The Proportion and Radiological Features of Pneumoconiosis in Workers Exposed to Dust in The Workplace

Mukhtar Ikhsan


Background: One of the most common occupational diseases found in workplace is pneumoconiosis. The most disease is silicosis, which is lung disease caused by inhalation of dust containing free crystalline silica which afflicts tens of millions of workers in hazardous work and kill thousands of people worldwide. This study aimed to determine proportion and radiologic appearance of pneumoconiosis in workers exposed to dust in various industrial and mining processes.
Method: This research used cross-sectional desaign, was conducted 2017 until September 2019 for various industrial and mining workers exposed to dust. Chest X-ray with digital radiography was read in International Classification of Pneumoconiosis Radiography from ILO version 2011, by a lung specialist who certified by The International Labor Organization (ILO) and The Asian Intensive Reader of Pneumoconiosis Project (AIR Pneumo).
Results: ILO chest X-ray readings were carried out on 810 chest photos. Various radiological features of pneumoconiosis were obtained in 132 chest X-rays (16.2%), mostly abnormalities in parenchyma 87.1%. Parenchymal abnormalities are mostly of small round (p/p) with a profusion of 0/1 (89.6%). The most zones were lower right (58.1%). Pleural disorders (2%) mostly of costophrenic sinus obliteration 64.8%. Other disorders were 61/810 (7.24%), mostly of diaphragm abnormalities 15/61 (27.9%). Relevant appearance with pulmonary tuberculosis (infiltrates) was 8/810 (0.9%).
Conclusion: The proportion of pneumoconiosis was 16.2%, mostly of parenchymal abnormalities (87.1%). Parenchymal abnormalities that occured still in the early phase, most zones were lower right (58.1%), pleural disorders 2%, other abnormalities were 7.24% and those that relevant to pulmonary tuberculosis 0.9%. (J Respir Indo. 2019; 39(4): 266-71)


proportion, pneumoconiosis, workers, dust, tuberculosis

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Fishman AJ, Elias JA. Coal worker’s lung disease and silicosis. In: Fishman's pulmonary diseases and disorders. 4th ed. Fishman AJ, Elias JA, Grippi MA, Senior RM, Pack AI. Eds. New York: McGraw-Hill Medical; 2008.p:933-80.

Sebastien P, Begin R. Aetiopathogenesis of Pneumoconioses. In: Encyclopaedia of Occupational Health and Safety, Vol. 1, 4th Ed. Stellman JM, Ed. ILO Office, Geneva, 1998.

Kementerian Kesehatan Republik Indonesia. Available from: pertambangan rentan-terkena-pneumoconiosis.html. Diunduh pada tanggal 20 September 2019.

Morgan WKC. Epidemiology and Occupational Lung Disease. In: Occupational Lung Disease. 3rd Ed. Morgan WKC, Seaton A. Eds. Philadelphia, WB Saunders Company, 1995.

Lesage M. International Classification of Radiographs on Pneumoconiosis. In: Encyclopaedia of Occupational Health and Safety, Vol. 1, 4th Ed. Stellman JM, Ed. ILO Office, Geneva, 1998.

Won Chul Lee, Hyeon Woo Yim, Kyung Jae Lee, Se Yong Lee, Kwang Ho Meng, Young Gyu Phee, Epidemiologic Characteristics of the Pneumoconiosis Patients in Manufacturing Industries. Korean Journal of Epidemiology 1998;20(1): 141-153.

Widhy Yudistira Nalapraya. Proporsi pneumokoniosis pada pekerja tambang kapur di Desa Citatah Kabupaten Bandung Jawa Barat. Tesis di Departemen Pulmonologi dan Ilmu Kedokteran Respirasi FKUI 2019.

Fachrur Razi. Pengaruh debu batubara terhadap paru pekerja tambang bagian penggalian BWE System di PT "X". Tesis di Departemen Ilmu Kedokteran Komunitas FKUI 2004.

Bangun U, Widjaya M. Analisis epidemiologis pneumokoniosis berdasarkan X-ray paru klasifikasi standar International Labour Organization (ILO) pada pekerja tambang batu PT. A di Bandung Jawa Barat. Available at: Diunduh 28 September 2019.

Damayanti T, Yunus F, Ikhsan M, Sutjahyo K. Hubungan penggunaan masker dengan gambaran klinis, faal paru, dan foto toraks pekerja terpajan debu semen. Maj Kedokt Indon. 2007; 57(9): 289-99.

Rajen N, Naidoo Æ, Thomas G, Robins Æ, Solomon A, Neil White Æ, Franzblau A. Radiographic outcomes among South African coal miners. Int Arch Occup Environ Health (2004) 77: 471– 81.

Clarke SW, Pavia D. Defense Mechanism and Immunology. Deposition and Clearance. In: Textbook of Respiratory Medicine. Murray JE, Nadel JA. Eds. Philadephia, WB Saunders Co, 1988.

Lei Han, Ruhui Han , Xiaoming Ji, Ting Wang, Jingjin Yang, Jiali Yuan, Prevalence Characteristics of Coal Workers’ Pneumoconiosis (CWP) in a State-Owned Mine in Eastern China. Int. J. Environ. Res. Public Health 2015, 12, 7856-67.

Steen TW, Gyi KM, White NW, Gabosianelwe T, Ludick S, Mazonde GN, Prevalence of occupational lung disease among Botswana men formerly employed in the South African mining industry. Occupational and Environmental Medicine 1997;54:19-26.

Ying Xia, Jiafa Liu, Tingming Shi, Hao Xiang,Yongyi Bi. Prevalence of Pneumoconiosis in Hubei, China from 2008 to 2013 . Int. J. Environ. Res. Public Health 2014, 11, 8612- 21.

Guideline for the Use of the ILO International Classification of Radiographs of Pneumoconioses. Revised edition 2011. Geneva, International Labour Office, 2011.



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