Silicosis
Artificial stone silicosis: A UK case series
Silicosis due to artificial stone (AS) has emerged over the last decade as an increasing global issue. We report the first eight UK cases. All were men; median age was 34 years (range 27–56) and median stone dust exposure was 12.5 years (range 4–40) but in 4 cases was 4–8 years. One is deceased; two were referred for lung transplant assessment. All cases were dry cutting and polishing AS worktops with inadequate safety measures. Clinical features of silicosis can closely mimic sarcoidosis.
ARTIST study

Coming soon near you!
What is it?
Researchers at Imperial College are carrying out research to answer some key questions relating to silicosis in UK worktop fabricators.
Who is funding it?
The research is funded by the National Institute for Health Research and the Colt Foundation
Who is involved?
Imperial College is leading the research in collaboration with the Worktop Fabricators Federation (WFF), University of Manchester and the Institute of Occupational Medicine (IOM).
What will it involve?
Researchers will visit fabricating companies who are members of WFF and
- Provide education about the health effects of silica
- Invite workers to take part in the study which includes a lung scan (CT) and blood/urine tests
- Carry out and provide a report of silica measurements at each workplace (in association with the IOM)
How much will it cost my business?
This will all be free of charge to the companies
Will my results be shared with HSE?
We will not share the individual reports with the HSE
What happens next?
More information will be provided once the study has formally launched but please get in touch to register interest or if you have any questions (Chief investigator: Dr Jo Feary: j.feary@imperial.ac.uk)
BTS Winter Meeting 2025
Wed, 26 Nov 2025
The Lungs at Work team attended, presented and chaired at the most recent British Thoracic Society (BTS) Winter Meeting between 26-28 November 2025 in Westminster, London.
Our team presented the following abstracts:
Concentrations of respirable crystalline silica and radon among tanzanite mining communities in Mererani, Tanzania
Background
Globally, the number of small-scale miners (SSM) is estimated to be more than 25 million, but it supports the livelihoods of around 100 million individuals. In Tanzania, the number of SSM has increased from an estimated 150,000 in 1987 to ~1.5 million in 2017. The miners are at a high risk of occupational-related health challenges. The study aimed to assess the concentrations of respirable crystalline silica (RCS) and radon among the tanzanite mining communities in Simanjiro District, Tanzania.
Confronting the growing epidemic of silicosis and tuberculosis among small-scale miners
An estimated 49·5 million small-scale miners worldwide are exposed to high concentrations of silica during their work. The substantial morbidity and mortality of silicosis and tuberculosis among workers exposed to such intensities have been documented. This Viewpoint raises concern at the failure to respond to a growing epidemic of lung disease (predominantly silicosis and tuberculosis) among small-scale miners.
Dr Jo Feary featured in iNews campaign on artificial stone silicosis
Mon, 04 May 2026
Dr Jo Feary has been quoted in a recent article published by the iPaper about silicosis due to artificial/engineered stone ("More young men ‘will die’ of kitchen revamp disease as cases go undetected titled" - iPaper, 4th May 2026)
ERS Congress 2025
Sat, 27 Sep 2025
Dr Patrick Howlett and Dr Johanna Feary both attended the ERS Congress 2025 in Amsterdam, the Netherlands.
Patrick also did a poster presentation on his current research on "the prevalence and determinants of silicosis among current and ex-gemstone miners in Northern Tanzania" (PA1579).
Health effects of silica dust
Wed, 07 May 2025
We have worked with the Society of Occupational Medicine (SOM) to develop an information document on silicosis from artificial/engineered stone. The document aims to provide background information and practical strategies for occupational health surveillance.
ITV News feature on silicosis from artificial stone
Thu, 04 Jun 2026
Media coverage continues for on the rise in cases of silicosis amongst workers, primarily stonemasons, caused by exposure to artificial/engineered stone.
ITV News recently aired a piece on Monday 1 June 2026 focusing on a widow who lost her husband to silicosis, and the dangers of working with artificial stone.
Lungs At Work team member Dr Jo Feary was also featured in the report, and continues to do a huge amount of work to raise awareness and understanding of silicosis due to artificial stone.
Jo Feary featured in iNews campaign on artificial stone silicosis
Tue, 16 Dec 2025
The i Paper has recently published several articles about silicosis due to artificial/engineered stone. The articles are part of a wider campaign to raise awareness of the dangers of working with this type of stone, and to improve health surveillance and accountability of UK employers which are still using these products. The i Paper is ultimately calling for ban of artificial/engineered stone in the UK.

