The Pneumokoniosis of South Wales Coal Workers

There are many points still obscure regarding the nature of coal-workers'- pneumokoniosis, but the interpretation of the disease has been greatly clarified in recent years. It is now known that exposure to fumes or gases or other conditions peculiar to coal-mining are not necessary factors in the production of pneumokoniosis. The same disease occurs in coal-trimmers working in the docks, and it is thus established that the inhaled dust is the primary factor. On the other hand, there is no completely satisfactory explanation of the distribution of the disease. Geological and petrological studies have not given an unequivocal explanation of the difference in incidence in different parts of the coalfield. It is an open question whether the quantity of dust inhaled is more important than its chemical composition. However, there is ample evidence from the medical side that elimination of dust and of tuberculosis from the environment of coal workers will be required to prevent pneumokoniosis. Much is being done with regard to elimination of dust, and a similar energetic action is required in regard to tuberculosis.