Pneumoconiosis and Other Respiratory Morbidities Among Coal Miners In India

This study was undertaken in collaboration with the International Development Research Centre (IDRC), Canada, consisting of clinico-radiological examination and ventilatory function tests in 5777 underground coal miners and 1236 surface coal miners. This study revealed that the prevalence of pneumoconiosis (category 1/1 and more) in underground coal miners was 2.84% and in the surface coal workers it was 2.10%. Majority of the cases of neumoconiosis (84.1% of total cases) in underground coal miners belonged to category 1/1. 

There were no cases of pneumoconio­sis higher than category 2/2. Only three cases of progressive massive fibrosis (PMF) were found in underground coal miners and none in surface coal workers. The prevalence of chronic respiratory symptoms amongst the
underground miners was 31.3%, which was significantly higher than that amongst the surface coal workers (17.3%). The overall prevalence of functional abnormalities of lung in underground coal miners and surface coal workers was 45.4% and 42.2% respectively. 

The prevalence of obstructive (inclusive of mixed) type of functional abnormalities of lungs amongst underground coal miners and surface coal workers was 28.9% and 24.1% respectively. The environmental study indicated that the air borne dust concentrations were much higher than the suggested  threshold limit values (TLV) in underground and surface coal mines. The noise levels and the parameters of heat stress also exceeded the TLVs.

  This study established a low prevalence of pneumoconiosis and absence of more severe cases of pneumoconiosis  in Indian coal miners and also reported very high prevalence of non pneumoconiotic respiratory morbidity in coal miners.

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Noise Pollution and Health Effects
Occupational Exposure to Heavy Metals
Occupational Exposure to Organochlorine Pesticides
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