Leading medical staff in the UK, writing for medical journal ‘Thorax’, are calling for industries and governing bodies to follow Australia’s new legislation and ban the use of engineered stone, commonly used for kitchen worktops.  

It comes after cases of silicosis linked to engineered stone exposure recently came to light globally. Workers who have been exposed to engineered stone quartz and dust are now being affected by and diagnosed with severe lung problems, linked to inhaling such dust. Earlier in the year, it had prompted the Australian government to act and ban the use, manufacturing, and production of engineered stone across the entire country. 

Now the UK is being urged to do the same, with the first cases of silicosis related to engineered stone production have now been reported in the country. Various medical staff who have treated workers diagnosed with these cases of silicosis are calling for similar action to be taken in the UK as in Australia. 

According to British newspaper i the first 8 cases of silicosis linked to engineered stone use have been confirmed, all of which are men. The average age of all 8 men is 34, with the youngest to be diagnosed just 27 years old. Of the 8 cases, 1 man has died, and 2 others have been referred for lung transplant assessments. 

The article from i features an interview with one of the diagnosed workers, Malik al-Khalil, a stonemason who is just 31. After working with engineered stone for 5 years, Malik was diagnosis with silicosis, contracted after cutting engineered stone slabs in a small London workshop. Malik said, “I want to let all the people working in this work know what’s happening from this material” and believes the only solution to this growing problem is a nationwide ban of the product; “Of course [it should be banned] because the silicosis is coming from this material.” 

It’s not just Malik and fellow diagnoses patients who are calling for engineered stone to be banned in the UK. Dr Johanna Feary, a respiratory consultant from the Royal Brompton Hospital where Malik al-Khalil is being treated, and lead author for ‘Thorax’, has also highlighted her concerns over exposed to the product. Dr Feary told i “We’ve been anticipating that we would start seeing cases in the UK at some point. That moment has arrived now.” 

The team of doctors writing in ‘Thorax’, who highlighted the first 8 cases, have also called for a legal requirement to report cases of silicosis, as well as calling for the implementation of health and safety regulation for both small companies and national guidelines to treat and monitor for silicosis.

You can read the full article from i newspaper here.

It’s estimated that over 40 million people worldwide are exposed to silica dust in the workplace. Respirable crystalline silica (RCS) contributes to one of the leading causes of death in the workplace, alongside other lung related illnesses. Due to this some of the industry’s most influential countries worldwide are making significant changes to regulations regarding silica exposure in the workplace. 

In December 2023, Australia became the first country in the world to ban engineered stone due to rising cases of silicosis. From 1st July 2024, all use of engineered stone in Australia will be prohibited to protect workers from exposure to RCS in the workplace. Engineered stone is a manufactured material made from combining quartz or granite aggregates with resins and pigment and is a common material used in stone bench tops, often found in kitchens and bathrooms. It’s production often results in airborne RCS, leading to significant health risks to those working with it. 

With reports that over half a million Australians are exposed to fine silica dust through stonemasonry and construction, figures suggest 103,000 of these workers are likely to be diagnosed with silicosis. The production and manufacturing of stone bench tops is a significant contributor to these statistics. The ban on engineered stone across the entirety of Australia is a step in the right direction to reduce the number of workers exposed to RCS and silicosis diagnosis in the future. 

This ruling in Australia looks to have a set a precedent in influencing other countries to do the same. In May 2024, the first cases of silicosis linked to artificial stone countertops in the UK were reported, leading to calls for the material to be banned.

An estimated 600,000 workers are exposed to silica in the UK each year, and in Europe as a whole, 81% of those exposed are employed in construction or in manufacturing products used in the industry. After Australia became the first country worldwide to ban engineered stone in December 2023, UK kitchen company Herringbone announced they would also ban the sale of high-silica quartz worktop due to the risks posed to stonemasons. 

Since speaking with their stonemasons about the risk of high quartz in engineered stone, Herringbone made the decision to become the first company in the UK to phase out the sale and production of engineered stone, as well as creating a petition to have the product completely banned in the UK, like in Australia. 

In the US, the Biden administration has agreed to limit workers exposure to silica dust in mining, particularly when drilling for coal, ore and completing other mining operations. In April 2024, a ruling was announced to reduce the allowable silica dust levels in mining operations to 50 micrograms per cubic meter, with an action level at 25 micrograms, for an eight-hour workday. 

The ruling will also update any respiratory protection standards for mining workers and in addition to silica dust, will also apply to diesel particulate matter and asbestos. The hope is that this will begin to reduce an estimated 1,067 deaths and 3,746 silica related illnesses in mining industries in the US and begin to make mining safer from the risk of RCS for the 55,000 American coal miners across the nation. The rule will come into action one year after its publication in April 2024. 

With significant action being taken across major industries worldwide as of mid-2024 and onwards, protection for workers against respirable crystalline silica is becoming more of a high priority in workplaces. With banning of products known to produce dangerous levels of RCS, and with rule changes to limit exposure, workers short- and long-term lung health is becoming better protected than ever.