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This oldest of occupational lung disorders is brought on by inhaling
grains of silica (quartz) in mines, foundries, and factories. The particles
cause gradual scarring in the lungs that, after many years, may end in
emphysema.
Silicosis, one of the oldest occupational diseases,
still kills thousands of people every year, everywhere in the world. It
is an incurable lung disease caused by inhalation of dust containing free
crystalline silica. It is irreversible and, moreover, the disease progresses
even when exposure stops. Extremely high exposures are associated with
much shorter latency and more rapid disease progression.
Silica dust is released during operations in which rocks, sand, concrete
and some ores are crushed or broken. Work in mines, quarries, foundries,
and construction sites, in the manufacture of glass, ceramics, and abrasive
powders, and in masonry workshops is particularly risky. Action should
be taken before exposure happens.
Silicosis results in conditions such as lung fibrosis and emphysema. The
form and severity in which silicosis manifests itself depends on the type
and extent of exposure to silica dusts: chronic, accelerated and acute
forms are all recognized. In later stages the critical condition can become
disabling and is often fatal. A frequent cause of death in people with
silicosis is pulmonary tuberculosis (silico-tuberculosis). Respiratory
insufficiencies due to massive fibrosis and emphysema (respiratory tissue
loss is not always present), as well as heart failure, are other causes
of death.
Every year two million workers in the U.S. are exposed to crystalline
silica, which can cause silicosis, a disabling and sometimes fatal disease.
About 300 deaths are attributed to silicosis annually. Inhaling airborne
crystalline silica dust also has been associated with other diseases such
as tuberculosis and lung cancer. However, Silicosis is often misdiagnosed
as pulmonary edema and pneumonia.
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