The article deals with features of development and formation of various pneumoconioses diagnosed after 1996: less benign course, early complaints, marked functional and X-ray changes in lungs, early complications--these result mainly from lower content of chemicals with fibrogenous effect in industrial aerosol and presence of allergic, cytotoxic and irritating agents. That helped to formulate a concept of contemporary pneumoconiosis caused by complex industrial aerosol over last 10-15 years.