Rapid Declines in FEV1 and Subsequent Respiratory Symptoms, Illnesses, and Mortality in Coal Miners in the United States

Details

• Personal Author:
  Beeckman LF ; Petsonk, Edward L. ; Wagner, Gregory R. ; Wang, Mei Lin
• Description:
  Coal mine dust exposure is associated with accelerated loss of lung function Weassesed long-term health outcomes in two groups of underground coal miners who during previous mine surveys had shown either high rates of FEV, decline(cases, n = 310) or relatively stable lung function(referents, n = 324). Cases and referents were matched initially for age, height, smoking status, and FEV1. We determined vital status for 561 miners, and obtained a follow-up questionaire for 121 cases and 143 referents. Responses on the last previous mine health survey questionaire. Cases showed a greater incidence of symptoms than did refernts for cough, phlegm production, Grades 2 and 3 dyspnea, and wheezing, and greater incidenses than referents of chronic bronchitis and self reported asthma and emphysema. More cases than referents(15% versus 4%) left mining before retirment because of chest illnesses. After controls were applied for age and smoking, cases had twice the risk of dying of cardiovascular and nonmalignant respiratory diseases and a 3.2-fold greater risk of dying of chronic obstructive pulmonary disease than did referents. Rapid declines in FEV, experienced by some coal miners are associated with subsequent increases in respirotory sympotoms, illnesses, and mortality from cardiovascular and nonmalignant respiratory diseases. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Coal Coal Mining Dust Lung Mining Mortality Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety Surveys And Questionnaires

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• Keywords:
  Cardiovascular-system-disorders Coal-dust Coal-mining Coal-workers Dust-exposure Lung-function Mortality-data Mortality-rates Questionnaires Respiration Respiratory-system-disorders Risk-factors

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• ISSN:
  1073-449X
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; 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
• Volume:
  163
• Issue:
  3
• NIOSHTIC Number:
  nn:20021670
• Citation:
  Am J Respir Crit Care Med 2001 Mar; 163(3):633-639
• Contact Point Address:
  Lu-Ann F. Beeckman, Ph.D., NIOSH, 1095 Willowdale Road, M/S 2800.4, Morgantown, WV 26505-2888
• Email:
  LBeebkman@cdc.gov
• Federal Fiscal Year:
  2001
• Peer Reviewed:
  True
• Source Full Name:
  American Review of Respiratory and Critical Care Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7348460a80c5c95028d47b24dd35e1907d1198688a54e76d1d5f1129ab547322799736aa9d8550ba5a42aa5fb0795e0aea9453b908024b3bbff99b601d166941
• Download URL:
  https://stacks.cdc.gov/view/cdc/198798/cdc_198798_DS1.pdf
• File Type:
  [PDF - 153.10 KB ]