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Home Health

More Silicosis Cases Among California’s Countertop Fabricators

LAist by LAist
Jul 24, 2023 4:20 pm EDT
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The number of artificial-stone countertop fabricators in California with confirmed cases of silicosis, a fatal lung disease, has risen to 77.

In December, Public Health Watch, LAist and Univision reported on a cluster of the disease – caused by the inhalation of ultrafine silica particles – in the Los Angeles area. The toxic powder is unleashed when the countertop slabs are cut or ground.

At the time, the number of confirmed cases among fabricators in and around Los Angeles stood at 30, with 52 cases documented statewide between 2019 and 2022. By May, when Public Health Watch reported that California workplace regulators were drafting an emergency silica rule, the statewide tally was 69.

At a hearing last week before the California Occupational Safety and Health Standards Board — which voted unanimously to proceed with an emergency temporary standard — Dr. Robert Harrison, representing the California Department of Public Health, said eight cases had been added to the count.

Harrison, an occupational physician on the faculty at the University of California, San Francisco, co-authored a study published Thursday in JAMA Internal Medicine. The paper provides new details on the initial 52 cases in California. For example:

  • The median age at diagnosis was 45
  • All but one of the 52 victims were Latino immigrants
  • The median work tenure was 15 years
  • Thirty, or 58%, of the workers initially were misdiagnosed with bacterial pneumonia or tuberculosis, delaying care
  • Twenty workers had an advanced form of the disease, known as progressive massive fibrosis, at diagnosis; 10 died, with a median age of 46

Dr. Jane Fazio, a pulmonary physician at Olive View-UCLA Medical Center in the San Fernando Valley and another of the study’s co-authors, told Public Health Watch she…

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