Coal workers' pneumoconiosis and exposure to other carbonaceous dusts.

Details

• Personal Author:
  Hodous, Thomas K. ; Merchant, James A. ; Taylor G
• Description:
  The literature on pneumoconiosis resulting from exposure to carbon (7440440) was reviewed. Occupational exposure to coal dusts occurs in a variety of industries, including: coal mining; granite mining and milling; steel and cast iron manufacturing; and printing, paper and paint manufacturing. The results of epidemiologic studies on the mortality and respiratory morbidity in exposed populations were summarized. The primary lesion of coal workers' pneumoconiosis, also known as "Black Lung", was the coal macule. Coal micronodules and nodules developed and in severe cases, massive consolidated lesions resulted in progressive massive fibrosis. There were no pathognomonic signs or symptoms of coal workers' pneumoconosis. Clinical manifestations and pulmonary function tests were the same as those of common nonoccupational lung diseases. Chest x-rays and a history of occupational exposure to carbonaceous dust were required to confirm the diagnosis of coal workers' pneumonconiosis. On chest x-ray, simple coal workers' pneumoconiosis was characterized by rounded opacities predominately in the upper lung zones. In progressive massive fibrosis, radiographic opacities varied greatly in size and shape. Typically, multiple irregular masses, predominately in the upper lung zones, migrated towards the hila by contraction of fibrotic tissue. No effective treatment was known for coal workers' pneumoconiosis. Government programs and standards for limiting dust exposure and medical surveillance were enacted as preventive measures, which may greatly reduce the prevalence of coal miners' pneumoconiosis. Areas in need of further research were identified.
• Subjects:
  Accidents, Occupational Air Pollutants, Occupational Bacteria Cotton Fiber Dust Gossypium Hazardous Substances Occupational Health Particulate Matter Safety Textile Industry

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• Keywords:
  Chest-X-rays Coal-dust Coal-miners Humans Legislation Occupational-exposure Pulmonary-system-disorders
• Publisher:
  Appalachian Laboratory for Occupational Safety and Health (NIOSH)
• Document Type:
  Text
• Genre:
  Chapter
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  329-384
• NIOSHTIC Number:
  nn:00171291
• Citation:
  Occupational respiratory diseases. Merchant, James A., Bochlecke BA, Taylor G, eds. Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 86-102, 1986 Sep; :329-384
• CAS Registry Number:
  Carbon (CAS RN 7440-44-0)
• Editor(s):
  Merchant, James A. ; Bochlecke BA ; Taylor G
• Federal Fiscal Year:
  1986
• Peer Reviewed:
  False
• Source Full Name:
  Occupational respiratory diseases
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:82f0c94e585eafac4f3a7e888cd4ef88a04baefe76731dca8d37a7a28b8aca2cdbd735f766324399c88e173f4af34874a91c3a7fa0d824e973e3606cbe78fa10
• Download URL:
  https://stacks.cdc.gov/view/cdc/179996/cdc_179996_DS1.pdf
• File Type:
  [PDF - 1.90 MB ]