From the Occupational Safety & Health Administration (OSHA)

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Description of Silicosis

When workers inhale crystalline silica, the lung tissue reacts by developing fibrotic nodules and carring around the trapped silica particles [Silicosis and Silicate Disease Committee 1988]. This fibrotic condition of the lung is called silicosis.

If the nodules grow too large, breathing becomes difficult and death may result. Silicosis victims are also at high risk of developing active tuberculosis [Myers et al. 1973; Sherson and Lander 1990; Bailey et al. 1974].

A worker’s lungs may react more severely to silica sand that has been freshly fractured (sawed, hammered, or treated in a way that produces airborne dust) [Vallyathan et al. 1988]. This factor may contribute to the development of acute and accelerated forms of silicosis.

Types of Silicosis

A worker may develop any of three types of silicosis, depending on the airborne concentration of crystalline silica:

  1. Chronic silicosis, which usually occurs after 10 or more years of exposure to crystalline silica at relatively low concentrations.
  2. Accelerated silicosis, which results from exposure to high concentrations of crystalline silica and develops 5 to 10 years after the initial exposure.
  3. Acute silicosis, occurring when exposures are the highest and can cause symptoms to develop within a few weeks to 4 or 5 years after the initial exposure [Peters 1986; Ziskind et al. 1976]

Complications

Initially, workers with silicosis may have no symptoms. As silicosis progresses, there may be difficulty in breathing. Complications may cause fever, weight loss, and night sweats.

Severe mycobacterial or fungal infections can complicate silicosis and may be fatal [Ziskind et al. 1976; Owens et al. 1988; Bailey et al. 1974]. Fungal or mycobacterial infections are believed to result when the lung cells (macrophages) that fight these infections are overwhelmed with silica dust and are unable to kill mycobacteria and other organisms [Allison and Hart 1968; Ng and Chan 1991].

Current Exposure Limits

The current OSHA permissible exposure limit (PEL) for respirable dust containing crystalline silica (quartz) for the industry is measured by millions of particles per cubic foot (mppcf). The NIOSH 1974 recommended exposure limit (REL) for respirable crystalline silica is 0.05 mg/m3 as a TWA for up to 10 hours/day during a 40-hour workweek.