Exposure to Airborne Contaminants and Respiratory Health Among Lithium Mine Workers in Western Australia

Background: Lithium is an essential commodity; however, its mining and processing can expose miners to airborne contaminants such as inhalable dust, respirable dust and respirable crystalline silica. These exposures may adversely affect respiratory health. To protect the health of miners, exposure assessment and control activities are required, followed by respiratory health monitoring to assess the effect of exposure on respiratory health. This study aimed to investigate the relationship between workgroup exposure to airborne contaminants and respiratory health. To determine group exposure levels, exposure data was collected at the group level, which limits individual-level inference, followed by health monitoring. Methods: Industry health monitoring data were collected from miners in three surface lithium mines in Western Australia for the period between October 2023 and October 2024. Miners from Management Administration & Technical, Crusher/Dry/Wet Plant, and Laboratory Operations participated in a pulmonary function test, completed a health and exposure questionnaire and underwent a low dose high-resolution computed tomography. Multivariable linear and logistic regression models were fitted to identify factors associated with lung function and respiratory symptoms. Results: Older age, smoking and pre-existing respiratory conditions were correlated with poor respiratory airflow. The odds of having a respiratory obstruction or restriction were significantly higher by 3.942 and 2.165 times respectively, for miners who were 40 years old or above, and those who had existing diagnosed respiratory medical conditions. The risk of coughing among current smokers was more than four times higher compared to non-smokers. In addition, working in Crushing and Processing was significantly associated with the risk of experiencing respiratory symptoms compared to working in Management Administration & Technical and Laboratory Operations. Conclusions: The study demonstrated that respiratory health was influenced by non-work-related risk factors. Based on these results, it is recommended that health promotion programs be developed and implemented to empower miners to cease smoking and to manage non-work-related respiratory conditions.