Pneumoconioses
Definition (ILO):
“Pneumoconiosis is the accumulation of dust in the lungs and the tissue reaction to its presence”
- ‘Pneumoconioses’ is the plural
- Dust within the size range of 0.5 to 3 micron pose maximum risk as these can easily enter the alveoli.
- Particles larger than 3 microns don’t reach the alveoli
- Particles smaller than 0.5 microns are exhaled out
- The dust particles which get deposited in the alveoli, cause inflammation in the lungs that can eventually lead to fibrosis of the lung tissue
- In addition to causing fibrosis, the deposition of dust also leads to:
- Reduced ciliary clearance
- The chemical composition may be cytotoxic
- Some dust may cause more fibrosis than others e.g. silica
- coal appears to be relatively inert and may accumulate in sizable amounts with minimal tissue response
- Mostly the exposure to dust occurs as a result of occupation, hence pneumoconioses are included under occupational diseases
- The specific types of pneumoconioses are named by the substance inhaled (e.g., silicosis, asbestosis, anthracosis)
Factors affecting the development of disease
- Chemical composition of dust particles
- Size of dust particles (fineness)
- Concentration of dust in atmosphere
- Duration of exposure
- Individual susceptibility or health status of the person exposed
- Pneumoconiosis usually take years to develop and may progress even after the exposure has discontinued
- There is no cure for pneumoconiosis. Hence prevention is essential
Types of Pneumoconioses
| Type of Dust | Disease |
|---|---|
| Mineral or inorganic dust | |
| Coal dust | Anthracosis |
| Silica | Silicosis |
| Asbestos | Asbestosis, cancer lung |
| Iron | Siderosis |
| Organic Dust (Hypersensitivity Pneumoconiosis) | |
| Sugarcane fiber | Bagassosis |
| Cotton dust | Byssinosis |
| Tobacco | Tobacossis |
| Hay or grain dust | Farmers’ lung |
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Types of Pneumoconiosis: Pneumoconioses
Silicosis: Silicosis
Anthracosis: Anthracosis
Byssinosis: Byssinosis
Bagassosis: Bagassosis
Asbestosis: Asbestosis
Farmer’s Lung: Farmer’s Lung
Lecture on Pneumoconiosis: Occupational Health