Changes in the epidemiology, morphology and clinical picture of active anthracotic tuberculosis within the last 20 years referred to an increase in the average age of the patients and the length of service under dust conditions. Among the patients with anthracotic tuberculosis the number of drufters increased while the number of coal cutters and breakage face workers decreased. There was observed a rise in the proportion of infiltrative tuberculosis and tuberculomas of the lungs with a simultaneous decrease in the proportion of fibrocavernous tuberculosis. At present the process of active anthracotic tuberculosis is more favourable. The percentage of extended forms of anthracotic tuberculosis decreased.