What Is An Occupational Disease in Workers’ Compensation?

Damon Duncan By Damon Duncan, Board-Certified Specialist Updated June 3, 2026 2 min read
Workers' Compensation

The Short Answer

An occupational disease is an illness caused by conditions that are characteristic of and peculiar to a specific job or trade — not a common disease the general public faces equally outside of work. North Carolina law lists 28 specific covered diseases under N.C.G.S. 97-53, but a "catch-all" provision can cover other diseases if you can prove your job exposed you to a greater risk than the general public. To succeed on a claim, you must show that workplace exposure was a substantial factor in causing your disease and that the disease caused you injury or harm. You have two years from the date of a physician's diagnosis to file your claim.

Legal Research on White LaptopAccording to the North Carolina General Statutes, occupational diseases covered by workers’ compensation are diseases caused by conditions that are characteristic with a particular trade or occupation, but excluding ordinary diseases of life to which the general public is equally exposed outside of the employment.  For example, if a worker, whose job was a paint sprayer for many years, has lung damage due to him breathing a specific chemical in the paint, he would probably have an occupational disease.  However, an office worker who happens to develop a lung disease that is common to the everyday public would probably not have a compensable occupational disease under workers’ compensation.

The list of occupational diseases is listed in North Carolina General Statute 97-53. There are presently twenty eight specific diseases listed in this section. Common examples of potential occupational diseases include, but are not limited to, mercury poisoning, asbestosis, anthrax, arsenic poisoning, and silicosis.

Even if you do not have one of the enumerated diseases under this section of the law there is a “catch all” provision of occupational diseases under section 13 of N.C.G.S. 97-53. This section says an occupational disease may also be, “Any disease, other than hearing loss covered in another subdivision of this section, which is proven to be due to causes and conditions which are characteristic of and peculiar to a particular trade, occupation or employment, but excluding all ordinary diseases of life to which the general public is equally exposed outside of the employment.”

The North Carolina Supreme Court has ruled in order for a worker to prove the elements of an occupational disease the worker must prove:

1)    the employee was exposed to a hazardous substance in the employment,

2)    the employee developed a disease,

3)    the occupation exposed the employee to a greater risk of developing the disease compared to the general public,

4)    the exposure to the substance was a substantial factor in the employee developing the disease, and

5)    the occupational disease caused injury or death.

An occupational disease claim must be filed within two years of the diagnosis by a physician.

In conclusion, a normal workers compensation claim injury is usually a fixed specific time in which the injury occurred.  In contrast, an occupational disease may develop over several years and still be considered compensable.

Key Takeaways

  • North Carolina defines an occupational disease as one caused by conditions characteristic of a particular trade or occupation, specifically excluding ordinary diseases of life that the general public faces equally outside of work.
  • N.C.G.S. 97-53 lists 28 specific compensable occupational diseases, including asbestosis, silicosis, mercury poisoning, arsenic poisoning, and anthrax.
  • If your disease isn't on the enumerated list, the catch-all provision under N.C.G.S. 97-53(13) may still cover you if you can prove the disease is peculiar to your trade and that your job exposed you to a greater risk than the general public.
  • To prove an occupational disease claim in NC, you must establish five elements: hazardous workplace exposure, development of a disease, greater risk than the general public, that exposure was a substantial factor in causing the disease, and that the disease caused injury or death.
  • Unlike a typical workers' comp injury tied to a single incident, an occupational disease can develop gradually over many years and still be compensable.
  • You must file your occupational disease claim within two years of a physician's diagnosis, so acting promptly after your diagnosis is critical.
Damon Duncan

About the Author

Damon Duncan

Damon Duncan is a Board Certified consumer bankruptcy attorney at Duncan Law, LLP — helping North Carolina families stop collection calls, protect their property, and get a real fresh start through Chapter 7 and Chapter 13 bankruptcies. He is dedicated to guiding clients through the practical realities of financial recovery, including discharging overwhelming medical debt and halting wage garnishments. Duncan Law has served clients across North Carolina since 1996. In addition to the practice of law, Damon leverages his extensive understanding of debt and asset protection to teach Secured Transactions as a law professor at Elon University School of Law.

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