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NIOSH Case Study in Occupational Epidemiology

SILICOSIS IN SANDBLASTERS

A Case Study Adapted for Use in U.S. High Schools

DHHS (NIOSH) Publication Number 2002–105

June 2002





 

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Table of Contents

 

A Case Study Adapted for Use in U.S. High Schools
Glossary
Ordering Information
ACKNOWLEDGMENTS

PART I. CASE STUDY

Question 1. How did epidemiologists find out what caused a silicosis outbreak in Texas?

PART II. UNDERSTANDING SILICOSIS

Question 2. What are the possible dangers of working with silica?

Question 3. What is silicosis?

Question 4. How many workers are exposed to dusts containing crystalline silica?

PART III. PREVENTION OF SILICOSIS

Question 5. What field of occupational health protects workers from occupational hazards?

Question 6. What methods are used to protect workers from silicosis?

Substitution

Engineering Controls

Work Practices

Respiratory Protection

Air Monitoring

Question 7. What else is done to detect and control silicosis in a workplace?

Question 8. What steps can employers take to prevent silicosis in workers who work with crystalline silica?

Question 9. What steps can workers take to reduce exposure to silica and prevent silicosis?

Question 10. What additional information is available about preventing silicosis?

SUGGESTED READING

OTHER USEFUL RESOURCES

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NIOSH Case Study in Occupational Epidemiology

SILICOSIS IN SANDBLASTERS
A Case Study Adapted for Use in U.S. High Schools

 

GOAL—To learn about epidemiology by studying an occupational hazard, a disease associated with the hazard, and the methods for preventing the disease. Epidemiology is the study of why and how a disease occurs and spreads in populations. The purpose of epidemiology is to prevent and control disease by identifying its causes and the methods for control. Occupational epidemiology is the study of disease or injury related to work activities and the worksite.

Congress passed the Occupational Safety and Health Act in 1970 to assure every working man and woman in the United States a safe and healthful workplace. Although we have made progress since that time, serious problems still occur and result in illness, injury, disability, and death. Preventing these tragedies requires the cooperation and effort of everyone concerned.

More than 2 million U.S. workers are potentially exposed to dusts containing crystalline silica. Prolonged inhalation of silica-containing dusts puts these workers at risk for the disease silicosis—a nodular fibrosis of the lungs that causes shortness of breath. More than 100,000 U.S. workers are in high-risk occupations such as sandblasting. Most sandblasters work in construction and shipbuilding. Workers may be exposed to crystalline silica in many other industries, including surface and underground mining, pottery, drywall hanging, glassmaking, foundry work, quarry work, work with sandblasting materials, agriculture, and automotive repair.

After completing this case study, the student should be able to do the following:

  • Use occupational health and epidemiologic approaches to solve real-life problems
  • Understand how public health and occupational health professionals work together to solve occupational health problems
  • Recognize that silicosis (even in only one worker) is a serious occupational disease requiring that the workplace be checked for dangerous conditions and that other workers be checked for silica-related disease
  • Assess hazards that place workers at risk for silicosis
  • Describe methods for preventing silicosis

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Glossary

 

Abrasive blasting—A process for cleaning metal and other surfaces using material in a high-pressure stream. The material is blasted against a surface to remove contaminants. If silica sand is used as the material, this process is called sandblasting.

Accelerated silicosis—A silicosis that develops 5 to 10 years after exposure to high concentrations of crystalline silica.

Acute silicosis—A silicosis with symptoms that can develop a few weeks to 5 years after exposure to very high concentrations of crystalline silica. The term "acute” usually refers to a short but severe illness. In acute silicosis, the time between exposure and severe illness is shorter than in accelerated or chronic silicosis.

Air monitoring—The use of specialized equipment to measure types of pollutants and their concentrations in the atmosphere.

Automation—The replacement of human or animal labor by machines. One example is the use of robots or remote-controlled equipment for lifting and transporting materials.

Biopsy—The removal and examination of tissue, cells, or fluids from a living body for diagnosis of disease.

Chronic silicosis—A silicosis that develops after 10 or more years of exposure to low concentrations of crystalline silica.

Crystalline silica—The crystalline form of silica; a mineral made of silicon and oxygen (SiO2) that is naturally abundant in the earth's crust. In its crystalline form (primarily as quartz, tridymite, or cristobalite), silica may be harmful if inhaled.

Cyanosis—A bluish or purplish discoloration due to inadequate oxygen concentration in the blood. This discoloration is most often seen in the skin, but it occurs in other body systems.

Engineering controls—Methods of controlling worker exposures to hazardous agents by adjusting the source or reducing the amount released in the workplace. Examples include a change in process, substitution of less harmful job activities or materials, isolation, and ventilation. Engineering controls are the preferred method for targeting worksite hazards.

Epidemiology—The study of why and how a disease occurs and spreads in populations.

Fibrosis—Scarring of the lungs due to breathing harmful dusts or chemicals such as crystalline silica. As the disease develops, the lungs begin to stiffen and become less flexible, making breathing more difficult.

Fit testing—A procedure for checking to see that a respirator fits properly and does not allow pollutants to be inhaled.

Industrial hygiene—The applied science of recognizing, evaluating, and controlling factors in the workplace that may cause illness or injury for workers.

Local exhaust ventilation—An air movement system for capturing pollutants in the air directly where they are produced and carrying them away before they can spread throughout the work area.

Material safety data sheet (MSDS)—A written summary of important safety and health information about a chemical or substance. Manufacturers must supply the MSDS for each hazardous agent purchased. Employers must make the MSDS available to employees for each hazardous agent used.

Mine Safety and Health Administration (MSHA)—A Federal agency within the U.S. Department of Labor. MSHA develops and enforces regulations for workplace safety and health in the mining industry.

National Institute for Occupational Safety and Health (NIOSH)—A Federal occupational safety and health research agency within the Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. NIOSH also communicates safety and health information to workers and to the Occupational Safety and Health Administration (OSHA).

Occupational Safety and Health Administration (OSHA)—A Federal agency within the U.S. Department of Labor. OSHA develops and enforces regulations for workplace safety and health.

Outbreak—A sudden increase in the number of new cases of a disease in a geographic area.

Particulate—A particle or small object made of a solid or liquid material.

Pneumonia—A lung disease caused by infection or irritants and characterized by inflammation.

Pneumoconiosis—A lung disease caused by inhaling hazardous dusts.

Protective clothing—Any clothing designed or intended to be worn as protection from exposures to harmful agents such as chemicals.

Pulmonary edema—An abnormal accumulation of fluid in the lungs.

Respirable particles—Airborne particles within a size range that allows them to be inhaled and to penetrate deeply into the lungs.

Respirator—A device worn over the mouth and nose or entire head to protect the user from inhaling harmful agents.

Respiratory protection program—A plan established by an employer to protect workers from inhaling harmful agents in the workplace. The elements of a respiratory protection program are described under Question 6 in the text.

Sandblasting—A process for cleaning metal and other surfaces using sand in a high-pressure air stream. The sand is blasted against a surface to remove paint or contaminants. This process is also called abrasive blasting.

Silica sand—The fine particles from ground rock containing a high content of crystalline silica.

Silicosis—A nodular fibrosis of the lungs and shortness of breath caused by prolonged inhalation of silica-containing dusts.

Silicotic nodule—A mass of tissue that is a reaction of the body to crystalline silica particles.

Source controls—Any engineering change made to eliminate or reduce exposures at the point where the hazard is generated (for example, enclosing equipment, putting up a barrier to the equipment, and using wet methods, dust collection systems, and substitution).

Substitution—The removal of a harmful agent from a process and its replacement with an agent that is less harmful to health.

Supplied-air respirator—A protective device that delivers fresh (uncontaminated) air to the user through a supply hose connected to the facemask or enclosure.

Wet methods—The use of water or another suitable liquid with industrial processes (cutting, sanding, grinding) to reduce dust concentrations in the air.

Work practices—The procedures followed by employers and workers to control hazards in the workplace (for example, use of wet methods to control dust).

 


Ordering Information

 

This document is in the public domain and
may be freely copied or reprinted.

DISCLAIMER

Mention of any company or product does not constitute endorsement by NIOSH.

ORDERING INFORMATION

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DHHS (NIOSH) Publication Number 2002–105

June 2002

 


Acknowledgments


This module was prepared by NIOSH staff. The principal author was Bonita D. Malit, M.D., M.P.H. Thomas J. Lentz, Ph.D., assisted with the industrial hygiene sections. Gregory Loos, Ph.D., and Faye L. Rice also contributed to this module. Susan Feldmann and Anne C. Hamilton provided editorial review and Susan Kaelin provided design and layout of the document.