The International Commission on Occupational Health (ICOH) calls for a concerted global effort to promote occupational safety and health strategies to prevent tuberculosis (TB) in high-risk occupations, including silica dust exposed workers in mining, construction and other industries. The highest exposed are often the most vulnerable, disadvantaged and medically underserved in countries with the highest burden of TB. We encourage governments, businesses and global health funders to invest in control measures to prevent TB among silica exposed workers consistent with the Moscow Declaration to End TB.
Silica exposed workersExposure to silica dust is a potent risk factor for TB, as demonstrated in multiple studies, notably among exposed miners and stone crushers.1–3 Silicosis, a lung disease caused by exposure to crystalline silica dust, is one of the most common occupational lung diseases worldwide.4 In addition, silicosis increases the risk of active TB by up to...
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