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Volume 353:1635-1636 October 13, 2005 Number 15
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Asthma and Whirlpool Baths

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To the Editor: Public baths and swimming pools need to be disinfected, and this is usually accomplished by chlorination of the water. Exposure to chlorinated pools, however, may affect the lung epithelium and, along with other factors, may be associated with the increased prevalence of childhood asthma.1 In addition, the chloramines,2,3 which are generated from the reaction of hypochlorite with ammonia and amino compounds that originate from sweat and urine, are substances that are highly volatile and irritating to the airways. The magnitude of exposure to these substances depends on the number of bathers, the water temperature, and local air . . . [Full Text of this Article]


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