Abstract: Objective To retrospectively analyze the active monitoring of pneumoconiosis and other related work carried out in Jiangsu Province from 2019 to 2022,summarize the effectiveness of the work over the past 4 years and analyze the shortcomings,in order to provide reference for future prevention and control work of pneumoconiosis. Methods Referring to the national and Jiangsu Province's active monitoring work plan for pneumoconiosis,relying on the Jiangsu Province Occupational Disease Prevention and Control Information Management Platform and databases such as China National Knowledge Infrastructure and Wanfang Data Resources,relevant monitoring and follow-up data and Chinese journal literature were collected and summarized,and the data were analyzed. Results In the active monitoring of the core indicators of pneumoconiosis,the actual number of people who completed active monitoring each year exceeded the number of national tasks for that year,and the number of pneumoconiosis like changes and the detection rate of pneumoconiosis like changes showed a decreasing trend year by year. Workers in small and medium-sized enterprises in Jiangsu Province who exposed to casting dust,silica dust,welding fume,and cement dust experienced pneumoconiosis like changes,and the workers were mostly concentrated in the mining and manufacturing industries. The screening of pneumoconiosis sentinel hospitals annually identifies dust exposed workers with pneumoconiosis like changes,and the number and detection rate of pneumoconiosis like changes decreased year by year. The medical follow-up rate of patients with pneumoconiosis had been increasing year by year,with a follow-up rate of 100.00% in 2022. As of June 30,2023,the research output of this work had been officially published in a total of 22 papers in domestic Chinese journals,with the highest number of papers published in Nanjing（9,accounting for 40.9%）,the highest number of papers published in disease control institutions（20,accounting for 90.91%）,and 6 papers published in Chinese core journals（27.27%）. Conclusion The proactive monitoring of pneumoconiosis in Jiangsu Province from 2019 to 2022 has promoted the high-quality development of the province's pneumoconiosis prevention and control work. In the future, it is necessary to focus on the occupational dust concentration detection of small and medium-sized enterprises with these dust hazards and the occupational health of workers in high-risk industries.

Key words: Jiangsu Province, Pneumoconiosis, Active monitoring, Medical follow-up