Potential Determinants of Coal Workers’ Pneumoconiosis, Advanced Pneumoconiosis, and Progressive Massive Fibrosis Among Underground Coal Miners in the United States, 2005–2009

Bibliographic Data

ID11034320
AuthorsA Scott Laney (0000-0002-3036-8960, A. Scott Laney, Edward L. Petsonk, Janet M. Hale, Anita L. Wolfe, and Michael D. Attfield are with the Surveillance Branch, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.), Edward L Petsonk (0000-0003-4877-0736, A. Scott Laney, Edward L. Petsonk, Janet M. Hale, Anita L. Wolfe, and Michael D. Attfield are with the Surveillance Branch, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.), Janet M Hale (0009-0001-6189-4592, A. Scott Laney, Edward L. Petsonk, Janet M. Hale, Anita L. Wolfe, and Michael D. Attfield are with the Surveillance Branch, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.), Anita L Wolfe (0009-0001-1225-7124, A. Scott Laney, Edward L. Petsonk, Janet M. Hale, Anita L. Wolfe, and Michael D. Attfield are with the Surveillance Branch, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.), Michael D Attfield (A. Scott Laney, Edward L. Petsonk, Janet M. Hale, Anita L. Wolfe, and Michael D. Attfield are with the Surveillance Branch, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV.)
Year2012
Volume102
IssueS2
PagesS279-S283
Publication date2012-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300427
PMID22401526
PMCIDPMC3477901
OpenAlexW2110038595
LanguageEN
Citations received2
References cited8

Objectives. We better defined the distribution and determinants of coal workers’ pneumoconiosis (CWP) among US underground coal miners. Methods. We obtained chest radiographs from the mobile unit of an enhanced surveillance program begun in 2005 by the National Institute for Occupational Safety and Health for underground coal miners. B Readers classified them for presence of pneumoconiosis. Results. Miners from 15 states participated (n = 6658). The prevalence of CWP was higher in 3 states (Kentucky, 9.0%; Virginia, 8.0%; West Virginia, 4.8%) than in 12 other states (age-adjusted risk ratio [RR] = 4.5; 95% confidence interval [CI] = 3.3, 6.1). Miners in these 3 states were younger and had less mining tenure, but advanced CWP (category ≥ 2/1; RR = 8.1; 95% CI = 3.9, 16.9) and progressive massive fibrosis (RR = 10.5; 95% CI = 3.8, 29.1) was more prevalent among them. Advanced CWP and progressive massive fibrosis were more prevalent among workers at mines with fewer than 155 miners, irrespective of mining region, than among workers at larger mines. Conclusions. Enhanced surveillance results confirmed the persistence of severe CWP among US coal miners and documented the health consequences of inadequate dust control for miners in parts of Appalachia and at smaller mines

Archaeology · Coal · Coal mining · Confidence interval · Environmental health · Geography · Pathology · Pneumoconiosis · West virginia · Air Quality and Health Impacts · Demography · Internal Medicine · Medicine · Occupational and environmental lung diseases · Occupational exposure and asthma

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