Respirable Quartz Concentrations Research Articles

A Precautionary Tale: Mental Health and Risk Communication

Many agencies and organizations have, over the years, assumed that a substance should be assumed benign until proven harmful, and that caution is needed only in limited cases. Advocates of the pre-cautionary principle, on the other hand, assume that it is better to be cautious in the face of scientific uncertainty about a potential threat—such as electromagnetic fields (EMFs) from cellular phones and cell phone towers—which should be presumed to be harmful until proven otherwise. However, one important component of overall health, mental health, might not benefit from following the pre-cautionary principle, according to a small European study [EHP 113:402–405]. To observe how following the precautionary principle affects certain facets of mental health, researchers at the Research Centre Julich, a German organization funded primarily by the country’s federal government, surveyed students and employees at Austria’s University of Innsbruck and evaluated their responses to precautionary statements. The surveys focused on the issue of EMFs (which the researchers called “electrosmog”) from wireless communications. In two separate experiments in 2003 and 2004, the researchers presented respondents with various sets of statements about the electrosmog controversy and risk management responses. All the participants saw a base statement noting that there is widespread debate about the potential risks related to electrosmog, although the International Commission on Non-Ionizing Radiation Protection says that current exposure limits adequately protect the public. Some of the participants also saw various additional statements describing measures taken to protect against the potential electrosmog threat, such as “Following a precautionary approach, Switzerland has tightened exposure limits by a factor of 10 in areas where people are exposed for long periods of time.” Statements in the first experiment focused on health-related measures such as stricter exposure limits, while the single additional statement used in the second experiment focused on enhancing public participation in deciding where to build cell phone towers. After reading the statements, subjects were asked for their perception of the extent of the risk and the quality of the scientific knowledge about electrosmog. In the first experiment respondents who read any of the health precautionary statements felt significantly more threatened than those who read only the base statement. The researchers write that these results support the idea that “precautionary measures will be considered a cue that risk might be real and increase perceived risk.” This effect was not found in the second experiment, which used a public participation measure. However, respondents who read about public participation had less trust in public health protection. The team concludes that policy makers should be aware of this downside to taking a precautionary approach, even though enacting such an approach may lead to reduced exposures and improved physical health. However, they acknowledge that more study needs to be done to confirm their results before drawing any practical conclusions for policy making.

Case Studies

This study was designed to document the effect that wet abrasive blasting has on reducing worker exposure to crystalline silica, which has been associated with silicosis and premature death. In this study, worker exposure to respirable crystalline silica was monitored during wet abrasive blasting on the exterior walls of a parking garage to remove surface concrete and expose the underlying aggregate. In this process a wet sand mix comprised of 80% dry sand and 20% water was used. Sampling and analysis revealed that the geometric mean respirable quartz concentration was 0.2 mg/m3 for workers conducting abrasive blasting and 0.06 mg/m3 for helpers. When abrasive blasting was conducted in areas that apparently had reduced natural ventilation, dust exposures appeared to increase. When compared with other published data, this case study suggests that wet abrasive blasting causes less exposure to crystalline silica than dry abrasive blasting.

Respirable Concrete Dust--Silicosis Hazard in the Construction Industry

Concrete is an extremely important part of the infrastructure of modern life and must be replaced as it ages. Many of the methods of removing, repairing, or altering existing concrete structures have the potential for producing vast quantities of respirable dust. Since crystalline silica in the form of quartz is a major component of concrete, airborne respirable quartz dust may be produced during construction work involving the disturbance of concrete, thereby producing a silicosis hazard for exposed workers. Silicosis is a debilitating and sometimes fatal lung disease resulting from breathing microscopic particles of crystalline silica. Between 1992 and 1998, the National Institute for Occupational Safety and Health (NIOSH) made visits to construction projects where concrete was being mechanically disturbed in order to obtain data concerning respirable crystalline silica dust exposures. The construction activities studied included: abrasive blasting, concrete pavement sawing and drilling, and asphalt/concrete milling. Air samples of respirable dust were obtained using 10-mm nylon cyclone pre-separators, 37-mm polyvinyl chloride (PVC) filters, and constant-flow pumps calibrated at 1.7 L/min. In addition, high-volume respirable dust samples were obtained on 37-mm PVC filters using 1/2" metal cyclones (Sensidyne model 18) and constant-flow pumps calibrated at 9.0 L/min. Air sample analysis included total weight gain by gravimetric analysis according to NIOSH Analytical Method 600 and respirable crystalline silica (quartz and cristobalite) using x-ray diffraction, as per NIOSH Analytical Method 7500. For abrasive blasting of concrete structures, the respirable crystalline silica (quartz) concentration ranged up to 14.0 mg/m3 for a 96-minute sample resulting in an eight-hour time-weighted average (TWA) of 2.8 mg/m3. For drilling concrete highway pavement the respirable quartz concentrations ranged up to 4.4 mg/m3 for a 358-minute sample, resulting in an eight-hour TWA of 3.3 mg/m3. For concrete wall grinding during new building construction the respirable quartz measurements ranged up to 0.66 mg/m3 for a 191-minute sample, resulting in an eight-hour TWA of 0.26 mg/m3. The air sampling results for concrete sawing ranged up to 14.0 mg/m3 for a 350-minute sample resulting in an eight-hour TWA of 10.0 mg/m3. During the milling of asphalt from concrete highway pavement, the sampling indicated a respirable quartz concentration ranging up to 0.34 mg/m3 for a 504-minute sample, resulting in an eight-hour TWA of 0.36 mg/m3. The results of this work indicate the potential for respirable quartz concentrations involving disturbance of concrete to range up to 280 times the NIOSH Recommended Exposure Limit (REL) of 0.05 mg/m3 assuming exposure for an eight- to ten-hour workday. Considering the aging of the concrete infrastructure in the United States, these results pose a challenge to all who have an interest in preventing silica exposures and the associated disease silicosis.

Risks of respiratory disease in the heavy clay industry.

OBJECTIVES: Little information is available on the quantitative risks of respiratory disease from quartz in airborne dust in the heavy clay industry. Available evidence suggested that these risks might be...

Respiratory health effects of opencast coalmining: a cross sectional study of current workers.

OBJECTIVE: To identify whether there is evidence of pneumoconiosis and other respiratory health effects associated with exposure to respirable mixed dust and quartz in United Kingdom opencast coalmines. METHODS: A...

Hut lung: a domestically acquired pneumoconiosis of mixed aetiology in rural women.

A form of pneumoconiosis in rural African women termed "Transkei silicosis" has been thought to be due to silica particles inhaled while they are hand grinding maize between rocks. Twenty five women were studied who were considered to have this condition according to the following criteria: rural domicile, radiographic and lung biopsy evidence of pneumoconiosis, no exposure to mining or industry and no evidence of active tuberculosis. They were assessed for radiological, pathological, physiological and bronchoalveolar lavage fluid features. Potential aetiological factors were assessed by determining levels of exposure to respirable quartz and non-quartz containing dusts and smoke in rural dwellings during maize grinding and cooking. Most of the women were symptomless. Radiological findings ranged from a miliary pattern to extensive fibrosis resembling progressive massive fibrosis. Histological features included simple "anthracosis" in 12, anthracosis with macules in six, and mixed dust fibrosis in seven. Cell numbers and their proportions in lavage fluid were normal. More than 60% of macrophages were heavily laden with inorganic inclusions. Respirable quartz concentrations and calculated cumulative time weighted exposures were below those recommended for industry during grinding with sandstone (100% quartz) and they were even lower during grinding with dolerite containing no quartz despite the presence of an appreciable amount of quartz in the ground maize. Total respirable dust and smoke concentrations were greater than the recommended safe levels. Three women had no exposure to maize grinding. It is concluded that the inhalation of non-quartz containing dust and smoke from biomass fuelled fires is more important in the aetiology of this condition than exposure to quartz dust. The term "hut lung" may be more appropriate.

Health Status of Anthracite Surface Coal Miners

In 1984-1985, medical examinations consisting of a chest radiograph, spirometry test, and questionnaire on work history, respiratory symptoms, and smoking history were administered to 1,061 white males who were employed at 31 coal cleaning plants and strip coal mines in the anthracite coal region of northeastern Pennsylvania. The prevalence of radiographic evidence of International Labour Office (ILO) category 1 or higher small opacities was 4.5% in 516 men who had never been employed in a dusty job other than in surface coal mining. Among these 516 workers, all 4 cases of ILO radiographic category 2 or 3 rounded opacities and 1 case of large opacities had been employed as a highwall drill operator or helper. The prevalence of category 1 or higher opacities increased with tenure as a highwall drill operator or helper (2.7% for 0 y, 6.5% for 1-9 yr, 25.0% for 10-19 y, and 55.6% for greater than or equal to 20 y drilling). Radiographic evidence of small rounded opacities, dyspnea, and decreases in FEV1.0, FVC, and peak flow were significantly related to tenure at drilling operations after adjusting for age, height, cigarette smoking status, and exposures in dusty jobs other than in surface coal mining. However, tenure in coal cleansing plants and other surface coal mine jobs were not related to significant health effects. The apparent excess prevalence of radiographic small rounded opacities in anthracite surface coal mine drillers suggests that quartz exposures have been increased. Average respirable quartz concentrations at surface coal mine drilling operations should be evaluated to determine whether exposures are within existing standards, and dust exposures should be controlled.

Dust exposures at U.S. surface coal mines in 1982-1983.

Exposures to British Mining Research Establishment corrected respirable dust and respirable quartz at U.S. surface coal mines during 1982-1983 were evaluated from coal mine operator and Mine Safety and Health Administration (MSHA) inspector samples. The average respirable quartz concentration from inspector samples ranged from .34-.49 mg/m3 for drilling jobs and .18 mg/m3 for bulldozer operators. For most other surface coal mine jobs, the average respirable quartz concentration was less than .1 mg/m3, and the average respirable dust concentration was less than 2 mg/m3. The results from the analysis of quartz exposures are consistent with epidemiological results for an increased silicosis risk among drillers. It is unclear, however, whether the MSHA samples provide a representative estimate of the average annual quartz concentration for drillers. Results suggest the need for a greater number of quartz samples to be taken on strip coal miners, particularly on drillers and bulldozer operators.