Risk, Burden of Bladder Cancer and THMs Exposure from Water Disinfection in Indoor Swimming Pools

Carla Costa, Ricardo Assunção, Diana Sequeira, Filipa Esteves, João Paulo Teixeira, Joana Madureira

Research output: Contribution to conferencePaperpeer-review

Abstract

Trihalomethanes (THMs) have been associated via ingestion route with bladder cancer in the literature. This study aimed to estimate the lifetime cancer risk (LCR) and attributable burden of bladder cancer from exposure to THMs via ingestion in 238 study participants attending 10 Portuguese public indoor swimming pools. Swimming habits were collected via questionnaires and THMs levels were obtained from swimming pools water records. Two exposure scenarios were analysed using a probabilistic approach. Population-attributable fraction (PAF), number of attributable bladder cancer cases and disability adjusted life years (DALYs) were calculated based on Portuguese incidence rates, population size and DALYs rate reported in the Global Burden of Disease study. Results indicate that LCR associated to THMs exposure is higher than the negligible risk levels of 1×10-6. The estimated PAF attributable to THMs exposure in Portugal is 0.07%, accounting for 2.4 bladder cancer cases per year; while DALYs were 198 per year.

Original languageEnglish
Publication statusPublished - 2022
Event17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022 - Kuopio, Finland
Duration: 12 Jun 202216 Jun 2022

Conference

Conference17th International Conference on Indoor Air Quality and Climate, INDOOR AIR 2022
Country/TerritoryFinland
CityKuopio
Period12/06/2216/06/22

Keywords

  • Human exposure
  • disinfection by-products
  • health risk assessment
  • ingestion
  • noncompetitive attendees

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