Silicosis prevalence among Rajasthan's sandstone mine workers runs as high as 79% in some districts (Karauli, Jodhpur, Dausa, Bhilwara), and the disease is routinely misdiagnosed as tuberculosis because early-stage silicosis shows no symptoms until lung damage is advanced. Workers in remote mining belts rarely have access to chest X-ray or spirometry facilities, so by the time it's caught, the damage is irreversible.