The authors provide a discussion of the paper, “Coal workers’ pneumoconiosis prevalence disparity between Australia and the United States,” a peer-reviewed paper that appeared in the technical papers section of the July 2012 issue of Mining Engineering magazine. The original authors, G.J. Joy (gjoy@cdc.gov), J.F. Colinet (jcolinet@cdc.gov) and D.D. Landen (dlanden@cdc.gov), respond.