“…[18][19][20] However, the subgroup of workers best characterized in our study, including those engaged in stonework masonry and tunnel construction, can reasonably be considered at high risk for adverse health effects as a result of silica exposure based on their higher mean exposure level (AM50.057, 93% of exposure measurements above the ACGIH limit value). 12,13,18,21 It should also be noted that carpenters and joiners had significant mean RCS exposure levels (AM50.047, 93% of exposure measurements above the ACGIH limit value), comparable with those of miners and quarry workers (AM50.048, 97% of exposure measurements above the ACGIH limit value), likely reflecting an inadequate implementation of preventive measures to control workplace silica dust air concentrations in the Italian construction industry, similar to other economically developed countries. [19][20][21] We estimate that about 30 000 workers are exposed to crystalline silica in the manufacture of non-metallic minerals in Italy (NACE code 26) 12 Similarly, in our study, exposure levels in the manufacture of nonmetallic minerals were found to vary between and within occupations, leading to an overall mean concentration lower than in construction, as well as a smaller percentage of TLV overwhelming values.…”