Trends and Future Directions in Mitigating Silica Exposure in Construction: A Systematic Review

Respirable crystalline silica is a well-established occupational hazard in construction work. Despite increased awareness, consistent exposure control remains a challenge, particularly in dynamic and resource-constrained environments. Respirable crystalline silica exposure in construction environments challenges the achievement of the United Nations Sustainable Development Goals (SDGs), particularly SDG 3 (Good Health and Well-Being) and SDG 8 (Decent Work and Economic Growth). Respirable crystalline silica particles cause severe health complications, including silicosis, lung cancer, cardiovascular diseases, and autoimmune disorders, representing a significant barrier to achieving SDG 3.9’s target of reducing deaths and illnesses from hazardous chemical exposures by 2030. This systematic review evaluates two decades of advancements (2004–2024) in respirable crystalline silica identification, characterisation, and mitigation within construction, synthesising evidence from 143 studies to assess progress toward sustainable occupational health management. This review documents a paradigmatic shift from traditional exposure assessment toward sophisticated monitoring approaches incorporating real-time detection systems, virtual reality–Computational Fluid Dynamics simulations, and wearable sensor technologies. Engineering controls, including local exhaust ventilation, wet suppression methods, and modified tool designs, have achieved exposure reductions exceeding 90%, directly supporting SDG 8.8’s commitment to safe working environments for all workers, including migrants and those in precarious employment. However, substantial barriers persist, including prohibitive costs, inadequate infrastructure, and regional regulatory disparities that particularly disadvantage lower-resourced countries, contradicting the Sustainable Development Goals’ principles of leaving no one behind. The findings advocate holistic approaches integrating technological innovation with context-specific regulations, enhanced international cooperation, and culturally adapted worker education to achieve equitable occupational health protection supporting multiple Sustainable Development Goals’ objectives by 2030 and also highlighting potential areas for future research.