Surveillance Branch, Respiratory Health Division, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV, 26505-2888, USA.
Curr Environ Health Rep. 2019 Sep;6(3):137-147. doi: 10.1007/s40572-019-00237-5.
This review summarizes recent research on pneumoconiosis in coal workers following the identification of the resurgence of this disease among US coal miners in the early 2000s. We describe the impact of this research and how this has led to increased public attention, benefitting affected miners.
The latest research shows that the prevalence of pneumoconiosis, including progressive massive fibrosis, continues to increase, especially in central Appalachia. Contributing factors may include mining of thin coal seams or cutting rock to access coal, which may expose miners to coal mine dust with a higher content of silica and silicates than in the past. The impact of recently implemented changes, such as the reduced occupational exposure limit for respirable coal mine dust and the introduction of continuous personal dust monitors, will likely take years to appropriately evaluate.
本综述总结了近年来有关美国 21 世纪初矿工尘肺发病率回升后,接触煤尘的煤矿工人尘肺的研究进展。我们描述了这一研究的影响,以及它如何引起公众的关注,使受影响的矿工受益。
最新研究表明,尘肺(包括进行性大块纤维化)的患病率持续上升,尤其是在阿巴拉契亚中部地区。可能的致病因素包括开采薄煤层或切割岩石以获取煤炭,这可能会使矿工接触到含有比过去更高含量二氧化硅和硅酸盐的煤矿粉尘。最近实施的一些变化的影响,如呼吸性煤尘职业接触限值的降低和连续个人粉尘监测仪的引入,可能需要数年时间才能进行适当评估。