Silicosis Surveillance in California, 2019–2024: Tracking an Epidemic.
Objectives. To characterize the nature, burden, and trends of silicosis among California workers, including workers with engineered stone exposures. Methods. We conducted multisource public health surveillance and generated descriptive statistics, compared engineered stone cases to cases with other...
| Publicado en: | American Journal of Public Health Vol. 115; no. 11; pp. 1913 - 1922 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Nov2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188519045&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188519045 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Nov2025 vid: 115 iid: 11 pid: 44 pub: American Public Health Association artinfo: ui: 188519045 10.2105/AJPH.2025.308225 ppf: 1913 ppct: 9 formats: tig: atl: Silicosis Surveillance in California, 2019–2024: Tracking an Epidemic. aug: au: Flattery, Jennifer Woolsey, Chelsea Fazio, Jane C. Gandhi, Sheiphali A. Heinzerling, Amy Harrison, Robert J. Cummings, Kristin J. su: California Public health surveillance Mortality Occupational diseases Disease outbreaks Hospitals Age distribution Industrial hygiene Research funding Lung transplantation Dust diseases Descriptive statistics Diagnosis Occupational exposure Research methodology Electronic health records Mineral industries Comparative studies Data analysis software Nosology Medical referrals Disease progression sug: subj: Public health surveillance Mortality Occupational diseases Disease outbreaks Hospitals Age distribution Industrial hygiene California General Medical and Surgical Hospitals General (except paediatric) hospitals Mineral, ore and precious metal merchant wholesalers Coal and Other Mineral and Ore Merchant Wholesalers Research funding Lung transplantation Dust diseases Descriptive statistics Diagnosis Occupational exposure Research methodology Electronic health records Mineral industries Comparative studies Data analysis software Nosology Medical referrals Disease progression ab: Objectives. To characterize the nature, burden, and trends of silicosis among California workers, including workers with engineered stone exposures. Methods. We conducted multisource public health surveillance and generated descriptive statistics, compared engineered stone cases to cases with other silica exposures, and examined the utility of various data sources for silicosis surveillance. Results. We received 1817 reports of possible silicosis for 648 individuals from 2019 to 2024 and confirmed 296 (46%) cases, including 243 (82%) associated with engineered stone exposures. Engineered stone cases were more likely to be younger, men, Latino, and from Los Angeles County than were non–engineered stone cases. Of engineered stone cases, at least 15 (6%) were known to have died, and 60 (25%) were referred for lung transplant, including 30 (12%) who received transplants. There was limited overlap between reporting mechanisms. Conclusions. Multisource surveillance was effective for identifying a large number of individuals with silicosis, including people exposed to engineered stone. Outcomes were severe, and many patients had advanced disease. Results illustrate that worker screening and silica exposure mitigation are essential to prevent morbidity and mortality in the engineered stone countertop fabrication industry. (Am J Public Health. 2025;115(11):1913–1921. https://doi.org/10.2105/AJPH.2025.308225) pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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