Centre for Workplace Health, Health and Safety Laboratory, Buxton, UK.
Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK.
Occup Environ Med. 2019 Jan;76(1):17-21. doi: 10.1136/oemed-2018-105337. Epub 2018 Nov 10.
To document the demographic risk factors of workers reported to have silicosis in the UK.
All cases of silicosis reported to the Surveillance of Work-related and Occupational Respiratory Disease (SWORD) scheme between January 1996 and December 2017 were classified into one of eight industry categories, and one of five age groups. In addition, to investigate whether there had been any temporal change, mean age and range at diagnosis was plotted for each year. From 2006, data were also available relating to the date of onset of symptoms, allowing a comparison between workers with and without respiratory symptoms.
For the period between 1996 and 2017, there were 216 cases of silicosis reported. The mean (range) age of those reported was 61 years (23-89), with the majority (98%) being male. Across all industries, 65% of cases were diagnosed in individuals of working age (<65 for men and <60 for women). Silicosis was reported in young workers across all industry groups, with around one in six of all silicosis cases affecting workers under the age of 46 years. There was no clear trend in age of diagnosis with time. Between 2006 and 2017, 81% of 108 workers with silicosis were reported to be symptomatic.
Silicosis remains an important health problem in the UK affecting workers of all ages across a wide range of industries traditionally associated with silica exposure.
记录在英国报告患有矽肺的工人的人口统计学风险因素。
1996 年 1 月至 2017 年 12 月期间，通过监测与工作相关和职业性呼吸道疾病（SWORD）计划报告的所有矽肺病例均被分为八大行业类别之一和五个年龄组之一。此外，为了研究是否存在任何时间变化，为每年绘制了平均年龄和诊断范围。自 2006 年以来，还提供了与症状开始日期有关的数据，允许比较有和没有呼吸道症状的工人。
在 1996 年至 2017 年期间，共报告了 216 例矽肺病例。报告病例的平均（范围）年龄为 61 岁（23-89），其中大多数（98%）为男性。在所有行业中，65%的病例在工作年龄（<65 岁的男性和<60 岁的女性）的人群中被诊断出。在所有行业群体中，年轻工人都报告了矽肺，大约每六例矽肺病例中就有一例影响年龄在 46 岁以下的工人。随着时间的推移，诊断年龄没有明显的趋势。在 2006 年至 2017 年期间，报告了 108 例矽肺工人中有 81%有症状。
矽肺仍然是英国的一个重要健康问题，影响着所有年龄段的工人，涉及到广泛的传统上与接触二氧化硅有关的行业。
