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Increased morbidity and mortality among coal workers: lessons learned from well-designed epidemiological research programmes 

Increased morbidity and mortality among coal workers: lessons learned from well-designed epidemiological research programmes
Chapter:
Increased morbidity and mortality among coal workers: lessons learned from well-designed epidemiological research programmes
Author(s):

Judith M. Graber

, Robert A. Cohen

, Brian G. Miller

, and Leslie T. Stayner

DOI:
10.1093/med/9780199683901.003.0001
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date: 02 April 2020

Coal workers are at increased risk of morbidity and mortality from a wide spectrum of non-malignant respiratory disease from occupational exposure to respirable coal mine dust. Whether coal workers are at increased risk for malignancies, including lung and stomach cancers, is an unresolved question. Coal workers were amongst the first occupational groups to be systematically studied in large, well-designed epidemiological studies. This chapter reviews what has been learned regarding the types and causes of illness and death due to respiratory disease among coal workers as revealed by these large studies and examines the independent contributions of dust exposure, other work place exposures, and smoking habit. This chapter also reviews studies that have addressed whether coal workers are at increased risk for lung or stomach cancer and highlights some of the lessons learned and methodological challenges in the study of cohorts of miners.

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