Engineered stone (ES), used in kitchen and bathroom countertops since the 1980s, contains over 90% crystalline silica, much higher than granite (40–50%) and marble (<10%). Workers fabricating ES are exposed to high levels of respirable crystalline silica (RCS) and other toxic chemicals, increasing the risk of silicosis and other lung diseases. Read the full review, written by Dr. Jenny Houlroyd and colleagues, that explores the epidemiology, occupational risks, regulatory gaps, diagnostic evaluation, and clinical challenges of ES dust exposure that was published in the Journal of Occupational Medicine and Toxicology.
Silicosis from ES dust progresses rapidly, diagnosed after 7–19 years of exposure. Morbidity and mortality are high, with significant rates of lung transplantation and death. This review highlights the urgent need for improved occupational safety regulations, active screening, and healthcare support to address the growing burden of ES silicosis among vulnerable workers worldwide.