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证明 70 年职业接触限值对云母尘肺的保护作用。

Demonstrating the protective effect of a 70-year-old occupational exposure limit against pneumoconiosis caused by mica.

机构信息

114866Integral Consulting Inc., Portland, ME, USA.

出版信息

Toxicol Ind Health. 2022 Feb;38(2):63-69. doi: 10.1177/07482337211062281. Epub 2022 Mar 1.

Abstract

Workers involved in crushing, milling, screening, and bagging of mica scrap are at increased risk to develop pneumoconiosis, a progressive material overloading of the lung that can lead to fibrosis and, in the later stages, to dyspnea. Pneumoconiosis is only seen after 10-20 years of respiratory mica exposure, and it can have a latency period of up to 40 years-today's cases date back to exposures during the second half of the 20 century. An occupational lifetime exposure level of 3 mg/m respirable mica dust has been considered to present no risk of pneumoconiosis since 1951 when the American Conference of Governmental Industrial Hygienists (ACGIH) established a 20 million particles per cubic foot (mppcf) (3.5 mg/m respirable particles) exposure limit. As a result, numbers of unspecified and other pneumoconioses in the United States have steadily declined since the early 1970s. Data from the National Institute for Occupational Safety and Health documents a 91% decrease between 1972 and 2014 (i.e., the peak of documented cases and the latest reported data) for combined cases of aluminosis, berylliosis, stannosis, siderosis, and fibrosis from production and use of bauxite, graphite fibers, wollastonite, cadmium, Portland cement, emery, kaolin, antimony, and mica. Ample evidence indicates that the 70-year-old occupational lifetime exposure level of 3 mg/m respirable mica dust is protective of workers' health.

摘要

从事云母废料粉碎、研磨、筛选和装袋的工人患尘肺病的风险增加,尘肺病是肺部渐进性的物质过载,可导致纤维化,在后期阶段导致呼吸困难。尘肺病仅在呼吸性云母暴露 10-20 年后才会出现,并且可能有长达 40 年的潜伏期——今天的病例可以追溯到 20 世纪下半叶的接触。自 1951 年美国政府工业卫生学家会议(ACGIH)制定了每立方英尺 2000 万颗粒(3.5 毫克/呼吸性颗粒)的暴露限值以来,人们一直认为职业终身暴露水平为 3 毫克/立方米可呼吸云母粉尘不会导致尘肺病。因此,自 20 世纪 70 年代初以来,美国未指定和其他尘肺病的数量稳步下降。美国国家职业安全与健康研究所的数据显示,在 1972 年至 2014 年间(即记录病例的高峰期和最新报告的数据),生产和使用铝土矿、石墨纤维、硅灰石、镉、波特兰水泥、金刚砂、高岭土、锑和云母的铝、铍、锡、铁和纤维化综合病例减少了 91%。充分的证据表明,70 年前职业终身暴露水平为 3 毫克/立方米可呼吸云母粉尘对工人健康具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3fc/8899805/4f61b11e7efd/10.1177_07482337211062281-fig1.jpg

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