Lung function in volunteers before and after exposure to trichloramine in indoor pool environments and asthma in a cohort of pool workers.

After exposure to pool air, there was a small decrease (0.8 FEV % ) that was marginally statistically significant (p=0.05).

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An increased OR for asthma among highly exposed pool workers did not reach statistical significance, but the combined evidence supports the notion that current workroom exposures may contribute to asthma development.

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In children, Bernard et al 13 found a statistically highly significant relationship between cumulative pool attendance during kindergarten and PEF 15 (post-exercise reduction of peak expiratory flow by 15%), providing supportive evidence of airway effects of exposure to chlorinated pool environments.

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