LOS ANGELES — Companies that manufacture slabs of engineered stone, a popular choice for kitchen and bathroom countertops, are developing and marketing new products amid mounting concerns about stonecutters being sickened with a deadly lung disease.
The new alternatives boast reduced levels of crystalline silica, a mineral that can cause an incurable disease called silicosis if workers inhale tiny particles of dust from cutting and grinding stone.
Doctors have linked a global eruption of severe silicosis among young stonecutters to the booming popularity of engineered stone, which can contain upward of 90 percent crystalline silica. In California, health officials have confirmed 180 cases of silicosis among countertop cutters in less than six years, resulting in at least 13 deaths.
Engineered stone manufacturers say their slabs can be cut safely with proper precautions and that shoddily run workplaces — not their products — are to blame. But amid legal battles and calls to ban engineered stone, some companies have also begun offering newer products that are lower in crystalline silica.
Such alternatives have rapidly hit the market in Australia, where government regulators recently banned the installation of engineered stone. Dr. Ryan Hoy, senior research fellow at Monash University’s Centre for Occupational and Environmental Health in Melbourne, said that many of the new products are made with a form of silica from recycled glass that is “far less toxic than the crystalline form.”
He cautioned, however, that such slabs may still have other dangerous elements. “There is definitely urgent need for further toxicological testing,” Hoy said, but in light of the known harm that workers have suffered from crystalline silica, “I think transition to these is reasonable rather than delaying it.”
The global market for engineered stone, a product prized by customers for its durability, lower pricing and wide variety of colors and patterns, has been valued at roughly $25 billion.
Marcos Santa Ana, president of the Southern California design-build firm Alloi, said he could recall just one client in recent years who had brought up concerns about silica content and asked about alternatives: an Australian who instead opted for a birch countertop.
Turning to new products gives engineered stone companies a way to stay on the market. Under rules adopted there, engineered stone — a product made by combining stone materials with chemical constituents such as resins and pigments — can still be used if it has less than 1 percent crystalline silica. Workplace safety officials in Australia said legal alternatives also include some products made of porcelain or “sintered stone,” an artificial product made by binding minerals together with heat.
But the engineered stone industry has also been advertising products with lower levels of silica beyond the Australian market. One major company with headquarters in Spain, Cosentino, now manufactures its Silestone slabs with 40 percent crystalline silica or less and also has a range of products with 10 percent or less of the mineral.
Cosentino said in an email that it had launched research on technology that helped reduce the crystalline silica content of its products more than seven years ago, well before any ban. In Australia, where 10 percent crystalline silica is still above the limit for engineered stone, it sells slabs made of other materials such as porcelain.
Another company, Israel-based Caesarstone, is now marketing a “Crystalline-Silica Free” collection in Australia that contains less than 1 percent crystalline silica, according to its safety data, and said it plans to unveil similar offerings in the U.S. Its subsidiary Caesarstone USA said in a written statement that such products “are part of our broader commitment to leading the industry towards safer, more sustainable practices.”
Caesarstone USA said it also has an existing “low silica” line with less than 40 percent crystalline silica already available in the U.S. And the company added that it is now “developing new products with less than 1 percent crystalline silica, which are expected to offer even greater safety benefits,” although “the success of these products in development and their market demand are still unclear.”
Dr. Robert Harrison, a professor of occupational medicine at UC San Francisco, said he had not seen so many cases of severe and deadly silicosis until artificial stone countertops rife with crystalline silica hit the market.
“The jury is still out on whether these [new] products are completely safe,” Harrison said, “but they are probably safer than the products containing crystalline silica that we’re selling now in the United States.”
Crystalline silica ravages the lungs by scarring them from within. Scientists from the National Institute for Occupational Safety and Health presented research at a national conference this year that concluded that it was likely that the harmful effects suffered by countertop cutters were “primarily driven” by the crystalline silica content of the material they were cutting and grinding.
But when researchers at the University of Adelaide and the University of Tasmania examined how lung cells were affected by dust from stone products — including some reduced silica versions of engineered stone — the results suggested “silica was not the only component that was problematic,” said Chandnee Ramkissoon, a University of Adelaide research fellow in public health.
Among the other concerns Ramkissoon and her colleagues have flagged are metals such as aluminum, as well as resins that can emit volatile organic compounds when slabs are cut. They also noted that although the “reduced silica” slabs did indeed give off less crystalline silica when they were cut, the silica particles tended to be very fine. That has health implications because tinier particles can penetrate deeper into the lungs.