Tougher dust controls, new and improved testing, better trained medicos and a compensation safety net are part of the state's action plan to protect some 5500 coal workers from black lung disease.
The overhaul in detecting and preventing the disease follows a Queensland government report that found systemic failures and widespread complacency caused the deadly miner's disease to re-emerge.
Eleven people have been diagnosed since last year and there are 18 more suspected cases after chest X-rays were reviewed in the US.
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