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Bird flu infections spread among workers at Colorado poultry farm

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Bird flu infections spread among workers at Colorado poultry farm

Five poultry workers at a farm in northeast Colorado have been infected by the H5N1 virus, according to Colorado’s department of public health.

The workers were culling birds at a commercial poultry farm that had been affected by the virus. Their symptoms were mild, and included common “flu-like” respiratory symptoms — such as fever, chills, coughing, sore throat and runny nose — and conjunctivitis, or pink eye. None of the workers were hospitalized.

The virus also has been identified in the state’s dairy cattle and wild birds.

The U.S. Centers for Disease Control and Prevention has confirmed four of the five cases.

Colorado’s health department said the fifth case was presumptive, and pending confirmation.

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The CDC said its risk assessment for the general public remains low, and its recommendations have not changed.

“An assessment of these cases will help inform whether this situation warrants a change to the human health risk assessment,” said the agency in a statement released Monday.

These are the first cases of H5 virus infection in poultry workers since 2022. The first ever U.S. case of H5N1 in a poultry worker was reported in Colorado in April 2022.

There have also been four cases of H5 in dairy workers. One of those cases was located in Colorado.

The CDC has sent a bilingual field team into the area to support the state’s investigation. The team of nine people includes epidemiologists, veterinarians, clinicians and an industrial hygienist.

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Public health officials say it is safe to eat properly handled and cooked poultry products.

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A Fossil Mystery, Solved by a Spin

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A Fossil Mystery, Solved by a Spin
10cm

These fossilized “blobs” were a puzzle 310 million years old.

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Paleontologists decided that they were odd jellyfish named Essexella asherae. But the creature’s anatomy was unlike that of any living jellyfish.

Roy Plotnick, a paleontologist at the University of Illinois Chicago, turned an Essexella specimen upside down while doing research.

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Immediately, the seemingly amorphous blob’s true identity began to take shape.

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What scientists thought was a free-floating jellyfish instead revealed itself to be another ocean creature altogether.

Essexella fossils date back to the Carboniferous period, when northern parts of Illinois hovered just above the equator. A local river delta fed into the sea, creating a network of brackish wetlands home to sea scorpions, centipedes and early amphibians. Many of these creatures were buried by mudslides, which protected their remains from scavengers and decay. In the 19th century, coal miners began excavating an area, known as Mazon Creek, for fuel, and the fossils turned up in their spoil heaps.

Collectors have been finding the remains of these critters in the Mazon Creek fossil beds for more than a century. Most of the fossils are entombed in ironstone nodules. Cracking these concretions reveals the imprints of soft-bodied animals that resemble bulge-eyed aliens. In the 1950s, a local collector named Francis Tully discovered the imprint of a torpedo-shaped creature with a nozzlelike mouth. The taxonomic identity of the “Tully monster” has perplexed researchers ever since.

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Essexella was similarly perplexing. Nondescript fossils turned up by the thousands at Mazon Creek, and they were often sold at local flea markets, or even discarded.

Scientists published the first detailed scientific description of the blobs in 1979. Essexella fossils are composed of two structures — a textured, barrel-shaped region and a smooth bulb. Researchers posited that the textured area represented a skirtlike curtain that wrapped around jellyfish tentacles. The rounded region was the jellyfish bell.

But as time passed, this description struck many researchers as odd.

“We were really shoehorning it to fit the jellyfish model,” Dr. Plotnick said.

No living jellyfish have curtains around their tentacles. Such a curtain would make swimming and feeding cumbersome. The uniform shape of the blob fossils also perplexed Dr. Plotnick. “If it was a jellyfish that fell on the seafloor, it would just splatter out in all directions like an old string mop on the floor,” he said.

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Dr. Plotnick tested some other hypotheses to explain the blobs — such as gelatinous, barrel-shaped critters called salps or colonial congregations of tiny creatures known as siphonophores — but each new identity failed to explain Essexella’s anomalous anatomy.

In late 2016, Dr. Plotnick and a colleague, James Hagadorn, a geologist at the Denver Museum of Nature and Science, investigated the motherlode of blobs. They were at the Field Museum in Chicago, a repository for Mazon Creek fossils that has the world’s largest Essexella collection. Most had been donated by amateur collectors who were too intrigued to leave the fossils in the scrap heap.

The scientists sifted through drawer after drawer of the splotchy specimens. They lined up several fossils to photograph and compare side by side on a table. One of the blobs caught Dr. Plotnick’s eye. As he rotated the fossil upside down, he was struck by the clarity that the change of perspective offered.

“It looked like the bottom of an anemone,” Dr. Plotnick said. He added, “That was one of only a few times I’ve actually had the classic eureka moment.”

Artist’s impressions of the anatomy of Essexella as an anemone.

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Marjorie Leggitt

As Dr. Plotnick brushed up on sea anemone anatomy, the ambiguous blobs came into focus. “All the things that bothered us about this being a jellyfish now makes sense,” he said.

Instead of being a jellyfish’s bell, the rounded region of the Essexella was an anemone’s burrowing base. The textured barrel was not a tentacle-enclosing curtain but the body of the anemone. Some specimens are preserved so well that the scientists could see the muscles that the anemone used to bend and contract.

Dr. Plotnick, Dr. Hagadorn and their team redescribed Essexella as an ancient anemone last year in the journal Papers in Palaeontology. Because of their soft bodies, ancient anemone species are mostly known from only a handful of poorly preserved fossils. With thousands of relatively well-preserved Essexella specimens, this once puzzling species is now the best-known anemone in the fossil record. Dr. Plotnick posits that these animals once lined the floor of the Mazon Creek estuary.

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This isn’t the only time that paleontologists have flipped the scientific script to clarify the identity of a bizarre fossil. Reconstructing any ancient animal is tricky. After millions of years in the ground, fossils have been warped and weathered, crushed and scattered and stamped flat onto slabs of stone.

Sometimes, a fossil’s preservation alone is enough to disorient researchers. For decades, paleontologists were stumped by why armor-clad dinosaurs called Ankylosaurs were almost always fossilized upside down. In 2018, a team posited that the heavily armored animals often went belly up because of bloating as their carcasses floated out to sea.

And then there are the evolutionary oddballs that are difficult to decipher no matter the orientation of their fossils. In 1869, the paleontologist Edward Drinker Cope mistakenly placed the skull of an Elasmosaurus, a marine reptile, at the end of the creature’s tail instead of its elongated neck. Othniel Charles Marsh, another paleontologist, seized on Cope’s error, igniting a rivalry that would fester into the so-called Bone War.

Researchers couldn’t make heads or tails of Hallucigenia when it was found in rock.

The Natural History Museum / Alamy

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The head was the tail and the tail was the head on the wormy creature.

De Agostini via Getty Images

Even weirder was Hallucigenia. For decades, researchers could not make heads or tails of the creature, a worm covered in tentacles and stiltlike spines. Then they realized that its head was really its tail, and vice versa. “That was fun and not a mere detail,” said Jean-Bernard Caron, who is a paleontologist at the Royal Ontario Museum and a co-author of a study in 2015 that determined a bulb on one end of the Hallucigenia was the creature’s head. Better-preserved fossils of a related animal in China also revealed that Hallucigenia, like Essexella, was originally reconstructed upside down.

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“Clearly Hallucigenia has seen many flips,” Dr. Caron said.

While Dr. Caron’s work helped straighten out Hallucigenia, a recent paper upends his 2012 description of Pikaia, an enigmatic wormlike creature from the Burgess Shale in Canada that was purported to be an early forerunner to vertebrates. The new study suggests that a mysterious tubelike organ that researchers thought ran along Pikaia’s back (and may have been an early nerve cord) is actually the animal’s gut cavity, running along its belly.

“The animal is now on its head!” Dr. Caron said. Yet another fossilized creature got a new story when it turned over.

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He reported a possible H5N1 outbreak in dairy cows. It took officials weeks to respond

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He reported a possible H5N1 outbreak in dairy cows. It took officials weeks to respond

The virus has — so far — caused only minimal illness among humans, yet has spread rapidly among birds, sea mammals and other species with devastating effect.

Although U.S. health officers have repeatedly assured Americans that H5N1 bird flu poses little risk to their well-being, some experts have become increasingly critical of what they see as the government’s failure to aggressively monitor the spread of virus among cattle and other farm animals. The virus has been reported in 145 dairy herds across 12 states, but critics say this is likely an underestimate.

They point to stories they have heard anecdotally from physicians and veterinarians in farming communities about mystery illnesses and cover-ups. And they point to perplexing “hits” of H5N1 in municipal wastewater far from any infected dairy herds.

“I think our government officials are are not doing the thorough investigation they should be doing,” said Rick Bright, a virologist and the former head of the U.S. Biomedical Advanced Research and Development Authority. “I think they are continually minimizing this outbreak and this virus.”

The worry among some experts is that H5N1-infected farm animals could serve as “mixing vessels” for new viral strains that could more easily infect people. They point to research released this week showing that the virus has receptors for both birds and humans. And they note that up to 75% of human infectious diseases are derived from pathogens that originated from animals.

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Now, amid this heated debate over viral monitoring, a raw milk dairy farmer and longtime critic of the Food and Drug Administration has accused the government of ignoring his tip about a suspected H5N1 outbreak among a herd of dairy cows in early May.

Cows leave a dairy barn after milking.

(Tomas Ovalle/For The Times)

Although it remains unclear whether an outbreak actually occurred, neither federal nor state officials investigated the matter for weeks. Only after inquiries by The Times did officials announce Tuesday that they would look into the report.

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The delayed response, some experts say, suggests a disturbing lack of oversight on the part of government officials.

“I think that once everybody decided it wasn’t going to kill people and pasteurized milk and herds could get over it, then all that was left was to take these stopgap measures — voluntary reporting, voluntary testing, testing when going across state lines — that don’t look anything like a really serious effort to go ahead and stamp it out,” said Michael Payne, a researcher and outreach coordinator at the Western Institute for Food Safety and Security at UC Davis.

The outbreak claim comes from Mark McAfee, owner of Raw Farms, a raw milk dairy producer with herds in Fresno and Hanford. On June 17, McAfee — who is also the president of the Raw Milk Institute, an advocacy group — emailed the FDA’s acting director, Donald Prater, to say that he’d been told a raw milk dairy herd had been infected and that people had probably consumed the contaminated milk.

According to McAfee’s email, which was shared with The Times, a subset of a farmer’s cows were suffering yellowish, runny diarrhea; low milk production; thick, yellowish colostrum; and general weakness. The farmer told McAfee he had separated the sick cows — about 10% of his herd — and discontinued milking them.

A man walks past cows as they feed.

Mark McAfee walks by cows feeding at his raw milk dairy.

(Tomas Ovalle/For The Times)

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“The farmer reported that for certain, humans had consumed the raw milk at some level,” McAfee wrote to Prater, adding that the farmer’s veterinarian “told the farmer to not report anything to anyone” because the virus would pass and “he did not want the FDA to swoop in and cause a media frenzy.”

McAfee said he fields lots of questions and calls from raw milk farmers around the nation. Because he’s president and founder of the Raw Milk Institute — and the largest producer of raw milk in the country — his advice and counsel is often sought by smaller dairy farmers.

Within 90 minutes of sending the email, Prater responded that he appreciated the time McAfee had taken to write the note and “for sharing these perspectives.” He then added that he and his agency would “take note of the points you raised and come back to you if we have any questions.”

According to McAfee, the FDA did not follow up with him. The state of New Mexico, where McAfee says the herd was infected, was made aware of the tip only last week, after the Times inquired.

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The U.S. Department of Agriculture and the Centers for Disease Control and Prevention would not comment for the record on the matter, referring questions to the state.

Critics say whether the outbreak occurred or not, the lack of an immediate, or even timely, response underscores the absence of urgency and leadership in the face of a potential health threat.

“If you turn your back on this virus, you’re kind of inviting it in to bite you in the ass,” said Bill Hanage, associate professor of epidemiology and co-director of the Center for Communicable Disease Dynamics at Harvard University’s T.H. Chan School of Public Health.

Bright, the virologist, said the delay was a problem.

1

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Carlos Rodriguez squeezes a cows teat to check the quality of the milk coming out of it.

2 Alvaro Hernandez hangs a milking cluster high to avoid contamination after a cow has been milked.

3 Mark McAfee checks bacteria levels in his raw milk every day and spends over $300,000 on testing.

1. Carlos Rodriguez squeezes a cows teat to check the quality of the milk coming out of it. 2. Alvaro Hernandez hangs a milking cluster high to avoid contamination after a cow has been milked. 3. Mark McAfee checks bacteria levels in his raw milk every day and spends over $300,000 on testing. (Tomas Ovalle/For The Times)

“This is the stuff that drives me crazy,” Bright said. “I always tell people, it’s not necessarily the data that we have in front of us that’s most concerning. It is what’s being hid from us that’s most concerning.”

Farmers do not have to let government officials test their cattle, he said, which makes it hard to verify weeks after the fact whether an outbreak had occurred. If a dairy farmer allowed it, researchers could check for H5N1 antibodies in the blood.

“I really don’t think they want to know,” he said of the U.S. government, and the FDA in particular.

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To be sure, the FDA and McAfee’s Raw Milk Institute have had a long, contentious history.

“To be quite frank, your source, Raw Milk Institute, are known advocates for repeatedly amplifying what they say is a lack of evidence that drinking raw milk with H5N1 is bad for you,” said Janell Goodwin, an FDA spokeswoman.

Indeed, McAfee said he reported the outbreak because he believed it showed that unpasteurized, yet infected raw milk was not a threat.

“No one got sick from that outbreak,” he insisted.

A man pours milk from a plastic jug.

Mark McAfee, a raw milk dairy farmer and longtime critic of the FDA, has accused officials of ignoring his tip about a possible H5N1 outbreak among dairy cows.

(Tomas Ovalle/For The Times)

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But epidemiologists The Times spoke with expressed skepticism on this point, suggesting that maybe nobody had “reported” being sick, noting that many dairy workers are migrants who may not relish a government visit. And they pointed to experimental and observational studies of barn cats that consumed H5N1 contaminated raw milk and “had about a 50% mortality rate and really unpleasant symptoms,” said Hanage, the Harvard professor.

Drinking raw milk is “something that is a risk that we would rather people didn’t take just for their own sake,” he said.

McAfee noted that he has received a certificate of good standing by California’s Department of Food and Agriculture for voluntarily testing his cows’ milk for H5N1. A spokesman for the agency confirmed that as of July 1, the farm’s milk was clear of the virus.

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Doctors said cutting countertops destroyed his lungs. He had to fight for workers' comp

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Doctors said cutting countertops destroyed his lungs. He had to fight for workers' comp

By the time that Dennys Rene Rivas Williams had fallen so ill that he needed new lungs, physicians at Olive View-UCLA Medical Center expressed little doubt about what was to blame for his sickness.

Doctors had diagnosed the 36-year-old with silicosis: an incurable disease caused by inhaling tiny bits of lung-scarring silica. It was an affliction that had debilitated dozens of workers in Los Angeles County like him, who had toiled cutting countertops bound for kitchens and bathrooms.

Health officials had sounded the alarm that a new epidemic of the illness was killing young laborers amid the rising popularity of engineered stone, which is typically much higher in silica than natural slabs. In recent years, more than a dozen California workers who cut countertops have lost their lives to the disease.

Rivas Williams’ medical records state that his silicosis was due to “engineered stone fabrication/cutting,” with a doctor advising him to quit his job to prevent further damage.

Yet Rivas Williams had been turned down when he applied for workers’ compensation, which is supposed to cover medical care and other benefits for laborers injured on the job. Attorneys representing the young father were galled, asking where else he would have inhaled so much silica.

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Rivas Williams said that the Pacoima shop where he worked was blanketed in dust, and that he and other workers were offered only flimsy masks, rather than protective respirators. In January, he received a double lung transplant — a lifesaving surgery but one that often means only an additional six years of survival.

Silicosis has been known as an occupational illness for centuries, afflicting miners, stonecutters and others exposed to silica dust.

The overwhelming majority of cases are tied to work, said Dr. Jane Fazio, a pulmonary critical care physician and UCLA researcher. Among countertop cutters, if “someone has this job and they have silicosis, it should clearly be presumed to be work-related.”

Yet as California sees surging numbers of young workers suffering from the disease, many have not successfully tapped workers’ compensation. Assistance can include medical care, disability payments and death benefits for families.

Fazio and other researchers analyzing dozens of cases of California countertop workers suffering silicosis found that only 13% had workers’ compensation benefits when diagnosed and treated. Nearly half kept working in the industry even after getting the diagnosis.

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Workers’ compensation is supposed to ensure that if workers are harmed on the job, “they don’t have to swap their livelihood for their health” and “can get access to medical care and time away from work and disability and other kinds of resources they may need to make themselves whole again,” said Kevin Riley, director of the UCLA Labor Occupational Safety & Health Program.

California employers are required to provide workers’ compensation benefits for their employees, typically by buying insurance coverage. A state fund can handle such claims if a business flouts the requirements, but advocates say many workers — especially immigrants — fear retaliation for even pursuing the benefits.

And workers’ compensation attorneys say lodging a claim is no guarantee that laborers will get aid quickly, even for a disease roundly recognized as stemming from work. Lawyer Gary Rodich said this summer that his firm was representing more than a dozen workers with silicosis who were denied workers’ compensation benefits when they applied — including Rivas Williams.

Before he got his diagnosis, Rivas Williams had filed a claim that mentioned damage to his lungs along with “repetitive work” injuries to his knees, shoulders and other parts of his body, aided by a different attorney. The denial letter from Amtrust North America said there wasn’t enough evidence that “your alleged injury resulted from your employment at Primus Marble,” the shop where he was working.

Shortly after he was diagnosed with silicosis, Rivas Williams submitted an amended application with the help of Rodich. In medical reports obtained for his case, doctors have drawn a direct line to his work cutting countertops. One wrote that his silicosis was “100% work related.”

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Amtrust said in May that his case “involves several complex issues our claims team is working diligently to resolve.” It did not respond to questions from The Times about what those issues were.

Rivas Williams’ state disability payments ran out last year. In January, his attorneys accused the insurance company of “unreasonable and/or frivolous delay” in a court filing, saying it had left him on the verge of homelessness. At that point, nearly a year and a half had passed since his initial claim.

That same month, according to his attorneys, Amtrust agreed to pay temporary benefits as the two sides continued negotiating. Amtrust said in a May email that “we are confident a resolution will be reached soon.”

Rivas Williams has to take an array of pills morning and night to prevent his body from rejecting the new lungs. The medications disarm his immune system, leaving him vulnerable to other threats. His doctors warn him to avoid cigarette and marijuana smoke, so he shuts the windows of his South Los Angeles home.

Rivas Williams, 36, shows the scar from a double lung transplant.

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(Al Seib / For The Times)

“I’m shut up almost all the time,” Rivas Williams said in Spanish in an April interview. “I’m afraid to go out because I have no defenses.”

He knows three men who have already died of the disease. When he went to say goodbye to one of them, “that mentally ruined me. I spiraled. I saw his kids cry. And I felt like I was seeing my own kids cry.”

The 36-year-old said his goal was to support his children, whom he brought to the U.S. from Guatemala. Rivas Williams said he burned through savings and piled up debts after falling ill.

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“Not everything in this life is money,” Rivas Williams said. “But imagine if I’m not here.

“Their lives are going to change.”

In June — nearly two years after Rivas Williams first filed for workers’ compensation — the two sides reached a settlement. Rodich said his client declined to publicly disclose the amount.

Primus Marble, where Rivas Williams once worked, did not respond to messages seeking comment.

As of early July, the California Department of Public Health had identified 156 cases of silicosis related to engineered stone in recent years — more than 90 of them among residents of Los Angeles County. Nearly half of those cases were identified last year alone, amid growing awareness of the silicosis epidemic.

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Public health officials believe many more cases have gone undetected as immigrant workers go without care or are misdiagnosed with other lung ailments. Outbreaks of the deadly disease have erupted worldwide as engineered stone has soared in popularity.

In Australia, where an alarming surge in cases led government officials to ban engineered stone, silicosis has been categorized among “deemed diseases” for workers’ compensation — those assumed to be caused by work unless there is strong evidence to the contrary.

If an Australian worker has silicosis, “I diagnose somebody. I fill out” the paperwork, said Dr. Ryan Hoy, lead physician for the occupational respiratory disease clinic at Alfred Hospital in Melbourne. “It goes to the regulator and they accept the claim. They can’t deny it.”

That doesn’t exist for countertop cutters here. California has granted “presumptive eligibility” for workers’ compensation for some ailments — such as COVID-19 illness suffered by health workers and first responders earlier in the pandemic — but not for silicosis claims from stonecutters.

In the U.S., workers’ compensation differs from state to state, but the problems that silicosis sufferers in California have encountered are not unique. In one study of silicosis patients in Wisconsin, researchers found many had run into problems getting workers’ compensation “and are frustrated by having to prove the work-relatedness of silicosis — a condition which seldom is acquired outside of work.”

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Almost all were initially rejected because medical records lacked information about their work histories, which is not routinely gathered by many clinicians, the study noted.

Dennys Rene Rivas Williams sits on steps outside his home.

Rivas Williams says he doesn’t go out much because he takes medications that suppress his immune system after his double lung transplant.

(Al Seib / For The Times)

Too often, “doctors either don’t have the time, don’t take the time, or don’t know how to take a complete occupational history,” said Dr. Cecile Rose, an occupational pulmonologist at National Jewish Health in Denver.

Silicosis may show up years after someone is exposed, requiring doctors to also probe into past employment.

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Many patients never pursue the process. One analysis of silicosis patients in Michigan, where the disease has sickened people whose work involves metal casting or abrasive blasting, found only 35% had applied for workers’ compensation — and the percentage had tumbled over time. Other studies involving a range of industries have put the numbers even lower.

“Even for clear-cut injuries, only about 50% of individuals apply for compensation,” said Dr. Kenneth Rosenman, chief of the division of occupational and environmental medicine at Michigan State University.

Dennys Rene Rivas Williams with wife Monica Abigail Santos.

Rivas Williams with his wife, Monica Abigail Santos. He worries about his family. “Not everything in this life is money,” Rivas Williams said. “But imagine if I’m not here.”

(Al Seib / For The Times)

Experts said the California system tends to be smoother for workers lodging claims involving one-time injuries than for those facing diseases that developed over time. Rand senior economist Michael Dworsky estimated roughly 1 in 8 claims for workers’ compensation are initially denied in California, but said rejection rates have tended be higher for illnesses tied to workplace exposure, such as cancer or heart disease.

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If injured workers fail to get workers’ comp, “it puts the burden on other resources. It puts the burden on your health insurance,” said attorney Cheryl Wallach, a board member with the advocacy group Worksafe.

Like many California workers stricken with silicosis, Rivas Williams said he was insured through Medi-Cal, California’s Medicaid program. State officials did not promptly provide figures for how much Medi-Cal pays for such care, but physicians estimated the costs of a double lung transplant exceed $1 million.

As more workers grow ill, “it’s a huge strain on taxpayers, when it really should be workers’ comp” shouldering those costs, said Dr. Sheiphali Gandhi, an assistant professor of medicine at UC San Francisco who has studied silicosis.

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