Silicosis (2024)

Silicosis is a long-term lung disease caused by inhaling large amounts of crystalline silica dust, usually over many years.

Silica is a substance naturally found in certain types of stone, rock, sand and clay. Working with these materials can create a very fine dust that can be easily inhaled.

Once inside the lungs, it causes swelling (inflammation) and gradually leads to areas of hardened and scarred lung tissue (fibrosis). Lung tissue that's scarred in this way doesn't function properly.

People who work in the following industries are particularly at risk:

  • stone masonry and stone cutting–especially with sandstone
  • construction and demolition – as a result of exposure to concrete and paving materials
  • worktop manufacturing and fitting
  • pottery, ceramics and glass manufacturing
  • mining and quarrying
  • sand blasting

Signs andsymptoms

The symptoms of silicosis usually take many years to develop, and you may not notice any problems until after you've stopped working with silica dust.

The symptomscan also continue to get worse, even if you're no longer exposed.

Silicosis usually develops after being exposed to silica for 10-20 years, although it can sometimes develop after 5-10 years ofexposure. Occasionally, it can occur after only a few months of very heavy exposure.

Main symptoms

The main symptoms of silicosis are:

If the condition continues to get worse, these symptoms may become more severe.

Some people may eventually find simple activities such as walking or climbing stairs very difficult and may be largely confined to their house or bed.

The condition can ultimately be fatal if the lungs stop working properly (respiratory failure) or serious complications develop, but this is rare in the UK.

Further problems

Silicosis can also increaseyour risk of getting other serious and potentially life-threatening conditions, including:

When to see your GP

See your GP if you think there's a possibility you could have silicosis.

They'll ask you about your symptoms and work history, and listen to your lungs with a stethoscope.

They'll want to know about any periods when you may have been exposed to silica and whether you were issued with any safety equipment, such as a face mask, when you were working.

If silicosis is suspected, you may be referred to a specialist for further tests to confirm the diagnosis.

Tests you may have include:

  • a chestX-rayto detect abnormalities in the structure of your lungs
  • acomputerised tomography (CT) scan of your chest to produce more detailed images of your lungs
  • lung function testing (spirometry), which involves breathing into a machine called a spirometer to assess how well your lungs are working

A test for TB may also be recommended because you're more likely to get TB if you have silicosis.

Treatingsilicosis

There's no cure for silicosis because the lung damage can't be reversed. Treatment aims to relieve symptoms and improve quality of life.

The conditionmay continue to get worse, leading to further lung damage and serious disability, although this may happen very slowly over many years.

The risk of complications may be reduced if you:

  • ensure you're not exposed to any more silica
  • stop smoking(if you smoke)
  • have regular tests to check forTB, if advised by your doctor
  • have the annual flu vaccine and thepneumococcal vaccine

You may be offered long-termoxygen therapy if you're having difficulty breathing and have low levels of oxygen in your blood.

Bronchodilator medicinesmay also be prescribed to widen your airways and make breathing easier.

You'll be given a course of antibiotics if you develop a bacterialchest infection.

In very severe cases, alung transplant may be an option, although there are strict health requirements to meet before this will be considered.

Preventingsilicosis

Silicosis can beprevented by avoiding prolonged exposure to silica dust.

In the UK, all workplaces must comply with The Control of Substances Hazardous to Health Regulations 2002, which sets a workplace exposure limit for silica.

Your employer should:

  • warn you about any risks to your health
  • make sure you're aware of the correct procedures to reduce your risk of exposure to silica dust
  • supply you with the necessary equipment to protect you

You can read more detailed information about thecontrol of exposure to silica dust on the Health and Safety Executive website.

Claiming compensation

If you've been diagnosed with silicosis, you may be able to claim compensation in one of the following ways:

  • industrial injuries disablement benefit – a sum of money paid weekly to people with silicosis who were exposed to silica while in employment (but not self-employment) and to people who have silicosis and lung cancer
  • launch a civil claim for compensation through the courts (you'll need to get legal advice about how to do this)
  • claim a lump sum in compensation under the Pneumoconiosis etc. (Workers' Compensation) Act 1979 – if you have silicosis, or you're the dependant of someone who has died from the condition, and you haven't been able to get compensation through the courts because the employer liable has stopped trading

You can read more about Industrial Injuries Disablement Benefit on the GOV.UK website.

Page last reviewed: 01 July 2021
Next review due: 01 July 2024

Silicosis (2024)

FAQs

How many potters get silicosis? ›

In the United States, each year approximately 250 workers are reported with (9) and 135 die from silicosis (10). The investigation described in this report underscores the potential health hazards associated with the use of crystalline silica in manufacturing sanitary ware.

How much silica do you need to breathe in to get silicosis? ›

Because silicosis is caused by cumulative or repeated exposure to respirable crystalline silica, it makes sense that we would want to limit exposure as much as possible! OSHA has set the Personal Exposure Limit (PEL) at 50 micrograms per cubic meter of air, averaged over an 8 hour shift.

How long do you have to be exposed to silica dust to get silicosis? ›

Silicosis usually develops after being exposed to silica for 10-20 years, although it can sometimes develop after 5-10 years of exposure. Occasionally, it can occur after only a few months of very heavy exposure.

What is the survival rate for silicosis? ›

The survival times of silicosis stage I , II and III, from the year of diagnosis to death, were 21.5, 15.8 and 6.8 years, respectively. There was 25 % of the silicosis patients whose survival time was beyond 33 y. The mean death age of all silicosis cases was 56.0 y.

Is smoking worse than silicosis? ›

The RSE was 0.95, 0.94, and 0.81 for lung cancer, COPD, and silicosis, which indicates that the effect (risk ratio) of silicosis on the mortality from these respiratory diseases in never smokers was relatively stronger than the smokers.

Should I be worried about silicosis? ›

Once inside the lungs, the dust particles can scar the lungs. This scarring is known as silicosis. Silicosis can lead to breathing problems, a serious lung condition called Progressive Massive Fibrosis (PMF), or lung cancer. There is no cure for silicosis and it can be fatal.

Can your lungs heal from silica dust? ›

Breathing crystalline silica dust can cause silicosis, which in severe cases can be disabling, or even fatal. When silica dust enters the lungs, it causes the formation of scar tissue, which makes it difficult for the lungs to take in oxygen. There is no cure for silicosis.

Can your lungs get rid of silica dust? ›

Your body can get rid of some dust you breathe in. But if you work in a job where you are exposed to high levels of dust for a long time, or work with products containing a high amount of silica, then your lungs become overwhelmed. As a result, your lungs can't get rid of all the dust.

How long does it take for silica to damage your lungs? ›

Over time, the silica dust particles can cause lung inflammation that leads to the formation of lung nodules and scarring in the lungs called pulmonary fibrosis. This is a progressive disease that normally takes 10–30 years after first exposure to develop.

Can you catch silicosis early? ›

Symptoms of silicosis usually appear after many years of exposure. In early stages, symptoms are mild and include cough, sputum and progressive shortness of breath. As the scarring continues to worsen, the first real signs of a problem may be an abnormal chest X-ray and a slowly developing cough.

Is one exposure to silica dust bad? ›

A single short term exposure to high concentrations of airborne silica dust might cause silicosis if it was high enough. That being said, the disease is typically the result of repeated or prolonged exposure to lower concentrations of silica dust.

Can a lung transplant cure silicosis? ›

There is no proven specific therapy for silicosis2 and this disease can be a lethal with poor prognosis. Our study demonstrated that selected patients with end-stage silicosis can benefit from lung transplantation.

What are the odds of getting silicosis? ›

The estimated cumulative risk of silicosis death, assuming exposure at the current OSHA exposure standard (0.1 mg/m3 when dust is 100% silica) from age 20 to 65 was 13 per 1000 (1.3%).

How many people have died from silicosis? ›

Global and national burden and changes. In 2019, there are over 12.9 thousand (95% UI: 10.9, 16.2) deaths due to silicosis worldwide, equivalent to a 0.15% (95% UI: − 0.34, 0.27) decrease compared with the number of deaths in 1990 [15.1 thousand (95% UI: 10.9, 18.5)].

What is the quickest silicosis? ›

The type with the quickest onset is acute silicosis. This can occur after only a few weeks or months exposure to very high levels of respirable crystalline silica. In acute silicosis, affected parts of the lung fill with fluid, typically causing severe illness or death.

How fast does silicosis progress? ›

Accelerated (or progressive) silicosis tends to develop after a period of three to ten years of exposure to higher concentrations of silica dust.

Does exercise help silicosis? ›

Some studies have shown that there is a higher prevalence of experiencing depression or anxiety symptoms in those with Silicosis. However, it is well established that routine exercise can significantly benefit mental illness management, improving psychological wellbeing through positive neurochemical changes.

Can silicosis progression be stopped? ›

There is no cure for silicosis and once the damage is done it cannot be reversed. Treatment is focused on slowing down the progression of the disease and relieving symptoms. Avoiding further exposure to silica and other irritants such as cigarette smoke is crucial.

Can a doctor hear silicosis? ›

Your provider might find silicosis on an imaging test even if you don't have symptoms. They might hear abnormal breath sounds while they examine you. You may have the following tests: Imaging tests: These include chest X-rays and high-resolution computed tomography (CT) scans.

Can you get silicosis from concrete dust? ›

Crystalline silica is found in materials. such as concrete, masonry and rock. When these mate- rials are made into a fine dust and suspended in the air, breathing in these fine particles can produce lung damage. Silicosis can be totally disabling and may lead to death.

What should I drink after inhaling dust? ›

Boil some water, add one teaspoon crushed ginger, 6 crushed black pepper and a few tulsi leaves. Add some palm sugar and drink it warm. This will help clear your nasal passages.

Is silica dust worse than asbestos? ›

Silica is the biggest risk to construction workers after asbestos. Heavy and prolonged exposure to RCS can cause lung cancer and other serious respiratory diseases. HSE commissioned estimates it was responsible for the death of over 500 construction workers in 2005.

What is the new treatment for silicosis? ›

Clinicians and researchers from The Prince Charles Hospital (TPCH) and The University of Queensland (UQ) have developed whole lung lavage, a ground-breaking new treatment that provides hope to those suffering with artificial stone silicosis.

Can you get silicosis in a week? ›

Silicosis usually develops after ten or more years of exposure to silica at low levels. However, it can develop a lot sooner (even within a few weeks), if you breathe in high levels of silica.

Is silicosis temporary? ›

Tools. Silicosis is an incurable lung disease caused by inhalation of dust that contains free crystalline silica.

Is N95 mask good for silica? ›

NIOSH recommends the use of half-facepiece particulate respirators with N95 or better filters for airborne exposures to crystalline silica at concentrations less than or equal to 0.5 mg/m3.

Does albuterol help silicosis? ›

Even if the affected person completely avoids silica dust in the future, the disease usually gets worse over time. Some medications might help you manage your disease. These might include: Bronchodilator medications like albuterol.

How do they flush the lungs for silicosis? ›

Whole lung lavage

It involves a general anaesthetic and flushing several litres of a salt-water solution through each lung with the aim of “washing out” damaging silica crystals. If shown to be effective, it will most likely have a role in the treatment of acute silicosis or early stages of silicosis.

Can people live with silicosis? ›

Silicosis IS NOT CURABLE, but it IS PREVENTABLE—to live a long and healthy life, learn the facts and know how to protect yourself and your family.

Do masks prevent silicosis? ›

Cloth masks or basic nuisance-grade dust mask will not offer enough protection against silica. The best options are N95/KN95 masks, or respirators with P95 or P100 filters.

What is the average age of silicosis diagnosis? ›

97.3% were male and mean (SD) age at diagnosis was 61.6 (11.7) years. 32.4% had ongoing silica exposure after receiving a silicosis diagnosis.

How long is the life expectancy of chronic silicosis? ›

Once diagnosed, the disease generally progresses over time. Patients with accelerated silicosis may progress to progressive massive fibrosis over a period of four to five years. Overall, people diagnosed with silicosis lose an average 11.6 years of life. So, prevention is vital.

Is silicosis rare? ›

Chronic silicosis is the most common form and generally develops only after exposure over decades. Accelerated silicosis, which is rare, may develop after more intense exposures over several years or months (like acute silicosis). Silica is also a cause of lung cancer.

What is the youngest case of silicosis? ›

Two years ago, at the age of 17, Urmila became one of the youngest certified cases of silicosis in India.

Where is silicosis most common? ›

The Respiratory System

Silicosis is the most prevalent chronic occupational lung disease in the world and is caused by inhalation of crystalline silicon dioxide (silica). It is more common in mine workers and workers employed in sandblasting.

What percentage of construction workers get silicosis? ›

The percentage of workers with chest X-ray findings of asbestosis or silicosis ranged from 11.7% to 38.8%, depending on the trade (chart 43b), and more than 40% had abnormal pulmonary function tests (PFTs). The prevalence of abnormal chest X-rays or PFTs increased with age and years worked.

Can pottery cause silicosis? ›

Hazards. There have been known cases of silicosis, or "potter's rot, from chronic inhalation of large amounts of free silica during clay mixing. Symptoms of silicosis include: shortness of breath, dry cough, emphysema, and high susceptibility to lung infections such as tuberculosis.

How many construction workers are exposed to silica? ›

About two million construction workers are exposed to respirable crystalline silica in over 600,000 workplaces.

How many construction workers are potentially exposed to silica every year? ›

It is estimated that more than 2.3 million workers in the United States are potentially exposed to dust containing crystalline silica — with nearly 90% of those workers employed in the construction industry.

How many American workers are exposed to silica? ›

About 2.3 million people in the U.S. are exposed to silica at work.

Can you get silicosis from cement? ›

Mortar can also contain respirable crystalline silica (RCS). RCS is also found in concrete and can lead to the development of silicosis or scarring of the lungs, which results in a loss of lung function and severe shortness of breath. Exposure to high concentrations can lead to death.

How long does silica dust stay in lungs? ›

Over time, the silica dust particles can cause lung inflammation that leads to the formation of lung nodules and scarring in the lungs called pulmonary fibrosis. This is a progressive disease that normally takes 10–30 years after first exposure to develop.

Can you get silicosis from wood? ›

The primary by-products of woodworking that are dangerous to your health are: – Silica dust is a major respiratory hazard, causing silicosis and other lung diseases. – Bacteria and fungi present in wood, or generated by processing, can cause infections.

Should I wear a mask while doing pottery? ›

Wear personal protective equipment at all times while working in the Clay Mixing Room and be exceptionally careful in cleaning up after mixing. Use the dust collector at all times. Wear a dust mask at all times.

How do I know if I've been exposed to too much silica dust? ›

Symptoms of silicosis usually appear after many years of exposure. In early stages, symptoms are mild and include cough, sputum and progressive shortness of breath. As the scarring continues to worsen, the first real signs of a problem may be an abnormal chest X-ray and a slowly developing cough.

What jobs expose you to silica? ›

  • Manufacturing of glass, pottery, ceramics, bricks, concrete, and artificial stone.
  • Abrasive blasting.
  • Foundry work.
  • Hydraulic fracturing.
  • Stonecutting.
  • Rock drilling.
  • Quarry work.
  • Tunneling.

What type of worker is at the highest risk of exposure to silica dust? ›

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 to silica exists.

What is the OSHA limit for silica? ›

Permissible exposure limit (PEL).

The employer shall ensure that no employee is exposed to an airborne concentration of respirable crystalline silica in excess of 50 μg/m3, calculated as an 8-hour TWA.

What is the highest source of silica? ›

Here are seven foods high in silica:
  1. Green Beans. Green beans are among the most silica-rich vegetables. ...
  2. Bananas. As far as fruits go, bananas are one of the biggest sources of silica. ...
  3. Leafy Greens. Many different types of leafy green vegetables are sources of silica. ...
  4. Brown Rice. ...
  5. Cereal. ...
  6. Lentils. ...
  7. Beer.
Nov 29, 2022

How far can airborne silica travel? ›

Research has shown that these particles can degrade air quality as far as 750 meters away, leading to a variety of serious health problems, particularly in children and other vulnerable populations.

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