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Swimming pool attendant asthma — DOccMed MCQ

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ModerateOccupational DiseaseSwimming pool attendant asthmaDOccMed

A 42-year-old swimming pool attendant has recurrent episodes of cough, wheeze, and eye irritation that worsen during shifts. The pool uses chlorine-based disinfection. Air monitoring shows chloramine levels are intermittently elevated. What is the most likely diagnosis?

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Correct answer: B — Irritant-induced occupational asthma or reactive airways dysfunction from chloramine exposure

Chloramines (formed when chlorine reacts with organic matter including sweat and urine) are potent respiratory irritants. Pool workers are at risk of irritant-induced occupational asthma. This is well-documented in swimming pool attendants.

Reference: HSE Pool Chemistry Guidance; Occupational Asthma Guidelines