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From Engineered Stone Slab to Silicosis: A Synthesis of Exposure Science and Medical Evidence

Author

Listed:
  • Chandnee Ramkissoon

    (Adelaide Exposure Science and Health, School of Public Health, University of Adelaide, Adelaide, SA 5064, Australia)

  • Sharyn Gaskin

    (Adelaide Exposure Science and Health, School of Public Health, University of Adelaide, Adelaide, SA 5064, Australia)

  • Yong Song

    (Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia)

  • Dino Pisaniello

    (Adelaide Exposure Science and Health, School of Public Health, University of Adelaide, Adelaide, SA 5064, Australia)

  • Graeme R. Zosky

    (Menzies Institute for Medical Research, College of Health and Medicine, University of Tasmania, Hobart, TAS 7000, Australia)

Abstract

Engineered stone (ES) is a popular building product, due to its architectural versatility and generally lower cost. However, the fabrication of organic resin-based ES kitchen benchtops from slabs has been associated with alarming rates of silicosis among workers. In 2024, fifteen years after the first reported ES-related cases in the world, Australia became the first country to ban the use and importation of ES. A range of interacting factors are relevant for ES-associated silicosis, including ES material composition, characteristics of dust exposure and lung cell-particle response. In turn, these are influenced by consumer demand, work practices, particle size and chemistry, dust control measures, industry regulation and worker-related characteristics. This literature review provides an evidence synthesis using a narrative approach, with the themes of product, exposure and host. Exposure pathways and pathogenesis are explored. Apart from crystalline silica content, consideration is given to non-siliceous ES components such as resins and metals that may modify chemical interactions and disease risk. Preventive effort can be aligned with each theme and associated evidence.

Suggested Citation

  • Chandnee Ramkissoon & Sharyn Gaskin & Yong Song & Dino Pisaniello & Graeme R. Zosky, 2024. "From Engineered Stone Slab to Silicosis: A Synthesis of Exposure Science and Medical Evidence," IJERPH, MDPI, vol. 21(6), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:683-:d:1402610
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    References listed on IDEAS

    as
    1. Mariella Carrieri & Carly Guzzardo & Daniel Farcas & Lorenzo G. Cena, 2020. "Characterization of Silica Exposure during Manufacturing of Artificial Stone Countertops," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    2. Mwaba Sifanu & Thomas K. Taylor & Kennedy K. Kalebaila & Patrick Hayumbu & Lubinda Nabiwa & Stephanus J. L. Linde, 2023. "Knowledge, Attitude, Behavior Practices and Compliance of Workers Exposed to Respirable Dust in a Zambian Copper Mine," IJERPH, MDPI, vol. 20(18), pages 1-17, September.
    3. Mar Requena-Mullor & Raquel Alarcón-Rodríguez & Tesifón Parrón-Carreño & Jose Joaquín Martínez-López & David Lozano-Paniagua & Antonio F. Hernández, 2021. "Association between Crystalline Silica Dust Exposure and Silicosis Development in Artificial Stone Workers," IJERPH, MDPI, vol. 18(11), pages 1-10, May.
    4. Veruscka Leso & Luca Fontana & Rosaria Romano & Paola Gervetti & Ivo Iavicoli, 2019. "Artificial Stone Associated Silicosis: A Systematic Review," IJERPH, MDPI, vol. 16(4), pages 1-17, February.
    5. Preeti Maharjan & Joseph Crea & Michael Tkaczuk & Sharyn Gaskin & Dino Pisaniello, 2021. "Metal Ion Release from Engineered Stone Dust in Artificial Lysosomal Fluid—Variation with Time and Stone Type," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    Full references (including those not matched with items on IDEAS)

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