Exposure? Widespread Occurrence and use - Maritime Agriculture Construction General Industry Number of Related Deaths Number of exposed workers Health Effects Occurrence of Crystalline Silica
Silicon Dioxide is basic Airborne silica is
component of sand, produced by, among quartz, & granite other activities: Sandblasting Quartz is second most Rock Drilling common mineral in Roof Bolting earths crust Foundry Work Stone Cutting Drilling Quarrying Tunneling Industries with Silica Exposure
Electronics Railroad ( setting &
Foundries laying track) Ceramics, clay & Slate & flint pottery, stone, glass quarrying & flint Construction crushing Agriculture Use & manufacture of abrasives Maritime Manufacture of soap Mining & detergents Number of Silica Related Deaths Total US deaths 1968-1990 where silica is reported on death certificate: 13,744 people Deaths where silicosis is reported as underlying cause of death: 6,322 people 68% of silica related deaths reported in 12 states 10% of silica-related deaths reported from construction industry Number of Exposed Workers
NIOSH Hazard Alerts estimate
More than One Million Workers at Risk
More than 1,00,000 sandblasters Health Effects
Pulmonary fibrosis (silicosis)
Acute silicosis (1 to 3 years) Accelerated silicosis (3 to 10 years) Chronic silicosis (5 to 25 years) Possible Lung Cancer Inspection Targeting Wherever possible, inspections will be focused to particular establishments where known exposures to crystalline have occurred or there are known cases of silicosis Process Identify establishments Select sites by use of random number tables Numbers of Inspections determined by regions Sites with effective control programs are exited after program review Examples of Potential Data Sources for Targeting Workers Compensation Data OSHA 200 data SENSOR - NIOSH cooperative agreements with state agencies State surveillance data Hospital discharge data OSHA data on industries with historic exposure to crystalline silica Additional Information Sources for Construction Visual observations of relevant processes Dodge reports University of Tennessee construction activity reports Elements of an effective, On- going Control Program for Crystalline Silica Personal Monitoring Medical Surveillance Training Availability of monitoring/Surveillance data to workers Respiratory Protection Program Hygiene facilities & clothing change areas Elements of Control Program (continued) Recordkeeping Exposures below PEL or a current program with interim protection Housekeeping In construction: A Safety & Health Program Regulated areas to limit exposures The Hawks Nest Incident - Americas Worst Industrial Disaster by Martin Cherniack, MD The Hawks Nest Tunnel - Union Carbide & New Kanawha Power Corp. Rinehart & Dennis, Charlottesville, VA. Gauley Bridge, West Virginia Drilling a tunnel for power production Close to 1000 workers lost their lives because of acute silicosis