Occupational exposure to crystalline silica dust in the United States, 1988-2003.The purposes of this study were a) to summarize measurements of airborne (respirable respirable /res·pir·a·ble/ (re-spir´ah-b'l) 1. suitable for respiration. 2. small enough to be inhaled. res·pi·ra·ble adj. 1. Fit for breathing, as air. ) crystalline silica dust Silica dust A type of dust from silica (crystalline quartz) which causes breathing problems in workers in the fields of mining, stone cutting, quarrying (especially granite), blasting, road and building construction industries that manufacture abrasives, and exposure levels among U.S. workers, b) to provide an update of the 1990 Stewart and Rice report on airborne silica exposure levels in high-risk industries and occupations with data for the time period 1988-2003, c) to estimate the number of workers potentially exposed to silica in industries that the Occupational Safety and Health Administration Occupational Safety and Health Administration (OSHA), U.S. agency established (1970) in the Dept. of Labor (see Labor, United States Department of) to develop and enforce regulations for the safety and health of workers in businesses that are engaged in interstate (OSHA OSHA n. Occupational Safety and Health Administration, a branch of the US Department of Labor responsible for establishing and enforcing safety and health standards in the workplace. ) inspected for high exposure levels, and d) to conduct time trend analyses on airborne silica dust exposure levels for time-weighted average (TWA TWA Time-weighted average, see there ) measurements. Compliance inspection data that were taken from the OSHA Integrated Management Information System (IMIS IMIS Integrated Management Information System IMIS Institute for the Management of Information Systems IMIS Integrated Maintenance Information System IMIS Integrated Migration Information System (Cairo, Egypt) ) for 1988-2003 (n = 7,209) were used to measure the airborne crystalline silica dust exposure levels among U.S. workers. A second-order autoregressive model was applied to assess the change in the mean silica exposure measurements over time. The overall geometric mean (mathematics) geometric mean - The Nth root of the product of N numbers. If each number in a list of numbers was replaced with their geometric mean, then multiplying them all together would still give the same result. of silica exposure levels for 8-hr personal TWA samples collected during programmed inspections was 0.077 mg/[m.sup.3], well above the applicable American Conference of Governmental Industrial Hygienists ACGIH® advances worker protection by providing timely, objective, scientific information to occupational and environmental health professionals. History The independent National Conference of Governmental Industrial Hygienists (NCGIH) convened on June 27, 1938, in Washington, D. threshold limit value threshold limit value n. Abbr. TLV The maximum concentration of a chemical allowable for repeated exposure without producing adverse health effects. of 0.05 mg/[m.sup.3]. Surgical appliances supplies industry [Standard Industrial Classification (SIC) 3842] had the lowest geometric mean silica exposure level of 0.017 mg/[m.sup.3], compared with the highest level, 0.166 mg/[m.sup.3], for the metal valves and pipe fitting industry (SIC 3494), for an 8-hr TWA measurement. Although a downward trend in the airborne silica exposure levels was observed during 1988-2003, the results showed that 3.6% of the sampled workers were exposed above the OSHA-calculated permissible exposure limit The Permissible Exposure Limit (PEL or OSHA PEL) is a legal limit in the United States for exposure of an employee to a substance, usually expressed in parts per million (ppm), or sometimes in milligrams per cubic metre (mg/m3). . Key words: crystalline silica dust, industries, occupations, OSHA IMIS, silica exposure. doi:10.1289/ehp.7384 available via http://dx.doi.org/[Online 6 December 2004] ********** Silica is a mineral compound made up of one silicon atom and two oxygen atoms (Si[O.sub.2]). It has a melting point melting point, temperature at which a substance changes its state from solid to liquid. Under standard atmospheric pressure different pure crystalline solids will each melt at a different specific temperature; thus melting point is a characteristic of a substance and of 1,600[degrees]C and is a colorless col·or·less adj. 1. Lacking color. 2. Weak in color; pallid. 3. Lacking animation, variety, or distinction; dull. See Synonyms at dull. , odorless o·dor·less adj. Having no odor. o dor·less·ly adv.o , and noncombustible solid [American Conference of Governmental Industrial Hygienists (ACGIH ACGIH American Conference of Governmental Industrial Hygienists, Inc. ) 2001]. Crystalline silica is formed when silica molecules are lined up in order and in crystal form. It is an abundant mineral in rock, sand, and soil. Quartz is a term often used to refer to crystalline silica dust. Crystalline silica has been used in many industries such as blast furnaces blast furnace, structure used chiefly in smelting. The principle involved in this means of extracting metals is that of the reduction of the ores by the action of carbon monoxide, i.e., the removal of oxygen from the metal oxide in order to obtain the metal. , cement manufacturing, glass and concrete mixing product manufacture, ceramics, clay, glass and china pottery, electronic, foundry, sandblasting Sandblasting or bead blasting[1] is a generic term for the process of smoothing, shaping and cleaning a hard surface by forcing solid particles across that surface at high speeds; the effect is similar to that of using sandpaper, but provides a more even finish and manufacturing abrasives, and many construction activities (Altindag et al. 2003; Flanagan et al. 2003; Irwin 2003; Rappaport et al. 2003). It is used as an abrasive agent in many industrial applications. Occupations having a high potential for exposure to crystalline silica dust (respirable quartz) are metal, coal, and nonmetal nonmetal, chemical element possessing certain properties by which it is distinguished from a metal. In general, this distinction is drawn on the basis that a nonmetal tends to accept electrons and form negative ions and that its oxide is acidic. (except fuels) mining; foundry, stone clay, and glass production work; and agricultural, chemical production, highway repair, and tuck-pointing work [Akbar-Khanzadeh and Brillhart 2002; Occupational Safety and Health Administration (OSHA) 2004; Rappaport et al. 2003]. Silica dust is an inhalation inhalation /in·ha·la·tion/ (in?hah-la´shun) 1. the drawing of air or other substances into the lungs.inhala´tional 2. the drawing of an aerosolized drug into the lungs with the breath. 3. hazard. Workers may be at risk of silicosis silicosis (sĭlĭkō`sĭs), occupational disease of the lungs caused by inhalation of free silica (quartz) dust over a prolonged period of time. from exposure to silica dust when high-velocity impact shatters the sand into smaller, respirable (< 0.5 to 5.0 [micro]m in diameter) dust particles. Silicosis is a disease where scar tissue scar tissue n. Dense, fibrous connective tissue that forms over a healed wound or cut. forms in the lungs and reduces the ability to extract oxygen from the air. Symptoms of silicosis can be acute, accelerated, or chronic. Acute silicosis may develop within weeks and up to 5 years after breathing large amounts of crystalline silica. Accelerated silicosis may develop shortly after exposure to high concentrations of respirable crystalline silica, whereas chronic silicosis occurs after [greater than or equal to] 10 years of exposure to relatively low concentrations of crystalline silica [American Thoracic Society American Thoracic Society (ATS ), established in 1905, is an independently incorporated, international, educational and scientific society, serving its 18,000 members world-wide who are dedicated in respiratory and critical care medicine. 1997; National Institute for Occupational Safety and Health National Institute for Occupational Safety and Health, n.pr an institute of the Centers for Disease Control and Prevention that is responsible for assuring safe and healthful working conditions and for developing standards of safety and health. (NIOSH NIOSH National Institute for Occupational Safety & Health, see there NIOSH Recommendations for Safety & Health Standards Agent NIOSH REL*/OSHA PEL† Health effects ) 2002]. Many workers in a wider range of industries are exposed to silica, usually in the form of respirable quartz (OSHA 2001, 2003). OSHA has estimated that more than 2 million workers are exposed to crystalline silica dust in the general, maritime, and construction industries (OSHA 2003). More than 100,000 workers have high-risk exposure to airborne silica dust through construction and mining operations (Akbar-Khanzadeh and Brillhart 2002; NIOSH 1991). There were an estimated 3,600-7,300 newly recognized silicosis cases per year in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. from 1987 to 1996 (Rosenman et al. 2003). Between 1990 and 1996, 200-300 deaths per year are known to have occurred where silicosis was identified as a contributing cause on death certificates (Akbar-Khanzadeh and Brillhart 2002; OSHA 2003). The International Agency for Research on Cancer The International Agency for Research on Cancer (IARC, or CIRC in its French acronym) is an intergovernmental agency forming part of the World Health Organisation of the United Nations. Its main offices are in Lyon, France. (IARC 1987, 1997) classified crystalline silica as a known human carcinogen carcinogen: see cancer. carcinogen Agent that can cause cancer. Exposure to one or more carcinogens, including certain chemicals, radiation, and certain viruses, can initiate cancer under conditions not completely understood. . Exposure to crystalline silica has been associated with an increased risk of developing lung cancer lung cancer, cancer that originates in the tissues of the lungs. Lung cancer is the leading cause of cancer death in the United States in both men and women. Like other cancers, lung cancer occurs after repeated insults to the genetic material of the cell. (Engholm and Englund 1995; Knutsson et al. 2000; Hughes et al. 2001; Lynge et al. 1986; Robinson et al. 1995; Stern et al. 1995). Previous studies also documented an association between airborne silica exposure and other health problems, including chronic obstructive pulmonary disease chronic obstructive pulmonary disease n. Abbr. COPD A chronic lung disease, such as asthma or emphysema, in which breathing becomes slowed or forced. , rheumatoid arthritis rheumatoid arthritis Chronic, progressive autoimmune disease causing connective-tissue inflammation, mostly in synovial joints. It can occur at any age, is more common in women, and has an unpredictable course. , scleroderma scleroderma or progressive systemic sclerosis Chronic disease that hardens the skin and fixes it to underlying structures. Swelling and collagen buildup lead to loss of elasticity. The cause is unknown. , Sjogern's syndrome, lupus lupus (l `pəs), noninfectious chronic disease in which antibodies in an individual's immune system attack the body's own substances. , and renal disease Renal diseaseKidney disease. Mentioned in: Glycogen Storage Diseases hypertension High blood pressure Cardiovascular disease An abnormal ↑ systemic arterial pressure, corresponding to a systolic BP of > 160 mm Hg (Goldsmith 1997; Hnizdo and Vallyathan 2003; Kane 1997; Parks et al. 2002). The current OSHA permissible exposure limit (PEL) for crystalline silica is based on a particle counting formula recommended by the ACGIH in the 1970s (ACGIH 1980; OSHA 1989, 1993). In 1986, the ACGIH revised the threshold limit value (TLV TLV abbr. threshold limit value TLV Total lung volume, see there ) of 0.1 mg/[m.sup.3] for respirable quartz (ACGIH 1986). Currently, the NIOSH (1998) and the ACGIH (2001) both recommend an occupational exposure limit of 0.05 mg/[m.sup.3] for respirable crystalline silica. OSHA recognized the need to revise the PEL to reflect current sampling and analytical methods, and the agency determined to address the significant risk of silicosis and other serious diseases associated with silica through a special emphasis program (SEP 1. SEP - Someone Else's Problem. 2. (tool) SEP - A SASD tool from IDE. ) on silicosis (Dear 1996; Jeffress 1998; OSHA 2003). The purposes of this study were a) to summarize measurements of airborne (respirable) crystalline silica dust exposure levels among U.S. workers, b) to provide an update of the Stewart and Rice (1990) report on the airborne silica exposure levels in high-risk industries and occupations with data for the time period 1988-2003, c) to estimate the number of workers potentially exposed to silica in industries that OSHA inspected for high exposure levels, and d) to conduct time trend analyses on silica dust exposure levels for time-weighted average (TWA) measurements. Materials and Methods Data sources. The OSHA Integrated Management Information System (IMIS) database was used for the analysis of the airborne concentration of crystalline silica exposure (OSHA IMIS 2003). The OSHA IMIS database contained personal sample measurements of silica exposure (n = 11,036) collected during 3,732 OSHA inspections conducted between 1988 and 2003. Of the 11,036 samples, 203 duplicate measures of personal samples were excluded because the number of personal silica samples exceeded the total number of workers who were sampled. A total of 3,188 samples with missing values In statistics, missing values are a common occurrence. Several statistical methods have been developed to deal with this problem. Missing values mean that no data value is stored for the variable in the current observation. and 436 area and bulk samples were excluded from the analysis. The remaining 7,209 personal samples collected during 2,512 OSHA inspections were used in this analysis. Analytic methods. The analytic framework used in this study is based on Stewart and Rice's (1990) method for grouping industries with the highest geometric means and those with the lowest geometric means, where five or more samples were available. We selected a sample size of five arbitrarily as the minimum number required for obtaining stable and reliable descriptive statistics descriptive statistics see statistics. . Personal samples of silica exposure measurements were stratified stratified /strat·i·fied/ (strat´i-fid) formed or arranged in layers. strat·i·fied adj. Arranged in the form of layers or strata. into two groups by type of inspections to explore if estimates of silica samples were biased in any direction: a) all 2,512 inspections and b) 948 programmed inspections. Two separate estimation analyses were conducted. First, we analyzed all personal samples (n = 7,209) of silica exposure measurements collected during OSHA inspections to determine whether estimates of silica samples collected during complaint, referral, monitoring, follow-up, and fatality fa·tal·i·ty n. 1. A death resulting from an accident or disaster. 2. One that is killed as a result of such an occurrence. inspections were highly biased toward the upper end. Second, we analyzed only personal samples (n = 2,868) randomly collected during programmed inspections. In this later analysis, samples collected during complaint, referral, monitoring, follow-up, and fatality inspections were excluded. In this article, the term "exposure" is defined as the concentration of airborne occupational crystalline silica dust measured in the workers' personal breathing work environment. In this study we focused on the analysis of personal samples of silica exposure levels measured as an 8-hr TWA measurement among workers in various industries and occupations, and silica levels are expressed as milligrams per cubic meter Noun 1. cubic meter - a metric unit of volume or capacity equal to 1000 liters cubic metre, kiloliter, kilolitre metric capacity unit - a capacity unit defined in metric terms . The term "industry" is defined as a group of establishments that primarily engaged in the same kind of economic activity, regardless of their types of ownership. Industries were coded using four-digit Standard Industrial Classification (SIC; Office of Management and Budget The Office of Management and Budget (OMB), formerly the Bureau of the Budget, is an agency of the federal government that evaluates, formulates, and coordinates management procedures and program objectives within and among departments and agencies of the Executive Branch. 1987) codes. The term "occupation" is defined as a collection of jobs or types of work requiring similar skills, responsibilities, educational requirements, training, licensure and credentials, and the like, found within various industries. To update silica exposure levels among workers with different job titles, the high-risk industries of "stonework stonework, term applied to various types of work—that of the lapidary who shapes, cuts, and polishes gemstones or engraves them for seals and ornaments; of the jeweler or artisan who mounts or encrusts them in gold, silver, or other metal; of the stonemason who masonry" (SIC 1741) and "gray iron foundry" (SIC 3321) with exposure levels above ACGIH TLV of 0.05 mg/[m.sup.3] were selected (Dear 1996). Using 1997 county business patterns (U.S. Census Bureau Noun 1. Census Bureau - the bureau of the Commerce Department responsible for taking the census; provides demographic information and analyses about the population of the United States Bureau of the Census 1997) and reports to OSHA inspectors by the facility (OSHA IMIS 2003), the percentage and number of workers potentially exposed to crystalline silica by selected industries were estimated. Airborne silica measurement. Personal samples of airborne respirable silica particles were collected using OSHA method ID-142 for quartz in workplace atmosphere using a personal sampling pump and a cyclone cyclone, atmospheric pressure distribution in which there is a low central pressure relative to the surrounding pressure. The resulting pressure gradient, combined with the Coriolis effect, causes air to circulate about the core of lowest pressure in a assembly (OSHA 1996). Using this method, a respirable sample was collected by drawing air at approximately 1.7 L/min through a 10-mm nylon Dorr-Oliver cyclone attached to a 37-mm diameter polyvinyl chloride polyvinyl chloride (PVC), thermoplastic that is a polymer of vinyl chloride. Resins of polyvinyl chloride are hard, but with the addition of plasticizers a flexible, elastic plastic can be made. filter cassette with a 5-[micro]m pore pore (por) a small opening or empty space. alveolar pores openings between adjacent pulmonary alveoli that permit passage of air from one to another. size (part no. 625413, Mine Safety Appliances Mine Safety Appliances, or MSA, is a maker of sophisticated safety products that help protect workers who may be exposed to a variety of hazardous conditions. The company’s product line includes gas monitoring and detection instruments, filter-type respirators, gas masks, , Pittsburgh, PA; or cat. no. P-503700, Omega Specialty Instrument Co., Chelmsford, MA). The cyclone assembly and sampling pump were placed on an employee to collect samples of tiny respirable silica particles from the air in the breathing zone of the employee during an 8-hr work shift. Samples were properly packaged and shipped to the OSHA Salt Lake Technical Center (OSHA 1996). The sample particulates were dissolved in tetrahydrofuran tetrahydrofuran: see furfural. and analyzed by using X-ray diffraction. The qualitative limit of detection for quartz is 5 [micro]g. Further laboratory details are available in OSHA (1996). Statistical analyses. Statistical analyses were conducted using SAS (1) (SAS Institute Inc., Cary, NC, www.sas.com) A software company that specializes in data warehousing and decision support software based on the SAS System. Founded in 1976, SAS is one of the world's largest privately held software companies. See SAS System. software (SAS Institute SAS Institute Inc., headquartered in Cary, North Carolina, USA, has been a major producer of software since it was founded in 1976 by Anthony Barr, James Goodnight, John Sall and Jane Helwig. , Inc. 1999). First, we conducted a univariate analysis to examine the distribution of the airborne silica exposure levels. We used natural-log transformation of airborne silica exposure levels because silica levels had a positively skewed distribution Skewed distribution Probability distribution in which an unequal number of observations lie below (negative skew) or above (positive skew) the mean. . In addition to arithmetic mean (mathematics) arithmetic mean - The mean of a list of N numbers calculated by dividing their sum by N. The arithmetic mean is appropriate for sets of numbers that are added together or that form an arithmetic series. and median, geometric mean of airborne silica levels and geometric standard deviation In probability theory and statistics, the geometric standard deviation describes how spread out are a set of numbers whose preferred average is the geometric mean. If the geometric mean of a set of numbers is denoted as μg (GSD GSD German Shepherd Dog GSD Graduate School of Design GSD Glycogen Storage Disease GSD General Services Division GSD Gundam Seed Destiny (anime) GSD Ground Sample Distance GSD Geometric Standard Deviation ) were calculated for each industry over the period of 1988-2003. Second, the prevalence of elevated crystalline silica exposure levels for 8-hr TWA measurements among workers in high-risk industries and occupations was estimated. Third, a nonparametric regression Nonparametric regression is a form of regression analysis in which the predictor does not take a predetermined form but is constructed according to information derived from the data. was applied to make multiple comparisons of silica exposure levels among different major industries, and the null hypothesis null hypothesis, n theoretical assumption that a given therapy will have results not statistically different from another treatment. null hypothesis, n of equal variances among different categories of industries and for significant differences in mean exposure levels among industries was tested using F-test statistics. Fourth, mixed autoregressive and moving average model [ARMA (1,1)] regression analyses were conducted to evaluate time trends in the silica exposure levels. Finally, a second-order autoregressive error model was created to regress REGRESS. Returning; going back opposed to ingress. (q.v.) exposure levels on time with errors from one period to be related to errors from the previous two periods. A finding of p [less than or equal to] 0.05 was considered statistically significant. The covariates examined for association with higher airborne silica levels were industry, inspections, and year. Industries were grouped into four categories based on the four-digit SIC codes: construction (1521-1799), manufacturing (2011-3299, 3411-3999), metal (3312-3399), and service combined with all other industries including wholesale and retail trade and finance, insurance and real estate, and transportation, communication, and utility (4011-9721) (Office of Management and Budget 1987). Because mining and agricultural industries were not addressed in the OSHA IMIS data, both industries were excluded from this analysis. Dummy variables This article is not about "dummy variables" as that term is usually understood in mathematics. See free variables and bound variables. In regression analysis, a dummy variable were used to adjust the significant effect of various industry groups. Results Prevalence of elevated airborne crystalline silica in occupations and industries. In the construction industry, "stonework masonry" (SIC 1741) that primarily engages in masonry work, stone cutting, bricklaying, and the like, has been one of the high-risk industries where overexposure overexposure too long an exposure time or too high a milliamperage causing too black a picture, loss of detail and some anomalies of translucency. to silica exists. Within occupations, the prevalence of elevated airborne silica exposure levels > 0.10 mg/[m.sup.3] among workers with the job title "masonry worker" in the stonework masonry industry was twice as high (6.9%) as the prevalence among workers with the job title "bricklayer" in the same industry (3.1%). The prevalence of elevated airborne crystalline silica exposure levels [greater than or equal to] 0.50 mg/[m.sup.3] was 0.5% (n = 36) for all sampled workers (Figure 1). The proportion of workers with elevated airborne silica exposure levels [greater than or equal to] 0.10 mg/[m.sup.3] was 29.9% (n = 2,106). Within industries, workers in the metal industry had a prevalence of elevated airborne silica exposure levels [greater than or equal to] 0.05 mg/[m.sup.3] (35.6%), 2.9 times higher than the prevalence among workers in the construction industry (12.4%). [FIGURE 1 OMITTED] Airborne crystalline silica dust levels. Table 1 presents arithmetic mean, geometric mean, standard deviations In statistics, the average amount a number varies from the average number in a series of numbers. (statistics) standard deviation - (SD) A measure of the range of values in a set of numbers. , and median of 8-hr TWA exposure measurements by industries with the highest and lowest airborne silica exposure. Geometric mean (GSD) airborne silica exposure levels were between 0.017 mg/[m.sup.3] (GSD, 0.931 mg/[m.sup.3]; surgical appliances supplies industry, SIC 3842) and 0.166 mg/[m.sup.3] (GSD, 0.943 mg/[m.sup.3]; metal valves and pipe fitting industry, SIC 3494). The geometric mean and GSD airborne silica exposure levels by industries and type of inspections are shown in Table 2. The overall geometric mean of silica exposure levels for samples collected during programmed inspections was 0.077 mg/[m.sup.3]. The geometric mean of samples collected under all inspections combined was higher in eight industries, whereas the geometric mean from programmed inspections was higher in two industries (Table 2). Table 3 presents the airborne silica exposure levels by occupations in the "gray iron foundry" industry (SIC 3321). Gray iron foundry is the industry that primarily engages in manufacturing gray and ductile iron Ductile iron, also called ductile cast iron or nodular cast iron, is a type of cast iron invented in 1943 by Keith Millis[1]. While most varieties of cast iron are brittle, ductile iron is much more ductile, as the name implies. castings, including cast iron pressure and soil pipes and fittings. Workers with the job title "spruer" had the highest geometric mean airborne silica exposure levels (0.154 mg/[m.sup.3]), followed by workers with the job title "hunter operator" (0.093 mg/[m.sup.3]), those with the job title "charger CHARGER, Scotch law. He in whose favor a decree suspended is pronounced; vet a decree may be suspended before a charge is given on it. Ersk. Pr. L. Scot. 4, 3, 7. " (0.091 mg/[m.sup.3]), and workers with the job title "core maker" (0.078 mg/[m.sup.3]). The airborne silica exposure levels by occupations in the "stonework masonry" industry (SIC 1741) are shown in Table 4. The overall geometric mean of silica exposure levels for workers in this industry was 0.065 mg/[m.sup.3]. The geometric mean silica exposure levels were highest in those workers with the job title "helper" (0.099 mg/[m.sup.3]), followed by those with the job title "stone cutter" (0.070 mg/[m.sup.3]), those with the job title "bricklayer" and "laborer" (0.067 mg/[m.sup.3]), and workers with the job title "masonry worker" (0.065 mg/[m.sup.3]). There were an estimated 119,381 workers potentially exposed to crystalline silica in 18 selected industries (Table 5). An estimated 25,027 workers were potentially exposed to airborne silica exposure in the automotive repair paint shop (SIC 7532) compared with 114 workers in the metal valves and pipe fitting industry (SIC 3494). Workers potentially exposed to silica exposure in stonework masonry (SIC 1741), plastering plastering, house construction technique involving the application of plaster to walls and ceilings, exterior plasterwork being of a different composition and generally known as stucco. drywall work (SIC 1742), and tile, marble, and mosaic work See Mosaic, n. os> See also: Mosaic (SIC 1743) were estimated at 44,989 employees. Workers in the testing laboratories services (SIC 8734) were estimated at 18,497 potentially exposed to airborne silica exposure. The nonparametric regression showed the mean square error (MS) in airborne silica exposure between industries (M[S.sub.bi] = 0.048) and within industries (M[S.sub.wi] = 0.014), with F (3, 7,205) = 3.28 (p = 0.02). In this analysis we rejected the null hypothesis of no significant differences in the mean exposure levels between industries. We attempted to fit a mixed autoregressive and moving average model, ARMA (1,1), to the silica exposure data. A chi-squared value of 12.6 (p = 0.01) showed that we could not reject the hypothesis that the residuals are correlated. Thus, ARMA (1,1) was not an adequate model for silica exposure data. A final second-order autoregressive error model showed that a decline in the airborne silica exposure levels of 10.0% was observed per year between 1988 and 2003, but it was not statistically significant (p = 0.18, [R.sup.2] = 0.0398). Within industries, the autroregressive error model AR(2) predicted that the construction industry has significantly lower airborne silica exposure levels (p = 0.10) during this time period. The findings also predicted that manufacturing industries manufacturing industries npl → industrias fpl manufactureras manufacturing industries npl → industries fpl de transformation have higher silica exposure levels than the metal industries, but it was not statistically significant at p [less than or equal to] 0.05. The estimated autocorrelation Autocorrelation The correlation of a variable with itself over successive time intervals. Sometimes called serial correlation. coefficients [[rho].sub.1] and [[rho].sub.2] were -0.153 and -0.082, respectively, with an estimated variance of error term of 0.014. The results showed that the negative effect of an OSHA inspection on the airborne silica exposure levels was estimated at [beta] = -0.007, with p = 0.0319. Discussion Our findings suggest that geometric mean crystalline silica exposure levels have declined in some high-risk construction industries during 1988-2003. A comparison of our results with silica exposure levels found in a previous study by Stewart and Rice (1990) revealed a significant decline over the years. The geometric mean airborne silica exposure level in the general contractor A general contractor is an organization or individual that contracts with another organization or individual (the owner) for the construction of a building, road or any other execution of work or facility. industry (SIC 1541) was almost 6.2 times higher, at 0.354 mg/[m.sup.3] (Stewart and Rice 1990), in 1979-1987 compared with 0.057 mg/[m.sup.3] in 1988-2003. The geometric mean airborne silica exposure levels in the bridge tunnel construction industry (SIC 1622) were 5.5 times higher, at 0.383 mg/[m.sup.3], in 1979-1987 compared with 0.069 mg/[m.sup.3] in 1988-2003. The stonework masonry industry (SIC 1741) had geometric mean airborne silica exposure levels 9.8 times higher, at 0.619 mg/[m.sup.3], in 1979-1987 than its level, 0.063 mg/[m.sup.3], in 1988-2003. The significant decline of airborne silica observed in the construction industry could be explained by the implementation of advanced health and safety programs, effective engineering controls, work practice controls, and personal protective equipment (Flanagan et al. 2003; Flynn and Susi 2003). Silica exposure levels among workers in the gray iron industry (SIC 3321) were significantly lower in 1988-2003 than in 1979-1987. Our results also showed that silica exposure levels for workers with the job title "furnace operators" declined by 53.5% of what they were in 1979-1987, from 0.142 mg/[m.sup.3] (Stewart and Rice 1990) to 0.066 mg/[m.sup.3]. Geometric mean airborne silica exposure levels for workers with the job title "grinder Grinder A slang term for a person who works in the investment industry and makes small amounts of money at a time on small investments, over and over again. Notes: " went down by 28.6%, from 0.105 mg/[m.sup.3] to 0.075 mg/[m.sup.3]. Furthermore, silica exposure levels for workers with the job title "reline reline /re·line/ (re-lin´) to resurface the tissue side of a denture with new base material in order to achieve a more accurate fit. cupola cupola /cu·po·la/ (koo´pah-lah) cupula. cu·po·la n. A cup-shaped or domelike structure. cupola cupula. " decreased more than 5.7 times, from 0.384 mg/[m.sup.3] in 1979-1987 (Stewart and Rice 1990) to 0.067 mg/[m.sup.3] in 1988-2003. Geometric mean silica exposure levels for workers with the job title "cleaning department" declined by 50.8%, from 0.122 mg/[m.sup.3] to 0.060 mg/[m.sup.3], whereas exposure levels for workers with the job title "sorter" decreased from 0.127 mg/[m.sup.3] (Stewart and Rice 1990) to 0.067 mg/[m.sup.3]. The recent decline of airborne silica exposure levels in the gray iron foundry could be attributed to many potential factors, in addition to OSHA's enforcement as part of its SEP for workplace exposure to silica (Jeffress 1998). Because of the OSHA inspections and enforcement actions, most foundry industries were required to take action to reduce the overexposure and comply with OSHA's standard PEL (Irwin 2003). The OSHA PEL was defined by a formula that included the percentage respirable silica (OSHA 2001). Assuming that the dust is 100% crystalline silica, the OSHA PEL is computed at 0.1 mg/[m.sup.3]. Using the OSHA-calculated PEL of 0.436 mg/[m.sup.3] as the criterion, 3.6% of the sampled workers were overexposed o·ver·ex·pose tr.v. o·ver·ex·posed, o·ver·ex·pos·ing, o·ver·ex·pos·es 1. To expose too long or too much: Don't overexpose the children to television. 2. to airborne silica exposure, whereas using the ACGIH TLV of 0.05 mg/[m.sup.3] as the criterion, 85.5% of the sampled workers were overexposed (Figure 1). An overexposure severity factor was defined when the TWA exposure level was divided by the OSHA-calculated PEL. The overexposure severity factor was estimated at 0.17, less than 1. Our findings were eight times lower than Galster's (1997) findings of 30% of air samples over the OSHA PEL. Our estimates of the number of workers exposed were consistent with an earlier study done by Linch et al. (1998), which reported approximately 132,000 workers in the construction industry with three-digit SIC code 174 to be potentially exposed to airborne silica during the 1981-1983 national hazard survey. The results of this study suggest that the number of workers potentially exposed to crystalline silica in the construction industry with SIC codes 1741, 1742, and 1743 combined was almost three times (44,989 workers) lower in 2003 than it was in 1981-1983 (Table 5). Linch et al. (1998) also reported that an estimated 41,700 workers in the research testing services industry with a three-digit SIC code 873 were exposed to airborne silica at least twice the NIOSH-recommended exposure limit using the 1993 IMIS database. The number of workers exposed in the testing laboratories services industry (SIC 8734) has declined more than 2-fold in the last decade, from 41,700 in 1993 to 18,497 in 2003. Although the airborne silica exposure levels declined in some industries and processes, the results showed an upward trend in the silica respirable dust exposure levels in certain industries and occupations, and exposure levels were above the ACGIH TLV of 0.050 mg/[m.sup.3] (ACGIH 2001). For instance, in the gray iron foundry industry (SIC 3321), exposure levels for workers with the job title "spruer" increased from 0.098 mg/[m.sup.3] (Stewart and Rice 1990) in 1979-1987 to 0.154 mg/[m.sup.3] in 1988-2003, an increase of 57.1%. Airborne silica exposure levels went up from 0.068 mg/[m.sup.3] in 1992-1995 to 0.080 mg/[m.sup.3] in 1996-1999 (Figure 2). Because many businesses are not yet in compliance with OSHA health standards, large numbers of workers in certain industries and occupations continue to be exposed to silica dust in the course of their work (Flanagan et at. 2003). [FIGURE 2 OMITTED] The model of the second-order autoregressive error showed significant association between airborne silica exposure levels and OSHA inspections. Using [R.sup.2] as a measure of "goodness of fit Goodness of fit means how well a statistical model fits a set of observations. Measures of goodness of fit typically summarize the discrepancy between observed values and the values expected under the model in question. Such measures can be used in statistical hypothesis testing, e. ," 3.98% of the total variation in airborne silica exposure levels was explained by the model. This low [R.sup.2] might be due to the lack of data on other explanatory variables that should be included in the model. Future research is needed to further examine other potential predictors in explaining the variability of airborne silica exposure levels. Almost two-fifths of all inspections conducted by OSHA are programmed inspections. In programmed inspections, OSHA may identify industries with the greatest risk of injury and illness to workers, and then target firms sampled randomly within them. For general and construction industry, inspections initiated under the SEP are required to be programmed (scheduled) and conducted in accordance with the provisions in the Field Inspection Reference Manual (FIRM) and the Revised Field Operations Manual (FOM FOM Figure Of Merit FOM Fundamenteel Onderzoek der Materie (Dutch organization for fundamental research of matter) FOM Formula One Management (racing) FOM Field Operations Manual ) (OSHA 1994, 1995; Dear 1996). Wherever possible, inspections focus on particular establishments where overexposures to airborne silica are most likely or there are known cases of silicosis (Dear 1996). When making an inspection, OSHA takes sampling exposure measurements of employees who may have high or low exposure over an 8-hr TWA. However, all inspections involving fatalities, complaints, follow-up, or referrals tend to have a potential bias toward high estimates of exposure levels (Linch et al. 1998). In this study, it was observed that the geometric mean of samples collected during all inspections combined was higher in eight industries than the mean of samples collected during programmed inspections (Table 2). This study has some limitations. First, OSHA samples measure the workers' personal breathing work environment exposure without taking into account the use of a respirator respirator /res·pi·ra·tor/ (res´pi-ra?ter) ventilator (2). cuirass respirator see under ventilator. . Actual exposure levels for some workers may be much less than the workers' ambient readings of exposure. As a result, this sampling measurement may overestimate o·ver·es·ti·mate tr.v. o·ver·es·ti·mat·ed, o·ver·es·ti·mat·ing, o·ver·es·ti·mates 1. To estimate too highly. 2. To esteem too greatly. the workers' exposure levels. Inferences regarding OSHA inspections must be interpreted with caution, especially in cases of small sample sizes. Second, a potential limitation of the IMIS database is its inability to identify the duration of employment of the individual worker and the duration of exposure to silica dust. Third, SIC codes were used in the classification of establishments by type of primary activity in which they were engaged. For industries with multiple activities, it is possible that one may classify an industry by its processes rather than products manufactured. Fourth, job titles in the IMIS database were not well defined and coded according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. a common and standardized standardized pertaining to data that have been submitted to standardization procedures. standardized morbidity rate see morbidity rate. standardized mortality rate see mortality rate. system. Because of this lack of common classification codes, it may be necessary to categorize cat·e·go·rize tr.v. cat·e·go·rized, cat·e·go·riz·ing, cat·e·go·riz·es To put into a category or categories; classify. cat job titles and aggregate them into fewer categories. Finally, because the IMIS database does not represent a random sample of exposure levels, the findings of this study may not be generalizable gen·er·al·ize v. gen·er·al·ized, gen·er·al·iz·ing, gen·er·al·iz·es v.tr. 1. a. To reduce to a general form, class, or law. b. To render indefinite or unspecific. 2. . Nonetheless, these limitations are not serious enough to invalidate in·val·i·date tr.v. in·val·i·dat·ed, in·val·i·dat·ing, in·val·i·dates To make invalid; nullify. in·val the findings of this study. The strength of the OSHA IMIS database is its ability to provide estimates of airborne silica exposure levels and to identify high-risk industries and occupations. It is the largest source of occupational exposure data. As long as the limitations of the OSHA IMIS data set are understood, it provides an important source of information regarding occupational exposure. It also may provide a useful tool to generate hypotheses that could be tested in future studies. Conclusions Although occupational exposure to crystalline silica dust levels declined in some industries and occupations, the results showed that workers in certain industries and occupations were still overexposed. Approximately 3.6% of the sampled workers were overexposed to airborne silica above the OSHA-calculated PEL. OSHA regulatory efforts are needed to further increase industry compliance with occupational exposure limits OCCUPATIONAL EXPOSURE LIMITS There are occupational exposure limits for over 5,000 chemicals worldwide, while the US only has exposure limits for 500 chemicals. The rest of the industrialized world is 50 years ahead of the US. by enforcing effective engineering controls and to protect workers from overexposure to crystalline silica. Furthermore, OSHA needs to increase its compliance assistance and outreach efforts to assist businesses in establishing programs to reduce overexposure to silica.
Table 1. Arithmetic mean (AM), geometric mean (GM), their standard
deviations (ASD, GSD), and median of exposure measurements of
crystalline silica (mg/[m.sup.3]) by industry, IMIS (1988-2003).
Industry (a) (SIC code) No. (b) AM ASD
Metal valves and pipe fitting (3494) 8 0.229 0.161
Industrial supplies (5085) 5 0.175 0.090
Roofing siding and sheet metal (1761) 11 0.224 0.170
Special industry machinery (3559) 15 0.193 0.167
Automotive repair paint shop (7532) 13 0.161 0.143
Mining machinery equipment (3532) 10 0.080 0.075
Plastics plumbing fixtures (3088) 14 0.054 0.033
Plastering drywall work (1742) 13 0.045 0.046
Tile, marble, and mosaic work (1743) 12 0.036 0.027
Surgical appliances supplies (3842) 5 0.024 0.019
Industry (a) (SIC code) GM GSD Median
Metal valves and pipe fitting (3494) 0.166 0.943 0.243
Industrial supplies (5085) 0.161 0.431 0.147
Roofing siding and sheet metal (1761) 0.150 1.029 0.230
Special industry machinery (3559) 0.127 0.978 0.110
Automotive repair paint shop (7532) 0.107 0.968 0.050
Mining machinery equipment (3532) 0.046 1.323 0.050
Plastics plumbing fixtures (3088) 0.044 0.682 0.050
Plastering drywall work (1742) 0.031 0.920 0.022
Tile, marble, and mosaic work (1743) 0.025 0.958 0.035
Surgical appliances supplies (3842) 0.017 0.931 0.018
(a) The 10 industries with the highest and lowest geometric mean
where at least five samples were available. (b) Number of personal
TWA sample measurements.
Table 2. Geometric mean (GM) and GSD of exposure measurements of
crystalline silica (mg/[m.sup.3]) by industry and type of
inspection, IMIS (1988-2003).
All inspections
(n = 2,512)
Industry (a) (SIC code) No. (b) GM GSD
Soap and other detergents (2841) 6 0.102 0.757
Testing laboratories services (8734) 53 0.099 0.896
Cut stone and stone products (3281) 405 0.091 0.956
General contractors (1541) 28 0.091 0.900
Coating engraving (3479) 75 0.075 0.839
Gray iron foundries (3321) 1,760 0.073 0.877
Concrete work (1771) 94 0.073 0.705
Manufacturing explosives (2891) 9 0.070 0.841
Bridge tunnel construction (1622) 91 0.070 0.827
Stonework masonry (1741) 274 0.065 0.732
All 7,209 0.073 0.919
Programmed inspections
(n = 948)
Industry (a) (SIC code) No. (b) GM GSD
Soap and other detergents (2841) 5 0.108 0.831
Testing laboratories services (8734) 19 0.082 0.656
Cut stone and stone products (3281) 164 0.075 0.963
General contractors (1541) 8 0.057 0.346
Coating engraving (3479) 26 0.072 0.842
Gray iron foundries (3321) 782 0.082 0.899
Concrete work (1771) 38 0.072 0.720
Manufacturing explosives (2891) 5 0.058 0.581
Bridge tunnel construction (1622) 41 0.069 0.761
Stonework masonry (1741) 111 0.063 0.803
All 2,868 0.077 0.935
(a) The industries where at least five samples were collected
during inspections. (b) Number of personal TWA sample measurements.
Table 3. Arithmetic mean (AM), geometric mean (GM), their standard
deviations (ASD, GSD), and median of exposure measurements of
crystalline silica (mg/[m.sup.3]) by occupation in the gray iron
foundry industry (SIC 3321), IMIS (1988-2003)
No.
Occupation (a) AM ASD GM GSD Median
Spruer 22 0.232 0.182 0.154 0.100 0.205
Hunter operator 10 0.157 0.151 0.093 1.144 0.050
Charger 8 0.146 0.156 0.091 0.999 0.050
Core maker 89 0.129 0.135 0.078 1.033 0.050
Grinder 371 0.112 0.123 0.075 0.821 0.050
Molder 308 0.116 0.129 0.073 0.910 0.050
Abrasive blast operator 56 0.103 0.110 0.070 0.821 0.050
Sorter 23 0.098 0.108 0.067 0.827 0.050
Reline cupola 29 0.096 0.113 0.067 0.725 0.050
Furnace operator 47 0.096 0.110 0.066 0.766 0.050
Core setter 23 0.086 0.082 0.066 0.671 0.051
Craneman 16 0.097 0.106 0.066 0.815 0.050
Cleaning department 36 0.094 0.117 0.060 0.879 0.050
Inspector 21 0.118 0.146 0.057 1.298 0.050
Ladle repair 30 0.081 0.098 0.055 0.829 0.050
(a) Number of personal TWA sample measurements.
Table 4. Arithmetic mean (AM), geometric mean (GM), their standard
deviations (ASD, GSD), and median of exposure measurements of
crystalline silica (mg/[m.sup.3]) by occupation in the stonework
masonry industry (SIC code 1741), IMIS (1988-2003).
No.
Occupation (a) AM ASD GM GSD Median
Helper 6 0.175 0.198 0.099 1.143 0.050
Stone cutter 33 0.097 0.096 0.070 0.814 0.050
Bricklayer 30 0.091 0.086 0.067 0.742 0.050
Laborer 48 0.093 0.102 0.067 0.731 0.050
Masonry worker 74 0.088 0.090 0.065 0.713 0.050
Foreman 8 0.085 0.081 0.064 0.748 0.050
Tuckpointer 18 0.086 0.110 0.062 0.647 0.050
Grinder 35 0.055 0.020 0.052 0.372 0.050
Hod carrier 5 0.092 0.123 0.042 1.540 0.050
All 257 0.088 0.093 0.065 1.140 0.050
(a) Number of personal TWA sample measurements.
Table 5. Estimates of the number and percentage of workers potentially
exposed to crystalline silica by selected industries, IMIS (1988-2003).
No. (b) of Total no. of
workers Percent of potentially
in the workers exposed
Industry (a) (SIC code) establishment exposed (c) workers (d)
Metal valves and pipe 18,080 0.63 114
fittings (3494)
Special industry 111,312 0.56 623
machinery (3559)
Automotive repair paint 205,906 12.2 25,027
shop (7532)
Soap and other detergents 30,352 1.4 438
(2841)
Testing laboratories 82,786 22.3 18,497
services (8734)
Gray iron foundries 82,749 1.7 1,395
(3321)
Manufacturing explosives 21,322 5.3 1,131
(2891)
Fabricated rubber 56,079 1.2 698
products (3069)
Masonry, stonework (1741) 168,155 12.7 21,302
Brick, stone, related 34,241 6.4 2,203
material (5032)
Repair shops, NEC (7699) 212,049 8.0 17,022
Transmission equipment 20,884 2.1 438
(3568)
Chemical preparations, 34,873 7.9 2,766
NEC (2899)
Mining machinery 13,631 2.4 329
equipment (3532)
Plastics plumbing 16,793 15.9 2,670
fixtures (3088)
Plastering drywall work 262,530 4.8 12,459
(1742)
Tile, marble, and mosaic 38,051 29.5 11,228
work (1743)
Surgical appliances 96,154 1.1 1,041
supplies (3842)
Total 1,505,947 7.9 119,381
NEC, not elsewhere classified.
(a) Industries with the highest and lowest geometric mean where at
least five samples were available. (b) Number of workers in the
establishments, as reported to the U.S. Census Bureau (1997) (c)
Percentage of workers exposed was calculated by dividing the number
of workers exposed as determined by the inspector, and the number of
workers in the establishment, as reported to the OSHA inspector by
the facility. (d) Total number of potentially exposed workers in an
SIC was calculated by taking the product of the proportion of workers
exposed in each SIC by the average worker population employed
nationally in each SIC, as reported to the U.S. Census Bureau (1997).
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Estimating the total number of newly recognized silicosis cases in the United States. Am J Ind Med 44:141-147. SAS Institute, Inc. 1999. SAS Language: Reference, Version 8.2. Cary, NC:SAS Institute, Inc. Stern F, Schulte P, Sweeney MH, Fingerhut M, Vossenas P, Burkhardt G, et al. 1995. Proportionate mortality proportionate mortality Epidemiology The proportion of deaths in a specified population over a period of time attributable to different causes; each cause is expressed as a percentage of all deaths; the sum of causes must add to 100%. Cf Mortality. among construction laborers. Am J Ind Med 27:485-509. Stewart AP, Rice C. 1990. A source of exposure data for occupational epidemiology studies. Appl Occup Environ Hyg 5(6):359-363. U.S. Census Bureau. 1997 County Business Patterns for the United States. Washington, DC:Bureau of the Census Noun 1. Bureau of the Census - the bureau of the Commerce Department responsible for taking the census; provides demographic information and analyses about the population of the United States Census Bureau . Available: http://www.census.gov/epcd/cbp/view/us97.txt [accessed 10 December 2003]. Abdiaziz Yassin, (1) Francis Yebesi, (2) and Rex Tingle (1) (1) Directorate of Evaluation and Analysis, Office of Evaluations and Audit Analysis, and (2) Directorate of Cooperative and State Programs, Office of Outreach Services and Alliances, Occupational Safety and Health Administration, U.S. Department of Labor, Washington, DC, USA Address correspondence to A.S. Yassin, Directorate of Evaluations and Analysis, Office of Evaluations and Audit Analysis, Occupational Safety and Health Administration, U.S. Department of Labor, 200 Constitution Ave. NW, Room N3641, Washington, DC 20210 USA. Telephone: (202) 693-2042. Fax: (202) 693-1641. E-mail: yassin.abdiaziz@dol.gov The opinions expressed in this article do not necessarily represent those of the Occupational Safety and Health Administration. Received 2 July 2004; accepted 6 December 2004. |
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