coal workers pneumoconiosis

I felt a little like Claude Rains (as Capt. Louis Renault) in the film Casablanca. He's the actor with the famous line "I'm shocked, shocked to find that gambling is going on here." On Sunday my neighbor asked me: “What do you think about all those coal miners with black lung?” “Shocked, shocked,” I was tempted to say, but I’m not the least bit shocked. My neighbor was referring to the latest story by NPR’s Howard Berkes about nearly 2,000 cases of progressive massive pulmonary fibrosis (PMF) diagnosed in the last six years among Appalachian coal miners. Two thousand cases is a hefty number…
**Update below (1/30/2016) A new paper by NIOSH researchers explores the use of lung transplants for individuals with work-related pneumoconiosis, including black lung disease. Using data from the United Network for Organ Sharing (UNOS) for the period 1996-2014, Blackley and colleagues identified 47 lung-transplant cases in which the patient’s primary diagnosis was “coal workers’ pneumoconiosis” or pneumoconiosis unspecified.” Thirty four of the lung transplants (72%) were performed since 2008. The medical costs for a bilateral lung transplant are substantial. In 2014, the average cost of…
During the holiday season, Kim, Liz and I are taking a short break from blogging.  We are posting some of our favorite posts from the past year. Here’s one of them, originally posted on July 27, 2015: by Celeste Monforton, DrPH, MPH The occupational health community, coal miners, their families and labor advocates are mourning the loss of physician Donald Rasmussen, 87. For more than 50 years, he diagnosed and treated coal miners with work-related lung disease, first at the then Miners Memorial Hospital in Beckley, WV and later at his own black lung clinic. A lengthy story by John Blankenship…
This week will mark the 90-day point of the Labor Department submitting for White House review one of its top priority regulations to protect coal miners' health. It's a rule to prevent black lung disease. The director of the office that conducts those reviews, Howard Shelanski, promised earlier this year during his confirmation hearing that timely review of agencies' regulations would be a top priority. Mr. Shelanski said: “I absolutely share the concern you just raised about timeliness. ...I recognized that EO 12866 establishes the initial 90 day review process, and it would be one of my…
My jaw continues to drop when I think about the scathing reports this month from the Center for Public Integrity about the law firm Jackson Kelly and their scheming with clients to screw coal miners out of black lung benefits. In “Coal industry's go-to law firm withheld evidence of black lung, at expense of sick miners,” Chris Hamby explains the deceitful and devious manner in which Jackson Kelly attorneys intentionally withheld medical reports that validate diagnoses of serious respiratory disease in coal miners. The irony---the disgusting irony---is how coal operators insist that their…
[Updated 1/4/12 below] The Charleston Gazette's Ken Ward Jr. pointed me yesterday to the latest attack on working people. House and Senate negotiators have apparently come to an agreement on an FY 2012 spending bill (165-page PDF) which includes funding for the Labor Department's Mine Safety and Health Administration (MSHA). Tacked onto the bill are a litany of favors to special interests, including this one for Big Coal:MSHA is prohibited from spending any funds to complete its health standard to protect miners from developing black lung disease until the Government Accountability Office (…
It's too late for Ronald Martin of Dema, Kentucky. "I'm in last stage of black lung," he wrote in shaky script, "please help the miners so they won't suffer like I suffer. I can't breathe but a little." Mr. Martin sent his note to the Labor Department's Mine Safety and Health Administration (MSHA) to comment on the agency's proposed rule to reduce workers' exposure to respirable coal mine dust---the dust that damaged his lungs so severely. Other coal miners also sent their comments to MSHA, urging the agency to put a more protective regulation in place as soon as possible to prevent…