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Engineered stone and the rise of silicosis diagnoses

Ewan Tant, Partner, and Andrew Cooper, Senior Associate, explain what silicosis is and the dangers posed by engineered stone.

Posted on 26 July 2024

In recent months, the Leigh Day Industrial Disease Team has seen an increase in enquiries from people who have been diagnosed with silicosis, a type of lung disease, arising from exposure to silica dust, due to their work with engineered stone. In this blog Ewan Tant, Partner, and Andrew Cooper, Senior Associate, in the Leigh Day industrial disease team, explain what silicosis is and the dangers posed by engineered stone.

We have recently started to represent a ‘new wave’ of workers diagnosed with silicosis, after they were exposed to silica dust whilst cutting or drilling artificial stone, also known as engineered stone, which is used in quartz kitchen worktops. This has led to an increase in the diagnosis of the lung disease condition silicosis across the country.

From our extensive work for those affected by asbestos-related diseases we have seen how devastating such lung disease conditions can be and how important it is that people are protected from inhaling such dangerous dust. It is crucial that safety measures are enforced to ensure the number of silicosis cases does not continue to rise. If not, we fear that there will be a great number of workers left with life-changing, and potentially fatal, consequences.

What is silicosis?  

Silicosis is an irreversible lung condition caused by inhaling large amounts of silica dust over a prolonged period. Silica is a common, natural material found in stones, rocks, clay, and sand as well as products such as bricks, tiles, concrete, and some plastic composites. Once inside the lungs, the silica dust particles are attacked by the immune system which causes inflammation and scarring of the lung tissue.

The workers we have represented have been exposed to silica dust through cutting kitchen worktops and have developed an acute form of silicosis. This causes significant shortness of breath and severe disability, with lung transplantation often being the only potential treatment. In the worst cases it can be fatal. 

What is engineered stone? 

In recent years engineered stone has become a popular choice for kitchen worktops – these are often called quartz worktops. Unlike natural stone products, such as marble and granite, quartz worktops are made by compressing and compacting raw materials together into slabs, which are then heated at high temperatures. It has been reported that quartz kitchen worktops contain over 90% silica, whereas granite contains approximately half the silica content. 

While quartz worktops are a cheaper alternative for the consumer, they have the potential to pose a greater risk to the workers who cut, grind and polish the slabs before they are installed, due to the higher levels of fine silica dust they may be exposed to if they do not have the correct protective equipment. The rise in the use of engineered stone has led to an increase in workers developing silicosis. 

Who is at risk of silicosis? 

The Leigh Day Industrial Disease Team are acting for a number of workers who have developed silicosis due to cutting engineered stone without the appropriate protective equipment. Our clients have described appalling working conditions, where they use handheld electric grinders to cut and polish the stone in a dust-filled room with no windows, no effective dust extraction equipment or respirators. The evidence we have gathered so far points to a growing problem with small companies operating without regard to appropriate health and safety practices. However, we fear this issue may become more widespread in the future and that cases may arise from larger operations and other kitchen fitting companies. 

How can workers be protected from the dangers of silicosis? 

The associated danger between dust and lung disease has been known for over a century. Whilst health and safety protection in the UK has improved over this time, workers are still being exposed to harmful dusts and are developing silicosis regardless. 

We consider there needs to be better awareness of the dangers of engineered stone and better protection for people working with the material. We also consider there needs to be better regulation of the use of engineered stone, including mandatory attendance of the HSE to businesses using engineered stone and greater funding for the HSE to deal with employers with poor practices.

We consider that the new government should look closely at this matter to ensure that businesses put the correct protections in place and that the HSE can take swift action against those that break the rules to ensure the safety of our workforce.

The use of engineered stone in other countries 

In Australia, there has been a rise in silicosis cases with reports showing that as of May 2022 there have been 579 cases due to engineered stone. This number is likely to be higher due to a lack of publicly available data in some jurisdictions. Earlier this year, the Australian government banned the use of engineered stone as a result.

In California, steps have been taken to tighten the regulations covering engineered stone. It is reported by the LA Times that there have been 100 recorded cases of silicosis relating to those cutting worktops in the state since 2019. At least 10 people are reported to have died as a result. 

Regulating engineered stone in the UK 

In the UK, the House of Lords debated the issue in January 2024 and the (then Conservative) government confirmed that the Health and Safety Executive (HSE) are not currently considering banning the use of engineered stone, because there are regulations in place to protect workers which are enforced by the HSE. However, a recent report by the trade union Prospect highlighted that prolonged funding cuts to the HSE means that it struggles to carry out its inspection and investigation activities, raising serious concerns about its ability to monitor and react to the growing threat posed to kitchen worktops workers. 

The Leigh Day industrial disease team are acting for the first wave of acute silicosis patients exposed to silica dust. Whilst we are in the early stages of understanding the severity of this new wave of silicosis, we have set up a dedicated team specialising in these claims. We are working alongside leading medical experts to ensure we are at the forefront of medical knowledge for our clients. However, it is clear that if safety measures, such as those suggested above, are not put in place we will see an increase in the number of terminal ill and fatal silicosis cases that potentially could have been prevented. 

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Ewan Tant
Asbestos and mesothelioma Industrial disease

Ewan Tant

Ewan specialises in asbestos-related disease claims

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Andrew Cooper
Asbestos and mesothelioma Industrial disease

Andrew Cooper

Andrew Cooper is a senior associate solicitor in the industrial disease team.