Integrated hygienic assessment of the sanitary and epidemiological situation with occupational diseases in the coal industry of Kuzbass allowed: to establish quantitative parameters improve levels of occupational diseases in 2008–2015; determine the structure of occupational diseases in their nosological forms, length of service and age to occur; find quantitative depending on the length of service before the emergence of occupational diseases from grade 3 class working conditions; rank the causes and circumstances of occupational diseases; give miners hygienic characteristics professions and sections of workers, contributing most to the occupational diseases.