Characteristics of trihalomethane (THM) production and associated health risk assessment in swimming pool waters treated with different disinfection methods
Abstract
Swimming pool water must be treated to prevent infections caused by microbial pathogens. In Korea, the most commonly used disinfection methods include the application of chlorine, ozone/chlorine, and a technique that uses electrochemically generated mixed oxidants (EGMOs). The purpose of this study was to estimate the concentrations of total trihalomethanes (TTHMs) in indoor swimming pools adopting these disinfection methods, and to examine the correlations between the concentrations of THMs and TTHMs and other factors affecting the production of THMs. We also estimated the lifetime cancer risks associated with various exposure pathways by THMs in swimming pools. Water samples were collected from 183 indoor swimming pools in Seoul, Korea, and were analyzed for concentrations of each THM, TOC, and the amount of KMnO(4) consumption. The free chlorine residual and the pH of the pool water samples were also measured. The geometric mean concentrations of TTHMs in the swimming pool waters were 32.9+/-2.4 microg/L for chlorine, 23.3+/-2.2 microg/L for ozone/chlorine, and 58.2+/-1.7 microg/L for EGMO. The concentrations of THMs differed significantly among the three treatment methods, and the correlation between THMs and TTHMs and the other factors influencing THMs varied. The lifetime cancer risk estimation showed that, while risks from oral ingestion and dermal exposure to THMs are mostly less than 10(-6), which is the negligible risk level defined by the US EPA, however swimmers can be at the greater risk from inhalation exposure (7.77x10(-4)-1.36x10(-3)).
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Ozone/chlorine seems to be the most chemical-safe disinfection method in terms of formation of THMs, HAAs, HANs and chloral hydrate.
“Ozone/chlorine seems to be the most chemical-safe method in terms of the formation of THMs, HAAs, HANs and chloral hydrate (Lee et al., 2009;Lee et al., 2010).”
From Regulation, formation, exposure, and treatment of disinfection by-products (DBPs) in swimming pool waters: A critical review (2018) · cites this paper as Lee et al., 2009
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AGGAZZOTTI, G., FANTUZZI, G., RIGHI, E., & PREDIERI, G. (1998) · The Science of The Total Environment · doi:10.1016/s0048-9697(98)00174-0 · Cited by 131 · see citing works
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Disinfection by-products in drinking water: Occurrence, toxicity and abatement
Srivastav, A. L., Patel, N., & Chaudhary, V. K. (2020) · Environmental Pollution · doi:10.1016/j.envpol.2020.115474 · Cited by 342 · see citing works
Disinfection byproducts in swimming pool: occurrences, implications and future needs
Chowdhury, S., Alhooshani, K., & Karanfil, T. (2014) · Water Research · doi:10.1016/j.watres.2014.01.017 · Cited by 224 · see citing works
Health effects of disinfection by-products in chlorinated swimming pools
Florentin, A., Hautemanière, A., & Hartemann, P. (2011) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2011.07.012 · Cited by 165 · see citing works
Chemical contaminants in swimming pools: Occurrence, implications and control
Teo, T. L. L., Coleman, H. M., & Khan, S. J. (2014) · Environment International · doi:10.1016/j.envint.2014.11.012 · Cited by 171 · see citing works
“Korea Indoor Chlorine 14–250 20–630 GC–MS Lee et al. (2010)”
InfluentialYang, L., Chen, X., She, Q., Cao, G., Liu, Y., Chang, V. W.-C., & Tang, C. Y. (2018) · Environment International · doi:10.1016/j.envint.2018.10.024 · Cited by 144 · see citing works
Manasfi, T., Coulomb, B., & Boudenne, J. (2017) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2017.01.005 · Cited by 161 · see citing works
“…with chloroform (CHCl3) being the dominant species (Aggazzotti and Predieri, 1986; Beech et al., 1980; Erdinger et al., 2004; Fantuzzi et al., 2001; Lee et al., 2009; Nieuwenhuijsen et al., 2000; Simard et al., 2013; Weaver et al., 2009), or bromoform (CHBr3) when bromide present in high…”
BackgroundGenotoxicity of water concentrates from recreational pools after various disinfection methods
Liviac, D., Wagner, E. D., Mitch, W. A., Altonji, M. J., & Plewa, M. J. (2010) · Environmental Science & Technology · doi:10.1021/es903593w · Cited by 121 · see citing works
Carter, R. A. A., & Joll, C. A. (2017) · Journal of Environmental Sciences · doi:10.1016/j.jes.2017.06.013 · Cited by 145 · see citing works
“In the swimming pool environment, THM uptake via 150 inhalation has been estimated to have a higher associated cancer risk than uptake via ingestion or dermal 151 routes (Lee et al. 2009), where estimations were calculated using the US EPA guidelines for carcinogen 152 risk assessment and the Swimmer Exposure Assessme…”
BackgroundMethodInfluentialLee, J., Jun, M.-J., Lee, M.-H., Lee, M.-H., Eom, S.-W., & Zoh, K.-D. (2010) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2010.09.005 · Cited by 115 · see citing works
Self-citationLourencetti, C., Grimalt, J. O., Marco, E., Fernandez, P., Font-Ribera, L., Villanueva, C. M., & Kogevinas, M. (2012) · Environment International · doi:10.1016/j.envint.2012.03.009 · Cited by 97 · see citing works
“…as disinfection processes and chemicals, water source, pH, temperature, concentration of residual chlorine, residence time, reaction time, total or organic carbon and disturbance (Kristensen et al., 2010; Lee et al., 2009; Panyakapo et al., 2008; Thacker and Nitnaware, 2003; Wang et al., 2010).”
BackgroundMethodResultInfluentialFantuzzi, G., Righi, E., Predieri, G., Giacobazzi, P., Mastroianni, K., & Aggazzotti, G. (2010) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph7041379 · Cited by 95 · see citing works
“At the investigated swimming pools, environmental levels of THMs generally appeared low and in agreement with prior literature [13-15,20].”
MethodResultLegay, C., Rodríguez, M. J., Sadiq, R., Sérodes, J. B., Levallois, P., & Proulx, F. (2010) · Journal of Environmental Management · doi:10.1016/j.jenvman.2010.10.056 · Cited by 91 · see citing works
Chen, H., Zhang, B., Gong, T., & Xian, Q. (2015) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2015.11.055 · Cited by 99 · see citing works
Exposure levels to brominated compounds in seawater swimming pools treated with chlorine
Parinet, J., Tabaries, S., Coulomb, B., Vassalo, L., & Boudenne, J.-L. (2012) · Water Research · doi:10.1016/j.watres.2011.11.060 · Cited by 86 · see citing works
“These brominated compounds tend to display greater toxicity than their chlorinated analogs (Hsu et al., 2001; Richardson et al., 2007; Fabricino and Korshin, 2009; Lee et al., 2009).”
BackgroundXing, L.-Q., Tao, M., Zhang, Q., Kong, M., Sun, J., Jia, S.-Y., & Liu, C.-H. (2020) · Science of the Total Environment · doi:10.1016/j.scitotenv.2020.139380 · Cited by 85 · see citing works
Comparative Mammalian Cell Cytotoxicity of Water Concentrates from Disinfected Recreational Pools
Plewa, M. J., Wagner, E. D., & Mitch, W. A. (2011) · Environmental Science & Technology · doi:10.1021/es104284h · Cited by 86 · see citing works
The good, the bad, and the volatile: can we have both healthy pools and healthy people?
LaKind, J. S., Richardson, S. D., & Blount, B. C. (2010) · Environmental Science & Technology · doi:10.1021/es903241k · Cited by 82 · see citing works
Mishra, B., Gupta, S., & Sinha, A. (2014) · Journal of Environmental Health Science and Engineering · doi:10.1186/2052-336x-12-73 · Cited by 77
“Oral, dermal and inhalation CSF for BDCM, DBCM and oral and dermal CSF for chloroform and bromoform is used commonly as per a study [30,31].”
MethodSeredyńska-Sobecka, B., Stedmon, C., Boe-Hansen, R., Waul, C., & Arvin, E. (2011) · Water Research · doi:10.1016/j.watres.2011.01.010 · Cited by 72
Degradation products of benzophenone‑3 in chlorinated seawater swimming pools
Manasfi, T., Storck, V., Ravier, S., Demelas, C., Coulomb, B., & Boudenne, J.-L. (2015) · Environmental Science & Technology · doi:10.1021/acs.est.5b00841 · Cited by 67 · see citing works
Sanchís, J., Jaén-Gil, A., Gago-Ferrero, P., Munthali, E., & Farré, M. J. (2020) · Water Research · doi:10.1016/j.watres.2020.115743 · Cited by 77 · see citing works
Catto, C., Sabrina, S., Ginette, C.-T., Manuel, R., & Robert, T. (2012) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph9082562 · Cited by 64 · see citing works
“[0–128] 37 12.”
BackgroundMultipathways human health risk assessment of trihalomethane exposure through drinking water.
Siddique, A., Saied, S., Mumtaz, M., Hussain, M., & Khwaja, H. (2015) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2015.03.011 · Cited by 64
“where Rm is the unit risk estimate of the mth compound (unitless of probability), i the exposure routes, SF the slope factor values (RAIS, 2009; IRIS, 2009; Lee et al., 2009; Legay et al., 2011), CDI the chronically daily intake and RT is the total cancer risk (unitless of probability).”
BackgroundMethodInfluentialAbbasnia, A., Ghoochani, M., Yousefi, N., Nazmara, S., Radfard, M., Soleimani, H., Yousefi, M., Barmar, S., & Alimohammadi, M. (2018) · Human and Ecological Risk Assessment An International Journal · doi:10.1080/10807039.2018.1488582 · Cited by 69 · see citing works
Health risks and predictive modeling of disinfection byproducts in swimming pools
Peng, F., Peng, J., Li, H., Li, Y., Wang, B., & Yang, Z. (2020) · Environment International · doi:10.1016/j.envint.2020.105726 · Cited by 48 · see citing works
Disinfection Methods for Swimming Pool Water: Byproduct Formation and Control
Ilyas, H., Masih, I., & van der Hoek, J. P. (2018) · Water · doi:10.3390/w10060797 · Cited by 49 · see citing works
“Effect on THAs The concentration of CH with chlorination, EGMO and O3/chlorine was 17, 10 and 3.6 µg·L−1, respectively [3].”
BackgroundInfluentialBiologically active carbon filtration for haloacetic acid removal from swimming pool water
Tang, H. L., & Xie, Y. F. (2015) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2015.09.059 · Cited by 44 · see citing works
“, 2012), ingestion, and inhalation (Lee et al., 2009), increasing attention is being focused on the potential health risks associated with exposure to such high levels of DBPs for pool users and attendants at indoor and outdoor pools (Kogevinas et al.”
BackgroundRecreational Use of Spa Thermal Waters: Criticisms and Perspectives for Innovative Treatments
Valeriani, F., Margarucci, L. M., & Spica, V. R. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15122675 · Cited by 47 · see citing works
Health effects of exposure to chlorination by‐products in swimming pools
Couto, M., Bernard, A., Delgado, L., Drobnic, F., Kurowski, M. M., Moreira, A. M., Alves, R. R., Rukhadze, M., Seys, S., Wiszniewska, M., et al. (2021) · Allergy · doi:10.1111/all.15014 · Cited by 42 · see citing works
Investigating the effects of design and management factors on DBPs levels in indoor aquatic centres
Saleem, S., Dyck, R., Hu, G., Hewage, K., Rodríguez, M. J., & Sadiq, R. (2018) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2018.09.172 · Cited by 41 · see citing works
Gabriel, M. F., Felgueiras, F., Mourão, Z. S., & Fernandes, E. D. O. (2019) · Environment International · doi:10.1016/j.envint.2019.105274 · Cited by 40 · see citing works
Predicting human exposure and risk from chlorinated indoor swimming pool: a case study
Chowdhury, S. (2015) · Environmental Monitoring and Assessment · doi:10.1007/s10661-015-4719-8 · Cited by 33 · see citing works
“Following the past studies, accidental intake of water was assumed to be 18–34mL/h (ACC 2002; Evans et al. 2006; Lee et al. 2009; Schets et al. 2011).”
BackgroundResultInfluentialWang, C., Niu, Z., & Zhang, Y. (2013) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2013.08.044 · Cited by 30 · see citing works
Ratajczak, K., & Szczechowiak, E. (2019) · Energy and Buildings · doi:10.1016/j.enbuild.2019.109574 · Cited by 32 · see citing works
Gouveia, P. M., Felgueiras, F., Mourão, Z. S., Fernandes, E. D. O., Moreira, A. M., & Gabriel, M. F. (2019) · Journal of Toxicology and Environmental Health · doi:10.1080/15287394.2019.1634383 · Cited by 30 · see citing works
“Based upon these classifications, and similar to earlier studies (Chen et al. 2011; Chowdhury 2015; Lee, Ha, and Zoh 2009), multi-pathway risk assessment models were employed to predict the risk that exposure to THM may represent for study participants.”
BackgroundResultMaia, R., Correia, M., Pereira, I. M. B., & Beleza, V. M. (2013) · Microchemical Journal · doi:10.1016/j.microc.2013.10.005 · Cited by 30 · see citing works
“Together with direct sample injection, several sample preparation and extraction methods used in the analysis of swimming pool water and air samples are presented below [8,11,12,15,16,18,19,21,36–45].”
MethodZhang, D., Dong, S., Chen, L., Xiao, R., & Chu, W. (2022) · Journal of Environmental Sciences · doi:10.1016/j.jes.2022.05.003 · Cited by 33 · see citing works
Ryu, B.-G., Kim, J., Han, J.-I., Kim, K., Kim, D., Seo, B., Kang, C.-M., & Yang, J.-W. (2017) · doi:10.1016/j.algal.2017.06.012 · Cited by 25
Probabilistic health risk assessment of nitrosamines in drinking water of Shaoxing, Zhejiang, China
Yin, Y., Li, T., Kuang, D., Lu, Y.-A., Shen, Y., Xu, J., Jiang, S.-H., & Wang, X. (2019) · Environmental science and pollution research international · doi:10.1007/s11356-018-4026-3 · Cited by 24
Health risk of swimming pool disinfection by-products: a regulatory perspective
Pándics, T., Hofer, Á., Dura, G., Vargha, M., Szigeti, T., & Tóth, E. M. (2018) · Journal of Water and Health · doi:10.2166/wh.2018.178 · Cited by 26 · see citing works
Granger, C. O., & Richardson, S. D. (2022) · Journal of Environmental Sciences · doi:10.1016/j.jes.2022.04.044 · Cited by 20 · see citing works
Fernández‐Luna, Á., Gallardo, L., Plaza-Carmona, M., García‐Unanue, J., Sánchez‐Sánchez, J., Felipe, J. L., Burillo, P., & Ara, I. (2013) · PLoS ONE · doi:10.1371/journal.pone.0068447 · Cited by 20 · see citing works
“A significant decrease of chlorine and DBPs in installations with these chemical treatments were found [14,15].”
BackgroundResultInfluentialSilva, Z., Rebelo, M. H., Silva, M. M., Alves, A. M., Cabral, M. D. C., Almeida, A. C., Aguiar, F., de Oliveira, A. L., Nogueira, A. C., Pinhal, H., et al. (2012) · Journal of Toxicology and Environmental Health · doi:10.1080/15287394.2012.690706 · Cited by 22 · see citing works
“…have been associated with adverse health effects such as respiratory, ocular, and cutaneous symptoms and also with some long-term health effects such as mutagenesis, cancer, and adverse reproductive outcomes (Claxton et al. 2008; Lee et al. 2009; Nieuwenhuijsen et al. 2009; Zwiener et al. 2007).”
BackgroundResultInfluentialZhao, H., Yang, L., Li, Y., Xue, W., Li, K., Xie, Y., Meng, S., & Cao, G. (2020) · RSC Advances · doi:10.1039/d0ra02389b · Cited by 29 · see citing works
Trihalomethanes in urban drinking water: measuring exposures and assessing carcinogenic risk
Sadeghi, H., Nasseri, S., Yunesian, M., Mahvi, A., Nabizadeh, R., & Alimohammadi, M. (2019) · Journal of Environmental Health Science and Engineering · doi:10.1007/s40201-019-00374-x · Cited by 19
Factors affecting the formation of disinfection by-products in drinking water: human health risk
Srivastav, A., & Kaur, T. (2020) · Elsevier eBooks · doi:10.1016/b978-0-08-102977-0.00019-6 · Cited by 19 · see citing works
Qiu, T., Zhang, Z., Li, M., Liang, X., & Liang, X. (2023) · Chemical Engineering Journal · doi:10.1016/j.cej.2023.144213 · Cited by 21 · see citing works
Yang, Y.-L., Lu, J., Yu, H., & Yang, X.-L. (2016) · Ecological Engineering · doi:10.1016/j.ecoleng.2016.05.022 · Cited by 18 · see citing works
Perceived health problems in swimmers according to the chemical treatment of water in swimming pools
Fernández‐Luna, Á., Burillo, P., Felipe, J. L., del Corral, J., García‐Unanue, J., & Gallardo, L. (2015) · European Journal of Sport Science · doi:10.1080/17461391.2014.1001877 · Cited by 22 · see citing works
Niu, Z., Zang, X., & Zhang, Y. (2014) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2014.11.051 · Cited by 15 · see citing works
Advances and research needs for disinfection byproducts control strategies in swimming pools
Peng, F., Lu, Y. C., Dong, X., Wang, Y., Li, H., & Yang, Z. (2023) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2023.131533 · Cited by 21 · see citing works
Rasheed, S., Hashmi, I., Zhou, Q., Kim, J.-K., & Campos, L. C. (2022) · International Journal of Environmental Science and Technology · doi:10.1007/s13762-022-04070-6 · Cited by 20 · see citing works
“Higher chlorine residuals and the presence of NOM may augment the formation of THMs (Singh et al. 2012; Lee et al. 2010).”
BackgroundIlyas, H., Masih, I., & van der Hoek, J. P. (2018) · Journal of Water and Health · doi:10.2166/wh.2018.067 · Cited by 21 · see citing works
Elsheikh, A., Ahmad, U., & Ramli, Z. (2017) · Applied Water Science · doi:10.1007/s13201-016-0521-1 · Cited by 16 · see citing works
“They are classified as potentially carcinogenic chlorine organic compounds (Lee et al. 2009).”
BackgroundEvaluation of health risk caused by chloroform in drinking water
Zimoch, I., & Lobos, E. (2016) · doi:10.1080/19443994.2015.1033134 · Cited by 16
Lin, H. H., & Lin, A. Y.-C. (2023) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2023.132988 · Cited by 16 · see citing works
Rana, A., Dyck, R., Hu, G., Hewage, K., Rodríguez, M. J., Alam, M. S., & Sadiq, R. (2020) · Journal of Cleaner Production · doi:10.1016/j.jclepro.2020.122372 · Cited by 16 · see citing works
The occurrence of THMs and AOX in drinking water of Shandong Province, China
Yao, Z., Sun, S., Wang, M., Zhao, Q., & Jia, R. (2019) · Environmental Science and Pollution Research · doi:10.1007/s11356-019-05094-1 · Cited by 14 · see citing works
Modified APHA closed-tube reflux colorimetric method for TOC determination in water and wastewater
Salihu, S., & Bakar, N. A. (2018) · Environmental Monitoring & Assessment · doi:10.1007/s10661-018-6727-y · Cited by 15
“For instance, the predicted cancer and health risks were found to be high in swimming pools (Hang et al. 2016; Hsu et al. 2009; Lee et al. 2009) and shower (Chowdhury and Champagne 2009), and the risk was dependent on conditions such as temperature, number of swimmers (in swimming pools), and the…”
BackgroundLi, J.-F., Chen, J.-S., Hu, Z.-Y., Li, X., Li, M., Wang, Y., Zhang, Z.-L., & Liang, X. (2023) · Chemosphere · doi:10.1016/j.chemosphere.2023.139061 · Cited by 14 · see citing works
Cancer risk assessment from exposure to trihalomethanes in showers by inhalation.
Tovar, S. S. T., & Susa, M. R. R. (2020) · Environmental Research · doi:10.1016/j.envres.2020.110401 · Cited by 14 · see citing works
Trihalomethanes in marine mammal aquaria: Occurrences, sources, and health risks
Wang, J., Chow, A. T.-S., Sweeney, J. M., & Mazet, J. A. K. (2014) · Water Research · doi:10.1016/j.watres.2014.04.007 · Cited by 16 · see citing works
“1), which is in agreement with observations in other marine mammal aquaria (Spotte and Adams, 1979), but much higher than those commonly found in municipal water (commonly <5 mg/L) or swimming pool water (commonly <10 mg/L) (Lee et al., 2009; Zwiener et al., 2007).”
BackgroundMethodResultInfluentialLiu, Y., Chen, C., & Wang, G. (2019) · Chemosphere · doi:10.1016/j.chemosphere.2019.02.141 · Cited by 13 · see citing works
Berg, A. P., Fang, T.-A., & Tang, H. L. (2019) · Frontiers of Environmental Science & Engineering · doi:10.1007/s11783-019-1098-3 · Cited by 14 · see citing works
Kenyon, E. M., Eklund, C. R., Leavens, T. L., & Pegram, R. A. (2015) · Journal of Applied Toxicology · doi:10.1002/jat.3269 · Cited by 14 · see citing works
“It is particularly noteworthy that the disinfection method used (Lee et al., 2009) and the amount of bromide in source water (Krasner et al.”
MethodAnchal, P., Kumari, M., & Gupta, S. K. (2020) · Journal of Environmental Health Science and Engineering · doi:10.1007/s40201-020-00578-6 · Cited by 14 · see citing works
“A comparative study revealed that observed THMs levels were higher than those reported in countries like Korea [34], Italy [2], UK [15], Canada [45], Germany [33] and Spain [9].”
BackgroundResultInfluentialREMOVAL OF ORGANIC MATTER FROM SURFACE WATER USING COAGULANTS WITH VARIOUS BASICITY
Dąbrowska, L. (2016) · doi:10.12911/22998993/63307 · Cited by 12
“Analyses of water collected in different water treatment plants in the world [Abdullah et al. 2003; Kim 2009; Chang et al. 2010; Pardakhti et al. 2011], and also in pool water [Lee et al. 2009], confirm the possibility of THMs presence in water subjected to chlorination.”
BackgroundAnalyzing THM Concentrations in Selected Indoor Swimming Pool Waters in the Opole Region
Bożym, M., Kłosok-Bazan, I., & Wzorek, M. (2018) · Polish Journal of Environmental Studies · doi:10.15244/pjoes/75828 · Cited by 11 · see citing works
“Because of the risk caused by THMs received orally and through skin from the pool water is negligible, swimmers are exposed to uptake of these compounds by inhalation [15].”
BackgroundMethodFernández‐Luna, Á., Burillo, P., Felipe, J. L., Gallardo, L., & Tamaral, F. M. (2013) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2013.02.002 · Cited by 28 · see citing works
“Media (DE) 1,1 (0,6) 0,6 (0,2) 7,4 (0,3) 27,5 (0,5) 27,8 (1,6) 4,32 (2,3) 1,6 (0,8)”
BackgroundInfluentialCatto, C., Charest‐Tardif, G., Rodríguez, M. J., & Tardif, R. (2012) · Environment and Pollution · doi:10.5539/ep.v1n2p132 · Cited by 9 · see citing works
Jarin, M., Ly, J., Goldman, J. W., & Xie, X. (2025) · ACS ES&T Water · doi:10.1021/acsestwater.4c00612 · Cited by 11 · see citing works
Mao, Y., Zhang, L., & Dong, H. (2018) · Water Science & Technology · doi:10.2166/wst.2018.439 · Cited by 11 · see citing works
The influence UV/chlorination process on changes of biodegradable fraction in water
Rosińska, A., & Rakocz, K. (2021) · doi:10.1016/j.jclepro.2020.123947 · Cited by 10
Long, L., Wang, S., Gao, Z., You, S., & Wei, L. (2023) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2023.132963 · Cited by 9 · see citing works
Zheng, X., Xu, J., Gao, Y., Li, W., Chen, Y., Geng, H., Yue, J., & Xu, M. (2022) · Environmental Science and Pollution Research · doi:10.1007/s11356-022-23498-4 · Cited by 11 · see citing works
“2a), which agreed with other studies (Lee et al. 2009; Shi et al. 2020; Manasfi et al. 2016; Yeh et al. 2014; Bessonneau et al. 2011).”
Momeniha, F., Oskouie, A. A., Esrafili, A., Janani, L., & Jafari, A. J. (2021) · Building and Environment · doi:10.1016/j.buildenv.2021.108316 · Cited by 10 · see citing works
Peluso, F., Castelain, J. G., Rodríguez, L., & Othax, N. (2012) · doi:10.1080/10807039.2012.722801 · Cited by 9
Exposure of cleaning workers to chemical agents and physical conditions in swimming pools and spas
Ruokolainen, J., Hyttinen, M., Sorvari, J., & Pasanen, P. O. (2021) · Air Quality Atmosphere & Health · doi:10.1007/s11869-021-01138-z · Cited by 8 · see citing works
Khan, F., Zuthi, M. F. R., Hossain, M. D., & Bhuiyan, M. N. H. (2021) · doi:10.1016/j.jwpe.2021.102165 · Cited by 8 · see citing works
Ratajczak, K., & Pobudkowska, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17207547 · Cited by 10 · see citing works
“Reducing DBP levels in pool water include introducing changes in the water treatment system [19,24,26,27].”
BackgroundHealth risk assessment of arsenic from blended water in distribution systems
Zhang, H., Zhou, X. S., Wang, K., & Wang, W. D. (2017) · Journal of Environmental Science and Health Part A · doi:10.1080/10934529.2017.1362296 · Cited by 9 · see citing works
Elsheikh, A., Ahmad, U., & Ramli, Z. (2016) · Desalination and Water Treatment · doi:10.1080/19443994.2015.1021846 · Cited by 8 · see citing works
Peluso, F., Othax, N., Castelain, J. G., & Dubny, S. (2014) · doi:10.1080/10807039.2012.743827 · Cited by 8
“However, many can be cited (Hussain et al. 1998; Albering et al. 1999; Baars 2002; Dor et al. 2003; Blando and Cohn 2004; Goldblum et al. 2006; Panyakapo et al. 2008; Filipsson et al. 2009; Lee et al. 2009; Kumar and Xagoraraki 2010, Chen et al. 2011; Peluso et al. 2012).”
BackgroundRatajczak, K., & Piotrowska, A. (2019) · Geomatics and Environmental Engineering · doi:10.7494/geom.2019.13.3.71 · Cited by 8 · see citing works
“Different tests indicate the necessity for the proper ventilation of a swimming pool, but the authors did not provide any details on how exactly the proper ventilation should look like [9, 12, 24].”
BackgroundMethodGenişoğlu, M., Minaz, M., Tanacan, E., Sofuoǧlu, S. C., Bekaroglu, S. S. K., Kanan, A., Ateş, N., Köseoğlu, T. S., Yiğit, N. Ö., & Harman, B. İ. (2023) · ACS Omega · doi:10.1021/acsomega.3c00091 · Cited by 9 · see citing works
Samayamanthula, D. R., Bhatti, M. E., Alenazi, N. F., Rashid, Z., Al-Kandari, S., & Jacob, H. (2021) · International Journal of Environmental Science and Technology · doi:10.1007/s13762-021-03667-7 · Cited by 7
Assessment of exposure of children swimmers to trihalomethanes in an indoor swimming pool
Wang, X., & Dong, S. (2020) · Journal of Water and Health · doi:10.2166/wh.2020.188 · Cited by 9 · see citing works
Chugunova, A. A., Kralj, M. B., Polyakova, O. V., Artaev, V. B., Trebše, P., Pokryshkin, S. A., & Lebedev, А. T. (2017) · Journal of Analytical Chemistry · doi:10.1134/s1061934817140039 · Cited by 10 · see citing works
Karimi, B. (2020) · Desalination and Water Treatment · doi:10.5004/dwt.2020.24887 · Cited by 7 · see citing works
Zekanović, M. S., Begić, G., Medić, A., Gobin, I., & Linšak, D. T. (2022) · Environments · doi:10.3390/environments9080103 · Cited by 5 · see citing works
Detenchuk, E. A., Chen, J., Polyakova, O. V., Trebše, P., Pokryshkin, S. A., & Lebedev, А. T. (2019) · Journal of Analytical Chemistry · doi:10.1134/s1061934819130069 · Cited by 7 · see citing works
Studziński, W., & Gackowska, A. (2018) · Journal of Ecological Engineering · doi:10.12911/22998993/89665 · Cited by 5 · see citing works
“Due to the high potential of chemical oxidation and lack of trihalomethane (THM) formation, ozone is applied [Lee et al. 2009).”
MethodYin, C., Liu, B., Hur, K., & Dong, S.-K. (2022) · Journal of Environmental Science · doi:10.1016/j.jes.2022.05.006 · Cited by 4
Disinfection byproducts in swimming pool water in Sanandj, Iran
Bahmani, P., & Ghahramani, E. (2018) · doi:10.22102/jaehr.2018.119447.1064 · Cited by 4
Wang, W.-D., Esparra, M., Liu, H., & Xie, Y.-F. F. (2016) · doi:10.2166/wrd.2016.097 · Cited by 4
Łaskawiec, E., Fryczkowska, B., Wyczarska-Kokot, J., & Dudziak, M. (2021) · Desalination and Water Treatment · doi:10.5004/dwt.2021.26849 · Cited by 5 · see citing works
“Asthma, bladder cancer, and atopic dermatitis are being increasingly recognized as risks to the health of pool users and facility employees [2,4,38,39].”
BackgroundZafra-Navarro, F., Martí, S., Schum, S., Emiliano, P., Petrovič, M., & Farré, M. (2026) · ACS ES&T water · doi:10.1021/acsestwater.5c01470 · Cited by 3
“18 19 − 22 In particular, HRMS has been applied to investigate DOM transformations in DWTPs, focusing on either DBP formation or DOM removal.”
InfluentialBarzallo, D., Berdugo, H., & Palacio, E. (2025) · Talanta Open · doi:10.1016/j.talo.2025.100420 · Cited by 3 · see citing works
Hsu, H., Chen, M.-J., Tsai, K., Huang, L.-J., Lin, C., Lai, C., & Cheng, L.-H. (2023) · Environmental Science and Pollution Research · doi:10.1007/s11356-023-25978-7 · Cited by 3 · see citing works
“Previous studies indicated that the estimated excess lifetime cancer risk of exposure to chloroform in ISPs can mainly be attributed to the inhalation exposure route (Lee et al. 2009; Chen et al. 2011; Pándics et al. 2018).”
BackgroundMohamed, F. M., El-Deen, F. N., & Abdo, M. (2019) · doi:10.21608/ejabf.2019.66696 · Cited by 3
- Authors
- Lee, J., Ha, K.-T., & Zoh, K.-D.
- Affiliations
- Seoul National University (KR)
- Seoul Metropolitan Government (KR)
- Corresponding author
- Zoh, Kyung-Duk
- ORCID
- Zoh, Kyung-Duk
- Venue
- Science of The Total Environment
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 407
- Issue
- 6
- Pages
- 1990-1997
- ISSN
- 0048-9697 (ISSN-L)
- OpenAlex
- W1983176982
- Cited by
- 143
- References
- 0
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 2 · 2023: 9 · 2022: 10 · 2021: 8 · 2020: 17 · 2019: 15 · 2018: 15 · 2017: 7 · 2016: 6 · 2015: 11 · 2014: 6 · 2013: 4 · 2012: 10
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Science of The Total Environment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Water Treatment and Disinfection
- Physical Sciences › Environmental Science › Water Science and Technology › Advanced oxidation water treatment
- Physical Sciences › Environmental Science › Water Science and Technology › Fecal contamination and water quality
- Keywords
- trihalomethanes, total trihalomethanes, swimming pool water, disinfection by-products, chlorine disinfection, lifetime cancer risk, inhalation exposure, indoor swimming pools, total organic carbon
- MeSH terms
- Chlorine, Disinfection, Female, Humans, Male, Neoplasms, Ozone, Swimming Pools, Risk Assessment, Inhalation Exposure, Trihalomethanes
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