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Complete Health Indicator Report of Mortality from or with Pneumoconiosis

Definition

Deaths with pneumoconiosis, coal workers' pneumoconiosis, asbestosis, silicosis, and other and unspecified pneumoconiosis as the underlying or contributing cause of death. ICD-10 codes: J60-J66

Numerator

Number of deaths from or with pneumoconiosis.

Denominator

Total number of persons aged 15 years or older in the population.

Why Is This Important?

Pneumoconiosis is a class of lung diseases which are usually incurable and may lead to death. Nearly all pneumoconioses are attributable to occupational exposure, and millions of workers are at risk. Common types include asbestosis, coal workers' pneumoconiosis, and silicosis. Pneumoconiosis frequency varies geographically, largely determined by local industrial activities and migration of affected individuals.

Healthy People Objective: Reduce pneumoconiosis deaths

U.S. Target: 2,187 deaths
State Target: 6.9 deaths per 1,000,000 population aged 15 years and older (age-adjusted)

Other Objectives

'''Healthy New Jersey 2020 Objective OSH-2''': Reduce deaths due to pneumoconiosis to 6.0 per 1,000,000 NJ residents aged 15 years and older.

How Are We Doing?

In NJ, asbestosis resulted in the greatest number of deaths from pneumoconiosis, over 1,200 between 2000 and 2020. In NJ, asbestosis annual, age-standardized mortality rates between 2000 and 2020 ranged from 4.4-13.8 deaths per million residents. Rates of asbestosis in NJ may be higher than national rates due to the production of asbestos products and use of asbestos, especially in New Jersey's many shipyards. Several NJ studies have documented excess mesothelioma among New Jersey 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 New Jersey workers may have been exposed to asbestos since 1940. Silicosis and coal workers' pneumoconiosis each resulted in less than 5 deaths per year between 2000 and 2020, therefore rates could not be accurately calculated.

What Is Being Done?

New Jersey law requires the reporting of the most common pneumoconioses, including those that are coded as unspecified, by hospitals and health care providers (NJAC 8:58). Control of occupational dust exposure is the single most effective means of preventing pneumoconiosis. Tracking of pneumoconiosis is essential for tracking 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 New Jersey. In New Jersey 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).

Available Services

Additional information on the prevention of occupational illnesses and injuries can be obtained from the NJ Department of Health's Occupational Health Surveillance Unit [http://www.state.nj.us/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 for asbestos and environmental health 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 United States Environmental Protection Agency (USEPA). Phone: (609) 826-4950 Fax: (609) 826-4975 [http://www.state.nj.us/health/ceohs/asbestos] Public Employees Occupational Safety and Health (PEOSH) 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://www.state.nj.us/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 [http://lwd.dol.state.nj.us/labor/lsse/employee/asbestos_control_and_licensing.html] 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]


Related Indicators

Related Relevant Population Characteristics Indicators:



Data Tables


Age-Adjusted Death Rate due to All Pneumoconiosis, New Jersey, 2000-2020 (HNJ2020)

New Jersey vs. United StatesYearDeaths per Million ResidentsNumer- ator
Record Count: 42
New Jersey200014.198
New Jersey200114.8103
New Jersey200212.889
New Jersey200311.281
New Jersey200411.276
New Jersey200512.285
New Jersey20067.052
New Jersey20076.951
New Jersey20087.455
New Jersey20097.657
New Jersey20107.861
New Jersey20119.174
New Jersey20127.862
New Jersey20136.956
New Jersey20146.755
New Jersey20155.447
New Jersey20167.665
New Jersey20175.851
New Jersey20185.248
New Jersey20194.841
New Jersey20204.945
United States200013.22,864
United States200112.42,747
United States200212.12,718
United States200311.52,639
United States200410.92,531
United States200510.22,430
United States20069.62,312
United States20078.92,194
United States2008**
United States20097.91,998
United States20108.02,037
United States20117.01,890
United States20126.71,850
United States20136.81,859
United States20146.41,790
United States20156.01,735
United States20165.61,662
United States20175.31,636
United States2018**
United States2019**
United States2020**

Data Notes

Pneumoconiosis is typically a chronic disease with a long latency (pre-clinical period). Current incidence is not necessarily indicative of current exposures, and it may be several years before reductions in exposures affect mortality. In addition, people may not die in the state in which they were exposed.   All Pneumoconiosis: ICD-9-CM 500-505, ICD-10-CM J60-J66. Effective October 1, 2015 healthcare organizations and providers were required to start using ICD-10-CM codes. The transition in classification from ICD-9-CM to ICD-10-CM may not be a one-to-one match, therefore caution should be taken when comparing data before and after the transition. The US 2000 Standard population ([http://www.cdc.gov/nchs/data/statnt/statnt20.pdf]) was used to calculate the annual age-standardized death rate. Number of deaths in NJ and state census population data were broken down into the following age groups: 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, and 85 plus. **US data for 2008, 2018-2020 is not available. This is Healthy New Jersey 2020 Objective OSH-2.

Data Sources

  • National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/nchs/index.htm]
  • U.S. Bureau of the Census, [https://www.census.gov/]


Age-Adjusted Death Rate due to Asbestosis, New Jersey, 2000-2020

New Jersey vs. United StatesYearAge-Adjusted Rate per Million ResidentsNumer- ator
Record Count: 42
New Jersey200012.788
New Jersey200113.896
New Jersey200212.184
New Jersey200310.072
New Jersey200411.268
New Jersey200510.875
New Jersey20067.049
New Jersey20075.846
New Jersey20087.455
New Jersey20097.556
New Jersey20107.755
New Jersey20118.367
New Jersey20127.559
New Jersey20136.653
New Jersey20146.654
New Jersey20154.842
New Jersey20167.161
New Jersey20175.246
New Jersey20185.046
New Jersey20194.438
New Jersey20204.844
United States20006.91,493
United States20016.51,454
United States20026.61,473
United States20036.41,471
United States20046.31,470
United States20056.01,423
United States20065.61,344
United States20075.71,401
United States2008**
United States20095.01,262
United States20105.21,318
United States20114.81,243
United States20124.41,208
United States20134.51,229
United States20144.31,218
United States20154.21,188
United States20163.91,142
United States20173.81,102
United States2018**
United States2019**
United States2020**

Data Notes

Pneumoconiosis is typically a chronic disease with a long latency (pre-clinical period). Current incidence is not necessarily indicative of current exposures, and it may be several years before reductions in exposures affect mortality. In addition, people may not die in the state in which they were exposed.   Asbestosis: ICD-9-CM 501, ICD-10-CM J61. Effective October 1, 2015 healthcare organizations and providers were required to start using ICD-10-CM codes. The transition in classification from ICD-9-CM to ICD-10-CM may not be a one-to-one match, therefore caution should be taken when comparing data before and after the transition. The US 2000 Standard population ([http://www.cdc.gov/nchs/data/statnt/statnt20.pdf]) was used to calculate the annual age-standardized death rate. Number of deaths in NJ and state census population data were broken down into the following age groups: 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, and 85 plus. **US data for 2008, 2018-2020 is not available.

Data Sources

  • National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/nchs/index.htm]
  • U.S. Bureau of the Census, [https://www.census.gov/]

Page Content Updated On 10/05/2022, Published on 10/05/2022
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 30 November 2022 9:10:26 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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