Pneumokoniosis on the Kolar Gold Field with sections on mine dust and mining methods and an appendix on petrology

"(1) The radiological appearances of pneumokoniosis on the Kolar Gold Field is described in detail. The characteristic abnormality is the. presence of a diffuse, fine annular and punctate mottling. (2) The frequency of symptoms could not be determined with any degree of accuracy, but it is believed that symptoms are absent and there is no incapacity until profuse radiological mottling is present, i.e., after long exposure to dust. (3) There is an increased predisposition to tuberculosis, which, if it occurs, affects the prognosismost unfavourably.(4) Pathological examination shows that the radiological mottling is due to the presence inthe lung of numerous small dust-cdll aggregates (up to T5 mm. in dia.) deposited around the smaller bronchioles and blood-vessels.(5) The dust-cell aggregates are relatively acellular but when tuberculosis is superadded thereis an excessive cellular and fibrotic reaction.(6) The difficulties of defining the radiological and pathological appearances of early pneumokoniosisare discussed.(7) The incidence of pneumokoniosis in 7,653 workmen with 5 or more years’ undergroundservice was 43-75%, but it is suggested that in future the incidence will be appreciably lower.(8) The methods of- dust production and the chemistry of mine dust are described. It isshown that the free silica-content of air-borne mine -dust is relatively low.(9) The aetiology'of the pneumokoniotic lesion is discussed."