Black lung disease, the common name for underground coal worker’s pneumoconiosis, has now been linked to workers who take part in surface coal mining, according to an investigation by NPR News and the Center for Public Integrity (CPI), with additional reporting by the Charleston Gazette.
The illness is the direct consequence of inhaling coal dust, which progressively builds up in the lungs until it can’t be removed by the body. This leads to inflammation, fibrosis and, in the worse cases death.
The study shows that diagnosed cases in the last decade have doubled, while the detection of advanced stages of the disease has quadrupled since the 1980s in central Appalachia, which includes the states of Virginia, Kentucky and West Virginia.