Women workers in Sylhet, Bangladesh, risk their lives unloading abandoned cement bags near the Surma River, unaware of the severe health risks. Prolonged exposure to cement and plastic dust irritates their respiratory systems, potentially causing occupational asthma and silicosis due to respirable crystalline silica (RCS). Contamination of the riverbed further exacerbates the issue, highlighting the need for better health awareness and protective measures. Sylhet, Bangladesh.