{ "dataset": "studies", "name": "Research timeline", "description": "Peer-reviewed and agency research on engineered-stone silicosis, checked against PubMed.", "page": "https://silicosislawsuit.com/research/", "license": "CC BY 4.0, attribution to silicosislawsuit.com", "record_count": 11, "last_verified": "2026-09-12", "records": [ { "study_id": "fazio-2023-jamaim", "title": "Silicosis Among Immigrant Engineered Stone (Quartz) Countertop Fabrication Workers in California", "authors": "Fazio JC, Gandhi SA, Flattery J, et al.", "journal": "JAMA Internal Medicine", "year": 2023, "date": "2023-09-01", "doi": "10.1001/jamainternmed.2023.3295", "pmid": "37486642", "type": "Case series (CDPH surveillance 2019-2022)", "jurisdiction": "California", "key_findings": [ "52 male patients, median age 45; 51 Latino immigrants; 19% uninsured", "Diagnosis delayed in 58%; 38% had progressive massive fibrosis at diagnosis; 19% fatal, median age at death 46" ], "significance": "The paper most cited in coverage of the California outbreak.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "fazio-2025-jomt-review", "title": "A review of silicosis and other silica-related diseases in the engineered stone countertop processing industry", "authors": "Fazio JC, Viragh K, Houlroyd J, et al.", "journal": "Journal of Occupational Medicine and Toxicology", "year": 2025, "date": "2025-03-17", "doi": "10.1186/s12995-025-00455-8", "pmid": "40098042", "type": "Narrative review", "jurisdiction": "International", "key_findings": [ "Engineered stone is over 90% crystalline silica versus 40-50% for granite and under 10% for marble", "Disease diagnosed after 7-19 years of exposure; exposures often exceed limits even with wet saws and ventilation" ], "significance": "Current clinical and regulatory overview.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "flattery-2025-ajph", "title": "Silicosis Surveillance in California, 2019-2024: Tracking an Epidemic", "authors": "Flattery J, Woolsey C, Fazio JC, et al.", "journal": "American Journal of Public Health", "year": 2025, "date": "2025-11", "doi": "10.2105/AJPH.2025.308225", "pmid": "40906995", "type": "Surveillance analysis", "jurisdiction": "California", "key_findings": [ "296 confirmed silicosis cases 2019-2024, 243 (82%) associated with engineered stone", "Engineered-stone cases younger, male, Latino and concentrated in Los Angeles County; 25% referred for transplant" ], "significance": "Describes how CDPH's multisource surveillance works and its limits.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "gandhi-2026-ats-workshop", "title": "Silicosis in the Artificial Stone Countertop Industry: An Official American Thoracic Society Workshop Report", "authors": "Gandhi SA, Liu GY, Fazio JC, et al.", "journal": "Annals of the American Thoracic Society", "year": 2026, "date": "2026-06-26", "doi": "10.1093/annalsats/aaoag176", "pmid": "42363709", "type": "Professional society workshop report", "jurisdiction": "International", "key_findings": [ "Artificial-stone dust contains high silica plus resin-derived volatiles and trace metals; exposures routinely exceed limits despite wet methods, ventilation and respirators", "High rates of progressive massive fibrosis, autoimmune disease, infection and transplant need" ], "significance": "Consensus statement of the leading US respiratory society.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "heinzerling-2026-nejm-evid", "title": "Silicosis among Workers Fabricating Engineered Stone ('Quartz') Countertops in California, 2019-2026", "authors": "Heinzerling A, Flattery J, Cummings KJ, et al.", "journal": "NEJM Evidence", "year": 2026, "date": "2026-09", "doi": "10.1056/EVIDpha2600187", "pmid": "42584953", "type": "Public health surveillance report", "jurisdiction": "California", "key_findings": [ "592 cases identified January 2019 through June 2026; 65 lung transplants; 31 deaths", "Median age at diagnosis 46; 98% Latino; nearly all male; median 22 years of occupational silica exposure (per Healio's report of the paper)" ], "significance": "Most complete published account of the California outbreak.", "sources": [ "pubmed", "cidrap-2026-09", "healio-2026-09-11" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "hoy-2018-oem", "title": "Artificial stone-associated silicosis: a rapidly emerging occupational lung disease", "authors": "Hoy RF, Baird T, Hammerschlag G, et al.", "journal": "Occupational and Environmental Medicine", "year": 2018, "date": "2018-01", "doi": "10.1136/oemed-2017-104428", "pmid": "28882991", "type": "Case series", "jurisdiction": "Australia", "key_findings": [ "Seven male workers, median age 44, all dry-cutting artificial stone in small shops", "Median 7 years' exposure before symptoms; six had progressive massive fibrosis with rapid lung-function decline" ], "significance": "Australian series that preceded the national screening programme and ban.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "hoy-2025-ajim-victoria", "title": "The Rapid Rise of Silicosis in Victoria, Australia Associated With Artificial Stone Countertop Industry Work", "authors": "Hoy RF, Tomic D, Gwini S, et al.", "journal": "American Journal of Industrial Medicine", "year": 2025, "date": "2025-04", "doi": "10.1002/ajim.23704", "pmid": "39829386", "type": "Compensation-claims and registry analysis", "jurisdiction": "Victoria, Australia", "key_findings": [ "536 silicosis compensation claims over 32 years, 90% of them in 2015-2022 (a 27-fold rise)", "Of 210 registry cases 2019-2022, 97% worked in the countertop industry and 89% were found through government screening" ], "significance": "Shows how active screening surfaces cases that would otherwise go unrecognised.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "kramer-2012-chest", "title": "Artificial stone silicosis: disease resurgence among artificial stone workers", "authors": "Kramer MR, Blanc PD, Fireman E, et al.", "journal": "Chest", "year": 2012, "date": "2012-08", "doi": "10.1378/chest.11-1321", "pmid": "22383661", "type": "Retrospective cohort", "jurisdiction": "Israel", "key_findings": [ "25 silicosis patients referred for lung transplant evaluation 1997-2010, all exposed by dry-cutting a high-silica artificial stone", "10 underwent transplantation; observed transplant incidence 14.6 times the ISHLT-registry expectation" ], "significance": "First major clinical series linking engineered stone to a silicosis outbreak.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "leso-2019-ijerph", "title": "Artificial Stone Associated Silicosis: A Systematic Review", "authors": "Leso V, Fontana L, Romano R, et al.", "journal": "International Journal of Environmental Research and Public Health", "year": 2019, "date": "2019-02-16", "doi": "10.3390/ijerph16040568", "pmid": "30781462", "type": "Systematic review", "jurisdiction": "International", "key_findings": [ "Disease characteristics comparable to traditional silicosis but with gaps in exposure assessment and control in the artificial-stone sector" ], "significance": "Early synthesis of the international literature.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "rose-2019-mmwr", "title": "Severe Silicosis in Engineered Stone Fabrication Workers: California, Colorado, Texas, and Washington, 2017-2019", "authors": "Rose C, Heinzerling A, Patel K, et al.", "journal": "MMWR Morbidity and Mortality Weekly Report", "year": 2019, "date": "2019-09-27", "doi": "10.15585/mmwr.mm6838a1", "pmid": "31557149", "type": "Case report series", "jurisdiction": "United States (CA, CO, TX, WA)", "key_findings": [ "18 cases including the first two US fatalities in the stone fabrication industry", "Several with progressive disease, autoimmune disease and latent tuberculosis" ], "significance": "First CDC report of the US outbreak.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" }, { "study_id": "surasi-2022-ajim", "title": "Elevated exposures to respirable crystalline silica among engineered stone fabrication workers in California, January 2019-February 2020", "authors": "Surasi K, Ballen B, Weinberg JL, et al.", "journal": "American Journal of Industrial Medicine", "year": 2022, "date": "2022-09", "doi": "10.1002/ajim.23416", "pmid": "35899403", "type": "Exposure assessment from Cal/OSHA inspections", "jurisdiction": "California", "key_findings": [ "152 employees at 47 workplaces sampled; 25% of employees above the PEL (median 89.7 ug/m3, up to 670.7)", "72% of workplaces cited for at least one RCS standard violation" ], "significance": "Documents widespread overexposure in California shops before the 2023 emergency standard.", "sources": [ "pubmed" ], "verification_status": "verified_primary", "last_verified": "2026-09-12" } ] }