There is no cure for coal worker’s pneumoconiosis (Black Lung disease). This means that prevention of exposure and early detection of disease are the most effective means of avoiding symptomatic Black Lung Disease. If a person is diagnosed with coal worker’s pneumoconiosis treatment is typically supportive with timely treatment of respiratory infections, surveillance for mycobacterial infections such as tuberculosis, immunizations for influenza and pneumococcal pneumonia, supplemental oxygen at rest and/or with exertion if needed, smoking cessation, and regular exercise to maintain overall health and good respiratory muscle strength. On some occasions lung transplant becomes necessary.