Non-occupational Pneumoconiosis in high altitude villages of Ladakh

 Till recently it was believed that the problem of silicosis and other types of pneumoconiosis is limited to industries and mines only, although a few scattered case reports describing non‑occupational pneumo­coniosis cases are available. NIOH made detailed investigation of the cases of non occupational pneumoconiosis reported from certain villages of Ladakh. Environmental epidemiological study showed the prevalence of pneumoconiosis to be 2.0%, 20.1% and 45.3% respectively in three villages. The chest radiographs were indistinguishable from those of miners and industrial workers suffering from pneumoconiosis. There are no industries and mines in this district and the pneumoconiosis observed amongst the villagers was attributed to dust stormsand exposure to soot from domestic fuels used for cooking and heating. The dust concentrations in the kitchens without chimneys varied from 3.22 to 11.30 mg/M3 with a mean value of 7.50 mg/M3. 

Dust samples sufficient enough to allow measurement of the dust concentrations could not be collected during the periods of dust storms, but preliminary analysis of the samples indicated that about 80% of the dust was respirable and its free silica contents ranged between 60 and 70%. This study is one of its kind reporting endemic non occupational pneumoconiosis.

 


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