The last 40 years has seen a dramatic reduction in the prevalence of pneumoconiosis through improved mining engineering associated with continuing medical surveillance of those at risk. Presently the dust particle count standard is being correlated with gravimetric dust standards. Chronic Bronchitis and Emphysema are also coal mining related diseases. Methane is the commonest of a number of coal mine gases. Oxygen deficiency symptoms may result from high gas content of mine air. The explosive nature of methane-air mixtures is well known. Mine gases will always present a potential threat to safety.