[Occupational health risk assessment of silicosis caused by silica dust exposure in non-ferrous metal mines in 7 provinces from 2019 to 2020].

Xiaodong Xu, Kai Liu, Bing Yu, Lin Zhang, Xin Wang, Yiwen Dong, Ning Kang, Meng Ye, Zhongquan Pan
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引用次数: 1

Abstract

Objective: To explore the occupational health risk level of silicosis caused by silica dust exposure in non-ferrous metal mining enterprises.

Methods: Using typical sampling method, 44 non-ferrous metal mining enterprises were selected in seven provinces.37 non-ferrous metal mining enterprises were included, and most of them were underground enterprises(97.30%). Enterprises basic information and silica dust exposure data of key positions were collected by using on-site hygiene investigation and detecting method. Finally, the International Council on Mining and Metals'(ICMM) risk rating table method and occupational hazard risk index method(INDEX) were used to analyze the occupational health risk level of silicosis caused by silica dust exposure in non-ferrous metal mines from total and respirable dust views, respectively. Meanwhile, the square weighted Kappa test was performed to analyze the consistency between two risk assessment method.

Results: Medium enterprises(64.69%(40.38%, 73.41%)), silver mining enterprises(84.69%(63.38%, 86.06%)) and antimony mining enterprises(72.22%) had relatively higher silica dust exposure rates. On-site hygiene detecting result showed that:(1) M(P25, P75) of free silica content was 21.18%(17.03%, 30.47%). (2) 1.60(0.86, 2.46)mg/m~3 for total dust concentration, 64.47% total dust concentration samples exceeding Chinese permissible concentration-time weighted average(PC-TWA), 0.68(0.30, 1.18) mg/m~3 for respiratory dust concentration, 50.00% respirable dust concentration samples exceeding Chinese PC-TWA. (3) Medium-sized enterprises, as well as rock drillers and crushers, had higher levels of silica dust exposure. Occupational health risk assessment result showed that:(1) The overall occupational health risk level of silicosis caused by silica dust exposure in non-ferrous metal mining enterprises was medium:(1) In term of total dust, ICMM risk rating table method and INDEX method indicated high and medium risks, respectively(S_(weighted) were 3.52 and 2.79). (2) In term of respirable dust, both ICMM risk rating table and INDEX method indicated medium risks(S_(weighted) were 2.78 and 2.35). (2) Medium-sized enterprises risk level was higher than other two production scales enterprises. ICMM risk rating table method and the INDEX method consistency analyses showed that these two risk assessment method had strong consistencies in terms of total dust or respirable dust(both Kappa values ≥ 0.600).

Conclusion: The overall occupational health risk level of silicosis caused by silica dust exposure in non-ferrous metal mining enterprises was medium, and the risk levels of medium production-scale mining enterprises, rock driller and crusher were higher.

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[2019 - 2020年7省有色金属矿山二氧化硅粉尘暴露致矽肺病职业健康风险评价]。
目的:探讨有色金属矿山企业接触二氧化硅粉尘引起的矽肺病职业健康风险水平。方法:采用典型抽样方法,选取7个省份的44家有色金属矿山企业。其中有色金属矿山企业37家,以地下企业居多(97.30%)。采用现场卫生调查检测法采集企业基本信息和关键岗位二氧化硅粉尘暴露数据。最后,采用国际矿业与金属理事会(ICMM)风险评定表法和职业危害风险指数法(index),分别从总粉尘和呼吸性粉尘角度分析有色金属矿山二氧化硅粉尘暴露导致矽肺病的职业健康风险水平。同时,采用平方加权Kappa检验分析两种风险评价方法的一致性。结果:中等企业(64.69%(40.38%,73.41%))、银矿企业(84.69%(63.38%,86.06%))和锑矿企业(72.22%)的硅尘暴露率较高。现场卫生检测结果显示:(1)M(P25、P75)游离二氧化硅含量分别为21.18%(17.03%、30.47%)。(2)总粉尘浓度为1.60(0.86、2.46)mg/m~3, 64.47%的总粉尘浓度超过中国允许浓度-时间加权平均值(PC-TWA),呼吸性粉尘浓度为0.68(0.30、1.18)mg/m~3, 50.00%的呼吸性粉尘浓度超过中国PC-TWA。(3)中型企业以及凿岩机和破碎机的硅尘暴露水平较高。职业健康风险评价结果表明:(1)有色金属矿山企业接触二氧化硅粉尘引起的矽肺病总体职业健康风险等级为中等;(1)在总粉尘方面,ICMM风险评定表法和INDEX法分别为高、中风险(S_(加权)分别为3.52和2.79)。(2)呼吸性粉尘方面,ICMM风险评定表和INDEX方法均为中等风险(S_(加权)分别为2.78和2.35)。(2)中型企业风险水平高于其他两种生产规模企业。ICMM风险评定表法与INDEX法一致性分析表明,两种风险评价方法在总粉尘和呼吸性粉尘指标上具有较强的一致性(Kappa值均≥0.600)。结论:有色金属矿山企业二氧化硅粉尘暴露致矽肺病总体职业健康风险等级为中等,中等生产规模矿山企业、凿岩工和破碎工风险等级较高。
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