Tissue specimens were obtained from post-mortem lungs of workers who had been employed at one of four amphibole mining locations: Paakkila (Finland), anthophyllite; Wittenoom (Australia), crocidolite; North Western Cape Province (NW Cape; South Africa), crocidolite; Transvaal (South Africa), amosite and crocidolite. A method based on combined magnetic alignment and light scattering was used to assess fibre concentrations in small samples of tissue, while the optical microscope was applied to measure the severity of fibrosis in paraffin sections prepared from adjacent samples of the same specimens. Wide intra- and inter- subject variations were observed in fibre concentration and fibrosis score. When mass was used as the parameter of fibre quantity, the fibre concentrations in specimens showing a given degree of fibrosis increased progressively: Wittenoom < NW Cape < Transvaal < Paakkila. Significantly, however, when surface area was used as the parameter, the fibre concentrations in specimens showing a given degree of fibrosis were approximately equal: Wittenoom = NW Cape = Transvaal = Paakkila. But when number was used as the parameter, the fibre concentrations in specimens showing a given degree of fibrosis decreased progressively: Wittenoom < NW Cape < Transvaal < Paakkila. These trends in the concentrations of retained fibre required to produce the same degree of fibrosis are the consequence of large differences in fibre size between the four locations, rather than differences in type of amphibole. Long-resident chrysotile fibres exhibited roughly the same fibrogenicity per unit of surface area as amphibole fibres, and this was also true for quartz grains.