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A key consideration for responsible development of mineral and energy resources is the well-being of workers. Respirable dust in mining environments represents a serious concern for occupational health. In particular, coal miners can be exposed to a variety of dust characteristics depending on their work activities, and some exposures may pose risk for lung diseases like CWP and silicosis. As underscored by common regulatory frameworks, respirable dust exposures are generally characterized on the basis of total mass concentration, and also the silica mass fraction. However, relatively little emphasis has been placed on other dust characteristics that may be important in terms of identifying health risks. Comprehensive particle-level analysis to estimate chemistry, size, and shape distributions of particles is possible. This paper describes a standard methodology for characterization of respirable coal mine dust using scanning electron microscopy (SEM) with energy dispersive X-ray (EDX). Preliminary verification of the method is shown based several dust samples collected from an underground mine in Central Appalachia.

Rationale The reasons for resurgent coal workers’ pneumoconiosis and its most severe forms, rapidly progressive pneumoconiosis and progressive massive fibrosis (PMF), in the United States are not yet fully understood. Objectives To compare the pathologic and mineralogic features of contemporary coal miners with severe pneumoconiosis with those of their historical counterparts. Methods Lung pathology specimens from 85 coal miners with PMF were included for evaluation and analysis. We compared the proportion of cases with pathologic and mineralogic findings in miners born between 1910 and 1930 (historical) with those in miners born in or after 1930 (contemporary). Results We found a significantly higher proportion of silica-type PMF (57% vs. 18%; P < 0.001) among contemporary miners compared with their historical counterparts. Mineral dust alveolar proteinosis was also more common in contemporary miners compared with their historical counterparts (70% vs. 37%; P < 0.01). In situ mineralogic analysis showed that the percentage (26.1% vs. 17.8%; P < 0.01) and concentration (47.3 × 10 8 vs. 25.8 × 10 8 particles/cm 3 ; P = 0.036) of silica particles were significantly greater in specimens from contemporary miners compared with their historical counterparts. The concentration of silica particles was significantly greater when silica-type PMF, mineral dust alveolar proteinosis, silicotic nodules, or immature silicotic nodules were present ( P < 0.05). Conclusions Exposure to respirable crystalline silica appears causal in the unexpected surge of severe disease in contemporary miners. Our findings underscore the importance of controlling workplace silica exposure to prevent the disabling and untreatable adverse health effects afflicting U.S. coal miners.

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