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Dr. Manas Bhanushali

MBBS, MD, DNB Respiratory Medicine

Consultant Pulmonologist

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Occupational Lung Diseases

Occupational Lung Diseases are a group of lung disorders caused or worsened by exposure to harmful substances in the workplace. These exposures can lead to inflammation, fibrosis, or allergic reactions in the lungs. The onset may be acute or chronic, depending on the type, duration, and intensity of exposure.

These diseases are preventable, but if not diagnosed and managed early, they can lead to permanent lung damage, disability, or death.

Common Types

1. Pneumoconioses (due to inhalation of inorganic dust)
  • Silicosis – from silica dust (mining, sandblasting)
  • Asbestosis – from asbestos fibers (construction, insulation)
  • Coal Workers’ Pneumoconiosis (CWP) – "black lung" disease
  • Berylliosis – from beryllium exposure (aerospace, electronics)
2. Hypersensitivity Pneumonitis (Extrinsic Allergic Alveolitis)
  • Caused by repeated inhalation of organic antigens
  • Examples: "Farmer’s lung" (moldy hay), "Bird fancier’s lung"
3. Occupational Asthma
  • Triggered by exposure to irritants or allergens (e.g., flour, latex, animal dander, isocyanates)
4. Occupational COPD
  • Long-term exposure to dust, smoke, or chemical fumes
5. Occupational Lung Cancer
  • Due to exposure to carcinogens like asbestos, arsenic, silica, or diesel exhaust
6. Byssinosis
  • From inhaling cotton, flax, or hemp dust (textile industry)
7. Chemical Pneumonitis
  • Inhalation of toxic fumes (e.g., ammonia, chlorine, smoke from fire)

Symptoms

  • Chronic cough (dry or productive)
  • Shortness of breath, especially on exertion
  • Wheezing
  • Chest tightness or discomfort
  • Fatigue
  • Fever and chills (in acute HP)
  • Weight loss (in chronic cases)

Risk Factors

  • Duration and intensity of exposure
  • Poor ventilation in the workplace
  • Lack of protective gear (e.g., masks, respirators)
  • Smoking (increases risk)
  • Pre-existing lung conditions

Prevention

  • Use of personal protective equipment (PPE) – masks, filters, etc.
  • Engineering controls – ventilation, dust suppression
  • Workplace safety regulations and regular monitoring
  • Health education for workers
  • Smoking cessation programs