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6 Overall Conclusions and Recommendations
Pages 104-110

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From page 104...
... The ability to measure exposures in near real time by using CPDMs is an important technologic advancement compared to monitoring methods used previously. If a measurement collected over a full shift exceeds allowable limits, mine operators must take corrective actions immediately.
From page 105...
... Conclusion 3.2: Optimal sampling and monitoring strategies manifest as programs that, in principle, exhibit these attributes:  Aiding mine operators' decision making related to reducing RCMD exposures in a main tainable manner with data that are representative of high-exposure episodes and cumulative exposures over the long-term for all workers throughout the mine, not only the ones wearing a monitoring instrument.  Supporting the decision-making ability of individual mine workers to protect themselves through training in the use of CPDMs and education concerning important factors that af fect exposure-response relationships.
From page 106...
... Those commonalities point to potential opportunities for harmonizing monitoring data collected in different countries, including RCMD and silica content. Additionally, a more complete understanding of international approaches to medical surveillance for coal mine dust diseases, including strengths and limitations, would lead to opportunities for improved understanding of the relationships between RCMD exposure and disease prevalence and ensuring that monitoring approaches are targeting the most important aspects of RCMD exposures.
From page 107...
... Consistency and Effectiveness of Worker Training and Education Programs Across the Coal Industry Regarding RCMD Exposures Training in the use of CPDMs and education concerning important factors that affect exposure-response relationships can enhance workers' ability to take precautions that reduce RCMD exposures. It is important to ensure that training and education programs are implemented in a consistent manner across the coal mining industry.
From page 108...
... RCMD Exposure and Disease Rates Association of Changes in Mining Technology and Activities with the Occurrence of Disease Hot Spots Recommendation 8: Conduct a systematic evaluation of changes in mining technology and activities to determine the extent to which those changes have caused increased extraction of rock and the extent to which past rock extraction had been co-located with disease hot spots. The evaluation should identify important focus areas for optimal sampling and monitoring strategies in the future.
From page 109...
... Efficacy of Exposure Reduction Efforts in Reducing Disease Risks No specific medical treatment is effective in reversing coal mine dust lung diseases or in controlling disease progression. Consequently, efforts to minimize RCMD exposure along with medical surveillance for early disease detection and removal from exposure are the mainstays in protecting a miner's health.
From page 110...
... In addition, implementing the committee's recommendations will require a commitment by all parties to collaborate. A case in point would be the conduct of field testing in working mines to assess RCMD concentration variability caused by different sources within the mines.


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