First published: 10 November 2020
Silica exposure causes many other adverse health effects, including silicosis, cardiovascular disease, tuberculosis, autoimmune disease, and various kidney disorders.
Together with the increase in mortality, these findings make silica exposure a priority concern for public health, in addition to urban air pollution.
The exposure to ventilated quartz dust, silica sand, and stone dust occurred over the years from opening bags with and pouring and mixing raw materials, necessary steps in the production of paints, which appears to be the cause of the onset of silicosis.
2 CASE PRESENTATION
49-year-old man, a former smoker for approximately 12 years of approximately 20 cigarettes/d, was a specialized worker in charge of the production of paints and employed by a company in Southern Italy that supplied water-based paints, quartz paints, and wall paints and coatings for the building industry from 1994 to 2018. The work performed by the patient for 8 h/d consisted of opening bags containing the raw paint materials in powder form (calcium carbonate, micronized talc, titanium dioxide, sand, ventilated quartz flour, silica sand, stone dust, colored pigments, etc) and pouring them manually into tanks and cisterns to mix them with water by a rotating blade placed on the bottom. After this phase, the final product is verified and packaged. In addition, the operator was tasked with carefully monitoring the evolution of the production cycle and eventually completing the composition of the final product by introducing other dusty materials. The worker reported that his company provided him with FFP2 masks but that he only used them occasionally. Furthermore, the work environment first installed workplace dust extractors only in 2008.