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OCCUPATIONAL RESPIRATORY DISEASE SURVEILLANCE

Enhanced Coal Workers' Health Surveillance Program

Target: Hot Spots (2005-2009)

County Summary Report

STATISTICS FOR UNDERGROUND MINERS WORKING IN JEFFERSON COUNTY, ALABAMA


Demographics Data

For this survey, there was an estimated employment of 970 in 2009. Of those 970 employed, there were 140 examined for a participation rate of 14%.

  • The mean age for 140 miners is 51 and ranged from 24 to 71.
  • The mean tenure for 139 miners is 20 and ranged from 0 to 42.
  • The mean tenure at the face for 126 miners is 16 and ranged from 1 to 42.

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Prevalence of Disease

Of the 140 miners examined:

  • 4 miners ( 3%) showed signs of pneumoconiosis reported as >= 1/0 or PMF.
  • 0 miners ( 0%) showed signs of pneumoconiosis reported as >=2/1 or PMF.
  • 0 miners ( 0%) showed signs of PMF.
  • 0 miners ( 0%) showed signs of advanced pneumoconiosis.

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Distribution of Radiographic Findings

For the 140 miners examined, the distribution of the miners in the profusion of small opacities categories is:

  • 93% ( 130 miners ) showed the small opacity category of 0/0.
  • 4% ( 6 miners ) showed the small opacity category of 0/1.
  • 1% ( 2 miners ) showed the small opacity category of 1/0.
  • 1% ( 2 miners ) showed the small opacity category of 1/1.
  • 0% ( 0 miners ) showed the small opacity category of 1/2.
  • 0% ( 0 miners ) showed the small opacity category of 2/1.
  • 0% ( 0 miners ) showed the small opacity category of 2/2.
  • 0% ( 0 miners ) showed the small opacity category of 2/3.
  • 0% ( 0 miners ) showed the small opacity category of 3/2.
  • 0% ( 0 miners ) showed the small opacity category of 3/3.
  • 0% ( 0 miners ) showed the small opacity category of 3/+.

For the 140 miners examined, the distribution of the miners in the large opacities stages is:

  • 100% ( 140 miners ) showed the large opacity stage of O.
  • 0% ( 0 miners ) showed the large opacity stage of A.
  • 0% ( 0 miners ) showed the large opacity stage of B.
  • 0% ( 0 miners ) showed the large opacity stage of C.

For the 140 miners examined, the distribution for symbol ax is:

  • 0% ( 0 miners ) showed coalescence of the small opacities.

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Spirometry Results

For the 140 miners examined, 137 also had a spirometry test.

  • 4% ( 5 miners ) showed obstructive respiratory impairment.
  • 4% ( 6 miners ) showed restrictive respiratory impairment.
  • 1% ( 2 miners ) showed mixed respiratory impairment.

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Methods used for the Demographics Data

SURVEY PARTICIPATION RATE: count of the number of miners with a valid x-ray during the survey period (NUMBER OF MINERS EXAMINED) divided by the count of the names on the most recent mine rosters submitted to NIOSH by the mine operators (ESTIMATED CURRENT EMPLOYMENT).

AGE - MEAN: summation of the calculated age at time of the x-ray divided by count of participating miners who provided their date of birth (N).

TENURE - MEAN: summation of the reported years in various underground mining occupations divided by count of participating miners with a completed work history (N).

TENURE AT THE FACE - MEAN: summation of the reported years of working at the face divided by count of participating miners who reported working at the face (N).

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Methods used for the Prevalence of Disease Data

>= 1/0 or PMF: number of x-rays with a final determination (consensus based upon NIOSH procedures) of the International Labour Office (ILO) small opacity profusion category 1/0 or higher or with the presence of large opacities, divided by the number of participating miners with a valid x-ray.

>= 2/1 or PMF: number of x-rays with a final determination (consensus based upon NIOSH procedures) of the International Labour Office (ILO) small opacity profusion category 2/1 or higher or with the presence of large opacities, divided by the number of participating miners with a valid x-ray.

PMF: number of x-rays with a final determination of ILO large opacity category "A", "B", or "C" divided by the number of participating miners with a valid x-ray.

ADVANCED: number of x-rays with a final determination of ILO small opacity profusion category 2/1 or higher and presence of symbol "ax" (coalescence of small opacities) or ILO large opacity category of "A", "B", or "C" divided by the number of participating miners with a valid x-ray.

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Methods used for the Distribution of Radiographic Findings

PROFUSION OF SMALL OPACITIES, LARGE OPACITIES & SYMBOLS: count and percent of the x-rays using the final determination of the ILO small opacity, the final determination of the ILO large opacity, and symbol "ax" (coalescence of small opacities).

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Methods used for the Spirometry Results

OBSTRUCTIVE, RESTRICTIVE, & MIXED: number and percent of miners who participated in the spirometry testing and whose results showed one of the following categories of respiratory impairment using forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) ratio:

  • OBSTRUCTIVE - FEV1/FVC < lower limit of normal (LLN) and FVC >= LLN
  • RESTRICTIVE - FEV1/FVC > LLN and FVC < LLN
  • MIXED - FEV1/FVC < LLN and FVC < LLN

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