| C. SCLERODERMA There is evidence that exposure to respirable crystalline silica or that the the disease silicosis is associated with the increase incidence of scleroderma, an immune system disorder manifested by a fibrosis (scarring) of the lungs, skin and other internal organs. Recently, the American Thoracic Society noted that "there is persuasive evidence relating scleroderma to occupational silica exposures in setting where there is appreciable silicosis risk." The following may be consulted for additional information on silica, silicosis and scleroderma (also known as progressive systemic sclerosis): Occupational Lung Disorders, Third Edition, chapter 12, entitled "Silicosis and Related Diseases", Parkes, W. Raymond (1994). "Adverse Effects of Crystalline Silica Exposure", American Journal of Respiratory and Critical Care Medicine, Volume 155, pp. 761-765 (1997). D. TUBERCULOSIS Individuals with silicosis are at increased risk to develop tuberculosis, if exposed to persons with tuberculosis. The following may be consulted for further information: Occupational Lung Disorder, Third Edition, Chapter 12, entitled "Silicosis and Related Diseases", Parkers, W. Raymond (1994). "Adverse Effects of Crystalline Silica Exposure", American Journal of Respiratory and Critical Care Medicine, Volume 155, pp. 761-765 (1997). E. NEPHROTOXICTY There are several recent studies suggesting that exposure to respirable crystalline silica or that the disease silicosis is associated with the increased incidence of kidney disorders. The following may be consulted for additional information on silica, silicosis and nephrotoxicity: Occupational Lung Disorders, Third Edition, Chapter 12, entitled "Silicosis and Related Diseases", Parkes, W. Raymond (1994). "Further evidence of human silica nephrotoxicity in occupationally exposed workers", British Journal of Industrial Medicine, Vol. 50, No. 10, pp. 907-912 (1993). "Adverse Effects of Crystalline Silica Exposure", American Journal of Respiratory and Critical Care Medicine, Volume 155, pp. 761-765 (1997). |