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Clinically significant lung function impairment due to current levels of respirable quartz?
  1. Dirk Pallapies,
  2. Dirk Taeger,
  3. Olaf Hagemeyer,
  4. Rolf Merget,
  5. Thomas Brüning
  1. Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany
  1. Correspondence to Dr Dirk Pallapies, Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bürkle-de-la-Camp-Platz 1, Bochum 44789, Germany; pallapies{at}ipa-dguv.de

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Re: Möhner, et al. Chronic obstructive pulmonary disease and longitudinal changes in pulmonary function due to occupational exposure to respirable quartz. 70:9–14. doi: 10.1136/oemed-2012-100775.

Möhner et al1 suggest that allowable levels of respirable quartz should be lowered. Current levels would be associated with a decline in pulmonary function parameters and an increase in chronic obstructive pulmonary disease (COPD) incidence.

We appreciate the work of Möhner et al because information about exposure-response relation of quartz and …

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