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Occup Environ Med 59:36-43 doi:10.1136/oem.59.1.36
  • Original article

Exposure to crystalline silica, silicosis, and lung disease other than cancer in diatomaceous earth industry workers: a quantitative risk assessment

Table 5

Estimates of cumulative risk, prevalence, and excess lifetime risks of radiographic silicosis due to exposure to respirable crystalline silica at the current OSHA permissable exposure limit

Study Industry Outcome and ILO criterion Measure Follow up after employmen t Estimate (%)
*Cumulative risk based on 40 y at 0.1 mg/m3 quartz; †Cumulative risk based on 40 y at 0.05 mg/m3 cristobalite; ‡Cumulative risk based on 45 y at 0.1 mg/m3 quartz; §Lifetime excess risk based on 45 y at 0.1 mg/m3 quartz.
Studies with little follow up after employment:
    Muir et al40* Hard rock mining (gold) Radiographic, ILO: 1/1 Cumulative risk 0 y 1.2
    Hughes et al20 Diatomaceous earth (low exposure intensity) Radiographic, ILO: 1/0 Cumulative risk Minimal 1.1
Diatomaceous earth (high exposure intensity) Radiographic, ILO: 1/0 Cumulative risk Minimal 3.7
    Ng and Chan44 Granite quarry radiographic, ILO: 1/1 Prevalence Minimal 6.0
    LeGrand-Cattan et al45 Ceramics industry Radiographic, ILO: 1/0 Prevalence 0 y 31.0
    This study Diatomaceous earth Radiographic, ILO: 1/0 Lifetime excess risk Minimal 7.5
Studies with follow up after employment:
    Hnizdo and Sluis-Cremer41 Hard rock mining (gold) Radiographic, ILO: 1/1 Cumulative risk <43 y 77.0
    Kreiss et al43 Hard rock mining Radiographic, ILO: 1/0 Cumulative risk <40 y 82.0
    Steenland and Brown42§ Hard rock mining (gold) Radiographic, ILO: 1/1 and mortality Lifetime excess risk 11–25 y 35.0
    Chen et al46 Tin mining Radiographic, ILO:∼1/1 Cumulative risk <34 y 55.0

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