Respirable crystalline silica dust exposure and regulated occupational respiratory diseases in the Zambian copper mining sector: a review and recommendations

ABSTRACT

Background: Exposure to respirable dust is widespread in the mining industry. One of the significant components in dust is respirable crystalline silica (RCS), which causes pulmonary silicosis; RCS exposure is also associated with tuberculosis. The health effects of exposure to RCS in Zambian copper miners are unclear. Objectives: This review describes RCS exposure, associated occupational respiratory diseases, and existing dust exposure management programmes in the Zambian copper mining industry. Research gaps are also identified. Methods: Online search engines (Google Scholar, PubMed, and Web of Science) were used to identify relevant published literature, and governmental databases and websites were searched for information. Results: Only two studies have reported RCS dust exposure in the Zambian copper mining industry, and seven studies describe related diseases. The Zambian Ministry of Health reports on only two occupational respiratory diseases silicosis and tuberculosis (TB). Zambia does not have an occupational health policy or programmes that protect workers in dusty operations from exposure to RCS. Conclusion: Little is known about exposure to RCS and related occupational diseases in the Zambian copper mining industry. The absence of legislative guidelines for an RCS monitoring programme places copper miners at risk of developing respiratory diseases because of high and uncontrolled RCS levels. An RCS management programme should be developed and implemented to investigate the exposure of miners to RCS, and to promote the implementation of control measures: