Block 5: Silicosis and Coal Workers’ Pneumoconiosis - Coal Dust And The Reaction Of The Lung To Retained Coal Dust.

COAL DUST AND THE REACTION OF THE LUNG TO RETAINED COAL DUST:

      

Coal dust macules and nodules, illustrated above, are less distinct than silicotic nodules. They also have very obvious carbon deposition thus giving CWP its alternative name "Black Lung".

  • Total coal dust retained by the lung is the most important determinant of the appearance of radiological CWP.
  • The figure on the right shows the risk or probability of different categories of CWP in persons exposed to the dust levels stated along the x-axis for a 40 year working lifetime.

      

Pathologically the conditions are distinct but radiologically they are similar. In CWP nodules tend to be smaller (p sized) and radiological signs of COPD may be present. In the table below, there is a simple summary of the health effects of silica and coal dust.

Comparison of the health effects of silica and coal dust exposure.
Health effect Silica Coal dust
Pneumoconiosis Yes Yes
PMF Yes Yes
Airways disease Yes Yes
Emphysema No Yes
Tuberculosis risk Yes No
Cancer Yes No

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Postgraduate Diploma in Occupational Health (DOH) - Modules 3 – 5: Occupational Medicine & Toxicology by Prof Rodney Ehrlich & Prof Mohamed Jeebhay is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
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