Encore: The Rise of Black Lung, Inside Appalachia

This week on Inside Appalachia, black lung disease is back. In fact, it never went away. Now, younger and younger miners are living with a particularly nasty form of black lung disease. Regulators and the coal industry have known about the problem for decades — but they’ve been slow to respond. One reporter asks, “What would happen if thousands of workers in any other industry got sick and died just because of where they worked?”

Black lung disease is back. In fact, it never went away. Now, younger and younger miners are living with a particularly nasty form of black lung disease. 

Regulators and the coal industry have known about the problem for decades — but they’ve been slow to respond. 

One reporter asks, “What would happen if thousands of workers in any other industry got sick and died just because of where they worked?” 

This week, we’re talking about the black lung epidemic, Inside Appalachia.

In This Episode:


Advanced Black Lung Cases Rising

The blackened lungs of a coal miner who received a transplant at age 60.

Credit: Mine Safety and Health Administration

Advanced black lung is rampant across the coal-producing regions of central Appalachia, in West Virginia, eastern Kentucky and southwestern Virginia. 

This is different from simple black lung, which is debilitating, but advanced black lung is known as progressive massive fibrosis. It’s the result of miners digging at increasingly thin coal seams. To get at the coal, they cut into quartz, which creates silica dust. 

Breathing the mix of silica and coal dust is much more destructive and like simple black lung, there is no cure. 

Advanced black lung has been documented for decades, but it’s getting new attention from federal officials. 

As part of our special program, we aired a 2018 NPR segment with Howard Berkes, where he met with dozens of Appalachian miners with advanced black lung disease.

Federal Regulators Are Crafting New Rules

Most coal production has been declining for years, but the metallurgical coal industry has been ramping up production to meet global demand. With increased demand, experts predict more cases of black lung. After years of inaction, though, federal officials are addressing the issue.

Over the summer, the Mine Safety and Health Administration proposed a rule intended to protect coal miners from exposure to silica dust. By the time the comment period closed in September, the draft rule had attracted 157 comments.

WVPB’s Emily Rice reports.

Recent Investigations Into Black Lung

Howard Berkes has continued to report on advanced black lung, even after retiring from NPR. Recently, he helped lead a new investigation into advanced black lung cases, co-published by Public Health Watch, Louisville Public Media and Mountain State Spotlight.

Mason Adams spoke with Berkes about what they found. 

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Our theme music is by Matt Jackfert. Other music this week was provided by John Hurlbut and Jorma Kaukonen, Tim Bing, June Carter Cash and Steve Earle.

Bill Lynch is our producer. Zander Aloi is our associate producer. Our executive producer is Eric Douglas. Kelley Libby is our editor. Our audio mixer is Patrick Stephens.

You can send us an email: InsideAppalachia@wvpublic.org.

You can find us on Instagram, Threads and Twitter @InAppalachia. Or here on Facebook.

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Inside Appalachia is a production of West Virginia Public Broadcasting.

Millions Of U.S. Apples Were Almost Left To Rot. Now, They’ll Go To Hungry Families

Many growers across the country have been left without a market due to oversupplied apple processors. West Virginia rescued its surplus, with a plan that donates apples to hunger-fighting charities.

Listen to this story and see more photos on npr.org.

It’s getting late in the harvest season in Berkeley County, West Virginia and Carla Kitchen’s team is in the process of hand-picking nearly half a million pounds of apples. In a normal year, Kitchen would sell to processors like Androsthat make applesauce, concentrate, and other products. But this year they turned her away.

“Imagine 80% of your income is sitting on the trees and the processor tells you they don’t want them,” Kitchen says. “You’ve got your employees to worry about. You’ve got fruit on the trees that need somewhere to go. What do you do?”

For the first time in 36 years, Kitchen had nowhere to sell the bulk of her harvest. It could have been the end of her business. And she wasn’t the only one. Across the country, growers were left without a market. Due to an oversupply carried over from last year’s harvest, growers were faced with a game-time economic decision: Should they pay the labor to harvest, crossing their fingers for a buyer to come along, or simply leave the apples to rot?

Bumper crops, export declines and the weather have contributed to the apple crisis

Christopher Gerlach, director of industry analytics at USApple, says the surplus this year was caused by several compounding factors. Bumper crops have kept domestic supply high. Exports have declined 21% over the past decade, a symptom of retaliatory tariffs from India that only ended this fall.

Weather also played a role this year as hail left a significant share of apples cosmetically unsuitable for the fresh market. Growers would normally recoup some value by selling to processors, but that wasn’t an option for many either – processors still had leftovers from last year sitting in climate-controlled storage.

“Last year’s season was so good that the price went down on processors and they said, ‘let’s buy while the buyings good,’ ” Gerlach says. “These processors basically filled up their storage warehouses. It’s just the market.”

While many growers in neighboring states like Maryland and Virginia left their apples to drop. Sen. Joe Manchin of West Virginia was able to convince the United States Department of Agriculture (USDA) to pay for the apples produced by growers in his state, which only makes up 1% of the national market.

A relief program in West Virginia donated its surplus apples to hunger-fighting charities

This apple relief program, covered under Section 32 of the Agricultural Adjustment Act of 1935, purchased $10 million worth of apples from a dozen West Virginia growers. Those apples were then donated to hunger-fighting charities across the country from South Carolina and Michigan all the way out to The Navajo Nation.

A nonprofit called The Farmlink Project took care of more than half the state’s surplus – 10 million pounds of apples filling nearly 300 trucks.

Mike Meyer, head of advocacy at The Farmlink Project, says it’s the largest food rescue they’ve ever done and they hope it can serve as a model for their future missions.

“There’s over 100 billion pounds of produce waste in this country every year; we only need seven billion to drive food insecurity to zero,” Meyer says. “We’re very happy to have this opportunity. We get to support farmers, we get to fight hunger with an apple. It’s one of the most nutritional items we can get into the hands of the food insecure.”

At Timber Ridge Fruit Farm in Virginia, owners Cordell and Kim Watt watch a truck from The Farmlink Project load up on their apples before driving out to a food pantry in Bethesda, Md. Despite being headquartered in Virginia, Timber Ridge was able to participate in the apple rescue since they own orchards in West Virginia as well. Cordell is a third-generation grower here and he says they’ve never had to deal with a surplus this large.

“This was unprecedented territory,” Watt says. “The first time I can remember in my lifetime that they [processors] put everybody on a quota. I know several growers that just let them fall on the ground. … The program with Farmlink has really taken care of the fruit in West Virginia, but in a lot of other states there’s a lot of fruit going to waste. We just gotta hope that there’s funding there to keep this thing going.”

At the So What Else food pantry in Bethesda, Md., apple pallets from Timber Ridge fill the warehouse up to the ceiling. Emanuel Ibanez and other volunteers are picking through the crates, bagging fresh apples into family-sized loads.

“I’m just bewildered,” Ibanez says. “We have a warehouse full of apples and I can barely walk through it.”

“People in need got nutritious food out of this program. And that’s the most important thing”

Executive director Megan Joe says this is the largest shipment of produce they’ve ever distributed – 10 truckloads over the span of three weeks. The food pantry typically serves 6,000 families, but this shipment has reached a much wider circle.

“My coworkers are like, ‘Megan, do we really need this many?’ And I’m like, yes!” Joe says. “The growing prices in the grocery stores are really tough for a lot of families. And it’s honestly gotten worse since COVID.”

Back in West Virginia, apple growers, government officials, and Farmlink Project members come together in a roundtable meeting. Despite the existential struggles looming ahead, spirits were high and even some who were skeptical of government purchases applauded the program for coming together so efficiently.

“It’s the first time we’ve done this type of program, but we believe it can set the stage for the region,” Kent Leonhardt, West Virginia’s commissioner of agriculture says. “People in need got nutritious food out of this program. And that’s the most important thing.”

Following West Virginia’s rescue program, the USDA announced an additional $100 million purchase to relieve the apple surplus in other states around the country. This is the largest government buy of apples and apple products to date. But with the harvest window coming to an end, many growers have already left their apples to drop and rot.

Parents Struggle to Find Affordable Childcare in W. Va.

Childcare costs are high no matter where you are in the country. But in West Virginia, it’s even worse – according to a 2016 report by the think tank New America and Care.com, parents in the Mountain State shoulder the highest cost burden, spending about 45 percent of the state’s median household income on childcare.

“Caring for children has a lot of fixed costs,” said Sara Anderson, an associate professor at West Virginia University who studies pre-kindergarten and childcare. “Because our average wages are lower, it’s just going to be a higher portion of our income.” 

Childcare costs are so expensive largely due to the labor required to run a day care facility. Younger children, especially infants, are required to have a lower caregiver-to-child ratio, meaning that they require more caregivers than older children.

Because they’re so expensive to maintain, the childcare industry also doesn’t fit into the typical supply-and-demand market. The demand is high, but parents – especially young parents who haven’t reached their full earning potential yet – can’t afford to pay the true costs of enrolling a child in daycare, instead opting to have a relative or neighbor babysit for cheaper prices instead. Daycare employees are among the lowest paid, because they can’t charge more than what the parents can afford to pay. 

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Morgantown Early Learning Facility, a nonprofit childcare center in Morgantown, subsidizes its revenue with earnings from monthly fundraisers. 

“We do (candy sales), we do a book sale, we try to do something every month to help us get additional funding,” said Karen Ferrell, the business manager at ELF. 

But even if costs were lower, the options are few and far between in the state – especially for rural areas. In an email, Janie Cole, director of early child care at the West Virginia Department of Health and Human Resources, Bureau for Children and Families, said public funding in the state simply isn’t enough to support public day care. 

“West Virginia does not have enough high quality child care to meet the demand.  There are rural areas in our state that have no formal childcare options,” she wrote. “Parents often have to drive out of their normal commute path to locate child care, which adds to the impact on the family budget.  This also means that some families can’t find child care at all when it is needed.”

The Haeders in Morgantown are one of those families. When Professor Simon Haeder officially accepted a job at WVU in Morgantown over a year ago, he and his wife Hollyanne Haeder immediately put their now two-year-old son on the waitlist for the childcare center provided by WVU. He was 45th on that list. Six months later, when it was almost time to move to Morgantown, their son was nowhere close to being able to enroll at the center. 

“We called about the waitlist and they’re like, ‘There’s still 30-something kids ahead of him.’ And we said, ‘We have to find something. What are we going to do?'” Simon said. “We got on the website, we looked for every childcare they had in town. We called every single one.”

But few other centers in the area had room for their son. So now, Simon and Hollyanne drive 80 to 120 miles a day taking their son to daycare across the border in Pennsylvania. It adds up to about $100 a week on gas, and a lot of time away from work and family. 

And that can have a negative impact on the happiness of a family. In a poll from NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health, parents said that having access to affordable quality childcare benefited not only their child’s development, but their own wellbeing. 

“The idea that it improves their overall well-being, that it improves their relationships with their spouse and partner, those are things that are added benefits that we need to think about from the perspective of enhancing childcare,” said Gillian SteelFisher,  the deputy director of the Harvard Opinion Research Program at the School of Public Health and the director of this poll. 

Historically, there hasn’t been a large push for public childcare in the United States since World War II, when women took their husbands’ places in the workforce after their husbands left to fight. So today, parents have to make do. When Simon and Hollyanne checked last month, their son still had 28 kids ahead of him on the WVU daycare waitlist.
 
Now, the two have advice for others who are considering becoming parents – if you’re even thinking about having a child, it might be time to put him or her on a childcare center waitlist. 

 

A Big Band Comes To A Small Town: R.E.M. on Mountain Stage at 25

When R.E.M. appeared on NPR‘s Mountain Stage on April 28, 1991, they were one of the biggest bands in the world. Though when they released Out of Time, in March of that year, they decided against touring behind it, opting for media appearances instead. One of these appearances was Mountain Stage.

25 years later, that spring weekend has become legendary in Charleston, West Virginia, when a big band visited a small town.

Their Mountain Stage set is being commercially released for the first time as part of an expansive reissue of the band’s critically acclaimed album Out of Time. The Mountain Stage recording will make up the third disc of the four-disc Deluxe Edition.

To mark the occasion for ourselves, we’ve compiled stories of the weekend into “A Big Band Comes To A Small Town: R.E.M. on Mountain Stage at 25.” We’ll hear from Mountain Stage founders Larry Groce and Andy Ridenour, music journalist Annie Zaleski (who wrote the liner notes for the Out of Time reissue, who explains why the band didn’t tour), and of course, members of the Mountain Stage audience that night in 1991. 

Encourage Dialogue

Civic Engagement & The Power of Listening

Next week, we elect the 45th President of the United States. In this particularly divisive and emotionally charged election season, listening to one another is as important as ever.

Engage your students in meaningful conversations around this election, StoryCorps is here to help.

We have created a list of Great Questions focused on civic engagement and the election. These are available in the StoryCorps App and at StoryCorps.org, and the list includes questions like:

What advice would you give to a first-time voter? 

How do you feel affected by this election? 

What elections stand out in your mind, and why? 

What does civic participation mean to you?

Take Part in the Great Thanksgiving Listen

Last year over 50,000  folks sat around the Thanksgiving table and captured some family history.  This year encourage your students, friends and family members to do the same. 
 
Leave a “Key” For Future Historians & Students
Recording with the StoryCorps app is about sitting down with someone you care about, asking them a few important questions about the life they have lived, and then listening. Last year, thousands of you and your students participated in The Great Thanksgiving Listen by recording an interview and uploading it to StoryCorps.me and preserving it in the Library of Congress.

The StoryCorps.me website and the archive at the American Folklife Center at the Library of Congress are both crucial parts of The Great Thanksgiving Listen.
 
Questions about bringing it to your students: Check out more keyword suggestions on our blog and share your own tips with us on twitter and in the StoryCorps in the Classroom Facebook group.

SAVE THE DATE: TEACHER WEBINAR
WEDNESDAY, NOVEMBER 2, 7PM EST

A webinar for both new and returning teachers to The Great Thanksgiving Listen. Members of the StoryCorps team will be joined by three educators who used the Teacher Toolkit in their classrooms last year. Bring your questions and join us for the live chat and video broadcast.

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