Continued Increase in Prevalence of Coal Workers' Pneumoconiosis in the United States, 1970-2017

American Journal of Public Health
David J BlackleyA Scott Laney

Abstract

To update prevalence estimates for coal workers' pneumoconiosis (CWP) among working underground coal miners in the United States. We conducted a prevalence study using radiographs collected from 1970 to 2017. We classified each radiograph using international standards. We defined CWP as the presence of small opacities, with profusion greater than or equal to subcategory 1/0, or the presence of a large opacity larger than 1 centimeter. Following a low point in the late 1990s, the national prevalence of CWP in miners with 25 years or more of tenure now exceeds 10%. In central Appalachia (Kentucky, Virginia, West Virginia), 20.6% of long-tenured miners have CWP. When we excluded miners from central Appalachia, the prevalence for the remainder of the United States was lower, but an increase since 2000 remains evident. The national prevalence of CWP among working coal miners is increasing. This increase is most pronounced in central Appalachia. Current CWP prevalence estimates will likely be reflected in future trends for severe and disabling disease, including progressive massive fibrosis. Public Health Implications. Recently enacted protections to prevent coal mine dust exposure and identify CWP at its early stage remain essential...Continue Reading

References

May 18, 2013·American Journal of Public Health·A Scott Laney, Michael D Attfield
Oct 7, 2014·Journal of Occupational and Environmental Medicine·A Scott Laney, David N Weissman
Dec 16, 2016·MMWR. Morbidity and Mortality Weekly Report·David J BlackleyA Scott Laney
May 4, 2017·The Lancet. Respiratory Medicine·David J BlackleyA Scott Laney
Feb 8, 2018·JAMA : the Journal of the American Medical Association·David J BlackleyA Scott Laney

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Citations

Apr 30, 2019·American Journal of Industrial Medicine·Brent C DoneyA Scott Laney
Dec 10, 2019·Current Opinion in Pulmonary Medicine·Rachel LeonardRobert Stansbury
Jan 3, 2020·Current Opinion in Pulmonary Medicine·Louis E FazenCarrie A Redlich
Dec 24, 2019·Journal of Occupational and Environmental Hygiene·Eleftheria AgioutantiEmily Sarver
Mar 10, 2020·American Journal of Industrial Medicine·Ahmed A ArifOluwaseun Adeyemi
Feb 15, 2020·Occupational and Environmental Medicine·UNKNOWN GBD 2016 Occupational Chronic Respiratory Risk Factors Collaborators, UNKNOWN GBD 2016 occupational chronic respiratory risk factors collaborators
Jul 11, 2019·Environmental Geochemistry and Health·Alex G Stewart
Jul 5, 2019·Reviews on Environmental Health·Rebecca F Goldberg, Laura N Vandenberg
Sep 8, 2019·Current Environmental Health Reports·Noemi B HallA Scott Laney
Sep 12, 2020·American Journal of Industrial Medicine·Laura KurthDavid J Blackley
Jul 16, 2019·Current Environmental Health Reports·Noemi B HallA Scott Laney
May 21, 2019·Archives of Environmental & Occupational Health·Cara N HalldinA Scott Laney
Dec 11, 2019·American Journal of Industrial Medicine·Brent C DoneyA Scott Laney
Sep 14, 2019·Respirology : Official Journal of the Asian Pacific Society of Respirology·Hayley BarnesRyan Hoy
Aug 30, 2020·Occupational and Environmental Medicine·David J BlackleyA Scott Laney
Nov 21, 2018·International Journal of Environmental Research and Public Health·Shuai HanDavid Cliff
Apr 27, 2019·Occupational and Environmental Medicine·Noemi B HallA Scott Laney
Dec 9, 2020·Translational Behavioral Medicine·Pamela BehrmanMonica Baskin
Jan 2, 2021·Pulmonary Therapy·Kevin P Vlahovich, Akshay Sood
Jan 28, 2021·Scientific Reports·Liuzhuo ZhangGuanghua Xiao
Feb 2, 2021·Tropical Medicine and Health·Mayumi OhnishiWakako Fujita
Feb 5, 2021·Hospital Practice·Sunil SharmaClay Marsh
Feb 16, 2021·Archives of Environmental & Occupational Health·Mueez RehmanNour Assad
Apr 16, 2021·Scientific Reports·Graeme R ZoskyB Basil Beamish
Dec 14, 2021·The Science of the Total Environment·Yingying SunT David Waite

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