What Causes Silicosis?

Materials, Jobs & Industries at Risk

Silicosis has one root cause: breathing in fine crystalline silica dust. But the materials, jobs and industries behind that exposure vary, and knowing where the risk comes from is the first step to understanding it.

Engineered stone can contain more than 90% crystalline silica,

compared to under 5% in marble, according to the CDC.

Causes of Silicosis

Silicosis is caused by inhaling very small, or “respirable,” particles of crystalline silica. This  mineral is found in materials like sand, stone, concrete and mortar. It’s so small, it’s invisible in the air. Once inhaled, this dust can’t be cleared from the lungs. The body’s immune response to the presence of this foreign material causes permanent scarring leading to silicosis, according to the CDC.

Some materials, like artificial or engineered stone, release far more silica dust than others, and some jobs create much higher exposure than others. People who work with engineered stone may be at the highest risk of silica exposure.

Causes of Silicosis at a Glance

  • Caused by breathing in fine crystalline silica dust
  • Some materials, like artificial stone, contain more silica
  • Cutting, grinding, drilling and polishing all release dust
  • Risk depends on material, task and exposure length
  • Engineered stone generally carries the highest silica content

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Silica Content by Material

Not all stone and building materials carry the same risk. The amount of crystalline silica varies significantly by material, according to the CDC.

Material Silica Content
Quartzite ≥95%
Quartzitic sandstone ≥90%
Sandstone ≥60%
Slate 20% to 40%
Granite 10% to 50%
Marble/Limestone Under 5%
Engineered stone <0.2% to 95%*

*In addition to silica content, artificial stone also includes other hazardous substances like heavy metals, VOCs and plastic resins.

Why Exposure is Getting Worse

The manufacturing of engineered stone, popular in modern kitchens, has driven a sharp rise in silicosis cases. It contains far more silica than the natural stone it often replaces, and demand for it has grown rapidly over the past two decades. That growth means more workers are cutting, grinding and polishing a material with a much higher silica content and more dust produced than granite or marble.

Silicosis Causes

Artificial Stone & Quartz Countertop Silicosis

Engineered stone, often sold as quartz or artificial stone, is manufactured by combining crushed quartz with resin, creating a product that can contain more silica than almost any natural stone used in countertops.

Construction & Manufacturing & Silicosis

Cutting, sawing, grinding and drilling materials like concrete, brick, block and mortar all release silica dust, according to OSHA. Manufacturing carries similar risks, particularly where stone countertops, brick, ceramics or concrete products are made.

Mining Silicosis

Silica dust released through cutting, drilling, excavating and crushing in coal, metal and nonmetal mining, according to the Mine Safety and Health Administration. MSHA issued a new rule in 2024 specifically aimed at lowering miners’ exposure to silica dust and improving respiratory protection to prevent mining silicosis.

Sandblasting Lung Disease

Sandblasting, or abrasive blasting, has been recognized as one of the most dangerous silica exposures for decades. In one review, the National Institute for Occupational Safety and Health documented 99 cases of sandblasting silicosis among sandblasters, 14 of whom had already died from the disease.

Oil & Gas

Hydraulic fracturing, or fracking, uses large amounts of sand to hold open the fractures that release oil and gas underground. Handling and moving that sand exposes workers to silica dust, and NIOSH field studies found a large share of air samples at fracking sites exceeded federal exposure limits.

Preventing Silicosis Through OSHA & Workplace Safety

OSHA and MSHA both set legal limits on how much silica dust workers can be exposed to. OSHA’s limit is 50 micrograms per cubic meter of air over an 8 hour shift. OSHA requires employers to use controls like water and ventilation to keep dust levels down. Research has found these measures don’t always bring exposure down far enough on their own when it comes to materials like engineered stone.

Diagnosis of Silicosis

Knowing what caused an exposure is only part of the picture. Diagnosing silicosis also requires imaging and ruling out other conditions.

FAQs About Silicosis

What is the main cause of silicosis?

The main cause of silicosis is breathing in fine crystalline silica dust, most often while cutting, grinding, drilling or blasting materials like artificial stone, concrete or sand. The amount of risk comes from a combination of how much silica a material contains and how much dust a job task generates.

Is engineered stone more dangerous than granite?
Can silicosis develop from sandblasting?

Questions About Silicosis? We're Here to Help.

From understanding symptoms and exposure to finding support and exploring legal options, we’re here to help you find the information and guidance you need.