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Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis

Silicosis continues to be an important occupational disease in South Africa, particularly in small, poorly regulated industries. A case series is described of six workers who developed silicosis whilst involved in the processing of semi-precious gem stones. They had been employed as stone sculptors...

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Main Author: White, Neil W
Other Authors: Bateman, Eric D
Format: Thesis
Language:English
Published: Department of Medicine 2017
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access_status_str Open Access
author White, Neil W
author2 Bateman, Eric D
author_browse Bateman, Eric D
White, Neil W
author_facet Bateman, Eric D
White, Neil W
author_sort White, Neil W
collection Thesis
description Silicosis continues to be an important occupational disease in South Africa, particularly in small, poorly regulated industries. A case series is described of six workers who developed silicosis whilst involved in the processing of semi-precious gem stones. They had been employed as stone sculptors in lapidaries where they processed tigers' eye, rose quartz, amethyst, quartz crystal and a variety of other locally occurring semi-precious stones. In five of the cases exposure was in small and poorly regulated lapidaries without specific dust control measures. The sixth was detected during the course of a health and hygiene survey (including dust sampling) that I conducted in one of two lapidaries still operating in the Western Cape. These workers developed serious disease. Progressive massive fibrosis (PMF) was noted in 4 of the 6 cases, three of whom had progression of their disease after cessation of exposure. With the development of PMF the initial restrictive pulmonary function abnormalities were followed by steadily worsening airflow obstruction. Lung biopsies confirmed silicosis in one case and were suggestive in a further two. Tuberculosis was confirmed in two cases and suspected and treated in a third. Workmen's' Compensation was awarded in five cases. The survey confirmed that in semiprecious gem stone processing, the risk of silicosis appears to be confined to stone sculptors. Tried and proven techniques of general and local exhaust ventilation combined with water or oil to control dust at source were capable of effectively reducing dust emission to acceptable levels.
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institution University of Cape Town (South Africa)
language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2017
publishDateRange 2017
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publisher Department of Medicine
publisherStr Department of Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/25625 Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis White, Neil W Bateman, Eric D Dust - Adverse effects Occupational Diseases - occurrence Occupational medicine Pneumoconiosis~Silicosis Silicosis continues to be an important occupational disease in South Africa, particularly in small, poorly regulated industries. A case series is described of six workers who developed silicosis whilst involved in the processing of semi-precious gem stones. They had been employed as stone sculptors in lapidaries where they processed tigers' eye, rose quartz, amethyst, quartz crystal and a variety of other locally occurring semi-precious stones. In five of the cases exposure was in small and poorly regulated lapidaries without specific dust control measures. The sixth was detected during the course of a health and hygiene survey (including dust sampling) that I conducted in one of two lapidaries still operating in the Western Cape. These workers developed serious disease. Progressive massive fibrosis (PMF) was noted in 4 of the 6 cases, three of whom had progression of their disease after cessation of exposure. With the development of PMF the initial restrictive pulmonary function abnormalities were followed by steadily worsening airflow obstruction. Lung biopsies confirmed silicosis in one case and were suggestive in a further two. Tuberculosis was confirmed in two cases and suspected and treated in a third. Workmen's' Compensation was awarded in five cases. The survey confirmed that in semiprecious gem stone processing, the risk of silicosis appears to be confined to stone sculptors. Tried and proven techniques of general and local exhaust ventilation combined with water or oil to control dust at source were capable of effectively reducing dust emission to acceptable levels. 2017-10-12T08:39:47Z 2017-10-12T08:39:47Z 1991 2017-07-12T13:38:06Z Master Thesis Masters MMed http://hdl.handle.net/11427/25625 eng application/pdf Department of Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Dust - Adverse effects
Occupational Diseases - occurrence
Occupational medicine
Pneumoconiosis~Silicosis
White, Neil W
Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
thesis_degree_str Master's
title Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
title_full Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
title_fullStr Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
title_full_unstemmed Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
title_short Silicosis among Cape gemstone workers : tigers' eye pneumoconiosis
title_sort silicosis among cape gemstone workers tigers eye pneumoconiosis
topic Dust - Adverse effects
Occupational Diseases - occurrence
Occupational medicine
Pneumoconiosis~Silicosis
url http://hdl.handle.net/11427/25625
work_keys_str_mv AT whiteneilw silicosisamongcapegemstoneworkerstigerseyepneumoconiosis