The article presents the basic concepts of the burden of occupational diseases, the modern concept of burden assessment is considered. The burden of occupational respiratory diseases (bronchial asthma, COPD, lung cancer, pneumoconiosis, hypersensitive pneumonitis) is analyzed. In connection with the significant socio-economic damage caused by occupational diseases of the respiratory system, attention is drawn to the need to improve the effectiveness of preventive measures in the field of respiratory health protection of employees of harmful (dangerous) industries.

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The prevalence of progressive forms of pneumoconiosis in the Russian Federation has been little studied. At the same time, the number of workers exposed to silicon dioxide, both in our country and abroad, is not decreasing. The purpose of our research to determine the criteria for the progression of pneumoconiosis in miners. A retrospective analysis of the results of a comprehensive medical examination of 150 miners of the Rostov region, observed in the center of occupational pathology, was carried out. All patients underwent radiography, computed tomography of the chest organs, and spirometry. X-ray description of the changes was carried out in accordance with the recommendations of the ILO. As a result, 24.5% had statistically significant signs of negative dynamics of functional and radiological indicators, which we referred to the criteria of progression. Thus, the progression of pneumoconiosis is determined by the negative dynamics of clinical and radiological parameters.