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Silicosis

Silicosis (also known as Grinder's disease) is a form of pneumoconiosis caused by inhalation of crystalline silica dust, and is marked by inflammation and scarring in forms of nodular lesions in the upper lobes of the lungs. more...

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Silicosis (especially the acute form) is characterized by shortness of breath, fever, and cyanosis (bluish skin). It may often be misdiagnosed as pulmonary edema (fluid in the lungs), pneumonia, or tuberculosis.

This respiratory disease was first recognized in 1705 by Ramazzini who noticed sand-like substances in the lungs of stonecutters. The name silicosis (from the latin silex or flint) was attributed to Visconti in 1870.

Silica

Silica is the second most common mineral on earth. It is found in concrete, masonry, sandstone, rock, paint, and other abrasives. The cutting, breaking, crushing, drilling, grinding, or abrasive blasting of these materials may produce fine silica dust. It can also be in soil, mortar, plaster, and shingles. Silicosis is due to deposition of fine dust (less than 1μm in diameter) containing crystalline alpha-quartz silica or silicon dioxide.

The induction period between initial silica exposure and development of radiographically detectable nodular silicosis is usually 10 years. Shorter induction periods are associated with heavy exposures, and acute silicosis may develop within 6 months to 2 years following massive silica exposure.

Pathology

When the small silica dust particles are breathed into the lungs, they can embed themselves deeply into the tiny alveolar sacs and ducts where oxygen and carbon dioxide gases are exchanged. There, the lungs cannot clear out the dust by mucous or coughing.

When fine particles of silica dust are deposited in the lungs, macrophages that ingest the dust particles will set off an inflammation response by releasing tumor necrosis factor, interleukin-1, leukotriene B4 and other cytokines. In turn, these stimulate fibroblasts to proliferate and produce collagen around the silica particle, thus resulting in fibrosis and the formation of the nodular lesions.

Furthermore, the surface of silicon dust can generate silicon-based radicals that lead to the production of hydroxyl and oxygen radicals, as well as hydrogen peroxide, which can inflict damage to the surrounding cells.

Characteristic lung tissue pathology in nodular silicosis consists of fibrotic nodules with concentric "onion-skinned" arrangement of collagen fibers, central hyalinization, and a cellular peripheral zone, with lightly birefringent particles seen under polarized light. In acute silicosis, microscopic pathology shows a periodic acid-Schiff positive alveolar exudate (alveolar lipoproteinosis) and a cellular infiltrate of the alveolar walls.

Prevalence

Although silicosis has been known for centuries, the industrialization of mining has lead to an increase in silicosis cases. In the United States, a 1930 epidemic of silicosis due to the construction of the Hawk's Nest Tunnel near Gauley Bridge, West Virginia caused the death of more than 400 workers.

Read more at Wikipedia.org


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A breath of fresh air: Georgia producers chip away at a potential silicosis problem
From Concrete Producer, The, 11/1/04 by Rick Yelton

There's a new breeze in the air when it comes to safety. Safety professionals like Jim Simpson, Jon Swierenga, and Paul Fly believe common safety problems need to be shared before they can he solved.

On issues like job-specific silica exposure, developing a cooperative approach, and enlisting the help of experts is much more efficient than ignoring a problem or trying to solve it alone. It was in this cooperative spirit that these Atlanta-area producers took a proactive approach to solve what they thought could become a serious liability.

One catalyst for the attitude change has been Simpson, vice president of risk management at Walker Concrete in Stockbridge, Ga. He has championed several initiatives to help solve local safety concerns. Fly, plant manager at Walker Concrete's plant in Palmetto, Ga., works closely with Simpson.

Increasing safety statewide also has been an increasing government priority. Georgia Gov. Sonny Perdue recently appointed Simpson as a member-at-large to the Compliance Advisory Panel, where he will help firms develop better relationships with OSHA. "I help convince firms it's more profitable to cooperate in solving safety and environmental deficiencies than to spend resources to kill the messenger," says Simpson.

Simpson also serves on the advisory board for Project Safe Georgia, a coalition of businesses, government agencies, and academics united to make the state safer and free from environmental problems. Doug Walker, president of Walker Concrete, is the chairman.

It's been an eye-opening experience. "I've discovered there's a dedicated group of health professionals willing to learn the intricacies of a problem, and then work to develop a solution," Simpson says.

With Simpson's help, the Georgia Concrete & Products Association created an adhoc committee of Atlanta-area safety professionals to develop a safer approach to concrete chipping. The committee found a willing partner and now is poised to release what its members believe is the most current best-practice in cleaning hardened concrete in an enclosed space.

Swierenga, the director of safety for Lafarge Construction Materials, Southeast, urges an industry-wide effort, or a fresh approach to the problem. "Ultimately, ready-mixed concrete producers, admixture suppliers, and mixer-drum manufacturers need to evaluate current practices and designs to look to the future to implement even better methods to reduce concrete build-up in drums, and eliminate the hazardous job of drum chipping altogether," he explains.

Harder than It looks

The Georgia research effort was led by Art Wickman, a research scientist and hygienist with the Georgia Tech Research Institute (GTRI) in Atlanta. GTRI is the nonprofit, applied research arm of the university. It has more than 200 clients and performs more than $100 million in research across a wide range of industries.

OSHA is one of the institute's more prominent clients. The federal agency provides funding for GTRI to assist firms in upgrading their safety programs with non-binding, on-site investigations, training programs, and technical resources.

Wickman's interest in preventing silicosis-related health problems started before his work on concrete chipping. The Central Missouri State University graduate accepted the GTRI job to help solve a major problem in the granite stone monument industry. He had been working to minimize exposure to sandblasters and carvers. So it was natural for him to turn his expertise to the silica problem found in chipping concrete.

Under Wickman's guidance, GTRI was awarded a Susan Harwood Training Grant to develop a training program to instruct employees on how to safely chip concrete from ready-mixed truck drams. GTRI will soon publish a CD-ROM on chipping concrete safely. Wickman plans to mail copies to all state and national concrete organizations, and will post a version to download from the Internet.

Jeff Taylor, president of Coast2Coast, a Petersburg, Ky., chipping contractor, agrees with Wickman about the need to improve chipping practices. At first, many producers viewed chippers as an inexpensive way to solve problems in driver morale or as a way to increase truck availability. Fleet managers were only concerned that the tracks were ready in the morning. "Drivers park their trucks in areas far from the plant, with an out of sight, out of mind attitude," says Taylor.

But with OSHA's special emphasis of protecting workers from crystalline silica, producers are hesitant to hire contractors who can't prove they conform to OSHA standards. "They now recognize producers have the same legal responsibility to protect contractors as they do their own employees," says Taylor.

Guarding assets

Swierenga is a relative newcomer to the ready-mixed concrete industry. Yet he has a legacy of guarding important company assets. He previously had a similar job with an armored car company.

Swierenga has worked closely with his chipping contractor to develop a more efficient method to reduce employee exposure to silica-laden dust. "Our division has taken the attitude that we need to protect any person who works for us--employees and contractors," he says. All workers chipping out concrete mixer drums must follow OSHA recommendations.

This concentrated effort to research the silica problems is a first step in a long road to create better working conditions in the ready-mixed concrete industry, says Swierenga.

You can view the 15-minute training movie flora the Georgia Tech Research Institute in cooperation with the Environmental and Safety committee of the Georgia Concrete & Products Association at www.oshainfo.gatech.edu.

You can leant more on how the OSHA consultation process works by reviewing "Partnering in Safety" in the May 1998 issue of The Concrete Producer. It outlines the effort of the Illinois Ready Mixed Concrete Association to develop the preliminary research of silicosis. Visit www.worldofconcrete.com to read it. Click on THE CONCRETE PRODUCER logo which will then takes you to the magazine's home page, where you can search our article archives.

Part of the Team

On this warm summer afternoon in Atlanta, Abel Ramirez prowls his work area like a cat on a hot tin roof. As the foreman for his crew of four chippers, he takes the responsibility to pre-check today's jobsite. He makes sure his team members are properly dressed before entering the drums. And he makes sure the trucks are properly locked out before giving permission to his crew to enter the drums.

Ramirez searches for potential problems. Following his company's stringent job safety analysis program, he monitors everything from proper lockout, checking for trip fall hazards, and properly wearing personal protection equipment.

"I've been chipping for five years, and each day presents a new challenge," says Ramirez. He believes the increased emphasis on chipping safety has not only made his job safer, but has helped others recognize that his profession is a highly specialized skill.

According to Jeff Taylor, president of Coast 2 Coast, a Petersburg, Ky., chipping contractor, his company's adoption of the methods identified in the Georgia Tech Research Institute effort yielded great results. Since adopting the new procedures, Taylor has discovered that producers have helped to provide a safer working environment, which hasn't necessarily decreased productivity. "Our crews now spend more time in preparation, but seem to be more efficient while in the drum," says Taylor.

Taylor credits this to carefully examining the alternative methods reports. He and his crew leaders have focused on using respirators, which supply air to the worker. Each worker is now outfitted with a chipping uniform that combines head protection with the respirator. With the proper equipment, Taylor's crews use a high-tech system that protects them not only from the dust created in the clean-out, but from the potential dangers from the equipment itself.

The equipment has extra filtration devices to ensure that oil mist, particulates, and excess moisture are removed from the air. The system also includes a carbon monoxide monitor to make sure the air supply does not contain this poisonous, odorless gas. Since many of his five crews work in very hot conditions, Taylor has equipped his teams with special air cooling tubes, often called "vortex" tubes.

This new technology is expensive, but it's paid off in both productivity and safety awareness. "Even with the added set-up time to make sure things are correct, we can still remove as much material by the end of the day and return trucks to service as soon as possible," says Taylor.

Workers and clients benefit. "We have proven to our crews that they are specialists performing a demanding task and we have committed to giving them the best training to do the work," says Taylor. "And to our clients, we offer the verification that we are performing this dangerous task using the most current equipment and OSHA approved techniques."

Telephone Coast 2 Coast at 877-216-8116 to learn more about the company's approach to drum chipping.

COPYRIGHT 2004 Hanley-Wood, Inc.
COPYRIGHT 2004 Gale Group

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