Health and Me

Itisha Arya

Deadly, Incurable Disease Traced To A Common Kitchen Design Choice In US

SILICOSIS US

Quartz counters have become a staple in modern homes, helped by an eightfold jump in US imports and a reputation for durability, heat resistance and a polished, stone-like finish. Yet the growing demand has put a spotlight on the health risks faced by the people who cut and shape these slabs.

This week, the Massachusetts Department of Public Health issued an alert about <span>silicosis</span>, a progressive and incurable lung condition. Officials confirmed the first known case in the state among a worker in the stone countertop fabrication trade.

Silicosis is a long-term lung condition that develops when a person repeatedly inhales tiny particles of crystalline silica found in materials such as sand, stone and quartz. These particles irritate the lungs and cause lasting scarring that makes it harder to breathe as the disease progresses. It is most often seen in jobs such as mining, construction and sandblasting. 

There is no cure, though it can be avoided with proper safety controls. Common signs include a lingering cough, breathlessness, tiredness and a higher risk of infections such as tuberculosis.

<h2>Super Flu-Style Spike in Silicosis Cases Among Fabricators</h2>

Silicosis was once linked largely to mining and heavy construction. Today, it is increasingly seen among workers handling engineered stone, which carries far higher silica levels than natural options such as granite or marble. The American Lung Association estimates that about 2.3 million workers nationwide are exposed to silica dust in their jobs.

The illness develops when microscopic crystalline silica particles are inhaled during dry cutting, polishing or grinding. Early signs often include a persistent cough, mucus, breathlessness, fatigue, chest discomfort and swelling in the legs.

There is no cure. While symptoms can be managed, the condition can advance over time and raise the risk of lung cancer, tuberculosis and fatal complications. Massachusetts officials said the affected worker, a Hispanic man in his forties, had spent 14 years fabricating and installing stone countertops. The first US case connected to engineered stone was reported in Texas in 2015.

<h2>Growing Evidence From Across the Country</h2>

A 2023 investigation in California identified 52 workers with silicosis tied to quartz fabrication. Twenty had severe disease, and ten died before the research was completed. Despite the seriousness, quartz has not been banned. Instead, public health leaders are calling for stronger safety measures.

“This case is a tragic reminder that silicosis is not a far-off concern. It is present and harming workers here in Massachusetts,” said Emily H. Sparer-Fine, who leads the state’s Occupational Health Surveillance Program. She added that everyone in the supply chain has a role to play, including choosing materials with lower silica content.

Proposed protective steps include improved ventilation and routine medical checks for workers.

<h2>Why Regulators Are Sounding the Alarm</h2>

“Our study raises an urgent warning,” said Dr. Sheiphali Gandhi, a pulmonologist with UC San Francisco and a co-author of the California report. “Unless action is taken now, we may see hundreds or even thousands of additional cases. Even with immediate change, new cases will continue to appear because silicosis develops slowly.”

The federal Occupational Safety and Health Administration set two national standards for respirable crystalline silica in 2016, capping workplace exposure at 50 micrograms per cubic meter of air over an eight-hour shift. Yet inspections in California in 2019 and 2020 showed that roughly 72 percent of the state’s 808 fabrication shops were likely not meeting these requirements, placing many workers at risk.

California has since adopted emergency silica rules, which became permanent in late 2024.

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Quartz counters have become a staple in modern homes, helped by an eightfold jump in US imports and a reputation for durability, heat resistance and a polished, stone-like finish. Yet the growing demand has put a spotlight on the health risks faced by the people who cut and shape these slabs.This week, the Massachusetts Department of Public Health issued an alert about silicosis, a progressive and incurable lung condition. Officials confirmed the first known case in the state among a worker in the stone countertop fabrication trade.What Is Silicosis?Silicosis is a long-term lung condition that develops when a person repeatedly inhales tiny particles of crystalline silica found in materials such as sand, stone and quartz. These particles irritate the lungs and cause lasting scarring that makes it harder to breathe as the disease progresses. It is most often seen in jobs such as mining, construction and sandblasting. There is no cure, though it can be avoided with proper safety controls. Common signs include a lingering cough, breathlessness, tiredness and a higher risk of infections such as tuberculosis.Super Flu-Style Spike in Silicosis Cases Among FabricatorsSilicosis was once linked largely to mining and heavy construction. Today, it is increasingly seen among workers handling engineered stone, which carries far higher silica levels than natural options such as granite or marble. The American Lung Association estimates that about 2.3 million workers nationwide are exposed to silica dust in their jobs.The illness develops when microscopic crystalline silica particles are inhaled during dry cutting, polishing or grinding. Early signs often include a persistent cough, mucus, breathlessness, fatigue, chest discomfort and swelling in the legs.There is no cure. While symptoms can be managed, the condition can advance over time and raise the risk of lung cancer, tuberculosis and fatal complications. Massachusetts officials said the affected worker, a Hispanic man in his forties, had spent 14 years fabricating and installing stone countertops. The first US case connected to engineered stone was reported in Texas in 2015.Growing Evidence From Across the CountryA 2023 investigation in California identified 52 workers with silicosis tied to quartz fabrication. Twenty had severe disease, and ten died before the research was completed. Despite the seriousness, quartz has not been banned. Instead, public health leaders are calling for stronger safety measures.“This case is a tragic reminder that silicosis is not a far-off concern. It is present and harming workers here in Massachusetts,” said Emily H. Sparer-Fine, who leads the state’s Occupational Health Surveillance Program. She added that everyone in the supply chain has a role to play, including choosing materials with lower silica content.Proposed protective steps include improved ventilation and routine medical checks for workers.Why Regulators Are Sounding the Alarm“Our study raises an urgent warning,” said Dr. Sheiphali Gandhi, a pulmonologist with UC San Francisco and a co-author of the California report. “Unless action is taken now, we may see hundreds or even thousands of additional cases. Even with immediate change, new cases will continue to appear because silicosis develops slowly.”The federal Occupational Safety and Health Administration set two national standards for respirable crystalline silica in 2016, capping workplace exposure at 50 micrograms per cubic meter of air over an eight-hour shift. Yet inspections in California in 2019 and 2020 showed that roughly 72 percent of the state’s 808 fabrication shops were likely not meeting these requirements, placing many workers at risk.California has since adopted emergency silica rules, which became permanent in late 2024.