Objective  The characteristics and survival condition of new diagnosed cases of pneumoconiosis in Nanjing during 2006 to 2019 was analyzed, in order to provide reference basis in formulating controlling measures.

  Methods  Data of new pneumoconiosis cases reported during 2006 to 2019 in the national reporting system for occupational disease and occupational health from enterprises located in Nanjing was collected and followed up.

  Results  Totally 195 new cases were reported during 2006-2019. The most cases (80.0%) were diagnosed as pneumoconiosis with phase Ⅰ and the major types were silicosis (62.6%), welding worker's pneumoconiosis (11.3%) and coal worker's pneumoconiosis (6.7%). From 2014 to 2019, the incidence rate was 13.9, 5.6, 1.8, 2.0, 1.4 and 1.6 per 10 000 people, respectively, showing a downward trend. The most cases (25) were diagnosed in the year of 2006 and the most case (52) were from Qixia District. The most cases were male(91.8%), diagnosed at their age of 60-69 years old (33.3%), with working time of 20-29 years (35.9%). Totally 27 cases worked in the processing industry of ferrous metal mining, while 25 cases worked in the coal mining and washing industry. Most cases were from the large scale (59) and medium scale (70) enterprises, or from state-owned enterprises (161). Totally 45 cases died during this period and the fatality rate was 23.1%.

  Conclusions  The overall situation of prevention and treatment of pneumoconiosis was controllable in Nanjing, and the incidence showed a downward trend. However, the measures still should be taken to strengthen the prevention and control against specific type of pneumoconiosis in specific populations, regions and enterprises with high risk.