Massachusetts Reports First Silicosis Case Linked to Countertop Stone Work

Massachusetts health authorities have confirmed the state’s first case of silicosis, a severe and incurable lung disease, in a 40-year-old man who spent 14 years in the stone countertop industry. This case draws attention to the significant health risks associated with exposure to crystalline silica dust, particularly from engineered stones like quartz, which has surged in popularity due to its practicality and aesthetic appeal.

The Massachusetts Department of Public Health (DPH) made the announcement on Tuesday, revealing the man’s diagnosis as a stark reminder of the dangers facing workers in this sector. As reported, the patient engaged in activities such as cutting, grinding, and polishing stone, which can create hazardous silica dust. When inhaled, this dust leads to lung scarring and ultimately silicosis, a disease known for its irreversible and progressive nature.

Emily H. Sparer-Fine, a director at DPH, emphasized the seriousness of the situation, stating, “The confirmation of this case in Massachusetts is a tragic reminder that silicosis is not just a distant threat. It is here, and it is seriously impacting the health of workers in Massachusetts.”

Symptoms of silicosis include persistent cough, shortness of breath, fatigue, and chest pain. The DPH notes that there is often an extended latency period between initial exposure to silica and the onset of symptoms, which can lead to delayed diagnoses. The disease can progress to severe complications, including lung cancer and tuberculosis, which may ultimately result in death.

Although the risk of developing silicosis exists when handling natural stones, such as granite, it is particularly pronounced when working with engineered stone. The DPH reported that while natural granite typically contains less than 45% silica, engineered stone can contain more than 90%. This heightened silica content is a contributing factor to the increasing prevalence of silicosis within the stone fabrication workforce as the demand for engineered countertops grows.

Recent studies have highlighted the issue further. A study conducted in California in 2023 identified 52 quartz countertop workers diagnosed with silicosis, with 20 of those cases classified as advanced disease and 10 resulting in fatalities.

Despite the severity of the disease, there are currently no outright bans on quartz in kitchens across the United States. In contrast, Australia has already implemented a ban on all work involving engineered stone due to the associated health risks. Other nations are also exploring stricter regulations to protect workers.

The DPH maintains that silicosis is “absolutely preventable” through effective workplace safety measures. They urge employers in the stone countertop fabrication industry to adopt practices such as wet cutting and proper ventilation to reduce silica exposure and safeguard the health of workers.

Public Health Commissioner Robbie Goldstein reiterated the necessity of preventive strategies, stating, “Silicosis is a devastating, life-altering disease and one that is also absolutely preventable.”

The confirmation of this case not only highlights the risks faced by workers but also serves as a call to action for enhanced regulations and safety protocols within the industry to protect against this debilitating disease.