Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia.
Am J Ind Med. 2020 Jun;63(6):465-477. doi: 10.1002/ajim.23109. Epub 2020 Apr 9.
Respirable crystalline silica (RCS) can potentially cause silicosis, lung cancer, and renal failure. The current study estimates the percentages of workers potentially overexposed to concentrations of RCS dust and silicosis proportional mortality rates (PMRs) by industry.
Occupational Safety and Health Administration compliance inspection sampling data for RCS collected during 1979 to 2015 were used to estimate percentages of workers exposed. The results were used in combination with US Census Bureau estimates to produce industry specific worker population estimates for 2014. Estimates of the numbers and percentages of workers exposed to RCS concentrations at least 1, 2, 5, and 10 times the National Institute for Occupational Safety and Health recommended exposure limit (REL) were calculated by industry using the 2002 North American Industry Classification System. Silicosis PMRs by industry were estimated using National Center for Health Statistics multiple cause of death data.
RCS concentrations/workers exposed were highest in the poured concrete foundation and structure contractors; commercial and institutional building construction; and masonry contractors. Approximately 100 000 workers were exposed above the RCS REL, and most (79%) worked in the construction industry. Tile and terrazzo contractors (12%); brick, stone, and related construction merchant wholesalers (10%); masonry contractors (6%) and poured concrete foundation and structure contractors (6%) were the highest percentages of workers potentially overexposed. PMRs were highest for the structural clay product manufacturing and the foundries industries.
Percentages of workers exposed to RCS varied by industry and in some industries workers are exposed over 10 times the REL. Exposures can be reduced below the REL by implementing the hierarchy of controls.
可吸入结晶硅(RCS)可能会导致矽肺、肺癌和肾衰竭。本研究按行业估算了潜在接触 RCS 粉尘和矽肺比例死亡率(PMR)的工人比例。
使用 1979 年至 2015 年收集的职业安全与健康管理局(OSHA)对 RCS 的合规性检查采样数据来估算暴露工人的比例。将结果与美国人口普查局的估计数结合使用,以生成 2014 年特定行业的工人人数估计数。使用 2002 年北美行业分类系统(NAICS),按行业估算至少接触 1、2、5 和 10 倍国家职业安全与健康研究所(NIOSH)推荐接触限值(REL)的 RCS 浓度的工人数量和百分比。使用国家卫生统计中心(NCHS)多病因死亡率数据估算各行业的矽肺 PMR。
在浇注混凝土基础和结构承包商、商业和机构建筑施工以及砖石承包商中,RCS 浓度/暴露工人的比例最高。约有 10 万名工人接触到 RCS REL 以上的浓度,其中大多数(79%)在建筑行业工作。瓷砖和水磨石承包商(12%)、砖石、石材及相关建筑批发商(10%)、砖石承包商(6%)和浇注混凝土基础和结构承包商(6%)是潜在过度暴露的工人比例最高的行业。结构粘土制品制造和铸造行业的 PMR 最高。
接触 RCS 的工人比例因行业而异,在某些行业中,工人的接触浓度超过 REL 的 10 倍。通过实施控制层次结构,可以将暴露量降低到 REL 以下。