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Silicosis in Switzerland.

Michael F Koller1, Stefan M Scholz2, Claudia Pletscher3

  • 1Suva, Lucerne, Switzerland (Division of Occupational Medicine). michael.koller@suva.ch.

International Journal of Occupational Medicine and Environmental Health
|July 17, 2018
PubMed
Summary

Occupational exposure to quartz dust remains a concern, with 28% of measurements exceeding Swiss limits. Factors like past exposure, smoking, and mask compliance contribute to ongoing silicosis cases.

Keywords:
Switzerlandcrystalline silicalung canceroccupational exposure limitquartzsilicosis

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Area of Science:

  • Occupational Health
  • Environmental Science
  • Pulmonology

Background:

  • Silicosis and chronic obstructive pulmonary disease (COPD) are significant occupational diseases linked to silica dust exposure.
  • Understanding the correlation between quartz dust concentrations and disease incidence is crucial for public health.
  • Swiss occupational exposure limits (OELs) have been in place since 1975.

Purpose of the Study:

  • To investigate the relationship between quartz dust concentrations in Swiss enterprises and the occurrence of silicosis and related occupational diseases (OD).

Main Methods:

  • Quartz dust concentrations were sourced from Suva's occupational health surveillance databases (2005-2014).
  • Data on quartz dust-related diseases were extracted from medical records of workers with OD acknowledged by Suva (2005-2014).

Main Results:

  • The median quartz dust concentration was 0.09 mg/m³ (alveolar fraction), with 28% of measurements exceeding the Swiss OEL of 0.15 mg/m³.
  • 179 cases of silicosis and 2 of COPD were acknowledged, alongside 8 lung cancer and 55 unspecified COPD diagnoses.
  • 46% of workers were first exposed before 1975, 63% of foreign workers may have acquired silicosis abroad, and 75% were ever-smokers.

Conclusions:

  • Silicosis incidence has declined significantly since the 1970s but continues to occur.
  • Ongoing cases may be attributed to excessive past or present exposure (domestic or foreign), smoking, or inadequate mask use.
  • Improved compliance with protective measures and addressing historical exposures are vital for further reducing silicosis rates.