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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\u2010exposed and mining industries.<\/jats:p>","DOI":"10.1111\/resp.13952","type":"journal-article","created":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T02:53:05Z","timestamp":1602643985000},"page":"1193-1202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["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*"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7034-0615","authenticated-orcid":false,"given":"Jennifer L.","family":"Perret","sequence":"first","affiliation":[{"name":"Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics The University of Melbourne  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Miles","sequence":"additional","affiliation":[{"name":"Department of Medicine Calvary Mater Newcastle  Newcastle NSW Australia"},{"name":"School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6725-7535","authenticated-orcid":false,"given":"Fraser","family":"Brims","sequence":"additional","affiliation":[{"name":"Curtin Medical School Curtin University  Perth WA Australia"},{"name":"Department of Respiratory Medicine Sir Charles Gairdner Hospital  Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Newbigin","sequence":"additional","affiliation":[{"name":"Wesley Dust Disease Research Centre  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie","family":"Davidson","sequence":"additional","affiliation":[{"name":"Health and Management School of Science Western Sydney University  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hubertus","family":"Jersmann","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine Royal Adelaide Hospital  Adelaide SA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Edwards","sequence":"additional","affiliation":[{"name":"Christchurch Public Hospital Canterbury District Health Board  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9039-0302","authenticated-orcid":false,"given":"Graeme","family":"Zosky","sequence":"additional","affiliation":[{"name":"Menzies Institute for Medical Research, College of Health and Medicine University of Tasmania  Hobart TAS Australia"},{"name":"School of Medicine, College of Health and Medicine University of Tasmania  Hobart TAS Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Frankel","sequence":"additional","affiliation":[{"name":"Bankstown Hospital South Western Sydney Local Heath District  Sydney NSW Australia"},{"name":"Department of Medicine University of New South Wales  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony R.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine Liverpool Hospital  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Hoy","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Reid","sequence":"additional","affiliation":[{"name":"QIMR\u2010Berghofer Institute of Medical Research  Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. 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