Will The New Silica Dust Standard Rule Be Implemented?

Before a new MSHA rule to limit miner’s exposure to silica dust could take full effect, opponents threw up a new roadblock.

A human takes on average 20,000 breaths per day. Imagine each breath heavy and tight from a career underground working a seam for coal or valuable minerals, a constant reminder of what you sacrificed for your family’s well-being.

“I worked in the coal mine for 27 and a half years,” Gary Hairston, the National Black Lung Association’s president said. “I come out at 48 [years old] with black lung.”

Since leaving the mines, he has been advocating for miners’ rights and safe working conditions.

“I’m worried about young coal miners,” Hairston said. “I don’t want [them] to be like I am.”

The nation’s top health officials have urged the Mine Safety and Health Administration (MSHA), the federal agency in charge of mine safety, to adopt strict rules to protect miners from rock dust.

Black lung and silicosis are both forms of pneumoconiosis, a condition where inflammation and scarring make it hard for the lungs to get enough oxygen. It is incurable but steps can be taken to slow the disease and improve quality of life.

Black lung diagnoses doubled in the last decade. Advanced disease has quadrupled since the 1980s in Virginia, West Virginia and Kentucky.

In recent decades, cases have risen further as miners dig through more rock layers to get to less accessible coal, generating deadly silica dust in the process.

“What’s happening is a lot of these mines, especially in Appalachia have been mined for hundreds of years decades and they are now mining rock, and so it’s this constant hitting of rock from these machines that is causing an increase of silica dust in these mines,” said Erin Bates, director of communications for the United Mine Workers of America (UMWA).

Respirable crystalline silica is a carcinogen. It can cause lung disease, silicosis, lung cancer, progressive massive fibrosis and kidney disease. Coal dust containing silica dust has been shown to increase the severity of black lung cases and affect miners even as early as their 30s and 40s.

Mine operators are supposed to ventilate mine work areas to lower the concentration of coal and rock dust, as well as methane.

But how much silica dust is too much? For years, MSHA set an upper limit of 100 micrograms per cubic meter averaged over an eight-hour shift.

But after years of pressure from advocates like Hairston, it cut that in half, to 50 micrograms per cubic meter.

Mine operators have a legal requirement to maintain safe levels of exposure in the mines at all times. Under the new rule, if levels are too high, mine operators must take immediate corrective action to lower the concentration of respirable dust to at, or below, the respirable dust standard and contact MSHA, according to Assistant Secretary Chris Williamson. 

“That was one of the new provisions in the final rule, that the mine operator will have to notify MSHA, because we want to know that too. They have to take immediate corrective action,” Williamson said. “And resample to be able to verify, did that corrective action address the issue?” 

Under the new rule, when respirable silica dust levels go above the 50-microgram limit, mine operators must provide miners with respirators and ensure they are worn until exposure levels are safe.

The use of respirators when levels are high is part of the rule that many advocates and miners say doesn’t go far enough.

“We truly believe that instead of requiring a miner to wear a respirator, they should shut that mine down and improve the ventilation in that mine, so that there is not any extreme case of silica dust exposure in that area,” Bates said.

The new, stricter safety rules went into effect in June, although coal producers have 12 months to comply.

Advocates like Vonda Robinson, the vice president of the National Black Lung Association, celebrated the new rule.

“I think with this new ruling, I think it’s going to be great for the coal, the coal mines, and also the coal miners,” Robinson said.

As a retired miner, Hairston won’t benefit from the new safety measures, but he’s worked tirelessly to push it through, visiting Capitol Hill to testify about working conditions in the mines.

“The rule is pretty good,” Hairston said. “There’s a lot of stuff we got put in, it is good. The thing is, is the defunding.”

In July, the U.S. House Appropriations Committee passed a spending bill for the federal Department of Labor that includes a line preventing any funds from being used to implement the new rule.

“To cut the funding from MSHA, an organization that already has very limited funding in the first place, is a travesty to all miners out there,” Bates said.

According to Policy and Advocacy Associate with the Appalachian Citizens Law Center, Brendan Muckian-Bates, MSHA’s Coal Mine Safety and Enforcement program has already lost about half its staff over the last decade.

“One of the challenges that MSHA faces is they’ve never been funded at the appropriate level, the level that they have requested of Congress,” Muckian-Bates said. “In fiscal year 2023 for example, the agency requested over $423 million, and that year received just shy of $388 million. And this is a real challenge that the agency has, because with the new silica dust rule, certainly there will be a need for more mine safety and health inspectors, who are already overworked, who already have to travel and conduct appropriate inspections and make sure, obviously, that the health and safety of miners is taken care of.”

Sam Petsonk is an Oak Hill-based lawyer who practices employment law and represents miners seeking black lung benefits. He said the rule would benefit the coal industry and coal mining by saving money and lives.

“The silica rule is 30 years overdue, and this administration has implemented it, and the Republicans in Congress are trying to repeal that new rule legislatively, by defunding the agency,” Petsonk said.

Some miners and their advocates are also dubious about relying on mine operators to tell MSHA about increases in dangerous dust.

“Our concern is that, if left to their own devices, operators will find another way, another loophole around this silica dust rule, and miners will continue to be exposed to dangerous levels of silica dust,” Muckian-Bates said.

But Williamson said he’s already heard from mine operators who, because of the new rule, are evaluating their mines to get ahead of things.

“We’re moving full steam ahead to implement this rule,” Williamson said. “So unless there’s, you know, a law that’s passed that tells me that I cannot do that, or there’s a court that, you know, put something in place, like an injunction, or issues an injunction that says I can’t, we’re moving full steam ahead. And we’ve asked everybody in the mining community, labor industry, everybody to come together and really do what’s right, and all of us to focus on protecting, you know, miners’ health.”

Since the fate of the new rule is now in the hands of the U.S. Congress, West Virginia Public Broadcasting reached out to all the state’s federal lawmakers to learn where they stand.

Replying by email, Sen. Joe Manchin’s office said they could not say anything on the record about the new rule or its implementation.

Also by email, Sen. Shelley Moore Capito said, “The safety of miners’ health is paramount,” and noted that the Senate version of the bill would actually increase funding for MSHA, not cut it, like the House version.

Representatives Carol Miller and Alex Mooney did not respond to our request for comment.

“I have full confidence that the Senate Democratic Caucus will prevent the Republicans from blocking this new silica rule,” Petsonk said. “But you know, if control of the Senate changes in the next year, this rule may be in jeopardy.”

Editor’s Note: This story is part of a series we’re calling “Public Health, Public Trust,” running through August. It is a collaboration with the Global Health Reporting Center and is supported by the Pulitzer Center. 

MSHA Holds Panel Discussion As Silica Dust Rule Implementation Draws Closer

A new federal silica dust rule is about to take effect. Monday, a panel of Black Lung experts expressed hope for the future of young miners — if they’re educated about their rights.

Experts in black lung, mine safety, labor and employment law and physicians gathered at the Mine Health and Safety Administration’s (MSHA) office in Beaver on Monday to discuss a new silica dust rule that will take effect on June 17.

Coal producers will have 12 months to comply. Metal and nonmetal mine operators will have 24 months.

The panel discussion, moderated by Assistant Secretary for Mine Safety and Health Chris Williamson focused on the prevention of black lung in young miners and how the administration’s new silica dust rule can help if used by the miners.

“Everybody’s in this room because we care about this issue and we don’t want others to suffer from entirely preventable occupational lung diseases,” Williamson said.

MSHA issued its final rule lowering silica dust exposure for coal miners on April 16. This rule is a long-awaited change amid growing concern about black lung disease.

“When this rule finally comes into play and is implemented, it’ll be exciting to watch it unfold and see everyone’s health improve, but I don’t think that that’s going to happen right away,” Black Lung Clinic Director and respiratory therapist Lisa Emery said. “I hope that with … the dangers of silica coming out and being more publicized, that the miners will come in more often and get screened more often.”

The new rule lowers the maximum exposure to 50 micrograms per cubic meter of air during an eight-hour shift. The current limit is 100 micrograms per cubic meter.

Respirable crystalline silica is a carcinogen. It can cause lung disease, silicosis, lung cancer, progressive massive fibrosis and kidney disease. Coal dust containing silica dust has been shown to increase the severity of black lung cases and affect miners in their 30s and 40s.

“I don’t want to see our younger miners going through what we are going through,” said National Black Lung Association President Gary Harrison, who also suffers from black lung. “And I know this silica dust rule is gonna help eventually. I know it will take a while for it to come in.”

The silica dust problem is thought to be caused by the mechanization of mining, especially in central Appalachia. Large machines grind through larger volumes of rock to maximize coal production.

Mine operators are supposed to ventilate mine work areas to lower the concentration of coal and rock dust, as well as methane.

Under the Part 90 regulation, coal miners who have already developed a pneumoconiosis can exercise rights that allow them to continue working in healthier parts of the mine. 

“I’d like for the younger miners to start feeling more confident about speaking up, more confident about exercising their Part 90 rights,” Emery said. “That’s huge for me and our clinic, and I think that miners need to understand that the rights afforded to them under the mine act will protect them even if they’re not a Part 90 miner to make a safety complaint to talk about what’s going on in their mine and that MSHA is going to protect them. But what we’re seeing in the clinics is very scary.”

Grant Money

On Tuesday morning, Sen. Joe Manchin, I-W.Va., announced that the state will receive $2,172,386 million from the U.S. Department of Health and Human Services (HHS) to support health services and treatment programs for West Virginians suffering from Black Lung Disease.

“After their enormous sacrifices, West Virginia’s brave coal miners are entitled to the vital medical care and treatment they need,” Manchin said. “I’m pleased HHS is investing more than $2.1 million to support Black Lung clinics across West Virginia, and I look forward to seeing the positive impacts of the funding. As a member of the Senate Appropriations Committee, I will continue to advocate for resources to ensure all West Virginia miners can access the health care they deserve.”

The West Virginia Black Lung Clinics program is under the West Virginia Division of Primary Care, one of four divisions within the Office of Community Health Systems and Health Promotion, under the West Virginia Department of Health, Bureau for Public Health.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Marshall Health.

Black Lung Health Fair Held In Oak Hill

A free health fair on Tuesday gave the community of Oak Hill the opportunity to be tested for black lung disease.

The New River Health Association hosted the National Institute of Occupational Safety and Health (NIOSH) mobile health bus to offer free screenings for black lung on Tuesday.

“NIOSH is here doing a free service,” said Lisa Emery, Breathing Center director at the New River Health Association’s Black Lung Clinic. “And we’re really excited because the numbers of black lung are skyrocketing here in Appalachia. So we want to take care of our coal miners.”

In addition, miners had the opportunity to register for state and federal benefits with the assistance of a benefits counselor.

“As far as your benefits go, we’re going to educate you on how to file state claims,” Emery said. “There’s definitely time limits with state claims. And we don’t want you to miss out on any opportunities to file your federal or your state black lung claim.”

According to Emery, one in five coal miners develops complicated pneumoconiosis, and younger coal miners are getting black lung earlier than ever before.

“It’s no longer your grandfather’s disease,” Emery said. “It’s no longer your husband’s disease. It’s your son’s disease, too, because younger and younger coal miners are developing this.”

“We hear a lot about miners who are in their 20s,” said Cindy Whitlock, director of School Health at New River Health Association.  “I think the youngest patient we have ever had is 33. And, it’s one of those West Virginia things. It just seems to be pervasive in every family. It doesn’t matter who you talk to, you’ve got somebody in your family that has black lung.”

Whitlock said the convenience of the resources available at the fair could be life-changing for someone with black lung.

“I think having a one-stop easy, you know, come in and when you leave, it’s done,” Whitlock said. “I think that’s very exciting, even though it’s a sad state of affairs to see this many people at these various ages affected by black lung.”

Roger James is a retired coal miner diagnosed with black lung. He does pulmonary rehab at New River Health and said the clinic motivates him to stay active.

“It motivates me to be able to come out and do the exercising that I do, because when you lay around, your body deteriorates quickly,” James said. “So you need to stay active, and when you cannot breathe, it’s hard to stay active because you get frustrated. Really easy. So it means a lot to just be able to get out and do for yourself.”

According to Emery, in total, black lung benefits counselors were able to help 53 miners fill out their federal black lung applications. In addition, NIOSH performed breathing tests and black lung x-rays on 86 miners and New River Health did five breathing tests on patients who came in curious about their breathing and interested in the pulmonary rehab program.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

Black Lung Screenings And Town Hall In Oakhill

Black lung screenings will be available and free to the public Tuesday in Oak Hill.

The National Institute for Occupational Safety and Health’s Mobile Health Unit will be at New River Health in Oak Hill Tuesday to provide free health screenings from 8 a.m. to 5 p.m.

The screenings are open to the public and to retired or working coal miners. Screenings will include chest x-rays, breathing tests and benefits counseling.

Access to this kind of testing in rural areas is vital, according to Courtney Rhoades, Black Lung Organizer with the Appalachian Citizens Law Center.

“Whether you’re a coal miner or someone who just thinks they have any type of pulmonary symptoms happening, it’s so important to make sure that you’re getting screened to make sure that you’re keeping up with your health,” Rhoades said.

A Black Lung Town Hall hosted by the National Black Lung Association, National Coalition of Black Lung and Respiratory Disease Clinics, and the United Mine Workers of America will be held after the health fair, at 5:00 p.m.
The town hall will provide updates on the black lung epidemic and the newly proposed silica dust exposure rule from the federal Mine Safety and Health Administration.

Appalachia Health News is a project of West Virginia Public Broadcasting with support from Charleston Area Medical Center and Marshall Health.

West Virginia Coal Miners Rally For Black Lung Legislation

Miners and advocates rallied Wednesday at the West Virginia Capitol in support of a series of bills aimed at preventing and treating severe black lung disease.

Five bills introduced by lawmakers would make it easier to make qualify for state benefits and provide benefits to miners who have early-stage black lung.

The bills come at a time when the Ohio Valley is facing a surge in cases of severe black lung disease, also called Progressive Massive Fibrosis.

“We’re here because so many of the people that’s worked years and years years, 30, 35 years in the mines, and been exposed to coal dust their whole life and they fall through the cracks,” said Terry Abbott, president of United Mine Workers of America Local 8843, which represents miners in West Virginia’s Fayette and Kanawha counties.

“We’re here to support all the miners that should be receiving compensation for the the years they put in the mines.”

Black lung is caused by exposure to coal dust and the debilitating and progressive disease has no cure. The state and federal government both have benefits systems that allow miners to make a claim against their employer for medical expenses and a small stipend.

Advocates and miners argue access to health and financial benefits increases the likelihood sufferers can seek medical treatment.

Getting those benefits through federal or state programs can be challenging, and recent changes on the state level has  made it tougher for miners to qualify.

Obstacles To Benefits

Kentucky lawmakers last year eliminated radiologists from the process miners use to qualify for benefits. In West Virginia, a decision by the state Supreme Court made it harder for miners to file a claim.

Now, advocates for black lung victims are rallying behind new legislation in West Virginia which they say can help sick miners. Kentucky representatives have also proposed a bipartisan bill that would repeal the state’s 2018 law that limits which doctors can evaluate black lung workers compensation claims.

One bill in West Virginia with bipartisan support is Senate Bill 260. Co-sponsored by two doctors, it would change the law to allow miners to receive partial disability awards if they are diagnosed with the disease. Miners diagnosed with early-stage black lung would qualify for 20 weeks of benefits.

Credit Benny Becker / Ohio Valley ReSource
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Ohio Valley ReSource
Members of the Southeastern Kentucky Black Lung Association light candles in memory of those lost to the disease.

Miners would only have to have X-rays that show the presence of severe black lung disease, not a diagnosis that the disease has yet impacted their health.

Supporters of the bill argue that because black lung is progressive, there is no doubt symptoms will worsen. Providing some benefits to miners early on may boost their ability to seek treatment or assist in re-training to allow early career miners to find other employment and limit coal dust exposure.

Benefits Boost

Another bill, Senate Bill 144, would create a state black lung program that would provide $300 in monthly benefits for West Virginia miners with at least 10 years of coal dust exposure.

“We want to simplify the black lung program here in West Virginia, so the state can take care of its own, give them what they’re due, what they’re entitled to and what they’ve worked for,” said Charles Dixon, with UMWA Local 1440 in Matewan, West Virginia.

He was one of dozens of miners who rallied at the Capitol Wednesday in support of the black lung bills.

A third bill, House Bill 2588, would challenge the recent West Virginia Supreme Court decision that made it harder for miners to file a state workers’ compensation case. It stipulates a person seeking an evaluation from the state Occupational Pneumoconiosis Board can do so at any time regardless of the time limits set to file a claim and that insurance carriers must pay for the exam.

The bills have not yet advanced to a floor vote.

WVPB’s Dave Mistich contributed to this story.

Free Black Lung Screenings to be Offered in Three W.Va. Counties

The National Institute for Occupational Safety and Health, or NIOSH, is providing free Black Lung exams in four West Virginia towns.

NIOSH’s Mobile Occupational Safety and Health Units will set up in Ceredo in Wayne County, Delbarton in Mingo County, and Man and Logan in Logan County.

The free screenings will be available next week from Monday, March 26 through Friday, March 30.

The announcement was made in a news release from U.S. Sen. Joe Manchin’s office.

Miners are urged to call 1-888-480-4042 to make an appointment. Walk-ins will be taken as time allows. According to NIOSH, the exam typically takes 30 minutes and includes a short questionnaire, blood pressure screening, a chest x-ray, and a breathing test. Participation is free and the results are confidential.

NIOSH Black Lung Clinic Schedule:

Monday: Ceredo City Hall, 700 B Street, Ceredo, WV 25507 from 8 a.m. to 6 p.m.

Tuesday: Old Burch Elementary School, 1891 Route 65, Delbarton, WV 25670 from 8 a.m. to 7 p.m.

Wednesday: Mountain Mart Village Shopping Center, 80 Huff Creek Highway, Man, WV 25635 from 8 a.m. to 7 p.m.

Thursday & Friday: Walmart – Logan, 77 Norman Morgan Blvd., Fountainplace Plaza, Logan, WV 25601 from 7 a.m. to 7 p.m. both days.

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