RUNNING CASE STUDY: DIRTY POOLS

In August 2011, the Toronto Star conducted an investigation of pools and hot tubs at con. dominiums, health clubs, and swimming pools across the city of Toronto. They discovered thamany pool and us as in Toronto have repeatedly violated public health and safety rules. This means that bathers are potentially being exposed to injury and disease.

Public health inspectors conduc inspections of the approximately 1600 recreational water facilities in the City of Toronto. Every recreational water facility in the city is inspected at cast two times a year and no less than once every three months while operating Those facilities that operate year-round might receive up to four inspections per ycar. These inspections are unannounced and based on mandated inspection frequen cies. Owners receive an inspection report and written instructions that outline the corrective actions they must take to correct any identified deficiencies. When an imminent health and safety hazard is identified a facility can be closed. A closed facility is allowed to reopen once it has met certain conditions as determined by a re-inspection. Ther are no set fines, and public health inspectors cannot issue tickets.

The data obtained by the Toronto Star indicates more than 10 000 violations by pols and spas over the past two years at luxury condominiums, private schools, spas, heals, and fitness clubs. Many have repeatedly failed to meet health and safety standards s by the city with little penalty or public knowledge, thereby putting unwitting swimmer. at

risk of disease and injury.

Health infractions include things such as failure to maintain safe and sanitary conditions and equipment in sanitary and working order, poor water clarity, unsafe storage of chemicals, failing to keep proper records, improper chemical balance such as pH levels, and a hot tub's vacuum release system not working properly (a safety device that prevents the pool's suction mechanism from trapping bathers to the whirlpool floor).

Inspectors reported 635 incidents of improper pH levels in two years.

Health inspectors can close a pool for a variety of violations, such as cloudy water, missing emergency equipment such as a spine board or two buoyant safety rings, or loose or missing pool outlet covers. Since 2009, more than 300 pools have been closed

dirty water.

for various violations, including faulty mechanics, missing emergency equipment, and

Poorly maintained pools can be breeding grounds for bacteria that can cause serious gastrointestinal illnesses. Recreational water illnesses are caused by germs spread by swallowing or having contact with contaminated water. Swallowing a small amount of pool water with cryptosporidium can make a person sick and has become a leading cause of swimming pool-related outbreaks of diarrhcal illness. Illnesses include gastrointestinal, skin, ear, respiratory, eye, and neurologic infections. The most common symptom is diarrhea, which is caused by germs such as cryptosporidium, giardia, shigella, norovirus, and B. coli, Other symptoms include rashes and burning eyes.

The root of pool problems and infractions is poor training. In Ontario, how-ever, there are no standardized training requirements. In 2009 and 2010, inspectors reported 114 cases of staff who were not adequately trained to run a hot tub or pool safely. City officials cited 23 facilities multiple times for this infraction, suggesting that they failed to get the necessary training despite the inspector's warning. Although health officials can order an operator be retrained as part of their inspections, there is no standardized training. As a result, a retraining order just means that when the inspector returns the operator must show that he/she can perform the procedure in question.

In response to the Toronto Star investigation, safety experts called for the province of Ontario to enforce standardized training for swimming pool operators. Toronto's Board of Health has also asked the province to require standardized training for operators.

Ontario's health minister said the province may consider introducing a certification program for pool operators.

At a meeting on September 13, 2011, the Board of Health requested that the medical officer amend the current regulations and require standardized training for public pool and public spa operators with respect to water chemistry analysis and promoting health and safety and injury prevention. Ontario health regulations require training for pool and hot tub operators but it does not indicate to what extent. As a result, some operators receive rigorous two-day courses while others receive brief instructions on how to check chemical levels. Furthermore, while regular training is mandatory for operators at municipal pools in Toronto, this is not the case for operators of facilities at condos or hotels!

Government-sanctioned training for pool operators is enforced in the province of Alberta, where two-day training programs are offered by public and private government-approved agencies across the province. Operators are certified if they receive 70 percent or higher on a final exam.

On April 28, 2014, the Toronto Board of Health adopted a proposal from the medical officer of health that the city should draft a bylaw that requires all recreational water facilities including public swimming pools, public spas (hot tubs), and wading pools to post a sign or document on site showing notices disclosing inspection results to inform the public of whether any health and safety violations have taken place. The final decision must still be made by Toronto City Council.

Toronto City Councillor John Filion, who has been a strong advocate for facilities to display evidence that they have met city standards, said he expects the recommended bylaw will ensure that standards are being adhered to, boost public confidence, and improve conditions at pools and spas. He also believes that inspectors should have the power to issue fines, something that requires provincial approval.

to the case at the end of Chapter 1 to answer the following questions.

1. Consider what trainees might be expected to do after attending a standardized training program for pool operators and employees. Write a training objective and be sure to include the four key elements and the three components of a training objective.
2. Given the concerns raised in the case regarding the various infractions, what do pool operators and employees need to learn? What content should be included in a standardized training program for pool operators and their employees?
3. Should a standardized training program for pool operators and employees nclude active practice? Explain your answer. Describe how active prac tice might be used in a training program for pool operators and their employees.