July 2009 Location of Retired and Current Miners Potentially
Eligible for Services under the Black Lung Clinic Program
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I. LOCATION OF RETIRED MINERS Indicator Data: Black Lung
Benefit recipients and applicants Reported cases of black lung
disease Historic location of coal mines Historic coal mining
employment Pension benefits Health benefits BLCP clinical services
and outreach services provided to retired miners (limited to
voluntary submissions)
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A. Black Lung Benefit Program 1. Federal Black Lung Program DOL
Approved and Denied Applicants Data and Thematic Maps Black Lung
Applicants, 2001-Feb. 2009. Black Lung Beneficiaries, Part B (prior
to 2001) and Part C (2001-Feb 2009)
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2001- Feb. 2009 Applicants for the DOL Black Lung Program
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2001- Feb. 2009 Applicants for the DOL Black Lung Program
(Cont.)
Cities with the Most Part C DOL Black Lung Program
Beneficiaries BL BeneficiariesCityStateZip code 102BECKLEYWV25801
74GRUNDYVA24614 67PRINCETONWV24740 58PIKEVILLEKY41501
54CLINTWOODVA24228 51POTTSVILLEPA17901 43COEBURNVA24230
42WHITESBURGKY41858 40BLUEFIELDWV24701 40HONAKERVA24260 40CEDAR
BLUFFVA24609 39WISEVA24293
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BLCP Current Grantees
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DOL Black Lung (BL) Approved Applicants
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DOL Black Lung Benefits Program All Living Beneficiaries and
Denied Applicants (under Part C) 2001- Feb 2009 Applicant Miners by
Residential Zip Codes
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Locations of BLCP Funded Sites Overlaid on Applicants to DOL
Black Lung Program
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Proximity of Applicant Residences to BLCP Clinics
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Recently Closed Clinic
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Appalachia: East Coast
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Ohio, Indiana, Kentucky
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Mississippi, Alabama
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Florida
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B. Coal Workers Pneumoconiosis (CWP) Cases of CWP/Black Lung
Disease 1. CDC Compressed Mortality Files Cause of Death ICD 9 500,
ICD 10 J60 Charts and Thematic Maps Total Counts CWP as Cause of
Death by State During 1999-2004, 1999-2005. Highest Counties for
CWP Mortality
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Multiple Cause of Death, 1999-2004 CWP Mortality (J60)
None
CountyCount Crude Rate / 100,000 Total2,4010.1 Luzerne County,
PA (42079) 27012.2 Schuylkill County, PA (42107) 25824.8 Raleigh
County, WV (54081) 11220.2 Northumberland County, PA (42097) 8112.4
Buchanan County, VA (51027) 7742.3 Lackawanna County, PA (42069)
755.1 McDowell County, WV (54047) 5731.3 Fayette County, WV (54019)
5215.7 Tazewell County, VA (51185) 5116.4 Highest CWP Mortality by
County: 1999-2005
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CountyCount Crude Rate / 100,000 Cambria County, PA (42021)
454.3 Mercer County, WV (54055) 399.0 Logan County, WV (54045)
3312.7 Pike County, KY (21195) 326.7 Carbon County, PA (42025)
307.1 Wise County, VA (51195) 2910.0 Wyoming County, WV (54109)
2916.5 Fayette County, PA (42051) 282.7 Somerset County, PA (42111)
274.8 Floyd County, KY (21071) 268.8 Mingo County, WV (54059)
2613.4 Harlan County, KY (21095) 2310.1 Kanawha County, WV (54039)
171.2 (Unreliable) CWP Mortality by County: 1999-2005
(Continued)
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CountyCount Crude Rate / 100,000 Perry County, KY (21193) 157.3
(Unreliable) Dickenson County, VA (51051) 1412.3 (Unreliable) Boone
County, WV (54005) 147.8 (Unreliable) Franklin County, IL (17055)
134.7 (Unreliable) Clay County, KY (21051) 137.6 (Unreliable)
Columbia County, PA (42037) 132.9 (Unreliable) Carbon County, UT
(49007) 139.3 (Unreliable) Johnson County, KY (21115) 127.3
(Unreliable) Lee County, VA (51105) 127.3 (Unreliable) Westmoreland
County, PA (42129) 110.4 (Unreliable) Martin County, KY (21159)
1011.5 (Unreliable) Colfax County, NM (35007) 1010.2 (Unreliable)
Washington County, VA (51191) 102.8 (Unreliable) CWP Mortality by
County: 1999-2005 (Continued)
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CWP (ICD 9 500) Nationwide Inpatient Sample Total number of
discharges: 2005 2004 2003 2002 2001 10,084 8,819 12,387 14,067
10,865
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C. Historic Location of Mines Indicator Data: MSHA Title 30
Code of Federal Regulations, Part 50 Mining Address/Employment Data
Files Thematic Maps a)Coal Mine Sites, by County, 1983-2006 in
Relation to BLCP Funding b)Mines 1983-2006 - East Coast Detail
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Locations of Active (or Temporarily Closed) Coal Mines: 1983
2007
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Location of Active Mines: 1983 2007 East Coast Detail
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II. LOCATION OF CURRENT MINERS Indicator Data: Location of
active coal mines Coal mining employment BLCP clinical services and
outreach services provided to active miners
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A. Location of Active Mines 1.MSHA Title 30 Code of Federal
Regulations, Part 50 Mining Address/Employment Data Files Thematic
Maps a)Active Coal Mine Sites, by County, in 2007 in Relation to
BLCP Funding
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Location of Active Mines: Current and Historic Comparisons
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Location of Active Mines: Current and Historic Comparisons
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B. Coal Mining Employment 1.MSHA Title 30 Code of Federal
Regulations, Part 50 Mining Address/Employment Data Files Thematic
Maps Total Number of Persons Working at Active Coal Mine Sites, by
County, in 2007
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LOCATION OF CURRENT COAL MINERS (BY TYPE)
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State Underground Surface Mill Total West Virginia 11,716 5,968
2,150 19,834 Kentucky 8,663 4,542 1,799 15,004 Pennsylvania 4,363
2,423 602 7,388 Wyoming 205 6,179 6,384 Virginia 2,537 1,168 495
4,200 Alabama 2,413 1,338 68 3,819 Illinois 2,797 435 122 3,354
Indiana 1,160 1,652 34 2,846 Ohio 1,432 966 88 2,486 Texas 2,272
Colorado 1,725 508 5 2,238 Utah 1,647 11 141 1,799 New Mexico 358
865 1,223 Montana 20 972 992 North Dakota 975 Tennessee 146 331 44
521 Arizona 429 Maryland 85 253 52 390 Louisiana 239 Oklahoma 55
134 189 Mississippi 177 Alaska 100 Arkansas 86 2 88 Kansas 51
Missouri 14 States With Most Coal Employees 2007 States without
BLCP clinic are in red
U.S. Mining Trends 1990-1999 Category199919981997199619951990
Percent Change 1998- 1999 Average Annual Percent Change 1995- 1999
1990- 1999 Number of Employees/Miners3
78,72385,41881,51683,46290,252131,310-7.8-3.3-5.5
Underground46,57151,32552,48753,79657,87984,154-9.3-5.3-6.4
Surface32,15234,09329,02929,66632,37347,156-5.7-0.2-4.2
Productivity Total2 6.616.26.045.695.383.836.65.36.3
Underground3.993.93.833.573.392.542.44.25.1
Surface10.399.589.469.058.485.948.45.26.4
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IndustryCode Percent Change 1997-2002 Total Coal
mining2121-15.2 Bituminous coal & lignite surface
mining212111-8.9 Bituminous coal underground mining212112-19.5
Anthracite mining212113-30.2 Estimated Change in Mining Employment*
*(based on limited sampling)
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Average # Contractors 2007 38,865 Total - Nationally
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Number of Active or Temporarily Closed Mines 2007
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BLCP Grantee Clinics in Relation to 2007 Active Mines (by
County)
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BLCP Grantee Clinics in Relation to 2007 Mine Employees (By
County)
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Review of Summary Conclusions
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Distribution of Retired Miners (DOL Data) Since 2001 through
February 2009 36,739 miners applied for DOL benefits from the DOL
Black Lung Program of whom 8,309 were approved States with most
applicants Kentucky West Virginia Virginia Pennsylvania Alabama
Ohio, Illinois, Tennessee, Indiana, Florida, and North Carolina
Cities with Most Applicants Major centers in West Virginia and
Virginia Kentucky Pennsylvania Other Appalachian States Miners Seem
to Migrating to: Neighboring communities Southern Retirement areas
(FL, NC, SC, AZ, CA, etc.) East coast, mid-west, and western
urbanized areas
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Distribution of Current Miners Nationally, In 2007 there were
77,021 miners working in active or temporarily closed mines States
with most current miners West Virginia Kentucky Pennsylvania
Wyoming Virginia Alabama Counties with most current miners
Campbell, WV Boone, WV Pike, KY Greene, PA Tuscaloosa, AL Perry, KY
Wise, VA
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Trends in Distribution of Employment Employment in coal mining
has seen a general decline. Leading coal mining states have
remained mostly the same overtime, with some shifts seen between
states.
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Trends in Coal Workers Pneumoconiosis (CWP) Despite the decline
in active miners, CWP cases remain steady over the last 5 years
(10,865 discharges in 2001 and 10,084 in 2005) CWP mortality
(1999-2004) more closely follows the areas of retired miners
applying for benefits than active miners, concentrating in:
Pennsylvania West Virginia Virginia Kentucky and Ohio Many cases
appearing in retirement states, such as Florida (80).
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Emerging Areas / Gaps in Services Shifts in Active Mining Sites
and Employment Major declines in mining employment Employment more
concentrated in fewer mines Geographic distribution of mines and
employment mostly stable overtime Some active mining and employment
falls outside BLCP funded areas (including: Texas, North Dakota and
others)
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Emerging Areas / Gaps in Services Retired miners migrating to
mid-western metro areas and Southern/Western Retirement areas
Mid-western, Mid-Atlantic and Southern States bordering Appalachian
area Florida (6 th most DOL applicants) West coast communities,
including California
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Distribution of Funding Distribution of BLCP funding on target
from a geographic perspective Majority of funds distributed in
Appalachia and Rocky Mountain states Large proportions of miners in
Texas Majority of mines are lignite, surface mines that may not be
as high priority. Need to explore how to expand BLCP impact to
address emerging areas where retired miners are settling
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Service Area and Patient Origin Analysis: Sample Slides from
Two Grantees