PNEUMONOCONIOSIS is a lung disease due to inhalation of minute particles and characterized pathologically by fibroid induration and pigmentation. Although it has been known for many years (Ramazzini, 1703) that dust inhalation incident to certain occupations and trades is accompanied by varying forms of pulmonary fibrosis, still it is only within the last half-century or over, with its enormous industrial development, that pneumonoconiosis has assumed importance as a disabling disease. The different types of pneumonoconiosis vary in relation to the industry: thus, we meet with anthracosis in coal miners, silicosis in rock drillers, asbestosis in asbestos workers, siderosis in gold miners, byssinosis in cotton mill workers, etc. In each of the industries mentioned, these factors, in the order of increasing importance, tend to cause the development of pulmonary fibrosis (pneumonoconiosis). 1. (1) Shape.—The sharp angular particles exert an irritative action on the lungs and are more dangerous potentially, although this is disputed by some authorities. 2. (2) Size.—Small particles below 10 microns, other things being equal, are more hazardous. 3. (3) Extent of Exposure.—The time element requisite for the development of pneumonoconiosis in the dusty trades varies in different industries, in some as low as two years or even less. 4. (4) Number of Dust Particles per Cubic Foot of Air.—It has been estimated that if the number exceeds ten or fifteen millions, the development of pneumonoconiosis is likely; if twenty millions or over, it is almost certain, unless preventive measures are adopted. 5. (5) Physio-chemical Properties.—(A) organic dusts; (B) inorganic dusts. (A) Some authorities are of the opinion that they play no part in the production of pneumonoconiosis, yet pulmonary fibrosis as a result of cotton-mill-dust inhalation is a recognized form of pneumonoconiosis. It is held by most writers that this is due to the admixture of inorganic particles with the organic dust. (B) These differ in their potency, as, for example, coal and lime (15) are relatively benign, while silica dust is regarded as the most dangerous. Indeed, the view is held that in all dust inhalation the silica content is the main fibrosing agent. Heffernan (7) is of the opinion that when the silica dust is deposited in the alveoli of the lungs, it is acted upon by the alkaline fluids and transformed into colloidal silica, which exerts a deleterious action on the pulmonary tissue. He further believes that the pulmonary fibrosis encountered in asbestos workers is due to a transformation of the silicates in asbestos into colloidal silica. Silicosis according to this hypothesis results from the action of colloidal silica on the pulmonary tissue, and the acuteness or chronicity of the process depends largely upon the silica concentration and the rapidity with which it is transformed into silica sol.