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DUST IN MINES
Most mining operations produce dust which, when air-
borne, becomes a serious hazard to the health of the
persons exposed to such an environment
.
2
• The problem of dust has been there ever
since the mining started, but in recent
times, with the increase of mechanization
in mines, it has become aggravated, since
machine operations usually generate dust
in larger quantities and get air borne than
manual operations earlier.
3
• Dust can be defined as finely divided solid
matter
• and can be considered from two aspects:
• (1) its explosive properties and
• (2) its harmful physiological effects.
4
• Explosion hazard. The possibility of a
dust explosion is always present in
coal mines.
• Besides, inflammable dusts, as that of coal
and sulphide ores can lead to disastrous
explosions
• Explosive dusts are outside the scope of
our subject now
5
• we confine ourselves to dusts with health
hazards
Health risk
– Due to the inhalation of fine dust particles and their
retention in the alveoli of the lungs, there is a health
risk
– depends also upon exposure time and the nature of
the dust, particularly its concentration and
physicochemical properties.
7 DUST IN MINES
• Dusts of any kind when inhaled in large
quantities lead to the development of
respiratory diseases. Like
• Chronic bronchitis and
pneumoconiosis.
8
• Pneumoconiosis is a general term
• used for occupational Lung disease due to
dust and has been redefined by the ILO
working group in 1971
• as the accumulation of dust in
the lungs and the reaction of dust to the
lung tissue.
9
• Besides ,these dusts, radioactive dusts of
uranium or thorium ores as well as other
toxic dusts of ores (mainly oxides and
carbonates of beryllium, arsenic, lead,
chromium, vanadium, mercury, cadmium,
antimony, manganese, tungsten, nickel,
silver etc.) are also harmful to the human
system and have to be guarded against
PHYSIOLOGICAL EFFECTS OF
MINE DUST
• Inhaled air passes through the nose and throat
into the trachea,
• divides into two main branches, one going to
each lung.
• The left lung is divided into two lobes whereas
the right is divided into three (Fig.).
• These lobes are made up of a vast number of
small alveoli (air sacs), each of which is the
termination of the branches of the trachea
known as the bronchi and bronchioles.
Human respiratory system
12
• Each alveolus is supplied with arterial and
venous capillaries and a lymphatic duct.
• The respiratory tract has a number of
defense mechanisms to catch any dust
which may be inhaled.
13
• The larger particles (>10 micro meters) are likely
to he caught in the nasal passages or throat.
• Some of the particles passing , through the
trachea and bronchi are caught in their mucous
secretions.
• This mucus is continually pushed upwards by
numerous minute hairs (cilia), which work with a
whip-like action, at about 1.25 cm a minute until
it is discharged from the trachea.
14
• The remaining smaller particles (mostly <5 micro
meters) may pass into the small alveoli. Here the
mobile scavenger cells known as macrophages
can engulf the particles and move into the
bronchi to be ejected by the cilia.
• Other particles may, however, pass through the
alveolar wall and remain in the lung tissue, or
enter the lymphatic drainage system via the
macrophages and reach the lymph glands which
function as filters.
15
• Depending on the nature of the dust, a
fibrotic reaction may take place within the
lung tissue surrounding the dust particle.
(Silica, asbestos, coal, diatomaceous
earth, and silicates such as talc, kaolin
and mica are known to produce fibrotic
pneumoconiosis.)
16
• Lastly, many particles «1 micro meter
remain suspended in the inhaled air and
are exhaled.
Dust deposition
Typical size distribution of air borne
dust
air-borne dust
concentration of dust
• All the defense mechanisms are neither completely nor immediately
effective so that the retention period of inhaled dust may range from
hours to months.
• Where excessive concentrations of dust are encountered
for long periods, the risk of a pathological response is greatly
increased as defense mechanisms become overloaded.
• These pathological changes may alter the normal physiology,
Leading 'to a further deterioration in respiratory defense
mechanisms and creating a condition of less effective lung
clearance as the exposure continues.
20
• With the deterioration of the lung tissue,
pulmonary function is damaged. The
symptoms may range from a shortness of
breath to problems of oxygen and carbon
dioxide diffusion or blood circulation, i.e.
progressive diminution of working
capacity, and eventually complete
incapacity There is also an increased
susceptibility to tuberculosis.
21
• Pulmonary function tests and radiological
examinations have been coupled with
industrial hygiene studies throughout the
world in the past 75 and odd years.
(Radiological examinations are usually
relied upon for detection and classification
of the lung disease into various stages.)
22
• Threshold limit values (TLVs) of dust
concentrations have been determined
from the correlation of dust concentrations
and medical findings.
Factors affecting the degree of
health risk ,Physiological
properties of dust
• The properties of dust affecting the
development and severity of lung diseases
are:
• (a) composition,
• (b) size, and
• (c) concentration.
Composition.
• Free silica (also called crystalline silica
comprising quartz, tridymite and
cristobalite) is the most dangerous
component of dust affecting the behaviour
of alveolar macrophages.
• When these cells die they release a
substance which is foreign to the body,
producing an allergic type of reaction
resulting in fibrosis.
25
it is the composition of the dust reaching
the lung and not
the airborne dust which is important, since
the composition of these two dusts
can vary considerably
26
• Free silica in crystalline form in any dust is
the most important factor accepted as the
hazard component of any dust.
• It can associate with any type of
pneumoconiosis disabling.
• For any physiological study assessment of
silica is important
SIZE
• By examinations of the lungs of numerous
workers, it has been determined that
pneumoconiosis is caused by dust
particles below 5 ,micro meters
• There is some evidence that the greatest
danger is from particles ranging from
1 to 2, micrometers in size.
28
Only particles within the size range of about
0.25 to 10 micrometers (called respirable dust)
enter the lung and only a percentage (depending
upon the size of the particle and the person's
retention characteristics) of those entering the
lung are retained
Retention of dust in respiratory
tract
30
In general, Irregular particles settle more
slowly than spheres of the same mass and
for this reason irregular particles having a
mass greater than that of a 10 micro meter
diameter unit density sphere can be found
in the lung. In some cases this effect can
be serious.
31
• Asbestos can break readily into bundles of
fibers having a diameter of only 0.02 to
0.12 micrometer with a length of 1 to 150
micrometers.
• Because of their very low sedimentation
rate (depending upon the diameter), these
fibers are not caught in the respiratory
tract and are able to reach the lung
where they are retained.
32
• Chrysotile has curved fibers and these are
less likely to pass through the respiratory
tract; it is probably for this reason that
chrysotile is less likely to cause lung
damage than amosite or crocidolite.
concentration
a.Concentration of dust can be expressed as
mass of dust per unit volume of air,
b.number of particles per unit volume, and
c. surface area of particles per unit volume.
34
• The mass concentration of respirable size range
dust is the best single parameter to measure for
assessment of the risk of pneumoconiosis from
coal dust.
• For quartz dust, the surface area of the
respirable particles is probably the best
parameter to measure
• it is usually measured with a gravimetric dust
sampling instrument.
35
• Surface area more important for the
reactivity of silica dust and toxic nature
Time of exposure
• The human respiratory system has a certain
capacity for disposing of inhaled dust.
• Under overloaded conditions, larger lung
dosages produce faster development of
pneumoconiosis.
• Thus, the time of exposure to a certain dust
concentration is an important factor in the
development of pneumoconiosis.
37
• The incidence of pneumoconiosis increases with
increase in both the concentration and
• time of exposure and is correlated with the
cumulative
dust exposure calculated from the length of
employment of the worker and
• the weighted average concentration of dust to
which the worker is subjected on each shift.
Threshold limit values
• Thresh hold limit values of air borne
substances are those concentrations
within which nearly all workers may be
repeatedly exposed day after day without
any adverse effect on their health.
33 PNEMOCONIOSIS
• From a pathological point of view,
pneumoconiosis can be divided into two
groups:
• (a) collagenous, and
• (b) noncollagenous.
34
• Non collagenous pneumoconiosis is
caused by non fibrogenic dusts and is
characterized by
• 1) alveolar architecture remaining intact,
• 2) minimal stromal reaction consisting
mainly of reticulin fibers and
• (iii) reversibility of dust reaction. .
35
• Examples of noncollagenous
pneumoconiosis. are
• stannosis caused by tin oxide and
• barytosis caused by barium sulphate.
36
• Collagenous pneumoconiosis is characterized
by
• (i) permanent alteration or destruction of
alveolar architecture,
• (ii) collagenous stromal reaction of moderate to
maximal degree and
• (iii) permanent scarring of lungs.
• It may be caused by fibrogenic dusts or altered
tissue response to non-fibrogenic dusts.
• collagenous
37
In practice distinction between
collagenous and noncollagenous
pneumoconiosis is difficult and continued
exposure to the same dust such as coal
dust may cause transition from
non- collagenous to collagenous form
SILICOSIS
• Of all the types of pneumoconiosis met
with in mines, silicosis is the most
dangerous since it can affect people fatally
and is progressive in nature.
• There have been cases when a patient
has complained of the symptoms of
silicosis even after he had left the dusty
operation for several years.
39
• Silicosis is characterized by the development of
nodular fibrosis in the lung tissue.
• The nodules appear as protrusions in the lung
tissue and histologically consist of a concentric
development of fibrous tissue.
• They may at times be thrown into sharp relief by
emphysema or collapse of the surrounding lung
tissue.
• Calcareous development at the centre of the
nodules is noticed in certain cases.
40
• Pathologically and symptomatically
silicosis can be divided into the following
three stages.
41
• In the first stage dyspnoea (inelasticity of the lung) and
shortening of breath is noticed only on exertion.
• There may be a slight dry cough but chest expansion is
rarely minimized. Radiographs of the
• Radiographs of the lung show discrete circular shadows
of nodules of a maximum diameter of 2mm.
42
• The second stage is characterized by well-
established dyspnoea and cough with
impaired chest expansion.
• The radiograph shows diffuse nodulation
with a tendency to coalescence.
• Dyspnoea leads to total incapacity
43
In the third stage when
the radiograph shows areas of massive
consolidation.
44
• Silicosis, particularly in the advanced
stages, is usually associated with
tuberculosis infection which may modify
the symptoms.
45
• The cause of nodular fibrosis is believed to be
the toxic action. of high polymers of silicic acid.
• Particles of free silica (Si02) dissolve in the lung
fluid forming silicic acid which, in turn, under-
goes high polymerization when the initial pH(2)
of silicic acid passes through a value of 5.5 to 6
corresponding to a stage of high polymerization
of silicic acid as it tends to reach the lung pH of
7. .
47
• There has been no approved cure, so far,
of silicosis, though its associated
tuberculosis is amenable to treatment:
• Aluminum prophylaxis and therapy for the
treatment of silicosis have been tried in
Canada and some other countries since
1937 with encouraging results, but they
have yet to find wide application .(in
mines).
47
• The principle of aluminum therapy depends on
the fact that particles of metallic aluminum or
amorphous hydrated alumina when engulfed in
the same phagocyte cell along with silica dust
neutralize the effect of silica, thus arresting
further progression of fibro tic tissue reactions.
• Mature nodules become static and immature
lesions of the early stage of fibrosis get resolved.
48
• Aluminum ordinarily has no toxic effect on
lung tissue but excessive doses make the
lung more susceptible to tuberculosis
infection.
• Aluminum dust is retained in the lung for a
fairly long time extending even up to a
year, and can hence act as a prophylactic
agent against later inhalation of silica
dust.
49
• Recently" aqueous solution of
chlorhydroxy-allantoinate of aluminum and
colloidal solution of aluminum hydroxide
administered in the form of aerosol
showed both prophylactic as well as
stabilizing action on silicotic lesions, while
the solution itself was completely
innocuous.
50
• Experiments have been carried out in
Germany for preventing dangerous silica
dust from reaching the alveoli of the lung
(where they could produce silicosis) by
artificially increasing their size.
• This is done by releasing a large quantity
of fine aerosol (0.05 Micro.m size) of
sodium chloride into the dusty air
51
• Owing to Brownian motion, several particles of sodium
chloride coagulate with each dust
particle. The hygroscopic salt absorbs moisture when
passing .through the moist respiratory tract and makes
the dust particles grow in size by condensation of water
on them.
• Though encouraging results have been obtained from
experiments on animals, the effect of the method on m
en has not yet been fully tried out.
52 ASBESTOSIS
• Owing to Brownian motion, several particles of sodium
chloride coagulate with each dust
particle. The hygroscopic salt absorbs moisture when
passing .through the moist respiratory tract and makes
the dust particles grow in size by condensation of water
on them.
• Though encouraging results have been obtained from
experiments on animals, the effect of the method on m
en has not yet been fully tried out.
53
• The lung radiograph shows a diffuse
ground glass Of cobweb-like appearance.
• Here the fibrosis is believed to be caused
by the mechanical action of long asbestos
fibers which get lodged in the alveolar
walls causing morbid growth of fibrous
tissue in the region.
54
• As a result, the alveolar walls or the septa
separating alveoli get thickened owing to the
presence of both asbestos fibers and asbestosis
bodies.
• This is substantiated by the fact that the fibrosis-
producing character of asbestos is almost
completely eliminated if the asbestos is
thoroughly pulverized so that no particle in it
exceeds two icrometers in length.
55
• Emphysema is usually present in
asbestosis with many pleural adhesions.
• The Common symptoms of asbestosis
are dyspnoea and non-productive cough.
56
• Often the clinical symptoms may be more
pronounced than those in classical silicosis
although the lung radiographs of asbestosis are
less severe than those of classical
silicosis.
• Progress of fibrosis in asbestosis has been
found to be more rapid than in silicosis, so much
so that a person may die of asbestosis within
five years of the onset of symptoms.
• Asbestosis, however, makes the lung less
susceptible to tuberculosis than does silicosis
57
• Apart from dusts of free silica and asbestos,
other dusts such as that of chromite, iron ore,
kaolin, barytes etc. produce pneu-mokonioses
which usually do not show fibrosis and are
generally non-progressive and non-disabling,
though pigmentation and
consequent thickening of alveolar walls do
occur.
• Fibrosis however develops if these dusts contain
some amount of free silica.
COAL MINERS PNEMOCONIOSIS
• In the simplest form of coal miners'
pneumoconiosis, coal dust usually collects
at a number of foci all over the lung
around the small bronchioles and their
accompanying arteries and a network of
reticulin fibres is developed all around
these foci. The air spaces around the coal
foci get dilated leading to focal
emphysema.
standards
• from their study of particulate residues of
lung digests have indicated the following
size classification of the retained dust-
• Less than 0.5 micrometers 50%
• 0.5 to 5 micrometrers 49.8%
• 5.0 to 10 micrometers 0.2%
• (Larger than 10 micrometers were
negligible at 0.002%).
Standard of dust concentration
• 1. Precautions against air-borne dust Circular Technical 16 of 1975 gave
tentative standards for air borne dust.
• it was recommended that the average concentration of respirable
dust in mine atmosphere during each shift, to which each miner is exposed
at any working point or place,
• shall not exceed 3 mg/m3 where the free silica in air borne dust is 5% or
less.
• Where the dust contains more than 5% quartz or free silica, the limiting
value was required to be determined by the following formula-
• Permissible concentration = . 15 mg/m3
air-borne dust % respirable quartz or free silica
• . _.0 Recent dust surveys by R & D wing of DGMS revealed that
concentration
Z air-borne dust at working places in mechanised mines, whether opencast
Standards of dust concentration

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Dust in mine.

  • 1.
  • 2. DUST IN MINES Most mining operations produce dust which, when air- borne, becomes a serious hazard to the health of the persons exposed to such an environment .
  • 3. 2 • The problem of dust has been there ever since the mining started, but in recent times, with the increase of mechanization in mines, it has become aggravated, since machine operations usually generate dust in larger quantities and get air borne than manual operations earlier.
  • 4. 3 • Dust can be defined as finely divided solid matter • and can be considered from two aspects: • (1) its explosive properties and • (2) its harmful physiological effects.
  • 5. 4 • Explosion hazard. The possibility of a dust explosion is always present in coal mines. • Besides, inflammable dusts, as that of coal and sulphide ores can lead to disastrous explosions • Explosive dusts are outside the scope of our subject now
  • 6. 5 • we confine ourselves to dusts with health hazards
  • 7. Health risk – Due to the inhalation of fine dust particles and their retention in the alveoli of the lungs, there is a health risk – depends also upon exposure time and the nature of the dust, particularly its concentration and physicochemical properties.
  • 8. 7 DUST IN MINES • Dusts of any kind when inhaled in large quantities lead to the development of respiratory diseases. Like • Chronic bronchitis and pneumoconiosis.
  • 9. 8 • Pneumoconiosis is a general term • used for occupational Lung disease due to dust and has been redefined by the ILO working group in 1971 • as the accumulation of dust in the lungs and the reaction of dust to the lung tissue.
  • 10. 9 • Besides ,these dusts, radioactive dusts of uranium or thorium ores as well as other toxic dusts of ores (mainly oxides and carbonates of beryllium, arsenic, lead, chromium, vanadium, mercury, cadmium, antimony, manganese, tungsten, nickel, silver etc.) are also harmful to the human system and have to be guarded against
  • 11. PHYSIOLOGICAL EFFECTS OF MINE DUST • Inhaled air passes through the nose and throat into the trachea, • divides into two main branches, one going to each lung. • The left lung is divided into two lobes whereas the right is divided into three (Fig.). • These lobes are made up of a vast number of small alveoli (air sacs), each of which is the termination of the branches of the trachea known as the bronchi and bronchioles.
  • 13. 12 • Each alveolus is supplied with arterial and venous capillaries and a lymphatic duct. • The respiratory tract has a number of defense mechanisms to catch any dust which may be inhaled.
  • 14. 13 • The larger particles (>10 micro meters) are likely to he caught in the nasal passages or throat. • Some of the particles passing , through the trachea and bronchi are caught in their mucous secretions. • This mucus is continually pushed upwards by numerous minute hairs (cilia), which work with a whip-like action, at about 1.25 cm a minute until it is discharged from the trachea.
  • 15. 14 • The remaining smaller particles (mostly <5 micro meters) may pass into the small alveoli. Here the mobile scavenger cells known as macrophages can engulf the particles and move into the bronchi to be ejected by the cilia. • Other particles may, however, pass through the alveolar wall and remain in the lung tissue, or enter the lymphatic drainage system via the macrophages and reach the lymph glands which function as filters.
  • 16. 15 • Depending on the nature of the dust, a fibrotic reaction may take place within the lung tissue surrounding the dust particle. (Silica, asbestos, coal, diatomaceous earth, and silicates such as talc, kaolin and mica are known to produce fibrotic pneumoconiosis.)
  • 17. 16 • Lastly, many particles «1 micro meter remain suspended in the inhaled air and are exhaled.
  • 19. Typical size distribution of air borne dust air-borne dust
  • 20. concentration of dust • All the defense mechanisms are neither completely nor immediately effective so that the retention period of inhaled dust may range from hours to months. • Where excessive concentrations of dust are encountered for long periods, the risk of a pathological response is greatly increased as defense mechanisms become overloaded. • These pathological changes may alter the normal physiology, Leading 'to a further deterioration in respiratory defense mechanisms and creating a condition of less effective lung clearance as the exposure continues.
  • 21. 20 • With the deterioration of the lung tissue, pulmonary function is damaged. The symptoms may range from a shortness of breath to problems of oxygen and carbon dioxide diffusion or blood circulation, i.e. progressive diminution of working capacity, and eventually complete incapacity There is also an increased susceptibility to tuberculosis.
  • 22. 21 • Pulmonary function tests and radiological examinations have been coupled with industrial hygiene studies throughout the world in the past 75 and odd years. (Radiological examinations are usually relied upon for detection and classification of the lung disease into various stages.)
  • 23. 22 • Threshold limit values (TLVs) of dust concentrations have been determined from the correlation of dust concentrations and medical findings.
  • 24. Factors affecting the degree of health risk ,Physiological properties of dust • The properties of dust affecting the development and severity of lung diseases are: • (a) composition, • (b) size, and • (c) concentration.
  • 25. Composition. • Free silica (also called crystalline silica comprising quartz, tridymite and cristobalite) is the most dangerous component of dust affecting the behaviour of alveolar macrophages. • When these cells die they release a substance which is foreign to the body, producing an allergic type of reaction resulting in fibrosis.
  • 26. 25 it is the composition of the dust reaching the lung and not the airborne dust which is important, since the composition of these two dusts can vary considerably
  • 27. 26 • Free silica in crystalline form in any dust is the most important factor accepted as the hazard component of any dust. • It can associate with any type of pneumoconiosis disabling. • For any physiological study assessment of silica is important
  • 28. SIZE • By examinations of the lungs of numerous workers, it has been determined that pneumoconiosis is caused by dust particles below 5 ,micro meters • There is some evidence that the greatest danger is from particles ranging from 1 to 2, micrometers in size.
  • 29. 28 Only particles within the size range of about 0.25 to 10 micrometers (called respirable dust) enter the lung and only a percentage (depending upon the size of the particle and the person's retention characteristics) of those entering the lung are retained
  • 30. Retention of dust in respiratory tract
  • 31. 30 In general, Irregular particles settle more slowly than spheres of the same mass and for this reason irregular particles having a mass greater than that of a 10 micro meter diameter unit density sphere can be found in the lung. In some cases this effect can be serious.
  • 32. 31 • Asbestos can break readily into bundles of fibers having a diameter of only 0.02 to 0.12 micrometer with a length of 1 to 150 micrometers. • Because of their very low sedimentation rate (depending upon the diameter), these fibers are not caught in the respiratory tract and are able to reach the lung where they are retained.
  • 33. 32 • Chrysotile has curved fibers and these are less likely to pass through the respiratory tract; it is probably for this reason that chrysotile is less likely to cause lung damage than amosite or crocidolite.
  • 34. concentration a.Concentration of dust can be expressed as mass of dust per unit volume of air, b.number of particles per unit volume, and c. surface area of particles per unit volume.
  • 35. 34 • The mass concentration of respirable size range dust is the best single parameter to measure for assessment of the risk of pneumoconiosis from coal dust. • For quartz dust, the surface area of the respirable particles is probably the best parameter to measure • it is usually measured with a gravimetric dust sampling instrument.
  • 36. 35 • Surface area more important for the reactivity of silica dust and toxic nature
  • 37. Time of exposure • The human respiratory system has a certain capacity for disposing of inhaled dust. • Under overloaded conditions, larger lung dosages produce faster development of pneumoconiosis. • Thus, the time of exposure to a certain dust concentration is an important factor in the development of pneumoconiosis.
  • 38. 37 • The incidence of pneumoconiosis increases with increase in both the concentration and • time of exposure and is correlated with the cumulative dust exposure calculated from the length of employment of the worker and • the weighted average concentration of dust to which the worker is subjected on each shift.
  • 39. Threshold limit values • Thresh hold limit values of air borne substances are those concentrations within which nearly all workers may be repeatedly exposed day after day without any adverse effect on their health.
  • 40. 33 PNEMOCONIOSIS • From a pathological point of view, pneumoconiosis can be divided into two groups: • (a) collagenous, and • (b) noncollagenous.
  • 41. 34 • Non collagenous pneumoconiosis is caused by non fibrogenic dusts and is characterized by • 1) alveolar architecture remaining intact, • 2) minimal stromal reaction consisting mainly of reticulin fibers and • (iii) reversibility of dust reaction. .
  • 42. 35 • Examples of noncollagenous pneumoconiosis. are • stannosis caused by tin oxide and • barytosis caused by barium sulphate.
  • 43. 36 • Collagenous pneumoconiosis is characterized by • (i) permanent alteration or destruction of alveolar architecture, • (ii) collagenous stromal reaction of moderate to maximal degree and • (iii) permanent scarring of lungs. • It may be caused by fibrogenic dusts or altered tissue response to non-fibrogenic dusts. • collagenous
  • 44. 37 In practice distinction between collagenous and noncollagenous pneumoconiosis is difficult and continued exposure to the same dust such as coal dust may cause transition from non- collagenous to collagenous form
  • 45. SILICOSIS • Of all the types of pneumoconiosis met with in mines, silicosis is the most dangerous since it can affect people fatally and is progressive in nature. • There have been cases when a patient has complained of the symptoms of silicosis even after he had left the dusty operation for several years.
  • 46. 39 • Silicosis is characterized by the development of nodular fibrosis in the lung tissue. • The nodules appear as protrusions in the lung tissue and histologically consist of a concentric development of fibrous tissue. • They may at times be thrown into sharp relief by emphysema or collapse of the surrounding lung tissue. • Calcareous development at the centre of the nodules is noticed in certain cases.
  • 47. 40 • Pathologically and symptomatically silicosis can be divided into the following three stages.
  • 48. 41 • In the first stage dyspnoea (inelasticity of the lung) and shortening of breath is noticed only on exertion. • There may be a slight dry cough but chest expansion is rarely minimized. Radiographs of the • Radiographs of the lung show discrete circular shadows of nodules of a maximum diameter of 2mm.
  • 49. 42 • The second stage is characterized by well- established dyspnoea and cough with impaired chest expansion. • The radiograph shows diffuse nodulation with a tendency to coalescence. • Dyspnoea leads to total incapacity
  • 50. 43 In the third stage when the radiograph shows areas of massive consolidation.
  • 51. 44 • Silicosis, particularly in the advanced stages, is usually associated with tuberculosis infection which may modify the symptoms.
  • 52. 45 • The cause of nodular fibrosis is believed to be the toxic action. of high polymers of silicic acid. • Particles of free silica (Si02) dissolve in the lung fluid forming silicic acid which, in turn, under- goes high polymerization when the initial pH(2) of silicic acid passes through a value of 5.5 to 6 corresponding to a stage of high polymerization of silicic acid as it tends to reach the lung pH of 7. .
  • 53. 47 • There has been no approved cure, so far, of silicosis, though its associated tuberculosis is amenable to treatment: • Aluminum prophylaxis and therapy for the treatment of silicosis have been tried in Canada and some other countries since 1937 with encouraging results, but they have yet to find wide application .(in mines).
  • 54. 47 • The principle of aluminum therapy depends on the fact that particles of metallic aluminum or amorphous hydrated alumina when engulfed in the same phagocyte cell along with silica dust neutralize the effect of silica, thus arresting further progression of fibro tic tissue reactions. • Mature nodules become static and immature lesions of the early stage of fibrosis get resolved.
  • 55. 48 • Aluminum ordinarily has no toxic effect on lung tissue but excessive doses make the lung more susceptible to tuberculosis infection. • Aluminum dust is retained in the lung for a fairly long time extending even up to a year, and can hence act as a prophylactic agent against later inhalation of silica dust.
  • 56. 49 • Recently" aqueous solution of chlorhydroxy-allantoinate of aluminum and colloidal solution of aluminum hydroxide administered in the form of aerosol showed both prophylactic as well as stabilizing action on silicotic lesions, while the solution itself was completely innocuous.
  • 57. 50 • Experiments have been carried out in Germany for preventing dangerous silica dust from reaching the alveoli of the lung (where they could produce silicosis) by artificially increasing their size. • This is done by releasing a large quantity of fine aerosol (0.05 Micro.m size) of sodium chloride into the dusty air
  • 58. 51 • Owing to Brownian motion, several particles of sodium chloride coagulate with each dust particle. The hygroscopic salt absorbs moisture when passing .through the moist respiratory tract and makes the dust particles grow in size by condensation of water on them. • Though encouraging results have been obtained from experiments on animals, the effect of the method on m en has not yet been fully tried out.
  • 59. 52 ASBESTOSIS • Owing to Brownian motion, several particles of sodium chloride coagulate with each dust particle. The hygroscopic salt absorbs moisture when passing .through the moist respiratory tract and makes the dust particles grow in size by condensation of water on them. • Though encouraging results have been obtained from experiments on animals, the effect of the method on m en has not yet been fully tried out.
  • 60. 53 • The lung radiograph shows a diffuse ground glass Of cobweb-like appearance. • Here the fibrosis is believed to be caused by the mechanical action of long asbestos fibers which get lodged in the alveolar walls causing morbid growth of fibrous tissue in the region.
  • 61. 54 • As a result, the alveolar walls or the septa separating alveoli get thickened owing to the presence of both asbestos fibers and asbestosis bodies. • This is substantiated by the fact that the fibrosis- producing character of asbestos is almost completely eliminated if the asbestos is thoroughly pulverized so that no particle in it exceeds two icrometers in length.
  • 62. 55 • Emphysema is usually present in asbestosis with many pleural adhesions. • The Common symptoms of asbestosis are dyspnoea and non-productive cough.
  • 63. 56 • Often the clinical symptoms may be more pronounced than those in classical silicosis although the lung radiographs of asbestosis are less severe than those of classical silicosis. • Progress of fibrosis in asbestosis has been found to be more rapid than in silicosis, so much so that a person may die of asbestosis within five years of the onset of symptoms. • Asbestosis, however, makes the lung less susceptible to tuberculosis than does silicosis
  • 64. 57 • Apart from dusts of free silica and asbestos, other dusts such as that of chromite, iron ore, kaolin, barytes etc. produce pneu-mokonioses which usually do not show fibrosis and are generally non-progressive and non-disabling, though pigmentation and consequent thickening of alveolar walls do occur. • Fibrosis however develops if these dusts contain some amount of free silica.
  • 65. COAL MINERS PNEMOCONIOSIS • In the simplest form of coal miners' pneumoconiosis, coal dust usually collects at a number of foci all over the lung around the small bronchioles and their accompanying arteries and a network of reticulin fibres is developed all around these foci. The air spaces around the coal foci get dilated leading to focal emphysema.
  • 66. standards • from their study of particulate residues of lung digests have indicated the following size classification of the retained dust- • Less than 0.5 micrometers 50% • 0.5 to 5 micrometrers 49.8% • 5.0 to 10 micrometers 0.2% • (Larger than 10 micrometers were negligible at 0.002%).
  • 67. Standard of dust concentration • 1. Precautions against air-borne dust Circular Technical 16 of 1975 gave tentative standards for air borne dust. • it was recommended that the average concentration of respirable dust in mine atmosphere during each shift, to which each miner is exposed at any working point or place, • shall not exceed 3 mg/m3 where the free silica in air borne dust is 5% or less. • Where the dust contains more than 5% quartz or free silica, the limiting value was required to be determined by the following formula- • Permissible concentration = . 15 mg/m3 air-borne dust % respirable quartz or free silica • . _.0 Recent dust surveys by R & D wing of DGMS revealed that concentration Z air-borne dust at working places in mechanised mines, whether opencast
  • 68. Standards of dust concentration