Uncovering the Factors Behind Rising Pneumoconiosis Rates: Central Appalachian Underground Coal Miners as a Case Study.

(2005) were one of the first to describe this region as a “hotspot,” noting a clear trend of rapidly progressive CWP cases at higher rates in eastern Kentucky and western Virginia, compared to other US mining locations.

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39 A 1990s sampling exercise conducted by MSHA showed an increasing trend in dust levels with decreasing mine size. 35 More recently, it has been shown that miners working in smaller operations were more likely to be affected by CWP than those in larger workplaces. 40 , 41 Compared to large mines, small mines were found to have a five times higher likelihood of PMF p

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