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    Respiratory surveillance for coal mine dust and artificial stone exposed workers in Australia and New Zealand: A position statement from the Thoracic Society of Australia and New Zealand*

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    Author
    Perret, JL; Miles, S; Brims, F; Newbigin, K; Davidson, M; Jersmann, H; Edwards, A; Zosky, G; Frankel, A; Johnson, AR; ...
    Date
    2020-10-13
    Source Title
    Respirology
    Publisher
    WILEY
    University of Melbourne Author/s
    Perret, Jennifer
    Affiliation
    Melbourne School of Population and Global Health
    Metadata
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    Document Type
    Journal Article
    Citations
    Perret, J. L., Miles, S., Brims, F., Newbigin, K., Davidson, M., Jersmann, H., Edwards, A., Zosky, G., Frankel, A., Johnson, A. R., Hoy, R., Reid, D. W., Musk, A. W., Abramson, M. J., Edwards, B., Cohen, R. & Yates, D. H. (2020). Respiratory surveillance for coal mine dust and artificial stone exposed workers in Australia and New Zealand: A position statement from the Thoracic Society of Australia and New Zealand*. RESPIROLOGY, 25 (11), https://doi.org/10.1111/resp.13952.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252612
    DOI
    10.1111/resp.13952
    Abstract
    Coal mine lung dust disease (CMDLD) and artificial stone (AS) silicosis are preventable diseases which have occurred in serious outbreaks in Australia recently. This has prompted a TSANZ review of Australia's approach to respiratory periodic health surveillance. While regulating respirable dust exposure remains the foundation of primary and secondary prevention, identification of workers with early disease assists with control of further exposure, and with the aims of preserving lung function and decreasing respiratory morbidity in those affected. Prompt detection of an abnormality also allows for ongoing respiratory specialist clinical management. This review outlines a medical framework for improvements in respiratory surveillance to detect CMDLD and AS silicosis in Australia. This includes appropriate referral, improved data collection and interpretation, enhanced surveillance, the establishment of a nationwide Occupational Lung Disease Registry and an independent advisory group. These measures are designed to improve health outcomes for workers in the coal mining, AS and other dust-exposed and mining industries.

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