Abstract
This study aimed to evaluate occupational exposure to respirable crystalline silica (RCS) and assess the lifetime cancer risk (ILCR) and non-cancer hazard quotient (HQ) among ceramic workers. A cross-sectional study was conducted across four occupational groups: polisher/washer, finisher, caster, and material handler. Personal air sampling was performed using NIOSH 7602 methodology to measure time-weighted average (TWA) RCS concentrations. ILCR and HQ were calculated using Monte Carlo simulation with 10,000 iterations, incorporating exposure parameters and health risk models from USEPA guidelines. The mean concentration of respirable crystalline silica (RCS) among workers exceeded both Iran OEL and threshold limit value (TLV) in all four occupational groups, with the highest level observed in Polishers (2.76 mg/m3). Monte Carlo simulation revealed that all groups had Incremental Lifetime Cancer Risk (ILCR) values above the acceptable threshold of 1.00E-06, with polishers showing the highest mean ILCR (5.66E-04). Similarly, Hazard Quotients (HQ) exceeded in all groups, indicating significant non-cancer health risks, particularly in Polishers (mean HQ = 114). These findings indicate a high probability of developing silica-related diseases such as silicosis and lung cancer, emphasizing the need for immediate control measures. The results demonstrate that ceramic workers are exposed to hazardous levels of respirable crystalline silica, posing serious long-term health risks. The use of Monte Carlo simulation provided robust estimates of both carcinogenic and non-carcinogenic risk, confirming the urgent need for regulatory enforcement, engineering controls, respiratory protection, and targeted health education to prevent silica-related diseases in this high-risk population.
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The datasets used during the current study are available from the corresponding author on reasonable request.
References
Nishida, C. & Yatera, K. The impact of ambient environmental and occupational pollution on respiratory diseases. Int. J. Environ. Res. Public Health. 19(5), 2788 (2022).
Tim Lesley Sally JKKDCDODRHSSA. Global and regional burden of disease and injury in 2016 arising from occupational exposures: A systematic analysis for the global burden of disease study 2016. Occup. Environ. Med. 77, 133–141 (2020).
Administration OSaH. Silica, crystalline - Overview 2025. https://www.osha.gov/silica-crystalline
Rumchev, K., Hoang, D. & Lee, A. Case report: Exposure to respirable crystalline silica and respiratory health among Australian mine workers. Front. Public. Health 10 (2022).
Kleinschmidt, S. et al. Mortality among mine and mill workers exposed to respirable crystalline silica. PLoS ONE 17 (2022).
Tompa, E. et al. Break-even analysis of respirable crystalline silica (RCS) exposure interventions in the construction sector. J. Occup. Environ. Med. 63 (2021).
Tan, E. et al. The avoidable future burden of Copd due to occupational respirable crystalline silica exposure in the EU. Occup. Environ. Med. 73, 039-2 (2016).
Cox, L. An exposure-response threshold for lung diseases and lung cancer caused by crystalline silica. Risk Anal. 31(10), 1543–1560 (2011).
Ge, C. et al. Respirable crystalline silica exposure, smoking, and lung cancer subtype risks: A pooled analysis of case-control studies. Am. J. Respir. Crit. Care Med. (2020).
Cancer IAfRo. Silica, some silicates, coal dust, and para-aramid fibrils. IARC monographs on the evaluation of carcinogenic risks to humans 68 (1997).
Takashi, S., Shimosato, T. & Klinman, D. Silicosis and lung cancer: Current perspectives. Lung Cancer: Targets Therapy. 9, 91–101 (2018).
Vermeulen, R. et al. Occupational exposure to respirable crystalline silica and lung cancer risk in the synergy project. Occup. Environ. Med. 74, 0475 (2017).
Poinen-Rughooputh, S., Rughooputh, M. S., Guo, Y., Rong, Y. & Chen, W. Occupational exposure to silica dust and risk of lung cancer: An updated meta-analysis of epidemiological studies. BMC Public. Health 16, 1–17 (2016).
Steenland, K. et al. Pooled exposure–response analyses and risk assessment for lung cancer in 10 cohorts of silica-exposed workers: An IARC multicentre study. Cancer Causes Control. 12, 773–784 (2001).
Cullen, A. Monte Carlo Simulation for Quantitative Health Risk Analysis (2011).
Means, B. Risk-assessment Guidance for superfund. Volume 1. Human Health Evaluation manual. Part A. Interim Report (Final). Environmental Protection Agency. Office of Solid Waste ….
Fubini, B., Bolis, V., Cavenago, A. & Volante, M. Physicochemical properties of crystalline silica dusts and their possible implication in various biological responses. Scand. J. Work. Environ. Health. 9–14 (1995).
Filipponi, A. Crystalline Silica in the Italian Ceramic Industry: Workplace, Finished product, and Installation: Università Degli Studi Di Modena E Reggio (Emilia & Alma Mater Studiorum – Università di Bologna, 2023).
Golbabaei, F., Gholami, A., Teimori-Boghsani, G., Yaseri, M. & Kianmehr, M. Evaluation of occupational exposure to silica dust in mining workers in Eastern Iran. Open. Environ. Res. J. 12(1) (2019).
Nasirzadeh, N., Soltanpour, Z., Mohammadian, Y. & Mohammadian, F. Risk assessment of silicosis and lung cancer mortality associated with occupational exposure to crystalline silica in Iran. J. Res. Health Sci. 22(2), e00550 (2022).
Chen, W. et al. Long-term exposure to silica dust and risk of total and cause-specific mortality in Chinese workers: A cohort study. PLoS Med. 9(4), e1001206 (2012).
Soltani, S. et al. Climate change and energy use efficiency in arid and semiarid agricultural areas: A case study of Hamadan-Bahar plain in Iran. Energy 268, 126553 (2023).
Tong, R. et al. Quantitative health risk assessment of inhalation exposure to automobile foundry dust. Environ. Geochem. Health. 41, 2179–2193 (2019).
Sahihazar, Z. M., Ghahramani, A., Galvani, S. & Hajaghazadeh, M. Probabilistic health risk assessment of occupational exposure to crystalline silica in an iron foundry in Urmia, Iran. Environ. Sci. Pollut. Res. 29(54), 82014–82029 (2022).
Yeheyis, M., Aguilar, G., Hewage, K. & Sadiq, R. Exposure to crystalline silica inhalation among construction workers: A probabilistic risk analysis. Hum. Ecol. Risk Assess. Int. J. 18(5), 1036–1050 (2012).
Goldsmith, D. F., Ruble, R. P. & Klein, C. O. Comparative cancer potency for silica from extrapolations of human and animal findings. Scand. J. Work. Environ. Health. 104–107 (1995).
Collins, J. F., Salmon, A. G., Brown, J. P., Marty, M. A. & Alexeeff, G. V. Development of a chronic inhalation reference level for respirable crystalline silica. Regul. Toxicol. Pharmacol. 43(3), 292–300 (2005).
Sato, T., Shimosato, T. & Klinman, D. Silicosis and lung cancer: Current perspectives. Lung Cancer: Targets Therapy. 9, 91–101 (2018).
Salamon, F. et al. Occupational exposure to crystalline silica in artificial stone processing. J. Occup. Environ. Hyg. 18(12), 547–554 (2021).
Leung, C. C., Yu, I. T. S. & Chen, W. Silicosis Lancet 379(9830), 2008–2018 (2012).
Acknowledgements
This research was part of a MSc thesis supported by Hamadan University of Medical Sciences. The authors would like to thank vice-chancellor for research and technology, Hamadan University of Medical Sciences of Iran for financial support(Grant No: 140309208661).
Funding
This research was part of a MSc thesis supported by Hamadan University of Medical Sciences (Grant No: 140309208661).
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S.S: performing data analysis, sampling and writing main article text M.A and M.H: Methodology, Supervision, Resources, Review and editing F.G: Validation, Review and editing J.F: performing data analysis Z.K: laboratory analysis All authors reviewed the manuscript.
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This work has been carried out in accordance with the Declaration of Helsinki (2000) of the World Medical Association. The study was approved by the Ethics Committee of Hamadan University of medical Sciences (Approval No.IR.UMSHA.REC.1403.693), and informed consent was secured from all participants prior to their inclusion.
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Saeedizadeh, S., Assari, M.J., Ghorbani-Shahna, F. et al. Probabilistic risk assessment of occupational exposure to respirable crystalline silica among ceramic workers in an industrial town in Iran: a Monte Carlo simulation approach. Sci Rep (2026). https://doi.org/10.1038/s41598-026-37121-w
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DOI: https://doi.org/10.1038/s41598-026-37121-w


