A comprehensive guide to the establishment of screening and surveillance programmes as a strategy for protecting the health of workers exposed to respirable crystalline silica containing dust, coalmine dust, and asbestos dust. Addressed to health planners as well as specialists in occupational health, the book covers both the general principles of effective screening and surveillance and the specific approaches, methodologies, tests, and examinations useful for detecting diseases induced by exposure to mineral dust. Recommended approaches and practices reflect the consensus reached by an international group of experts. Background information is provided in the opening chapters, which explain differences in the aims and methods of screening and surveillance programmes, offer advice on the selection of appropriate medical tests, and discuss essential programme components. Against this background, the most extensive part offers detailed guidance concerning which diseases should be monitored and which tests should be performed. All the major diseases associated with mineral dust exposure are reviewed, emphasizing knowledge about causes, pathological characteristics, manifestations, latency period, the advantages of early diagnosis, and the effectiveness of available interventions. On the basis of this review target diseases for screening and surveillance are identified. The next chapter discusses the uses and limitations of each test commonly used to detect diseases related to mineral dust exposure. Tests are discussed in the categories of conventional chest radiography, additional imaging techniques, measures of lung function, and questionnaires. The final chapter sets out recommendations for the periodic screening and health surveillance of workers.

Chronic respiratory diseases, such as asthma and chronic obstructive pulmonary disease, kill more than 4 million people every year, and affect hundreds of millions more. These diseases erode the health and well-being of the patients and have a negative impact on families and societies. This report raises awareness of the huge impact of chronic respiratory diseases worldwide, and highlights the risk factors as well as ways to prevent and treat these diseases.

This Monograph provides the general respiratory physician with a working reference based on the latest literature and expert opinion. The initial chapter provides a contemporaneous global perspective of the epidemiology of occupational and environmental lung diseases in an ever-evolving landscape. The book then goes on to consider specific occupational lung diseases. Each chapters has a clear clinical focus and considers: key questions to ask in the history; appropriate investigations to undertake; differential diagnoses; and management. Controversies or diagnostic conundrums encountered in the clinic are also considered, and further chapters are more broadly centred on the non-workplace environment; specifically, the respiratory symptoms and diseases associated with both the outdoor and indoor environments.