Surveillance for Silicosis Deaths Among Persons Aged 15–44 Years — United States, 1999–2015

Details

• Journal Article:
  Morbidity and Mortality Weekly Report
• Personal Author:
  Mazurek, Jacek M. ; Wood, John M. ; Schleiff, Patricia L. ; Weissman, David N.
• Description:
  Summary: What is already known about this topic? Various preventable occupational pulmonary diseases are associated with exposure to respirable particles of crystalline silica and other silicate materials, one of which is talc (hydrous magnesium silicate). Detailed information on the circumstances surrounding deaths of silicosis decedents is needed to better target intervention and prevention measures. What is added by this report? During 1999-2015, among 55 decedents aged 15-44 years who had pneumoconiosis due to dust containing silica assigned as either the underlying or contributing cause of death, 38 (69%) were assigned pneumoconiosis due to other dust containing silica, and 17 (31%) were assigned pneumoconiosis due to talc dust. Decedents with pneumoconiosis due to other dust containing silica had manufacturing or construction industry frequently listed as the occupation on their death certificates; both industries are well known to be associated with exposures to silica-containing dust. Among 17 decedents with pneumoconiosis due to talc dust, 13 (76%) involved multiple drug use or drug overdose and none worked in talc exposure-associated jobs. What are the implications for public health practice? Among deaths in persons aged 15-44 years attributed to pneumoconiosis due to dust containing silica, nearly one third had pneumoconiosis due to talc dust. Most of these cases likely represent nonoccupational exposure to talc. Examining detailed information on causes of death, including external causes, along with industry and occupation of decedents is essential for identifying silicosis deaths associated with occupational exposures and reducing misclassification of silicosis mortality. [Description provided by NIOSH]
• Subjects:
  Aging Aluminum Silicates Construction Industry Dust Full Report Lung Diseases Manufacturing And Industrial Facilities Mortality Occupational Diseases Occupational Health Public Health Respiratory System Respiratory Tract Diseases Safety Silicon Dioxide Silicosis Substance-Related Disorders Talc

  More +
• Keywords:
  Surveillance-programs; Silicosis; Pneumoconiosis; Mortality-data; Mortality-rates; Respiratory-system-disorders; Crystalline silica; Silicates; Silica-dusts; Talc; Talc dust; Magnesium compounds; Pulmonary-system-disorders; Lung-disease; Lung-disorders; Respirable-dust; Occupations; Statistical-analysis; Age-groups; Humans; Men; Women; Occupational-diseases; Dust-exposure; Disease prevention; Manufacturing; Construction; Construction industry; Construction workers; Industrial factory workers; Public health; Drug abuse; Drugs; Death certificates; Statistical quality control; Information processing; Medical records
• Source:
  MMWR 2017 Jul; 66(28):747-752
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm6628a2
• ISSN:
  0149-2195
• Pubmed ID:
  28727677
• Pubmed Central ID:
  PMC5657940
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• Volume:
  66
• Issue:
  28
• NIOSHTIC Number:
  nn:20050089
• Email:
  jmazurek1@cdc.gov
• CAS Registry Number:
  Quartz (SiO2) (CAS RN 14808-60-7) ; Silica (CAS RN 7631-86-9) ; Talc (Mg3H2(SiO3)4) (CAS RN 14807-96-6)
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  False
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR) National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2b21593b0edf8d817876ac2419d7bfcb8cd293858a2ce7b73650524332e8a0abc740adfe390136ffe98904bb229b42e22d8eab0f8b2d327fe52157150fe0ee28
• Download URL:
  https://stacks.cdc.gov/view/cdc/54553/cdc_54553_DS1.pdf
• File Type:
  [PDF - 277.18 KB ]