ORIGINAL PAPER
Epidemiology of silicosis reported to the central register of occupational diseases over last 20 years in Poland
 
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1
Wielkopolska Centre of Occupational Medicine, Poznań, Poland (Department of Consultative, Diagnostic and Preventive Medicine)
2
Nofer Institute of Occupational Medicine, Łódź, Poland (Clinic of Occupational Diseases and Environmental Health)
3
Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Environmental Epidemiology)
CORRESPONDING AUTHOR
Joanna Nowak-Pasternak   

Wielkopolska Centre of Occupational Medicine, Department of Consultative, Diagnostic and Preventive Medicine, Poznańska 55a, 60-852 Poznań, Poland
Online publication date: 2022-06-09
 
 
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ABSTRACT
Objectives: The aim of the study was to investigate and assess the incidence of silicosis cases acknowledged as occupational diseases in Poland in 2000–2019. Material and Methods: The cases of all medically recognized pneumoconioses, including silicoses, certified as occupational diseases were studied. The records were extracted from the Central Register of Occupational Diseases, the only official Polish central electronic data base of occupational diseases. Results: During the period 2000–2019, 2066 confirmed cases of silicoses and 10 665 cases of other pneumoconioses including asbestosis and coal workers’ pneumoconiosis were reported to the Central Register of Occupational Diseases. Silicoses accounted for 12.8–21.2% of all pneumoconioses. The number of confirmed silicoses cases was growing along with the length of latency period and was the highest for the period of ≥40 years (513 cases). Over 70% of silicoses cases occurred after occupational exposure >20 years. The most workers who evolved silicosis were employed in manufacturing, predominantly casting of iron, mining and quarrying and construction. Conclusions: The number of confirmed cases of silicosis in Poland decreased in 2000–2019 but the disease still remains an important health problem. Prevention is crucial to reduce further disease incidence. The medical monitoring standards of exposed workers should be improved. Developing new diagnosing guidelines with the use of other imaging examinations, like high-resolution computed tomography, has to be considered. The analysis should contribute into the implementation of silicosis preventative programmes, both at the enterprise and national level.
eISSN:1896-494X
ISSN:1232-1087