Cent Eur J Public Health 2026, 34(1):33-39 | DOI: 10.21101/cejph.a8555
Human health risk assessment of trihalomethanes in outdoor swimming pool waters in Montenegro
- 1 Centre for Ecotoxicological Research, Podgorica, Montenegro
- 2 Faculty for Food Technology, Food Safety and Ecology, University Donja Gorica, Podgorica, Montenegro
- 3 Institute of Public Health of Montenegro, Podgorica, Montenegro
- 4 Faculty of Metallurgy and Technology, University of Montenegro, Podgorica, Montenegro
Objectives: This paper deals with the characterization of outdoor swimming pool waters to study the occurrence of trihalomethanes (THMs) and to assess the health risk of THMs exposure for three population groups (male, female, and children). The concentration of total THMs and individual species (chloroform, bromodichloromethane (BDCM), dibromochloromethane (DBCM), and bromoform) were monitored during the seven months of 2022 in outdoor swimming pools in the coastal area of Montenegro.
Methods: A total of 73 water samples from outdoor swimming pools were collected and tested for the content of THMs using an Agilent 7890 A GC. Carcinogenic and non-carcinogenic health risks of total THMs and each species were assessed through lifetime cancer risk (CR) and hazard index (HI), respectively. Health risk assessment was assessed through the oral and dermal exposure pathways.
Results: The concentration of total THMs in investigated water samples ranged between 0.19 and 237.18 μg/L when 26% of tested water samples had values above the maximal permitted value (100 μg/L) established by Montenegrin legislation. Chloroform concentration was in a range of 1.13-217.16 μg/L, while contents of BDCM and DBCM were in a range of 1.01-29.43 μg/L and 0.18-16.19 μg/L, respectively. Calculated values of dermal CR were higher than 10-6, thus CR values of total THMs exposure were higher than 10-6 for all population groups. On the other hand, CR via ingestion values were meagre, HI values of total THMs exposure for three population groups were calculated to be below 1.
Conclusion: There is no non-carcinogenic risk for the children population while male and female populations were faced with non-carcinogenic health risk of total THMs exposure. On the other hand, all investigated population groups were faced with unacceptable cancer health risks and dermal contact was recognized as the main exposure route for all investigated populations.
Klíčová slova: swimming pool, trihalomethanes, health risk assessment, ingestion, dermal contact
Vloženo: 12. únor 2025; Revidováno: 12. říjen 2025; Přijato: 12. říjen 2025; Zveřejněno: 31. březen 2026 Zobrazit citaci
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Reference
- de Castro Medeiros L, de Alencar FLS, Navoni JA, de Araujo ALC, do Amaral VS. Toxicological aspects of trihalomethanes: a systematic review. Environ Sci Pollut Res Int. 2019 Feb;26(6):5316-32.
Přejít k původnímu zdroji...
Přejít na PubMed... - Silva ZI, Rebelo MH, Silva MM, Alves AM, Cabral Mda C, Almeida AC, et al. Trihalomethanes in Lisbon indoor swimming pools: occurrence, determining factors, and health risk classification. J Toxicol Environ Health A. 2012;75(13-15):878-92.
Přejít k původnímu zdroji...
Přejít na PubMed... - World Health Organization; United Nations Environment Programme. Chemistry of disinfectants and disinfectant by-products. In: EHC 216: disinfectants disinfectant by-products. Geneva: WHO; 2000. p. 36-7.
- Wang X, Dong S. Assessment of exposure of children swimmers to trihalomethanes in an indoor swimming pool. J Water Health. 2020 Aug;18(4):533-44.
Přejít k původnímu zdroji...
Přejít na PubMed... - World Health Organization. Guidelines for safe recreational water environments. Volume 2: swimming pools and similar environments. Geneva: WHO; 2006.
- World Health Organization. Guidelines for drinking-water quality: incorporating the first and second addenda. Geneva: WHO; 2022.
- [Conditions for the health safety of water for recreational purposes and other waters of public health interest, No 57/2018 and 112/2020]. Official Gazette of Montenegro. Montenegrin.
- Abbasnia A, Ghoochani M, Yousefi N, Nazmara S, Radfard M, Soleimani H, et al. Prediction of human exposure and health risk assessment to trihalomethanes in indoor swimming pools and risk reduction strategy. Hum Ecol Risk Assess. 2019;25.(8):2098-115.
Přejít k původnímu zdroji... - U. S. Environmental Protection Agency. Comprehensive disinfectants and disinfection byproducts rules (stage 1 and stage 2): quick reference guide. EPA 816-F-10-080. Washington DC: EPA; 2010.
- Chu H, Nieuwenhuijsen MJ. Distribution and determinants of trihalomethane concentrations in indoor swimming pools. Occup Environ Med. 2002 Apr;59(4):243-7.
Přejít k původnímu zdroji...
Přejít na PubMed... - Thacker NP, Nitnaware V. Factors influencing formation of trihalomethanes in swimming pool water. Bull Environ Contam Toxicol. 2003 Sep;71(3):633-40.
Přejít k původnímu zdroji...
Přejít na PubMed... - Yang F, Yang Z, Li H, Jia F, Yang Y. Occurrence and factors affecting the formation of trihalomethanes, haloacetonitriles and halonitromethanes in outdoor swimming pools treated with trichloroisocyanuric acid. Environ Sci Water Res Technol. 2018;4(2):218-25.
Přejít k původnímu zdroji... - U. S. Environmental Protection Agency. Exposure factors handbook. Final report. Epa/600/R-09/052F. Washington DC: EPA; 2011.
- U. S. Environmental Protection Agency. Integrated Risk Information System [Internet]. Washington DC: EPA; 2017 [cited 2024 Apr 25]. Available from: https://www.epa.gov/iris.
- Legay C, Rodriguez MJ, Sadiq R, Sérodes JB, Levallois P, Proulx F. Spatial variations of human health risk associated with exposure to chlorination by-products occurring in drinking water. J Environ Manage. 2011 Mar;92(3):892-901.
Přejít k původnímu zdroji...
Přejít na PubMed... - Richardson SD, DeMarini DM, Kogevinas M, Fernandez P, Marco E, Lourencetti C, et al. What's in the pool? A comprehensive identification of disinfection by-products and assessment of mutagenicity of chlorinated and brominated swimming pool water. Environ Health Perspect. 2010 Nov;118(11):1523-30.
Přejít k původnímu zdroji...
Přejít na PubMed... - Manasfi T, Coulomb B, Boudenne JL. Occurrence, origin, and toxicity of disinfection byproducts in chlorinated swimming pools: an overview. Int J Hyg Environ Health. 2017 May;220(3):591-603.
Přejít k původnímu zdroji... - Lin HH, Lin AY. Peracetic acid as an alternative disinfectant for micropollutants degradation and disinfection byproducts control in outdoor swimming pools. J Hazard Mater. 2024 Feb 15;464:132988. doi: 10.1016/j.jhazmat.2023.132988.
Přejít k původnímu zdroji... - Li Y, Chen L, Li H, Peng F, Zhou X, Yang Z. Occurrence, distribution, and health risk assessment of 20 personal care products in indoor and outdoor swimming pools. Chemosphere. 2020 Sep;254:126872. doi: 10.1016/j.chemosphere.2020.126872.
Přejít k původnímu zdroji... - Li W, Shi Y, Gao L, Liu J, Cai Y. Occurrence and human exposure of parabens and their chlorinated derivatives in swimming pools. Environ Sci Pollut Res Int. 2015 Nov;22(22):17987-97.
Přejít k původnímu zdroji...


