Measures to Control the Prevalence of Pneumoconiosis in Coal Mining: A Review of the Literature

Background: There are enormous health problems associated with the use of coal as energy. Dust emitted during the mining processes is identifi ed as a specifi c risk factor for Coal Worker Pneumoconiosis (CWP) and other respiratory health problems. There is little published evidence on various health measures and their effectiveness in controlling CWP. This review seeks to provide a summary of the various health measures taken to reduce CWP in coalmines. Methods: We searched Google scholar, PubMed, MEDLINE, EMBASE and occupational health databases for published research articles, evaluation reports, offi cial documents and regulations. Reference lists of relevant papers were hand searched. We retrieved a total of 1049 articles out of which 17 merited criteria for inclusion. Papers presenting evidence of prevention of CWP among coal miners were included. Results: Many technological interventions are currently available to promote primary prevention of CWP by ensuring reduction in inhalable dust. This review identifi ed laws and regulations, surveillance, direct dust control measures, risk assessment and compensations as ways of minimizing exposure to dust among coal workers, as means of preventing CWP. Conclusions and Implication for Translation: There is little evidence on the various measures stipulated in mining regulations that are adhered to and the extent to which they have been effective. Public strategy that combines various health measures including training of workers on safety measures will be much effective in preventing CWP.