美国金属和非金属矿产业工人 2000-2019 年可吸入结晶硅尘职业暴露情况。
Occupational exposure to respirable crystalline silica among US metal and nonmetal miners, 2000-2019.
机构信息
Association of Schools and Programs of Public Health, Washington, District of Columbia, USA.
Spokane Mining Research Division, National Institute for Occupational Safety and Health, Spokane, Washington, USA.
出版信息
Am J Ind Med. 2023 Mar;66(3):199-212. doi: 10.1002/ajim.23451. Epub 2023 Jan 27.
BACKGROUND
In metal and nonmetal (M/NM) mines in the United States, respirable crystalline silica (RCS) exposures are a recognized health hazard and a leading indicator of respiratory disease. This study describes hazardous exposures that exceed occupational exposure limits and examines patterns of hazardous RCS exposure over time among M/NM miners to better inform the need for interventions.
METHODS
Data for this study were obtained from the Mine Safety and Health Administration (MSHA) Open Government Initiative Portal for the years 2000-2019, examining respirable dust samples with MSHA-measured quartz concentration >1%. Descriptive statistics for RCS were analyzed for M/NM miners by year, mine type, sector, commodity, occupation, and location in a mine.
RESULTS
This study found the overall geometric mean (GM) for personal exposures to RCS was 28.9 μg/m (geometric standard deviation: 2.5). Exposures varied significantly by year, mine type, sector, commodity, occupation, and location in a mine. Overall, the percentages of exposures above the MSHA permissible exposure limit (PEL for respirable dust with >1% quartz, approximately 100 μg/m RCS) and the National Institute for Occupational Safety and Health RCS recommended exposure limit (REL, 50 μg/m ) were 11.8% and 27.3%, respectively. GM exposures to RCS in 2018 (45.9 μg/m ) and 2019 (52.9 μg/m ) were significantly higher than the GM for all years prior. The overall 95th percentile of RCS exposures from 2000 to 2019 was 148.9 μg/m , suggesting a substantial risk of hazardous exposures above the PEL and REL during the entire period analyzed.
CONCLUSIONS
The prevalence of high exposures to RCS among M/NM miners continues in the past 20 years and may be increasing in certain settings and occupations. Further research and intervention of the highest exposures are needed to minimize the risks of acquiring silica-induced respiratory diseases.
背景
在美国的金属和非金属(M/NM)矿山中,可呼吸性结晶硅(RCS)暴露是公认的健康危害因素,也是呼吸系统疾病的主要指标。本研究描述了超过职业暴露限值的危险暴露,并考察了 M/NM 矿工随时间推移的危险 RCS 暴露模式,以便更好地了解干预的必要性。
方法
本研究的数据来自美国矿山安全与健康管理局(MSHA)的开放政府倡议门户,时间范围为 2000 年至 2019 年,检查了 MSHA 测量的石英浓度>1%的可呼吸粉尘样本。对 M/NM 矿工按年份、矿山类型、部门、商品、职业和矿山位置进行了 RCS 的描述性统计分析。
结果
本研究发现,个人接触 RCS 的总体几何平均值(GM)为 28.9μg/m(几何标准差:2.5)。暴露情况因年份、矿山类型、部门、商品、职业和矿山位置而异。总体而言,超过 MSHA 可允许接触限值(1%石英时可呼吸粉尘的 PEL,约 100μg/m RCS)和国家职业安全与健康研究所 RCS 推荐接触限值(REL,50μg/m)的暴露比例分别为 11.8%和 27.3%。2018 年(45.9μg/m)和 2019 年(52.9μg/m)的 GM 暴露值明显高于所有年份的 GM 值。2000 年至 2019 年期间,RCS 暴露的总体 95 百分位数为 148.9μg/m,这表明在整个分析期间,PEL 和 REL 以上的危险暴露风险很大。
结论
在过去的 20 年中,M/NM 矿工接触 RCS 的高暴露率仍然存在,并且在某些情况下和职业中可能正在增加。需要进一步研究和干预最高暴露水平,以最大限度地降低获得硅诱导的呼吸系统疾病的风险。