Employment and production in the Appalachian coal industry have plummeted over recent decades. But the lethal black lung disease, once thought to be near-eliminated, affects miners at rates never before recorded. Digging Our Own Graves sets this epidemic in the context of the brutal assault, begun in the 1980s and continued since, on the United Mine Workers of America and the collective power of rank-and-file coal miners in the heart of the Appalachian coalfields. This destruction of militancy and working class power reveals the unacknowledged social and political roots of a health crisis that is still barely acknowledged by the state and coal industry. Barbara Ellen Smith’s essential study, now with an updated introduction and conclusion, charts the struggles of miners and their families from the birth of the Black Lung Movement in 1968 to the present-day importance of demands for environmental justice through proposals like the Green New Deal. Through extensive interviews with participants and her own experiences as an activist, the author provides a vivid portrait of communities struggling for survival against the corporate extraction of labor, mineral wealth, and the very breath of those it sends to dig their own graves.

In a devastating and urgent work of investigative journalism, Pulitzer Prize winner Chris Hamby uncovers the tragic resurgence of black lung disease in Appalachia, its Big Coal cover-up, and the resilient mining communities who refuse to back down. Decades ago, a grassroots uprising forced Congress to enact long-overdue legislation designed to virtually eradicate black lung disease and provide fair compensation to coal miners stricken with the illness. Today, however, both promises remain unfulfilled. Levels of disease have surged, the old scourge has taken an aggressive new form, and ailing miners and widows have been left behind by a dizzying legal system, denied even modest payments and medical care. In this devastating and urgent work of investigative journalism, Pulitzer Prize winner Chris Hamby traces the unforgettable story of how these trends converge in the lives of two men: Gary Fox, a black lung-stricken West Virginia coal miner determined to raise his family from poverty, and John Cline, an idealistic carpenter and rural medical clinic worker who becomes a lawyer in his fifties. Opposing them are the lawyers at the coal industry’s go-to law firm; well-credentialed doctors who often weigh in for the defense, including a group of radiologists at Johns Hopkins; and Gary’s former employer, Massey Energy, the region’s largest coal company, run by a cantankerous CEO often portrayed in the media as a dark lord of the coalfields. On the line in Gary and John’s longshot legal battle are fundamental principles of fairness and justice, with consequences for miners and their loved ones throughout the nation. Taking readers inside courtrooms, hospitals, homes tucked in Appalachian hollows, and dusty mine tunnels, Hamby exposes how coal companies have not only continually flouted a law meant to protect miners from deadly amounts of dust but also enlisted well-credentialed doctors and lawyers to help systematically deny much-needed benefits to miners. The result is a legal and medical thriller that brilliantly illuminates how a band of laborers — aided by a small group of lawyers, doctors and lay advocates, often working out of their homes or in rural clinics and tiny offices – challenged one of the world's most powerful forces, Big Coal, and won. A deeply troubling yet ultimately triumphant work, Soul Full of Coal Dust is a necessary and timely book about injustice and resistance.

The Office of Industrial Technologies (OIT) of the U. S. Department of Energy commissioned the National Research Council (NRC) to undertake a study on required technologies for the Mining Industries of the Future Program to complement information provided to the program by the National Mining Association. Subsequently, the National Institute for Occupational Safety and Health also became a sponsor of this study, and the Statement of Task was expanded to include health and safety. The overall objectives of this study are: (a) to review available information on the U.S. mining industry; (b) to identify critical research and development needs related to the exploration, mining, and processing of coal, minerals, and metals; and (c) to examine the federal contribution to research and development in mining processes.

Sleep problems can have long-term consequences for servicemembers' health and for force readiness and resiliency. This first-ever comprehensive review of sleep-related policies and programs led to recommendations for improving sleep across the force.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.