Li M L, Liu J, Qin X L, Feng L M, Yang X Y, Wang X, Guo X X
Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.
Tianjin Binhai New Area Centers for Disease Control and Prevention, Tianjin 300450, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Nov 20;37(11):842-845. doi: 10.3760/cma.j.issn.1001-9391.2019.11.011.
Analyzes of the monitoring results of silicosis in key occupational disease monitoring in Tianjin in 2017, providing reference for continuous monitoring, and prevention and control work of silicosis. Monitor and analyze the current state of silica dust hazard enterprises, the health status of silica dust workers, and the characteristics of newly developed silicosis cases in accordance with the national 2017 work plan for key occupational disease monitoring and occupational health risk assessment. In 2017, 210 enterprises have silica dust hazard in Tianjin, silica dust workplaces exceed the standard rate is 34.73%, 5 695 workers' health examination who contact with silica dust were collected. 2 were detected occupational contraindication, the abnormal detection rate of chest examination is 3.60%, the abnormal index of lung function mainly is FVC, the abnormal rate is 15.8%. The abnormal rate increases with working years. In 2017, 193 new cases of silicosis were reported most cases were developed after years of decontamination. Most enterprises with cases had already out of market, only 7 were still producing. The key prevention and control in Tianjin was enterprises with silica dust excess of standard, as well as older and longer working years workers, adopting effective measures to reduce the concentration of silica dust in workplace is a fundamental measure to reduce the risk of silicosis.
对2017年天津市重点职业病监测中矽肺病监测结果进行分析,为矽肺病的持续监测及防治工作提供参考。按照国家2017年重点职业病监测与职业健康风险评估工作计划,对矽尘危害企业现状、矽尘作业工人健康状况以及新发生矽肺病病例特点进行监测分析。2017年天津市有矽尘危害企业210家,矽尘作业场所超标率为34.73%,共收集5695名接触矽尘工人的健康检查资料。检出职业禁忌证2人,胸部检查异常检出率为3.60%,肺功能异常指标主要为用力肺活量(FVC),异常率为15.8%。异常率随工龄增加而升高。2017年报告新矽肺病病例193例,多数病例在脱离接触多年后发病。有病例企业多数已停产,仍在生产的仅7家。天津市矽肺病防治重点为矽尘超标企业以及工龄长、年龄大的工人,采取有效措施降低工作场所矽尘浓度是降低矽肺病发病风险的根本措施。