Objectives: Talc is mined and milled throughout the world for use in a variety of industrial and consumer products. Although prior studies have evaluated workplace exposures or health effects from talc operations, the primary emphasis of these investigations has been on certain mineral contaminants (e.g. crystalline silica and asbestos) rather than talc itself. The purpose of this analysis is to evaluate historical worker exposures to respirable dust (as a measure of talc exposures) in the Vermont talc mines and mills, which involved a relatively pure form of talc (i.e. no asbestos and <0.25% or <1% crystalline silica).
Methods: Respirable dust sampling data collected for workers in the Vermont mines and mills, which have not been previously published, were obtained from both mining company records and Mine Safety and Health Administration (MSHA) inspections. Because of differences in sampling design, the company and MSHA data were analyzed and reported separately. Overall, nearly 700 respirable dust samples collected for 44 job categories at 7 site locations over an approximate 30-year period were analyzed.
Results: Average respirable dust concentrations were found to exceed occupational exposure limits (OELs) in the United States and other countries for several job categories and site locations. Regardless of data source, the highest observed exposures were for mining jobs involving the operation of heavy equipment to break up, move, or load raw ore from the mines and milling or shipping jobs involving the crushing of raw ore, cleaning and drying of processed talc, and bagging and packaging of the final talc product. When analyzing the company data, the arithmetic mean respirable dust concentration was 2.73 mg m-3 for Muckerman at Hammondsville Mine, 3.18 mg m-3 for dosco operator at Ludlow mines, 1.35 mg m-3 for crusher operator at Gassetts Mill, 2.4 mg m-3 for palletizer at West Windsor Mill, and 2.68 mg m-3 for bagging operator at Columbia Shipping Center. When analyzing the MSHA data, the arithmetic mean respirable dust concentration was 3.5 mg m-3 for kiln/dryer operator at Hammondsville Mine, 1.27 mg m-3 for driller at Ludlow mines, 3.69 mg m-3 for ball mill operator at Columbia mill, 3.02 mg m-3 for flotation operator at West Windsor Mill, and 3.24 mg m-3 for bagging operator at Columbia Shipping Center. Worker exposures were found to decline over time for many, but not all, jobs.
Conclusions: Our findings highlight potential high-risk jobs that might benefit from additional exposure control strategies at current or future talc manufacturing sites. The respirable dust measurements summarized here may also be used to reconstruct historical worker exposures at the Vermont sites or aid in subsequent epidemiology studies of this cohort focused on malignant or non-malignant respiratory disease.
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http://dx.doi.org/10.1093/annweh/wxaa010 | DOI Listing |
Can Med Educ J
December 2024
Department of Ophthalmology, Ivey Eye Institute, Schulich School of Medicine & Dentistry, Western University, Ontario, Canada.
Background: Ophthalmology has historically been a male-dominated specialty. Despite there being a higher proportion of females in Canadian medical schools since the early 2000s, it is unknown if trends in female applicants and those accepted to ophthalmology have followed suit. This study aims to evaluate trends in gender representation of ophthalmology applicants to Canadian residency programs from 1998 to 2020 and to compare those trends to other surgical specialties.
View Article and Find Full Text PDFPalliat Support Care
January 2025
Division of Palliative Medicine, University of Kansas School of Medicine, Kansas City, KS, USA.
Objectives: Historically, patients with cancer were referred to palliative care near the end of life. In recent years, the increased integration of palliative care throughout the entire trajectory of illness has helped patients with cancer better manage their symptoms and improve QOL. However, it is unknown how patients think about the presence and role of earlier, integrated palliative care.
View Article and Find Full Text PDFEur J Public Health
January 2025
Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Dengue fever is considered as an emerging disease in Afghanistan. Since the first outbreak was reported in 2019, other outbreaks have been reported in the following years. The current study aims to describe the epidemiological features and clinical manifestations of suspected and confirmed cases of dengue fever detected by the National Disease Surveillance and Response (NDSR) Department of the Ministry of Public Health (MoPH) during 2021 and 2022 to prevent further spread and minimize its impact on the country's health system and on the limited number of health workers.
View Article and Find Full Text PDFSci Adv
January 2025
Department of Psychology, University of California, Los Angeles, Los Angeles, CA 90095, USA.
From the biblical to the medieval wergild system and modern workers' compensation laws, laws about bodily damage may originate from cognitive mechanisms that capitalize on an enduring regularity: Different body parts vary in their incremental contributions to human functionality. To evaluate this hypothesis, we conducted a preregistered study with materials based on five legal codes from highly diverse cultures and historical eras: the Law of Æthelberht (Kent, approximately 600 CE), the Guta lag (Gotland, approximately 1220 CE), and workers' compensation laws from the United States, the Republic of Korea, and the United Arab Emirates; and 614 laypeople from the United States and India. The data indicate ordinal agreement in the values attached to body parts by ancient and modern lawmakers, as well as by laypeople in the United States and India.
View Article and Find Full Text PDFJ Educ Eval Health Prof
January 2025
Department of the History of Medicine and Medical Humanities, Seoul National University College of Medicine, Seoul, Korea.
The introduction of modern Western medicine in the late 19th century, notably through vaccination initiatives, marked the beginning of governmental involvement in medical licensure, with the licensing of doctors who performed vaccinations. The establishment of the national medical school "Euihakkyo" in 1899 further formalized medical education and licensure, granting graduates the privilege to practice medicine without additional examinations. The enactment of the Regulations on Doctors in 1900 by the Joseon government aimed to define doctor qualifications, including modern and traditional practitioners, comprehensively.
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