Previously Undetected Silicosis in New Jersey Decedents

Details

• Personal Author:
  Goodwin SS ; Parker, John E. ; Silbergeld E ; Stanbury, Martha ; Wang, Mei Lin
• Description:
  Background-Despite a reported decline in mortality and hospitalizations associated with silicosis (U.S. Department of Health and Human Services, [1999]), this decline may be artifactual, stemming in part from underdiagnosis by physicians. Methods-This study estimates, through radiological confirmation, the prevalence of unrecognized silicosis in a group of silica-exposed New Jersey decedents whose cause of death was chronic obstructive pulmonary disease (COPD), tuberculosis, or cor pulmonale. Two expert readers re-evaluated the chest X-rays of this group to determine the presence or absence of silicosis. The study population was considered to be presumptively exposed to silica dust by virtue of their usual industry of employment as listed on the death certificate. Results-Radiographic evidence of silicosis was found in 8.5% of this population, and evidence of asbestosis was found in another 10.7%, for a total of 19.2%. Conclusions-The existence of previously unrecognized silicosis and asbestosis in 19.2% of this study group suggests that occupational lung disease is under-recognized and, hence, undercounted. [Description provided by NIOSH]
• Subjects:
  Aerosols Air Pollutants, Occupational Asbestos Dust Inorganic Chemicals Irritants Lung Lung Diseases Occupational Diseases Occupational Exposure Occupational Health Particulate Matter Quartz Radiation Respiratory System Respiratory Tract Diseases Safety Silicon Dioxide Silicosis

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• Keywords:
  Aerosol-particles Airborne-particles Asbestos-dust Asbestos-fibers Asbestosis Author Keywords: Silicosis Dust-exposure Dust-particles Lung-disease Lung-fibrosis Lung-irritants New Jersey Occupational-diseases Occupational-exposure Occupational-respiratory-disease Occupational Disease/Diagnosis Pneumoconiosis Pneumoconiosis/Radiography Pulmonary-disorders Pulmonary-system-disorders Quartz-dust Radiography Respiratory-irritants Respiratory-system-disorders Silica-dusts Surveillance

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; Michigan ; New Jersey ; New York ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  304-311
• Volume:
  44
• Issue:
  3
• NIOSHTIC Number:
  nn:20033848
• Citation:
  Am J Ind Med 2003 Aug; 44(3):304-311
• Contact Point Address:
  Susan S. Goodwin, Graduate School Health Sciences, Room 213, The Learning Center, New York Medical College, Valhalla NY 10595
• Email:
  susan_goodwin@nymc.edu
• CAS Registry Number:
  Quartz (SiO2) (CAS RN 14808-60-7)
• Federal Fiscal Year:
  2003
• Performing Organization:
  New Jersey Department of Health and Senior Services
• Peer Reviewed:
  True
• Start Date:
  20040930
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2b636de00947e290a12816c7928c3b63b369ff267b8702762dcc8da88e26789e18d3af289af1d0c30cd4db27a162379d36ce48d2876ef7eb69fc33e041db472e
• Download URL:
  https://stacks.cdc.gov/view/cdc/189271/cdc_189271_DS1.pdf
• File Type:
  [PDF - 106.68 KB ]