Weeks J L
Department of Occupational Health and Safety, United Mine Workers of America, Washington, DC 20005.
Occup Med. 1993 Jan-Mar;8(1):1-17.
Highlights in the history of efforts to prevent occupational lung disease among coal miners in the United States are reviewed. The Federal Coal Mine Health and Safety Act of 1969 is summarized, and the sources and effects of its provisions to prevent coal workers' pneumoconiosis are examined. Descriptions follow of the identification of coal workers' pneumoconiosis as a disease, identification of respirable coal mine dust as its cause, and establishment and enforcement of an exposure limit. The development of prevention efforts focusing on surveillance of both exposure and outcome and of enforcement of dust control methods is examined.
本文回顾了美国在预防煤矿工人职业性肺病方面的努力历程中的要点。总结了1969年的《联邦煤矿健康与安全法》，并审视了其预防煤工尘肺条款的来源及影响。随后描述了煤工尘肺作为一种疾病的确认、可吸入煤矿粉尘作为其病因的确认，以及暴露限值的设定与执行。还探讨了围绕暴露和结果监测以及粉尘控制方法执行的预防工作的发展情况。
