FRONTLINE & NPR Investigate the Rise of Severe Black Lung Disease in “Coal’s Deadly Dust”


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January 11, 2019
Anne Husted Manager, Public Relations & Communications, FRONTLINE

Coal’s Deadly Dust

Airs Tuesday, January 22, 2019 at 10/9c on PBS | Twitter: @frontlinepbs #frontlinePBS
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Coal miners are dying from the resurgence of an epidemic that could have been prevented.

On Tuesday, January 22, FRONTLINE and NPR investigate the rise of an aggressive form of black lung disease plaguing thousands of coal miners across Appalachia – and how federal regulators and the industry failed to protect miners – in Coal’s Deadly Dust.

“The more I spoke with miners, the more questions were raised:  How widespread was the outbreak?  And why weren’t the federal mine safety regulators aware of it?” says NPR’s Howard Berkes, who has spent the last six years in and out of the coal fields in West Virginia, Virginia, Kentucky and Pennsylvania, meeting sick and dying coal miners.

“I was scared,” 47-year-old Danny Smith tells FRONTLINE and NPR. Smith mined coal only 12 years, but he’s now sick with progressive massive fibrosis, the worse stage of black lung disease.

Miners like Smith weren’t just getting sick younger, they were getting sicker more quickly. “It was tough on all of us because my wife was scared that I was dying, and I was scared that I was dying, and I was,” Smith says.

Dr. Brandon Crum, a radiologist at a clinic in eastern Kentucky was stunned when he began seeing so many cases of severe black lung among miners with relatively few years of mining coal. Dr. Crum revealed his findings to epidemiologists at the National Institute for Occupational Safety and Health (NIOSH), the federal research agency tasked with tracking black lung disease. The NIOSH researchers found it difficult to believe him.

“I was really taken aback, not only that these cases were legitimate, but just how severe they were,” Scott Laney, an epidemiologist at NIOSH tells FRONTLINE and NPR. “It indicated that we had a huge problem, and we realized immediately that it wasn’t going to be isolated to a single clinic.

From 2011 to 2016, federal researchers at NIOSH counted only 99 cases of this fatal and incurable disease nationwide; however, FRONTLINE and NPR identified more than 2,000 in Appalachia alone in the same time frame. And, in most cases, silica dust, not coal dust, likely played the key role.

Silica dust is generated when miners cut sandstone as they mine coal. And while silica dust is known to be nearly 20 times more toxic than carbon-based coal dust, the film reveals that federal regulators and the mining industry never treated the lethal dust as a unique threat.

“It’s pretty difficult to hear the miners just working so hard to catch their breath and to know that the reason for that is those exposures at work that we absolutely know how to prevent,” Celeste Monforton, a former top official at the Mine Safety and Health Administration says. Monforton adds that she now understands the consequences of not focusing on silica dust sooner.

“Had we taken action, I really believe that we would not be seeing the disease that we are seeing now,” Monforton says. “It’s abundantly clear in what we’re seeing. This problem really is a silica problem…this is such a gross and frank example of regulatory failure.”

NIOSH recommended for decades direct regulation of silica dust, and an exposure limit twice as tough.  And while the mining industry and federal regulators both argue that progress has been made in protecting miners from harmful coal mine dust, there still is no definitive plan for separate and tougher regulation of silica at coal mines – and there are still more than 50,000 coal miners working nationwide.

In conjunction with the broadcast premiere of Coal’s Deadly Dust, The FRONTLINE Dispatch, FRONTLINE’s original investigative podcast series, will be releasing an accompanying podcast episode, drawing on intimate, firsthand stories from coal miners living with black lung.

Also in this hour, FRONTLINE presents Targeting Yemen. Correspondent Safa Al Ahmad offers a report from on the ground in Southern Yemen, investigating the escalation of the U.S. fight against Al Qaeda and its impact on civilians.

Coal’s Deadly Dust is a FRONTLINE Production with Requisite Media LLC in collaboration with NPR. The writer, producer and director is Elaine McMillion Sheldon. The correspondent is Howard Berkes. Coal’s Deadly Dust is reported by Howard Berkes. The senior producer is Ken Dorenstein. The executive producer of FRONTLINE is Raney Aronson-Rath.

Targeting Yemen is a FRONTLINE Production with Mongoose Pictures in association with BBC Arabic and Quicksilver Media. The correspondent and producer is Safa al Ahmad. The senior producers are Monica Garnsey and Dan Edge. The executive producer of FRONTLINE is Raney Aronson-Rath. 

FRONTLINE, U.S. television’s longest running investigative documentary series, explores the issues of our times through powerful storytelling. FRONTLINE has won every major journalism and broadcasting award, including 91 Emmy Awards and 20 Peabody Awards. Visit and follow us on TwitterFacebookInstagramYouTubeTumblr and Google+ to learn more. FRONTLINE is produced by WGBH Boston and is broadcast nationwide on PBS. Funding for FRONTLINE is provided through the support of PBS viewers and by the Corporation for Public Broadcasting. Major funding for FRONTLINE is provided by The John D. and Catherine T. MacArthur Foundation and the Ford Foundation. Additional funding is provided by the Abrams Foundation, the Park Foundation, the John and Helen Glessner Family Trust, Heising-Simons Foundation, and the FRONTLINE Journalism Fund with major support from Jon and Jo Ann Hagler on behalf of the Jon L. Hagler Foundation. 

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