Rates of black lung disease amongst Appalachia’s coal miners are at the highest they’ve been in 50 years. Recent data shows that a third of veteran miners have the disease. The epidemic is also striking younger workers, too. On The Sunday Story, Howard Berkes investigates the devastating human cost on Appalachian families, decades of regulatory failures, and why life-saving protections from toxic silica dust remain stalled in federal court.Support public media with NPR+ and enjoy perks for over 25 podcasts like this one. This show’s perks include sponsor-free listening. Learn more at plus.npr.org.See pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences.NPR Privacy Policy
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Radiologist Brandon Crum scrutinizes images of coal miners' lungs in his clinic in Coal Run Village, Kentucky. All the lungs shown here are riddled with fibrotic tissue, the breath-stealing signature of black lung disease. Elaine McMillion Sheldon/PBS FRONTLINE hide caption
Elaine McMillion Sheldon/PBS FRONTLINE
Rates of black lung disease amongst Appalachia's coal miners are at the highest they've been in 50 years. Recent data shows that a third of veteran miners have the disease. The epidemic is also striking younger workers, too.
On The Sunday Story, Howard Berkes investigates the devastating human cost on Appalachian families, decades of regulatory failures, and why life-saving protections from toxic silica dust remain stalled in federal court.
This episode was produced by Andrew Mambo and Ben Rappaport. The original episode was produced by Justine Yan. It was edited by Jenny Schmidt and engineered by Maggie Luthar.
We'd love to hear from you. Send us an email at TheSundayStory@npr.org.
Listen to Up First on Apple Podcasts and Spotify.
Editor's note: This version of this story replaces a previous version of this story which did not include the final question and answer. Aug. 10, 2026
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