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The Guardian - US
The Guardian - US
World
Sara Sneath

We know how to prevent black lung, so why are workers still dying?

close-up of man holding miner's cap filled with stickers including 'Curly 781', 'WV' and 'Joy'
Retired coal miner Emory ‘Curly’ Carter, holds his miner's cap on 15 April 2025 in Madison, West Virginia. Carter was diagnosed with black lung disease in 2009 and retired from mining in 2012. Photograph: The Washington Post/Getty Images

Silicosis is one of the oldest workplace hazards and public health experts have known for decades how to prevent it. Yet a new wave of workers, from Appalachian coalminers to Latino countertop fabrication workers, are developing and dying from the disease as industry fights new protections and regulators fail to defend the rules that could protect them.

John Robinson’s grandfather developed black lung back when coalminers could spend decades in the mines before being diagnosed with the disease, often dying in their 60s, 70s and 80s. But Robinson, who mined for coal in south-west Virginia, was diagnosed when he was 47. He’s part of a trend that has grown over the past two decades in central Appalachia, where more coalminers are developing black lung disease at younger ages.

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