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We thank Dr Hoy and Dr Sim for their comments on our recent study.1 We wish to respond to three key points raised in their letter to the editor.2
First, we agree that the number of workers enrolled in the Engineered Stone Silicosis Investigators (ESSI) Global Silicosis Registry is indeed a small subset of those with engineered stone (ES) silicosis. We welcome the inclusion of many more Australian workers with silicosis in the registry to better define the demographic, exposure and clinical features that vary widely among patients from different countries, due in part to differences in case ascertainment. We have been particularly eager to involve our colleagues from China, the largest exporter of ES products worldwide, in this work. Efforts to build cooperation with China and other …
RAC and CSR are joint senior authors.
Contributors JTH and CSR drafted the response. All authors reviewed and edited the final response. RAC and CSR are guarantors of the research described in this publication.
Funding Work conducted at the National Jewish Health was partially supported by the Reuben M Cherniack fellowship award. Work conducted in Israel was partially supported by the Committee for Research and Prevention in Occupational Safety and Health (56/13). The funders had no role in the conduct or interpretation of these research findings.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.