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Massachusetts Confirms First Silicosis Case Tied to Countertop Work, Issues Safety Alert

Officials urge stronger protections given rising illnesses linked to engineered stone.

Overview

  • A man in his 40s who spent 14 years cutting, grinding and polishing stone countertops was diagnosed with silicosis, the state’s first confirmed case linked to this industry.
  • Massachusetts’ alert calls for controls such as wet cutting, local exhaust ventilation, appropriate respirators, HEPA-filtered cleanup and periodic medical exams, noting the disease is preventable but incurable.
  • Engineered stone used for quartz countertops contains over 90% crystalline silica versus less than 45% in many granites, driving higher exposure during fabrication.
  • California reports 447 confirmed engineered-stone silicosis cases since 2019, including 25 deaths and 49 lung transplants; silicosis is now reportable there, with a new law requiring case sharing with Cal/OSHA starting January 2026.
  • Health officials warn additional, undiagnosed cases may surface due to the disease’s long latency, with many U.S. cases involving relatively young Hispanic men, and note Australia has banned engineered-stone work as experts push for stronger measures.