants is the formation of disinfection by-products (DPBs) that can cause harmful effects to health through the interactions between the added disinfectant and organic matter in the water. The present work focuses on the chlorine reactivity with particles released by bathers. Such particles are collected in the filter backwash water of swimming pools and this study intends to distinguish DPBs generated from dissolved chemicals from those formed by particulate matter. Therefore, filtered and unfiltered backwash waters were collected from several swimming pools, analysed physicochemically and chemically, and then chlorinated as is (79 mgL^-1) and as diluted suspensions (36.2 and 11.9 mgL^-1) at varying concentrations of chlorine (1.2 mg and 24 mgCl₂L^-1). Utilizing a DPD colorimetric technique and GC-ECD, respectively, the kinetics of chlorine consumption and DPBs production have been investigated. Up to 25.7 μgL^-1 of chloroform was produced within 96 h at 1.2 mgCl₂L^-1, followed by haloacetic acids (HAAs) and haloacetonitriles (HANs). Within 96 h, the concentration of trichloroacetic acid reached a maximum of 231.8 μgL^-1 at a chlorine concentration of 231.8 μgL^-1. The formations of 0.13 μmol THMs, 0.31 μmol HAAs, and 0.04 μmol HANs per mg of dissolved organic carbon (DOC) were finally determined by correlating the organic content of particles with the nature of the DBPs generated. Comparing the quantities of DBPs generated in filtered and unfiltered samples helps us conclude that ∼50% of DBPs formed during the chlorination of swimming pool water are derived from particles brought by bathers.

Occurrence and Cytotoxicity of Aliphatic and Aromatic Halogenated Disinfection Byproducts in Indoor Swimming Pool Water and Their Incoming Tap Water

Disinfection byproducts (DBPs) in swimming pool water are of wide concern for public health. In this study, the occurrence of five categories of aliphatic halogenated DBPs, i.e., trihalomethanes (THMs), haloacetic acids (HAAs), haloacetonitriles (HANs), halonitromethanes (HNMs), and haloketones (HKs), and six categories of aromatic halogenated DBPs, i.e., halophenols (HPs), halonitrophenols (HNPs), halohydroxy-benzaldehydes (HBALs), halohydroxybenzoic acids (HBAs), halobenzoquinones (HBQs), and haloanilines (HAs), was examined in seven indoor swimming pool water and their incoming tap water. The correlations between the DBP concentrations and water quality parameters were explored. Moreover, the cytotoxicity of the aliphatic and aromatic halogenated DBPs was tested with human hepatoma (HepG2) cells, and the concentration-cytotoxicity contributions of different DBP categories were calculated. The results demonstrate that 24 aliphatic (5 THMs, 8 HAAs, 5 HANs, 4 HNMs, and 2 HKs) and 50 aromatic halogenated DBPs (9 HPs, 8 HNPs, 9 HBALs, 8 HBAs, 11 HBQs, and 5 HAs) were present in the swimming pool water, among which 41 aromatic halogenated DBPs were detected in swimming pool water for the first time. The average concentrations of the five categories of aliphatic halogenated DBPs in the swimming pool water were in the order of HAAs > HANs > HKs > THMs > HNMs, while those in their incoming tap water were in the order of THMs > HAAs > HKs > HANs > HNMs. The average concentrations of the aromatic halogenated DBPs in the swimming pool water were significantly lower than those of the aliphatic halogenated DBPs, following the order of HBQs > HPs > HBAs > HBALs > HAs > HNPs, while those in their incoming tap water were in the order of HBALs > HBQs > HPs > HBAs > HAs > HNPs. The average concentration-cytotoxicity contributions of different DBP categories in the swimming pool water followed the order of HAAs > HANs > HNMs > HKs > HBQs > THMs > HPs > HNPs > HBAs > HBALs > HAs, with HAAs, HANs, and HNMs possessing the main concentration-cytotoxicity contributions (93.2% in total) among all DBP categories.

Formation of haloacetic acids from different organic precursors in swimming pool water during chlorination

Haloacetic acids (HAAs) were reported to be the most abundant category of DBPs in swimming pool water. In this study, the formation of HAAs from different organic precursors in swimming pool water, including UV filters, human body fluids, and natural organic matter (NOM), during chlorination was examined, and the effects of chlorine dose and halide concentrations on the formation of HAAs were evaluated. The results show that the total HAA yields from benzophenone-3 (BP-3) and Suwannee River humic acid (SRHA) were the highest among the nine organic precursors, and the yields of dichloroacetic acid and bromochloroacetic acid were higher than that of the other HAA species. In all the chlorinated samples of different organic precursors, longer chlorination time enhanced HAA formation. Both chlorine dose and bromide concentration significantly affected the formation of HAAs from BP-3 and SRHA during chlorination. With the increasing chlorine dose, the total HAA yields from SRHA and BP-3 significantly increased. Besides, the proportion of trihaloacetic acids (THAAs) rose while that of dihaloacetic acids (DHAAs) and monohaloacetic acids (MHAAs) declined with the increasing chlorine dose. With the increasing bromide concentration, HAA formation from SRHA increased while that of BP-3 decreased. The bromine incorporation factor (BIF) of the formed MHAAs, DHAAs and THAAs from SRHA and BP-3 both increased with the increasing bromide concentration in the following order: BIF_DHAAs > BIF_THAAs > BIF_MHAAs, indicating that bromine was easier to be incorporated into DHAAs rather than MHAAs or THAAs. Moreover, bromide promoted the formation of Br-HAAs.

+Chlorination by-products in indoor swimming pools: Development of a pilot pool unit and impact of operating parameters

Chlorine addition in swimming pools ensures the microbiological quality of the water and the bathers' safety. However, water chlorination is associated with disinfection byproducts (DBP) formation and adverse health effects. The impact of operating parameters and innovative water treatment systems on DBPs levels has been reported in several studies, but sampling campaign in real pools remain difficult to carry out, mainly due to unexpected attendance variations. This study presents the development of a pilot pool plant allowing to perform experiments under controlled and reproducible conditions. Bathers inputs were simulated both for the organic load and for the mechanical agitation of water. Two sampling campaigns were performed during the building of the pilot, before and after the hall was closed. Key operating parameters such as chlorine dose, water temperature and attendance were controlled and monitored. DBP levels in the pilot plant were representative of French indoor swimming pools and the impact of bathers' activity was visible on volatile DBPs. Furthermore, correlations could be stated between operating parameters and DBP levels. Stripping effectively reduced volatile DBP concentrations in water. Moreover, energy consumption data, which are usually very scarce in experimental studies, showed the influence of heat pump consumption on the global energy consumption.

Impact of Different Combinations of Water Treatment Processes on the Concentration of Disinfection Byproducts and Their Precursors in Swimming Pool Water

To mitigate microbial activity in swimming pools and to ensure hygienic safety for bathers, pool systems have a recirculating water system ensuring continuous water treatment and disinfection by chlorination. A major drawback associated with the use of chlorine as disinfectant is its potential to react with precursor substances present in pool water to form harmful disinfection byproducts (DBPs). In this study, different combinations of conventional and advanced treatment processes were applied to lower the concentration of DBPs and their precursors in pool water by using a pilot-scale swimming pool model operated under reproducible and fully controlled conditions. The quality of the pool water was determined after stationary concentrations of dissolved organic carbon (DOC) were reached. The relative removal of DOC (Δc c_in^-1) across the considered treatment trains ranged between 0.1  ±  2.9% and 7.70  ±  4.5%, where conventional water treatment (coagulation and sand filtration combined with granular activated carbon (GAC) filtration) was revealed to be the most effective. Microbial processes in the deeper, chlorine-free regions of the GAC filter have been found to play an important role in the degradation of organic substances. Almost all treatment combinations were capable of removing trihalomethanes to some degree and trichloramine and dichloroacetonitrile almost completely. However, the results demonstrated that effective removal of DBPs across the treatment train does not necessarily result in low DBP concentrations in the basin of a pool. This raises the importance of the DBP formation potential of the organic precursors, which has been shown to depend strongly on the treatment concept applied. Irrespective of the filtration technique employed, treatment combinations employing UV irradiation as a second treatment step revealed higher concentrations of volatile DBPs in the pool compared to those employing GAC filtration as a second treatment step. In the particular case of trichloramine, results confirm that its removal across the treatment train is not a feasible mitigation strategy because it cannot compensate for the fast formation in the basin.

Impact of combining chlorine dioxide and chlorine on DBP formation in simulated indoor swimming pools

The main objective of this study was to assess the combined use of chlorine dioxide (ClO₂) and chlorine (Cl₂) on the speciation and kinetics of disinfection by-product (DBP) formation in swimming pools using synthetic pool waters prepared with a body fluid analog (BFA) and/or fresh natural water. At 1:25 (mass ratio) of ClO₂ to Cl₂, there was no significant reduction in the formation of trihalomethanes (THMs) and haloacetic acids (HAAs) for both BFA solution and natural water compared to the application of Cl₂ alone. When the mass ratio of ClO₂ to Cl₂ increased to 1:1, substantial decreases in both THMs and HAAs were observed in the natural water, while there was almost no change of DBP formations in the BFA solution. Haloacetonitriles and halonitromethanes levels in both water matrices remained similar. In the presence of bromide, the overall DBP formation increased in both BFA solution and natural water. For the DBP formation kinetics, after 72hr of contact time, very low formation of THMs and HAAs was observed for the use of ClO₂ only. Compared to Cl₂ control, however, applying the 1:1 mixture of ClO₂/Cl₂ reduced THMs by >60% and HAAs by >50%. Chlorite was maintained below 1.0mg/L, while the formation of chlorate significantly increased over the reaction time. Finally, in a bench-scale indoor pool experiment, applying ClO₂ and Cl₂ simultaneously produced less THMs compared to Cl₂ control and kept chlorite at <0.4mg/L, while HAAs and chlorate accumulated over 4-week operation period.

Approaches to biofilm-associated infections: the need for standardized and relevant biofilm methods for clinical applications

INTRODUCTION

The concept of biofilms in human health and disease is now widely accepted as cause of chronic infection. Typically, biofilms show remarkable tolerance to many forms of treatments and the host immune response. This has led to vast increase in research to identify new (and sometimes old) anti-biofilm strategies that demonstrate effectiveness against these tolerant phenotypes. Areas covered: Unfortunately, a standardized methodological approach of biofilm models has not been adopted leading to a large disparity between testing conditions. This has made it almost impossible to compare data across multiple laboratories, leaving large gaps in the evidence. Furthermore, many biofilm models testing anti-biofilm strategies aimed at the medical arena have not considered the matter of relevance to an intended application. This may explain why some in vitro models based on methodological designs that do not consider relevance to an intended application fail when applied in vivo at the clinical level. Expert commentary: This review will explore the issues that need to be considered in developing performance standards for anti-biofilm therapeutics and provide a rationale for the need to standardize models/methods that are clinically relevant. We also provide some rational as to why no standards currently exist.

Effect of chloride on the formation of volatile disinfection byproducts in chlorinated swimming pools

Chloride can accumulate in chlorinated swimming pool water. Although substantial efforts have been made to examine the effects of halide ions on the formation of volatile disinfection byproducts (DBPs), most have focused on bromide. The effects of chloride ion concentration on the formation of volatile DBPs in swimming pools remain largely unstudied. In this study, chlorination of typical precursors and body fluid analogue (BFA) were investigated with variable chloride concentration and pH. The formation of three volatile DBPs (NCl₃, CHCl₃ and CNCHCl₂) was observed to be linearly correlated with chloride concentration, both in bench experiments and in actual swimming pool water samples. Free chlorine consumption was also observed to increase with chloride concentration. These behaviors appear to be attributable to shifts in speciation of free chlorine, with higher chloride resulting in higher concentration of molecular chlorine (Cl₂), which is much more reactive than HOCl. The results of this work suggest that changes in pool management strategies to promote low chloride concentration could be important for control of volatile DBPs in pools and to economize free chlorine usage.

Dose-response algorithms for water-borne Pseudomonas aeruginosa folliculitis

We developed two dose-response algorithms for P. aeruginosa pool folliculitis using bacterial and lesion density estimates, associated with undetectable, significant, and almost certain folliculitis. Literature data were fitted to Furumoto & Mickey's equations, developed for plant epidermis-invading pathogens: N l = A ln(1 + BC) (log-linear model); P inf = 1-e(-r c C) (exponential model), where A and B are 2.51644 × 107 lesions/m2 and 2.28011 × 10-11 c.f.u./ml P. aeruginosa, respectively; C = pathogen density (c.f.u./ml), N l = folliculitis lesions/m2, P inf = probability of infection, and r C = 4·3 × 10-7 c.f.u./ml P. aeruginosa. Outbreak data indicates these algorithms apply to exposure durations of 41 ± 25 min. Typical water quality benchmarks (≈10-2 c.f.u./ml) appear conservative but still useful as the literature indicated repeated detection likely implies unstable control barriers and bacterial bloom potential. In future, culture-based outbreak testing should be supplemented with quantitative polymerase chain reaction and organic carbon assays, and quantification of folliculitis aetiology to better understand P. aeruginosa risks.

Trichloramine reactions with nitrogenous and carbonaceous compounds: kinetics, products and chloroform formation

Trichloramine is a hazardous disinfection by-product that is of particular relevance in indoor swimming pools. To better understand its fate in pool waters, apparent second order rate constants (kapp) at pH 7 for its reaction with several model compounds were determined. kapp values at pH 7 for nitrogenous compounds were found to increase in the following order: ammonia ∼ amides (∼10(-2)-10(-1) M(-1) s(-1)) < primary amines (∼10(-1)-10(0) M(-1) s(-1)) < relevant body fluid compounds (l-histidine, creatinine) (∼10(0)-10(1) M(-1) s(-1)) < secondary amines (∼10(1)-10(2) M(-1) s(-1)) < trimethylamine (∼10(3) M(-1) s(-1)). kapp values at pH 7 of trichloramine with hydroxylated aromatic compounds (∼10(2)-10(5) M(-1) s(-1)) are higher than for the nitrogenous compounds and depend on the number and position of the hydroxyl groups (phenol < hydroquinone < catechol < resorcinol). The measurement of kapp as a function of pH revealed that mainly the deprotonated species react with trichloramine. The reaction of trichloramine with Suwannee River and Pony Lake fulvic acid standards showed a decrease of their reactivity upon chlorination, which can be related to the electron donating capacity and the SUVA254. Chlorinated nitrogenous compounds (e.g. uric acid) also have a reduced reactivity with trichloramine. Hence, the residual chlorine in pool water hinders a fast consumption of trichloramine. This explains why trichloramine degradation in pool water is lower than expected from the reactivity with the estimated bather input. Trichloramine also has the potential to form secondary disinfection by-products such as chlorinated aromatic compounds or chloroform by electron transfer or Cl(+)-transfer reactions. The chloroform formation from the reaction of trichloramine with resorcinol occurs with a similar yield and rate as for chlorination of resorcinol. Since the trichloramine concentration in pool water is commonly about one order of magnitude lower than the free chlorine concentration, its contribution to the disinfection by-product formation is assumed to be minor in most cases but might be relevant for few precursors (e.g. phenols) that react faster with trichloramine than with free chlorine.

Chemical contaminants in swimming pools: Occurrence, implications and control

A range of trace chemical contaminants have been reported to occur in swimming pools. Current disinfection practices and monitoring of swimming pool water quality are aimed at preventing the spread of microbial infections and diseases. However, disinfection by-products (DBPs) are formed when the disinfectants used react with organic and inorganic matter in the pool. Additional chemicals may be present in swimming pools originating from anthropogenic sources (bodily excretions, lotions, cosmetics, etc.) or from the source water used where trace chemicals may already be present. DBPs have been the most widely investigated trace chemical contaminants, including trihalomethanes (THMs), haloacetic acids (HAAs), halobenzoquinones (HBQs), haloacetonitriles (HANs), halonitromethanes (HNMs), N-nitrosamines, nitrite, nitrates and chloramines. The presence and concentrations of these chemical contaminants are dependent upon several factors including the types of pools, types of disinfectants used, disinfectant dosages, bather loads, temperature and pH of swimming pool waters. Chemical constituents of personal care products (PCPs) such as parabens and ultraviolet (UV) filters from sunscreens have also been reported. By-products from reactions of these chemicals with disinfectants and UV irradiation have been reported and some may be more toxic than their parent compounds. There is evidence to suggest that exposure to some of these chemicals may lead to health risks. This paper provides a detailed review of various chemical contaminants reported in swimming pools. The concentrations of chemicals present in swimming pools may also provide an alternative indicator to swimming pool water quality, providing insights to contamination sources. Alternative treatment methods such as activated carbon filtration and advanced oxidation processes may be beneficial in improving swimming pool water quality.

Surface plasmon resonance based fiber optic detection of chlorine utilizing polyvinylpyrolidone supported zinc oxide thin films

A highly sensitive chlorine sensor for an aqueous medium is fabricated using an optical fiber surface plasmon resonance (OFSPR) system.

Volatile disinfection byproducts resulting from chlorination of uric acid: implications for swimming pools

Cyanogen chloride (CNCl) and trichloramine (NCl3) are important disinfection byproducts in chlorinated swimming pools. However, some unknowns exist regarding the precursors of their formation. In this study, uric acid is shown to be an efficient precursor to formation of CNCl and NCl3. The molar yields of CNCl and NCl3 were observed to be as high as 44% (pH = 6.0, chlorine/precursor molar ratio [Cl/P] = 6.4) and 108% (pH = 7.0, Cl/P = 30), respectively, both being strong functions of Cl/P, pH, and temperature. Analysis of swimming pool water samples, combined with the results of experiments involving chlorination of uric acid, and chlorination of body fluid analog mixtures, indicated that uric acid chlorination may account for a large fraction of CNCl formation in swimming pools. Moreover, given that uric acid introduction to pools is attributable to urination, a voluntary action for most swimmers, these findings indicate important benefits to pool water and air chemistry that could result from improved hygiene habits on the part of swimmers.

Pseudomonas aeruginosadose response and bathing water infection

Pseudomonas aeruginosais the opportunistic pathogen mostly implicated in folliculitis and acute otitis externa in pools and hot tubs. Nevertheless, infection risks remain poorly quantified. This paper reviews disease aetiologies and bacterial skin colonization science to advance dose-response theory development. Three model forms are identified for predicting disease likelihood from pathogen density. Two are based on Furumoto & Mickey's exponential ‘single-hit’ model and predict infection likelihood and severity (lesions/m2), respectively. ‘Third-generation’, mechanistic, dose-response algorithm development is additionally scoped. The proposed formulation integrates dispersion, epidermal interaction, and follicle invasion. The review also details uncertainties needing consideration which pertain to water quality, outbreaks, exposure time, infection sites, biofilms, cerumen, environmental factors (e.g. skin saturation, hydrodynamics), and whetherP. aeruginosais endogenous or exogenous. The review's findings are used to propose a conceptual infection model and identify research priorities including pool dose-response modelling, epidermis ecology and infection likelihood-based hygiene management.

Evaluation of the efficacy of commercial sanitizers against adhered and planktonic cells of Listeria monocytogenes and Salmonella spp

Antimicrobial activities of two commercial disinfectants, alone or combined with heat, against three Salmonella strains and three Listeria monocytogenes strains were studied. The efficacy of disinfectants against planktonic bacteria and bacteria attached to three food contact industrial surfaces (stainless steel, polytetraflourethylene, and rubber) was investigated. The tests were conducted using the sanitizer (quaternary ammonium compounds, and alquyldiethylenediamineglycine and di-alquyldiamineethylglycine) concentrations recommended by the manufacturers, and concentrations twice and four times higher than those values. The recommended concentrations were not effective to kill bacteria, especially when they were attached to surfaces. Concentrations of disinfectants twice and four times higher than those recommended were needed to fully eliminate planktonic bacteria. These same sanitizer concentrations were not sufficient to remove attached bacteria. To remove them from the surfaces, a treatment with recommended concentrations in combination with heat was needed. Our results indicate that these two pathogenic bacteria could survive common sanitation programs used in the food industry.

Effect of CaCO₃ particles and suspended bacteria on biofilm components and activity in the model recirculating cooling water system

Biofilms are a serious problem in industrial recirculating cooling water systems. Biofilm formation and properties are affected by many factors, such as inorganic particles and suspended bacteria. In this research a laboratory model recirculating cooling water system was applied to investigate the effects of CaCO(3) concentration and suspended bacterial count on extracellular polymeric substances (EPS) content and dehydrogenase activity (DHA) in the attached biofilms. In addition, nutrient level was also the key factor when investigating the effect of suspended bacterial count. The results showed that EPS content and DHA first increased and then decreased with the increase of CaCO(3) concentration from 0 to 200 mg/l. At the low nutrient level, with the increase of suspended bacterial count from 4.04 to 5.78 log(10) c.f.u./ml, biofilm EPS content decreased firstly and then increased. However, biofilm DHA always gradually increased. At the medium nutrient level, biofilm EPS content increased firstly and then decreased and DHA always gradually decreased when suspended bacterial count ranged from 4.04 to 5.78 log(10) c.f.u./ml. At the high nutrient level, biofilm EPS content and DHA both showed the increasing trend with the increase of suspended bacterial count. This work provides the basis and reference for management strategies in actual recirculating cooling water systems.

Molecular detection of Pseudomonas aeruginosa in recreational water

The aim of this study was the development of a new molecular assay for Pseudomonas aeruginosa identification in recreational water. The method includes bacterial cell concentration through membrane filtration, a short (6 h) culture-enrichment step, DNA extraction and its amplification through a Real-Time PCR assay. The performance of the molecular approach was evaluated on 44 samples of swimming pool water and compared with the reference method UNI EN ISO 16266:2008. Positivity rates of 6% and 74% in pool and inlet water, respectively, with the standard culture method, and of 23% and 74% with the molecular method were found. Statistical analysis indicated "substantial agreement" (Cohen's Kappa index: 0.6831) between the two approaches. RAPD typing of P. aeruginosa isolates showed identical fingerprint profiles, indicating their epidemiological correlation. The developed protocol showed very high specificity and a detection limit of 10 genomic units. This technique has the potential to screen large numbers of environmental samples, and could be proposed as part of a self-monitoring plan for recreational facilities, improving surveillance and early warning systems.

Formation of disinfection by-products in indoor swimming pool water: the contribution from filling water natural organic matter and swimmer body fluids

The contribution and role of different precursors in the formation of three class of disinfection by-products (DBPs) [trihalomethanes (THMs), haloacetic acids (HAAs), and halonitromethanes (HNMs)] in swimming pool waters were examined using filling waters obtained from five drinking water treatment plant (WTP) effluents and three body fluid analogs (BFAs). BFAs exerted higher chlorine demands as compared to natural organic matter (NOM) in filling waters. BFAs exhibited higher HAA formation potentials than THM formation potentials, while the opposite was observed for the filling water NOM. There was no appreciable difference in the HNM formation potentials of BFAs and filling water NOM. Different components in the BFAs tested exhibited different degree and type of DBP formation. Citric acid had significantly higher THM and HAA yields than other BFA components. The effect of temperature was greater on THM formation, whereas the effect of contact time had more impact on HAA formation. Experiments with filling waters collected from WTP effluents at three different times showed more variability in HAA than THM formation at the WTPs studied.

Childhood asthma and environmental exposures at swimming pools: state of the science and research recommendations

OBJECTIVES

Recent studies have explored the potential for swimming pool disinfection by-products (DBPs), which are respiratory irritants, to cause asthma in young children. Here we describe the state of the science on methods for understanding children's exposure to DBPs and biologics at swimming pools and associations with new-onset childhood asthma and recommend a research agenda to improve our understanding of this issue.

DATA SOURCES

A workshop was held in Leuven, Belgium, 21-23 August 2007, to evaluate the literature and to develop a research agenda to better understand children's exposures in the swimming pool environment and their potential associations with new-onset asthma. Participants, including clinicians, epidemiologists, exposure scientists, pool operations experts, and chemists, reviewed the literature, prepared background summaries, and held extensive discussions on the relevant published studies, knowledge of asthma characterization and exposures at swimming pools, and epidemiologic study designs.

SYNTHESIS

Childhood swimming and new-onset childhood asthma have clear implications for public health. If attendance at indoor pools increases risk of childhood asthma, then concerns are warranted and action is necessary. If there is no such relationship, these concerns could unnecessarily deter children from indoor swimming and/or compromise water disinfection.

CONCLUSIONS

Current evidence of an association between childhood swimming and new-onset asthma is suggestive but not conclusive. Important data gaps need to be filled, particularly in exposure assessment and characterization of asthma in the very young. Participants recommended that additional evaluations using a multidisciplinary approach are needed to determine whether a clear association exists.

In vitro study of the effect of cationic biocides on bacterial population dynamics and susceptibility

Cationic biocides (CBs) are widely used in domestic and public hygiene and to control biofouling and microbial contamination in industry. The increased use of biocides has led to concern regarding possible reductions in biocide effectiveness. Domestic drain microcosms were stabilized for 5 months and then exposed to polyhexamethylene biguanide (PHMB) at 0.1, 0.2, and 0.4g liter(-1) over 6 months and characterized throughout by differential culture, together with eubacterial-specific PCR-denaturing gradient gel electrophoresis. Additionally, MICs and minimal bactericidal concentrations (MBCs) for bacteria previously isolated from a domestic drain (n = 18) and the human skin (n = 13) were determined before, during, and after escalating, sublethal exposure (14 passages) to two quaternary ammonium compounds (QAC1 and QAC2), the bisbiguanide chlorhexidine (CHX), and PHMB. Exposure of the drain microcosm to PHMB did not decrease the total viable count although significant (P < 0.01) decreases in recovery were observed for the gram-positive cocci with associated clonal expansion of pseudomonads (from ca. 0.1% of the population to ca. 10%). This clonal expansion was also manifested as elevations in bacteria that could grow in the presence of PHMB, CHX, and QAC1. Decreases in susceptibility (greater than twofold) occurred for 10/31 of the test bacteria for QAC1, 14/31 for QAC2, 10/31 for CHX, and 7/31 for PHMB. Exposure of microcosms to PHMB targeted gram-positive species and caused the clonal expansion of pseudomonads. In terms of prolonged-sublethal passage on CBs, exposure to all the biocides tested resulted in susceptibility decreases for a proportion of test bacteria, but refractory clones were not generated.

A laboratory hot tub model for disinfectant efficacy evaluation

This paper describes a novel laboratory hot tub (LHT) apparatus and associated standard operating procedure (SOP) designed to reproduce the key biological, chemical, and engineering parameters associated with recreational and therapeutic hot tubs. Efficacy, as measured quantitatively by log reduction values, was determined against both biofilm and planktonic bacteria. When the LHT was run according to the SOP, with no antimicrobial treatment, a consistent level of bacterial contamination occurred. The means of log10 viable cell densities (+/- the repeatability standard deviation of log densities) were 7.2 (+/-0.31) for the bulk water (density in units of cfu ml-1), 5.3 (+/-0.56) for the coupons (density in units of cfu cm-2), and 6.6 (+/-0.50) for the filters (density in units of cfu cm-2). When control and chlorine treated LHTs were run in parallel, the log reduction increased significantly with chlorine concentration for samples of planktonic bacteria in the bulk water (p=0.016), biofilm bacteria on the coupons (p=0.09) and biofilm bacteria on the filter (p=0.005), indicating that the method was sensitive to chlorine concentration. The method also displayed sensitivity by differentiating between chlorine and bromine treatments; in every case, chlorine produced a greater log reduction than did the same concentration of bromine. The model and SOP were shown to be rugged with respect to slight changes in fluid mixing intensity, water chemistry (saturation index), inoculum size, and organic loading. The LHT and associated SOP provide a reliable second tier in a three-tiered testing process, in which the first tier is a suspension test and the final tier is a field test.