Refractory materials are usually non-metallic materials that are stable at high temperature. These materials are used in different shapes, the most common of which are refractory bricks and insulating materials or refractory fibers. Mineral fibers are naturally created and among them asbestos is the most prominent type of mineral fiber and is widely used in industrial applications (
1). With the advent of science and technology, in addition to synthetic fibers, synthetic vitreous fiber (SVFs) or man-made mineral fibers were introduced to the industry. The main types of SVFs are glass fibers, minerals (slag wool and rock wool), and ceramic fibers (including refractory ceramic fibers) (
2).
Refractory ceramic fibers (RCFs) are synthetic amorphous fibers made from kaolin or the combination of alumina (AL
2O
3) and silicon dioxide (SiO
2) (
2). RCFs have a good thermal resistance, tensile strength, high durability, and lightweight. Although RCFs are less durable (i.e., more soluble) than the least durable asbestos fiber (chrysotile), they are more durable than most fibrous glass and other types of SVFs (
1). RCF has been produced in the United States since the early 1950s. In 2006, the total RCF production in the United States was estimated to be 80 million pounds a year, representing 1% - 2% of total SVFs production worldwide (
1,
3). Approximately 32,000 - 32,500 workers in the United States might be exposed to RCFs, of which 800 are directly exposed during RCF production, and the remainder is exposed to RCF products when using them (
4). RCF is mainly in the form of fiber flasks or as a special RCF product in the form of mattresses, fabrics, felts, boards, and firebricks in industries such as industrial furnaces, boilers, pipes, and ships manufacturers, thermal stress reduction systems, fire extinguishing systems and temperature protection enhancers for melting piles (
3,
4). Clinical radiographic examination of workers with RCF showed that exposure to RCF is associated with elevated pleural effusions (
5). The International Agency for Research on Cancer (IARC) puts RCF in group 2B carcinogens (
6). National Institute for Occupational Safety and Health (NIOSH) recommends a working exposure limit of 0.5 fiber per cubic centimeters (F/cm
3) for RCF while American Conference of Governmental Industrial Hygienists (ACGIH) recommends TLV-TWA = 0.2 (F/cm
3) for the RCFs.
As mentioned above, there are refractory materials in the form of bricks that are used in metal furnaces or metal pellets. Refractory bricks are usually made of firebrick that predisposes the workers to occupational injuries through the inhalation of dust from the destruction of these bricks in the melting furnaces. It has been evidenced that people exposed to these materials are actually exposed to free silica (
7,
8). The accumulation of silica in the lung tissue causes silicosis (
9). In 1997, the IARC classified inhaled crystalline silica as a human carcinogen (group 1) (
10). The main function of the occupational health profession is to provide health care in all its aspects, and the tools of this function are known as controlling the harmful factors of the work environment. Controlling the harmful conditions of workplace can be addressed in the field of engineering controls and management controls. Moreover, if these methods cannot reach exposure levels below the threshold limit value, personal protective equipment, as the only practical means, will be used. Air purifier masks are commonly used to protect people from exposure to aerosols. According to a survey conducted in the United States, 95% of the workers use the air purifying equipment. NIOSH estimates that 20 million US workers use respiratory masks daily for reducing exposure to airborne hazards (
11). Unfortunately, limited studies have been conducted on the efficacy of respiratory masks against fibrous contaminants (
12-
16) and currently there is no evidence of the effectiveness of respiratory masks against RCF fibers. Therefore, the efficiency of respiratory masks used in a refractory group in one steel industry was surveyed in the present study.