4 Health Effects of Exposure to Respirable Coal Mine Dust

This chapter describes the adverse health effects associated with exposure to respirable coal mine dust. Epidemiological studies of underground and surface coal miners in the United States and other countries are discussed. Also discussed are animal studies that add to our understanding of particle deposition and retention in the lungs and associated disease responses. This chapter emphasizes studies that (1) were performed since the passage of the Federal Coal Mine Health and Safety Act of 1969 [P.L. 911731, (2) used standardized methods of exposure monitoring and disease classification, and (3) investigated exposure-response relationships between respirable coal mine dust exposure and disease. Several published review articles contain further discussion of health effects studies of coal miners [Attfield and Wagner 1992b; Petsonk and Attfield 1994; Cotes and Steel 1987; Merchant et al. 1986; Morgan and Lapp 1976; Morgan 19751.