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. 1984 Jun;39(6):436–441. doi: 10.1136/thx.39.6.436

Kaolin dust concentrations and pneumoconiosis at a kaolin mine.

E B Altekruse, B A Chaudhary, M G Pearson, W K Morgan
PMCID: PMC459826  PMID: 6463912

Abstract

Kaolin is removed from underground seams in the mining area to a processing area, where it is sliced, dried, and pulverised to make the finished product. A study was undertaken to determine the dust concentrations in various work areas and to assess the prevalence of radiographic and pulmonary function abnormalities in 65 workers at a Georgia kaolin mine. Respirable dust concentrations were higher in the processing area than in the mine or maintenance areas for all determinations from 1977 to 1981. The mean respirable dust level in the processing area in 1981 was 1.74 mg/m3 and 0.14 mg/m3 in the mine area. Five workers, all of whom had worked at the processing area, had radiographic evidence of kaolin pneumoconiosis. The mean values of forced vital capacity (FVC) and FEV1 of the entire group were within the normal range. When the spirometric values were expressed as a percentage of the predicted values, the FVC and FEV1 were significantly lower in the workers with kaolinosis than in other workers in the processing area. The FVC and FEV1 also declined significantly with increasing years of work in the processing area. The FEV1/FVC%, however, was not significantly altered either by the presence of kaolinosis or by an increasing number of years of work, indicating that the impairment was restrictive and hence likely to be a consequence of dust inhalation rather than smoking. In this study the highest dust concentrations occurred in the processing area, and kaolin pneumoconiosis was limited to those who had worked there. Kaolin exposure appeared to have a small but significant effect on ventilatory capacity in those with kaolin pneumoconiosis and in workers with a longer exposure. There was no association between the radiographic appearances of kaolinosis and cigarette smoking or between the presence of radiographic abnormalities and reduced arterial blood gas tensions.

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Selected References

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  1. Cohen D., Arai S. F., Brain J. D. Smoking impairs long-term dust clearance from the lung. Science. 1979 May 4;204(4392):514–517. doi: 10.1126/science.432655. [DOI] [PubMed] [Google Scholar]
  2. DUBOIS A. B., BOTELHO S. Y., BEDELL G. N., MARSHALL R., COMROE J. H., Jr A rapid plethysmographic method for measuring thoracic gas volume: a comparison with a nitrogen washout method for measuring functional residual capacity in normal subjects. J Clin Invest. 1956 Mar;35(3):322–326. doi: 10.1172/JCI103281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. GOLDMAN H. I., BECKLAKE M. R. Respiratory function tests; normal values at median altitudes and the prediction of normal results. Am Rev Tuberc. 1959 Apr;79(4):457–467. doi: 10.1164/artpd.1959.79.4.457. [DOI] [PubMed] [Google Scholar]
  4. GOUGH J., HALE L. W., KING E. J., NAGELSCHMIDT G. Pneumoconiosis of kaolin workers. Br J Ind Med. 1956 Oct;13(4):251–259. doi: 10.1136/oem.13.4.251. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kennedy T., Rawlings W., Jr, Baser M., Tockman M. Pneumoconiosis in Georgia kaolin workers. Am Rev Respir Dis. 1983 Feb;127(2):215–220. doi: 10.1164/arrd.1983.127.2.215. [DOI] [PubMed] [Google Scholar]
  6. LYNCH K. M., McIVER F. A. Pneumoconiosis from exposure to kaolin dust kaolinosis. Am J Pathol. 1954 Nov-Dec;30(6):1117–1127. [PMC free article] [PubMed] [Google Scholar]
  7. Lapp N. L., Amandus H. E., Hall R., Morgan W. K. Lung volumes and flow rates in black and white subjects. Thorax. 1974 Mar;29(2):185–188. doi: 10.1136/thx.29.2.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Lesser M., Zia M., Kilburn K. H. Silicosis in kaolin workers and firebrick makers. South Med J. 1978 Oct;71(10):1242–1246. doi: 10.1097/00007611-197810000-00016. [DOI] [PubMed] [Google Scholar]
  9. Morris J. F., Koski A., Breese J. D. Normal values and evaluation of forced end-expiratory flow. Am Rev Respir Dis. 1975 Jun;111(6):755–762. doi: 10.1164/arrd.1975.111.6.755. [DOI] [PubMed] [Google Scholar]
  10. Oldham P. D. Pneumoconiosis in Cornish china clay workers. Br J Ind Med. 1983 May;40(2):131–137. doi: 10.1136/oem.40.2.131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. SHEERS G. PREVALENCE OF PNEUMOCONIOSIS IN CORNISH KAOLIN WORKERS. Br J Ind Med. 1964 Jul;21:218–225. doi: 10.1136/oem.21.3.218. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Teculescu D. B., Stanescu D. C., Pilat L. Pulmonary mechanics in silicosis. Correlations with radiological stages. Arch Environ Health. 1967 Mar;14(3):461–468. doi: 10.1080/00039896.1967.10664769. [DOI] [PubMed] [Google Scholar]
  13. WARRAKI S., HERANT Y. PNEUMOCONIOSIS IN CHINA-CLAY WORKERS. Br J Ind Med. 1963 Jul;20:226–230. doi: 10.1136/oem.20.3.226. [DOI] [PMC free article] [PubMed] [Google Scholar]

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