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加州工程石材制造工人在 2019 年 1 月至 2020 年 2 月期间可吸入结晶硅暴露水平升高。

Elevated exposures to respirable crystalline silica among engineered stone fabrication workers in California, January 2019-February 2020.

机构信息

Occupational Health Branch, California Department of Public Health, Richmond, California, USA.

Centers for Disease Control and Prevention, Epidemic Intelligence Service, Atlanta, Georgia, USA.

出版信息

Am J Ind Med. 2022 Sep;65(9):701-707. doi: 10.1002/ajim.23416. Epub 2022 Jul 28.

Abstract

BACKGROUND

Workers fabricating engineered stone face high risk for exposure to respirable crystalline silica (RCS) and subsequent development of silicosis. In response, the California Division of Occupational Safety and Health (Cal/OSHA) performed targeted enforcement inspections at engineered stone fabrication worksites. We investigated RCS exposures and employer adherence to Cal/OSHA's RCS and respiratory protection standards from these inspections to assess ongoing risk to stone fabrication workers.

METHODS

We extracted employee personal air sampling results from Cal/OSHA inspection files and calculated RCS exposures. Standards require that employers continue monitoring employee RCS exposures and perform medical surveillance when exposures are at or above the action level (AL; 25 μg/m ); exposures above the permissible exposure limit (PEL; 50 μg/m ) are prohibited. We obtained RCS and respiratory protection standard violation citations from a federal database.

RESULTS

We analyzed RCS exposures for 152 employees at 47 workplaces. Thirty-eight (25%) employees had exposures above the PEL (median = 89.7 μg/m ; range = 50.7-670.7 μg/m ); 17 (11%) had exposures between the AL and PEL. Twenty-four (51%) workplaces had ≥1 exposure above the PEL; 7 (15%) had ≥1 exposure between the AL and PEL. Thirty-four (72%) workplaces were cited for ≥1 RCS standard violation. Twenty-seven (57%) workplaces were cited for ≥1 respiratory protection standard violation.

CONCLUSIONS

Our investigation demonstrates widespread RCS overexposure among workers and numerous employer Cal/OSHA standard violation citations. More enforcement and educational efforts could improve employer compliance with Cal/OSHA standards and inform employers and employees of the risks for RCS exposure and strategies for reducing exposure.

摘要

背景

制造人造石的工人面临着接触可吸入结晶硅(RCS)和随后矽肺的高风险。为了应对这一情况,加利福尼亚职业安全与健康分部(Cal/OSHA)对人造石制造场所进行了有针对性的执法检查。我们从这些检查中调查了 RCS 暴露情况以及雇主对 Cal/OSHA 的 RCS 和呼吸保护标准的遵守情况,以评估人造石制造工人面临的持续风险。

方法

我们从 Cal/OSHA 检查档案中提取了员工个人空气采样结果,并计算了 RCS 暴露量。标准要求雇主继续监测员工的 RCS 暴露情况,并在暴露量达到或超过行动水平(AL;25μg/m)时进行医疗监测;禁止超过允许暴露限值(PEL;50μg/m)。我们从联邦数据库中获得了 RCS 和呼吸保护标准违规的引文。

结果

我们分析了 47 个工作场所的 152 名员工的 RCS 暴露情况。38 名(25%)员工的暴露量超过 PEL(中位数=89.7μg/m;范围=50.7-670.7μg/m);17 名(11%)员工的暴露量在 AL 和 PEL 之间。24 个(51%)工作场所的暴露量超过了 PEL;7 个(15%)工作场所的暴露量在 AL 和 PEL 之间。34 个(72%)工作场所因至少 1 项 RCS 标准违规而被引用。27 个(57%)工作场所因至少 1 项呼吸保护标准违规而被引用。

结论

我们的调查表明,工人普遍存在 RCS 过度暴露的情况,而且雇主违反 Cal/OSHA 标准的情况也很多。更多的执法和教育工作可以提高雇主对 Cal/OSHA 标准的遵守情况,并告知雇主和员工 RCS 暴露的风险以及减少暴露的策略。

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