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Black Lung Hits Highest Rate Since 1978 Among Veteran Central Appalachian Miners, Federal Data Show

NIOSH researchers said 280 miners screened in five years and 91 tested positive, underscoring a disease surge tied to silica dust exposure.

  • On Wednesday, the National Institute for Occupational Safety and Health reported that black lung rates among veteran Appalachian underground coal miners have reached their highest levels in nearly 50 years.
  • Experts attribute the surge to mining thinner coal seams, which requires drilling through more rock and increases exposure to silica dust—20 times more toxic than coal dust alone.
  • Radiologist Brandon Crum, who specializes in detecting black lung, confirmed the trend as NIOSH researchers found 32.5% of screened veteran miners tested positive, calling the findings "It's awful."
  • Lung transplants cost up to $2 million each, while more than 26,000 miners or their dependents drew $175 million from a federal black lung trust fund in 2024.
  • The Trump administration froze a silica regulation enacted under Biden, while the National Mining Association cites 90% compliance with dust limits; researchers warn delayed enforcement means more disease is "likely to result.
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npr broke the news in Washington, United States on Wednesday, August 5, 2026.
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