Official Site of The State of New Jersey
Inpatient Hospitalizations from or with Pneumoconiosis
Summary Indicator Report Data View Options
Why Is This Important?
Pneumoconiosis is a class of lung diseases which are usually incurable and may lead to death. Pneumoconioses includes silicosis, asbestosis, coal workers' pneumoconiosis, and other and unspecified pneumoconiosis. Nearly all pneumoconioses are attributable to occupational exposures and millions of workers are at risk. Complications of various pneumoconioses and other conditions associated with exposure to the same dusts that cause pneumoconiosis include respiratory infections (including tuberculosis); chronic bronchitis; emphysema; lung cancer; pleuritis; progressive systematic sclerosis; renal disease and respiratory failure.
Definition
Hospitalizations with pneumoconiosis as any diagnosis for persons 15 years or older. ICD-9 codes: 500-505; ICD-10 codes: J60-J66.
Data Sources
- Hospital Discharge Data Collection System (NJDDCS), Health Care Quality and Assessment, New Jersey Department of Health
(https://nj.gov/health/healthcarequality/health-care-professionals/njddcs/) - U.S. Census Bureau
(https://www.census.gov/) - Bureau of Labor Statistics, U.S. Department of Labor
(https://www.bls.gov/)
How the Measure is Calculated
| Numerator: | Number of inpatient hospital discharges with any diagnosis of pneumoconiosis, coal workers' pneumoconiosis, asbestosis, silicosis, or other or unspecified pneumoconiosis. |
| Denominator: | Total number of persons aged 15 years or older in the population. |
How Are We Doing?
There have been over 29,000 cases of pneumoconiosis in New Jersey (NJ) between 2000 and 2022. Of the reported cases of pneumoconiosis hospitalizations, 92% (27,003) were due to asbestosis. The NJ annual, age-standardized rate of asbestosis between 2000 and 2022 is 50-277 hospitalizations/million residents. Rates of asbestosis in NJ may be higher than other parts of the US because of the production of asbestos products and use of asbestos, especially in New Jersey's many shipyards. Several NJ studies have documented excess mesothelioma among NJ workers in industries with asbestos exposure, including New Jersey's most well-known asbestos products manufacturer, the Manville Corporation in Somerset County. The NJDOH has estimated that as many as 500,000 NJ workers may have been exposed to asbestos since 1940.
What Is Being Done?
New Jersey law requires the reporting of the most common pneumoconiosis, including those that are coded as unspecified, by hospitals and health care providers (NJAC 8:58). [https://www.nj.gov/health/workplacehealthandsafety/occupational-health-surveillance/rptrequirements.shtml] Pneumoconioses frequency varies geographically and is largely determined by local industrial activities and migration of affected individuals. Control of occupational dust exposure is the single most effective means of preventing pneumoconiosis. Tracking of pneumoconiosis is essential for measuring progress towards elimination of the disease, as well as for targeting prevention and disease management programs. Because of the serious health effects that exposure to asbestos can cause, the handling of asbestos-containing materials is regulated in NJ. In NJ all asbestos abatement work must be conducted by a NJ Department of Labor and Workforce Development (DOLWD) licensed asbestos abatement contractor. All of the contractor's employees who conduct asbestos abatement must have a valid NJ DOLWD supervisor or worker permit. All licensed contractors are required to submit notice to designated agencies of any asbestos abatement covered by NJAC 8:60 and NJAC 5:16 at least 10 days in advance of the beginning of the work. All schools are required to maintain asbestos management plans for each of their buildings. These plans are required to include the type and location of any asbestos in the building, regular updates on the condition of the asbestos and, if applicable, when it was abated (removed). The Occupational Health Surveillance Unit conducts surveillance for silicosis under the National Institute for Occupational Safety and Health (NIOSH) Fundamental grant program. [https://www.nj.gov/health/workplacehealthandsafety/occupational-health-surveillance/]
Available Services
Additional information on the prevention of work-related injuries and illnesses can be obtained from: NJ Department of Health, Occupational Health Surveillance Unit, PO Box 369, Trenton, NJ 08625-0369 Phone: (609) 826-4984, Fax: (609) 826-4983, [http://nj.gov/health/workplacehealthandsafety/occupational-health-surveillance/]
Health Program Information
Asbestos is regulated by the NJ Departments of Health, Labor & Workforce Development, Community Affairs, and Environmental Protection as follows: Environmental and Occupational Health Assessment Program is the agency responsible for asbestos and environmental information; provides training and accreditation for asbestos training providers; conducts studies to evaluate asbestos abatement and management methods; and administers the Asbestos Hazard Emergency Response Act (AHERA) and the National Emission Standards for Hazardous Air Pollutants (NESHAP), on behalf of the US Environmental Protection Agency (USEPA). Phone: (609) 826-4950 Fax: (609) 826-4975 [http://www.nj.gov/health/ceohs/asbestos/] Public Employees Occupational Safety and Health (PEOSH) Unit enforces the occupational health regulations for public employees who work with asbestos-containing materials in general industry (General Industry Asbestos Standard, 29 CFR 1910.1001) and employees who work with asbestos-containing building materials during construction (Construction Asbestos Standard, 29 CFR 1926.1101) Phone: (609) 984-1863 Fax: (609) 984-2779 [http://nj.gov/health/workplacehealthandsafety/peosh/] NJ Department of Labor and Workforce Development (NJDLWD) Asbestos Control and Licensing licenses asbestos abatement contractors and issues performance permit identification cards to abatement workers and supervisors employed by those contractors; enforces the NJ Asbestos Control and Licensing Act (N.J.S.A. 34:5A-32 et seq.) by conducting inspections involving the abatement of friable and non-friable asbestos containing materials in all private, public, commercial and residential buildings in New Jersey, including those asbestos projects performed in schools and public buildings under the Asbestos Hazard Abatement Sub-Code; and investigates illegal or improper abatements in any type of building, and routinely inspects the work of licensed contractors and their employees. Phone: (609) 633-0664 Fax: (609) 633-0664 [https://www.nj.gov/labor/safetyandhealth/programs-services/asbestos/] NJ Department of Community Affairs (NJDCA) -- Asbestosis/Lead Unit certifies asbestos safety technicians and authorizes asbestos safety control monitoring firms; enforces the provisions of the Asbestos Hazard Abatement Sub-Code (N.J.A.C. 5:23-8) which pertains to educational facilities, public buildings, daycare centers and nurseries; provides information and interpretation of the code on methods of asbestos remediation for projects under the jurisdiction of N.J.A.C. 5:23-8; investigates complaints and routinely inspects the work of monitors; issues asbestos permits for state-owned facilities; and issues variations to N.J.A.C. 5:23-8. Phone: (609) 633-6224 Fax: (609) 633-1040 [http://www.nj.gov/dca/divisions/codes/offices/asbestos.html] NJ Department of Environmental Protection (NJDEP) regulates the transportation and disposal of asbestos-containing materials and investigates reports of unregistered transporters and illegal disposal in concert with county health departments. Phone: (609) 633-1418 Fax: (609) 633-1112 [http://www.nj.gov/dep/dshw/rrtp/asbestos.htm]