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• W3159339735 abstract "Rationale: Engineered stone (ES), a combination of resin and crystalline silica, is increasingly utilized as a natural stone substitute in countertops and tiles. Cutting, edging or grinding ES releases respirable crystalline silica (RCS). Cases of severe and fatal silicosis among ES workers have been described globally. In the United States, more stringent exposure control and medical surveillance regulations were promulgated in 2017 by the Occupational Safety and Health Administration. We sought to characterize current silica exposure control and medical surveillance practices among ES employers, with the goal of informing outreach and education on silicosis prevention in these high-risk workplaces. Methods: Utilizing ReferenceUSA data, worksites in Colorado and Ohio with a primary North American Industry Classification System code for cut stone fabrication (327991) or masonry contractors (238140) were identified. We developed a brief anonymous digital survey for ES employers. Questions included number of employees, years in business, products manufactured, exposure monitoring, dust controls, work practices, and employees' use of personal protective equipment, with additional questions on COVID-19 impacts. A knowledgeable ES employer pilot-tested the survey tool. An option to selfidentify was included for employers seeking assistance with regulatory compliance and/or employee training. An invitation to complete the survey was mailed to a preliminary set of Colorado ES businesses. Along with a scannable QR code linked directly to the survey, a brief statement from a respected industry stakeholder that urged ES employers to participate was included. Results: We identified 330 ES businesses in Colorado. 89% employed <10 workers, and < 2% had more than 50 employees. We identified 557 ES businesses in Ohio;86% employed <10 workers. Excluding 25 businesses that lacked address data, we mailed 293 letters to Colorado ES businesses identified through ReferenceUSA. 23% were returned due to incorrect or inactive mailing addresses. Within 6 weeks, only one business had responded to the mailed survey. Discussion: Our study highlights the challenges of surveying employers' approaches to silica exposure control. Despite anonymity, employers may be reluctant to share information that could have perceived regulatory implications. Incorrect addresses from ReferenceUSA and/or currently inactive ES businesses may have contributed to poor response rates, and direct mail appears inadequate for survey purposes. COVID-19 impacts on small employers may also have affected response rates. Future directions include partnering with a national stone fabrication trade association for outreach to ES members via social media and electronic mail." @default.
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• W3159339735 date "2021-05-01" @default.
• W3159339735 modified "2023-09-27" @default.
• W3159339735 title "Silicosis Prevention in Engineered Stone Industries in Ohio and Colorado: A Cross-Sectional Employer Survey" @default.
• W3159339735 doi "https://doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3040" @default.
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