China ; Humans ; Pneumoconiosis ; epidemiology

China ; epidemiology ; Humans ; Pneumoconiosis ; epidemiology

China ; epidemiology ; Humans ; Pneumoconiosis ; epidemiology

China ; epidemiology ; Humans ; Incidence ; Pneumoconiosis ; epidemiology

OBJECTIVETo describe the incidence of pneumoconiosis reported in China from 1997 to 2009 and investigate the epidemiological trends and characteristics of pneumoconiosis, and to provide basic data for formulating the guidelines and policies for control of pneumoconiosis, research on pneumoconiosis, and establishing the time series model for monitoring and early warning of pneumoconiosis.

METHODSThe national database of new cases of pneumoconiosis reported from 1997 to 2009 was subjected to systematic arrangement, descriptive analysis, and trend test using SPSS 15.0. The statistical indices included number of new pneumoconiosis cases in each year, types of pneumoconiosis, regional and industrial distributions of pneumoconiosis cases, work types of pneumoconiosis cases, and the annual changes in mean length of service and mean age at the onset of pneumoconiosis.

RESULTSFrom 1997 to 2009, a total of 122 333 new cases of pneumoconiosis were reported; the number of new cases increased since 1998, but fell to 7620 in 2003, and then it increased again to a maximum of 12 492 in 2009. Of all patients, 87.5% were cases of coal-workers' pneumoconiosis and silicosis; 54 068 (44.2%) were coal-workers' pneumoconiosis cases, and 52 930 (43.3%) were silicosis cases. The pneumoconiosis cases were distributed mainly in Hunan Province (12 995 cases, 10.6%), Shandong Province (8952 cases, 7.3%), and Sichuan Province (8417 cases, 6.9%). Most cases were distributed in coal industry (61270 cases, 50.1%), architectural, material industry (9754 cases, 8.0%), nonferrous metals industry (9380 cases, 7.7%), and metallurgical industry (8773 cases, 7.2%). The work types of these cases mainly included tunneling as the main work (15 659 cases, 12.8%), mining as the main work (15 009 cases, 12.3%), drilling (14 010 cases, 11.5%), tunneling (12 122 cases, 9.9%), and hybrid coalmine work (10 612 cases, 8.7%). The mean length of service at the onset of pneumoconiosis in new cases of pneumoconiosis was shortened from 1997 to 2009, with a median length of service of 20.00 years; the median lengths of service at the onsets of coal-workers' pneumoconiosis, silicosis, and asbestosis were 21.58, 17.00, and 20.00 years, respectively. The median age at the onset of pneumoconiosis was 51.00 years, and the mean age of onset in new cases of pneumoconiosis increased over the 13 years.

CONCLUSIONThe incidence of pneumoconiosis is still high, with a marked concentrated trend in several industries, work types, and pneumoconiosis types, a marked rising trend in number of new cases, and a marked shortening trend in length of service at the onset of pneumoconiosis. The prevention and control of pneumoconiosis should be enhanced in key industries and for people engaging in key types of work according to the epidemiological characteristics of pneumoconiosis. In addition, the demonstration project of comprehensive prevention and control of occupational dust hazards should be carried out, and the monitoring and early warning system for pneumoconiosis should be established.

China ; epidemiology ; Humans ; Pneumoconiosis ; epidemiology ; Retrospective Studies

OBJECTIVETo describe the reported incidence of pneumoconiosis in China in 2010, and to investigate the reasons for increase in the number of new cases.

METHODSDescriptive analysis was performed on the new cases of pneumoconiosis reported by the "Monitoring System of Health Hazard Factors" under "China Information System for Disease Control and Prevention" in China in 2010.

RESULTSA total of 23812 new cases of pneumoconiosis were reported in all provinces, autonomous regions, and municipalities except Tibet, Hong Kong, Macao, and Taiwan, as well as Production and Construction Corps of Xinjiang, increased by 64.28% compared with the number in 2009. There were 12 564 cases of coal-workers' pneumoconiosis and 9870 cases of silicosis, accounting for 94.21% of all new cases. The cases of silicosis were distributed mainly in Sichuan, Liaoning, and Jiangsu, from which 52.21% of all new silicosis cases were reported; most of the cases were in railway, nonferrous metal, and coal industries, and the majority of them were drillers. The cases of coal-workers' pneumoconiosis were distributed mainly in Hunan, Chongqing, Sichuan, Shanxi, and Beijing; most of the cases were in coal industry, and the majority of them were coal-getters. The main reasons for increase in the number of new cases were as follows: increased numbers of reporting agencies and diagnosis agencies, expanded coverage of occupational health surveillance and occupational insurance, closing down and integration of small coal mines, solution of untreated problems, enhanced legal awareness of employers and employees, and investigation into omission of pneumoconiosis case reporting.

CONCLUSIONCoal-workers' pneumoconiosis and silicosis are the most serious occupational diseases in China, and specific measurements for prevention and control should be taken according to the geographic, industrial, and occupational distributions.

Objective: To analyze the security situation of patients with occupational pneumoconiosis in Gansu Province to lay the foundation for strengthening the security measures for patients with pneumoconiosis. Methods: In August 2020, a follow-up survey was conducted on the current patients with occupational pneumoconiosis diagnosed and surviving in Gansu Province from 1949 to 2019, to obtain the information of industrial injury insurance, employer compensation, medical insurance, subsistence allowance and so on, and analyze their distribution characteristics. The proportion of patients enjoying various security, medical insurance reimbursement and subsistence allowances was tested by chi square. Results: Among the current patients with occupational pneumoconiosis in Gansu Province, 72.0% (5335/7410) enjoyed the benefits of work-related injury insurance, 8.2% (609/7410) enjoyed the compensation paid by the employer, 91.5% (6780/7410) had medical insurance, and 2.8% (204/7410) had no guarantee. Among the patients with occupational pneumoconiosis, 374 enjoyed the minimum living allowance, accounting for 5.05% (374/7410) ; the first diagnosis period with a high proportion of minimum living allowance was phase Ⅲ, accounting for 15.14% (43/284) . Conclusion: The proportion of medical insurance outpatient and inpatient reimbursement of occupational pneumoconiosis patients in Gansu Province is still at a low level. It is suggested that relevant departments should introduce relevant security policies for workers without fixed employers to reduce the economic burden of patients.
China/epidemiology* ; Humans ; Pleasure ; Pneumoconiosis/epidemiology*

China ; Disease Progression ; Humans ; Pneumoconiosis ; epidemiology

Dust ; analysis ; Humans ; Magnoliopsida ; Pneumoconiosis ; epidemiology ; Prevalence