July 2009
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Location of Retired and Current Miners. Potentially Eligible for Services under the Black Lung Clinic Program. July 2009. I. LOCATION OF RETIRED MINERS. Indicator Data: Black Lung Benefit recipients and applicants Reported cases of black lung disease Historic location of coal mines

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July 2009

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July 2009

Location of Retired and Current Miners

Potentially Eligible for Services under the Black Lung Clinic Program

July 2009


I location of retired miners

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)


July 2009

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)


2001 feb 2009 applicants for the dol black lung program

2001- Feb. 2009 Applicants for the DOL Black Lung Program


2001 feb 2009 applicants for the dol black lung program cont

2001- Feb. 2009 Applicants for the DOL Black Lung Program (Cont.)


2001 feb 2009 applicants for the dol black lung program cont1

2001- Feb. 2009 Applicants for the DOL Black Lung Program(Cont.)


Dol black lung bl applicants 2001 to feb 2009

DOL Black Lung (BL) Applicants2001 to Feb 2009


Cities with the most part c dol black lung program beneficiaries

Cities with the Most Part C DOLBlack Lung Program Beneficiaries


July 2009

BLCP Current Grantees


July 2009

DOL Black Lung (BL) Approved Applicants


July 2009

DOL Black Lung Benefits Program

All Living Beneficiaries and

Denied Applicants (under Part C) 2001- Feb 2009

Applicant Miners by Residential Zip Codes


July 2009

Locations of BLCP Funded Sites Overlaid on Applicants to DOL Black Lung Program


Proximity of applicant residences to blcp clinics

Proximity of Applicant Residences to BLCP Clinics


July 2009

Recently Closed Clinic


July 2009

Appalachia: East Coast


July 2009

Ohio, Indiana, Kentucky


July 2009

Mississippi, Alabama


July 2009

Florida


July 2009

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


July 2009

Multiple Cause of Death, 1999-2004 CWP Mortality (J60)

None


July 2009

1999-2005

CWP Mortality

2,002


State cwp mortality counts 1999 2004

Pennsylvania2,002

West Virginia1,033

Virginia 520

Kentucky 461

Ohio 178

Tennessee 110

Illinois 86

Florida 80

Mississippi 76

Indiana 62

Alabama 49

Colorado 47

North Carolina 46

Texas 40

Utah 40

Michigan 36

California 32

New York 30

Arkansas 26

New Mexico 25

Maryland21

Arizona18

Louisiana18

Iowa17

Georgia15

New Jersey15

Oklahoma14

Missouri12

Wyoming11

South Carolina 8

Wisconsin 8

Washington 6

Connecticut 5

Kansas 4

Minnesota 4

Oregon 3

Montana 2

Nevada 2

New Hampshire 2

State CWP Mortality Counts 1999-2004


July 2009

Highest CWP Mortality by County: 1999-2005


July 2009

CWP Mortality by County: 1999-2005

(Continued)


July 2009

CWP Mortality by County: 1999-2005

(Continued)


July 2009

CWP (ICD 9  500) Nationwide Inpatient SampleTotal number of discharges:

  • 2005

  • 2004

  • 2003

  • 2002

  • 2001

  • 10,084

  • 8,819

  • 12,387

  • 14,067

  • 10,865


July 2009

C. Historic Location of Mines

Indicator Data:

MSHA Title 30 Code of Federal Regulations, Part 50

Mining Address/Employment Data Files

Thematic Maps

Coal Mine Sites, by County, 1983-2006 in Relation to BLCP Funding

Mines 1983-2006 - East Coast Detail


July 2009

Locations of Active (or Temporarily Closed)

Coal Mines: 1983 – 2007


July 2009

Location of Active Mines: 1983 – 2007

East Coast Detail


Ii location of current miners

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


July 2009

A. Location of Active Mines

MSHA Title 30 Code of Federal Regulations, Part 50

Mining Address/Employment Data Files

Thematic Maps

Active Coal Mine Sites, by County, in 2007 in Relation to BLCP Funding


July 2009

Location of Active Mines:

Current and Historic Comparisons


July 2009

Location of Active Mines:

Current and Historic Comparisons


July 2009

B. Coal Mining Employment

  • 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


Location of current coal miners by type

LOCATION OF CURRENTCOAL MINERS (BY TYPE)


July 2009

States

With Most

Coal Employees

2007

States without BLCP clinic are in red


July 2009

Counties

With Most

Coal Employees

2007


July 2009

Mine Employees 2007 Contrasted to 1983


U s mining trends 1990 1999

U.S. Mining Trends 1990-1999


July 2009

Estimated Change in

Mining Employment*

*(based on limited sampling)


July 2009

Average # Contractors 2007

38,865 Total - Nationally


July 2009

Number of Active or Temporarily Closed Mines 2007


July 2009

BLCP Grantee Clinics in Relation to

2007 Active Mines (by County)


July 2009

BLCP Grantee Clinics in Relation to

2007 Mine Employees (By County)


Review of summary conclusions

Review of Summary Conclusions


July 2009

Distribution of Retired Miners (DOL Data)Since 2001 through February 2009 36,739miners 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


July 2009

Distribution of Current MinersNationally, 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


Trends in distribution of employment

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.


Trends in coal workers pneumoconiosis cwp

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).


Emerging areas gaps in services

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)


Emerging areas gaps in services1

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 (6th most DOL applicants)

West coast communities, including California


Distribution of funding

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


Service area and patient origin analysis sample slides from two grantees

Service Area andPatient Origin Analysis:Sample Slides from Two Grantees


Alabama mines by type msha 2007

AlabamaMines by Type (MSHA 2007)


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