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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

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)






Cities with the most part c dol black lung program beneficiaries
Cities with the Most Part C DOLBlack Lung Program Beneficiaries




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



Proximity of applicant residences to blcp clinics
Proximity of Applicant Residences to Black Lung ProgramBLCP Clinics


July 2009

Recently Closed Clinic Black Lung Program


July 2009

Appalachia: East Coast Black Lung Program


July 2009

Ohio, Indiana, Kentucky Black Lung Program


July 2009

Mississippi, Alabama Black Lung Program


July 2009

Florida Black Lung Program


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

1999-2005 Lung Disease

CWP Mortality

2,002


State cwp mortality counts 1999 2004

Pennsylvania 2,002 Lung Disease

West Virginia 1,033

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

Maryland 21

Arizona 18

Louisiana 18

Iowa 17

Georgia 15

New Jersey 15

Oklahoma 14

Missouri 12

Wyoming 11

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

CWP Mortality by County: 1999-2005 Lung Disease

(Continued)


July 2009

CWP Mortality by County: 1999-2005 Lung Disease

(Continued)


July 2009

CWP (ICD 9  500) Lung DiseaseNationwide 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 Lung Disease

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) Lung Disease

Coal Mines: 1983 – 2007


July 2009

Location of Active Mines: 1983 – 2007 Lung Disease

East Coast Detail


Ii location of current miners
II. LOCATION OF CURRENT MINERS Lung Disease

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 Lung Disease

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: Lung Disease

Current and Historic Comparisons


July 2009

Location of Active Mines: Lung Disease

Current and Historic Comparisons


July 2009

B. Coal Mining Employment Lung Disease

  • 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 CURRENT Lung DiseaseCOAL MINERS (BY TYPE)


July 2009

States Lung Disease

With Most

Coal Employees

2007

States without BLCP clinic are in red


July 2009

Counties Lung Disease

With Most

Coal Employees

2007




July 2009

Estimated Change in Lung Disease

Mining Employment*

*(based on limited sampling)


July 2009

Average # Contractors 2007 Lung Disease

38,865 Total - Nationally



July 2009

BLCP Grantee Clinics in Relation to Lung Disease

2007 Active Mines (by County)


July 2009

BLCP Grantee Clinics in Relation to Lung Disease

2007 Mine Employees (By County)



July 2009

Distribution of Retired Miners (DOL Data) Lung DiseaseSince 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 Miners Lung DiseaseNationally, 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 Lung Disease

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) Lung Disease

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 Lung Disease

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 Lung Disease

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 Lung Disease

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 and Lung DiseasePatient Origin Analysis:Sample Slides from Two Grantees


Alabama mines by type msha 2007
Alabama Lung DiseaseMines by Type (MSHA 2007)