Questions About Coal Mining’s Most Controversial Practice May Finally Be Answered.
The prestigious National Academy of Sciences recently announced a study on the health effects of the controversial coal mining practice known as mountaintop removal. For coalfield residents who have long questioned what impact the dust, blasting, chemicals and water contamination was having, the announcement comes as welcome news,Ā if somewhat overdue.
A decade of efforts to research the health effects of living near mountaintop removal mining have often run into industry opposition, political roadblocks and bureaucratic delays. After decades of questions and concerns, there is now reason to believe that answers are on the way.
LISTEN: “Mountains of Evidence”
Concerns about how surface mining affects the people of Appalachia are nearly as old as the practice itself. West Virginia first regulated surface mining in 1939, and statements of concern and protest have long been a part of the culture in the central Appalachian coalfields.
Eastern Kentucky author Harry Caudill opened his seminal 1963 book āNight Comes to the Cumberlandsā with an indictment of his regionās chief industry. āCoal has always cursed the land in which it lies…it leaves a legacy of foul streams, hideous slag heaps and polluted air.ā And that was written well before strip mining really took off.
As technological and market changes brought more surface mining to Appalachian coal in the 1970s, the health concerns increased. You can hear many of those concerns in the 1979 Appalshop documentary film Stripmining: Energy, Envrionment, Ethics.
āAll you have to do is look on the mountain to know that itās not best for the people,ā Bruce Hatfield of Mingo County, West Virginia said in the film. But simply looking at a mountain is not the same as studying the effects of the mountainās removal.
āLeveling Our Mountainsā
Starting in the mid-90s, surface mining scaled up into mountaintop removal. Instead of cutting into the slopes, this technique uses blasting and heavy equipment to remove the entire top of a mountain to get at the coal seams below. The waste rock and dirt are dumped into the adjacent valley, and frequently waste lagoons are constructed to contain the black sludge left from processing coal.
Ed Wiley of Boone County, West Virginia saw the boom of mountaintop removal mining firsthand. āTheyāre just leveling our mountains in here,ā he told PRI’sĀ Living on Earth in 2007.
One mine was right beside his granddaughterās elementary school. She started getting sick. And one day as he drove her home from school early, she started to cry. She told him she was getting sick because of the coal mines.
āThat hurt me,ā Wiley said. āIt took her tears to wake me up, and it was like a sledge hammer.ā
Wiley decided to take actionāhe decided to protest by walking all the way to Washington, D.C. This was back in 2006, and at that point, very little research had been done. So Wiley didnāt have much other than anecdotes to back up his arguments. But that same year, health researcher Dr. Michael Hendryx arrived at West Virginia University as a professor of public health.
First Findings
Hendryx described the focus of his research as āhealth disparities for disadvantaged populations.ā When he arrived in West Virginia, he soon started to hear worries about the health impacts of mountaintop removal and the dust it puts into the air. Hendryx tried to read up on the science behind the matter but there was not much to read.
āI looked at the literature and found nothing that was done in the United States on public health problems related to mining,ā he said. So he decided to study it himself.
Many of his colleagues were skeptical. He was told that health problems would be due to other issues common in coalfield communities. But Hendryx used statistical analyses to control for issues like poverty and smoking, and found that there was still something more that was causing poor health outcomes.
āI can literally remember the very first study, hitting the run button on my computer, and seeing that, yes, there was something there,ā he said. āI was surprised.ā
Hendryx kept on studying the issue, and over the course of a few years, he and colleagues published peer-reviewed work that linked mining to a variety of health issues for those living nearby, including increased rates of cancer, lung diseaseĀ and birth defects.
A 2009 study found that the economic costs for the region from premature deaths due to exposures to mountaintop removal meant that the coal industryās costs to public health were greater than its economic contributions. Not long after, other scientists began to pick up on the issue. In a 2010 edition of the journal Science,Ā several prominent researchers called for a moratorium on mountaintop removal.
But the response from government wasnāt what Hendryx expected.
āI was naive and thought that maybe the evidence would speak for itself,ā Hendryx said with a wry laugh. āBut Iāve learned thatās not how things work in the coalfields of West Virginia.ā
Coal Responds
Bill Raney is the President of the West Virginia Coal Association. When asked about Hendryx, he described him as āanti-mining.ā Raney said he doesnāt trust Hendryxās research, and also thinks it ignores a bigger health concern: the loss of mining jobs, which has fed into a wide-range of health issues across the regionās coalfields. āWhen they donāt have a job, then health suffers,ā Raney said.
The mining industry sponsored its own studies to scrutinize Hendryxās research. Much of the criticism argued that influences of smoking, obesity and poverty were really behind the regionās health problems. One critic went so far as to argue that Hendryxās findings werenāt reliable because they didnāt account for āconsanguinity. ā Thatās the scientific term for inbreeding, and an apparent reference to a baseless stereotype about Appalachians.

One coal company filed a request for every single document, email and scrap of paper connected to years of Hendryxās research. Hendryx said he thinks it was āa fishing expedition to make me waste time.ā
In 2015, Hendryx was called to testify before a Congressional committee, where he didnāt exactly get a warm reception from Louisiana Congressman John Fleming. Fleming described Hendryxās research as less scientific than a 5th grade science project. āYou should be embarrassed to be here with a study like this,ā Fleming said.
A SOAR Point
Hendryx isnāt the only person whoās found that politics can become challenging when you start advocating for research on the health risks of mountaintop removal.
In 2013, state, local and federal officials in eastern Kentucky formed an organization called Shaping Our Appalachian Region, or SOAR. The idea was to explore how the region can adapt to a changing economy and fewer coal jobs.
SOAR started off by setting up working groups to identify community needs. Dr. Nikki Stone was appointed to lead the group focused on health issues. Stone grew up in the coalfield town of Blackey, Kentucky and now works in the nearby town of Hazard, where she leads a mobile dentistry program that brings care to kids in their schools.
Stone and the rest of the SOAR working group did a regional tour, holding 16Ā listening sessions around eastern Kentucky. At every single meeting, she said, at least one person brought up environmental health and worries based on Hendryxās research.
āIt was something that people were afraid to talk about,ā Stone said. āBut it came up over and over, and it ended up at the top of our list.ā
In its final report, the working group advised that SOAR should ask a federal agency for help studying the issue. Dee Davis, director of the Center for Rural Strategies, was also a member of the health working group. Davis said the director of the federal Centers for Disease Control (CDC) was present at the public meeting when the working group presented its report. She said that if they made a request, the CDC would investigate.
No Response
Time passed with no response. As Davis recalled, a CDC spokesperson told the health working group that she was not aware of any request but would look into it. Davis said that as far as he knows, that was the last time anybody from the CDC acknowledged the request. The CDC recently confirmed that the agency is not engaged in any such research.
Itās not clear where exactly things got stalled, but SOARās Executive Director Jared Arnett said thereās a reason why the group tends to steer clear of environmental issues.
āItās about uniting,ā Arnett said. āAnd a lot of things that may not be a part of SOAR that people want to be a part of SOAR are very divisive.ā

Dee Davis offered a different perspectiveāemphasizing two ways that good health is critical for achieving SOARās mission of reinvigorating the regionās economy.
āIf we want our talent to be part of what turns our region around, then itās not really going to help us to sweep big questions about cancer and birth defects under the rug,ā he said.
Davis argued that if the region wants to develop a thriving economy, it needs to build confidence in the idea that eastern Kentucky is safe.
āItās about building an economy in a place,ā Davis said. āAnd part of that is making sure that our communities are places people want to live.ā
Overdue Answers
Thereās still no sign that the CDC is going to look into this issue. But research is moving forward elsewhere. In addition to the work by the National Academy of Sciences, another study from the National Institute of Environmental Health Sciences (NIEHS) was announced last year and has already produced a draft. NIEHS Director Linda Birnbaum recently visited eastern Kentucky and said she expects that study will be released within the year.
Birnbaum said she doesnāt want to prejudge her agencyās work, but her reading is that mountaintop removal mining āis not good for peopleās health.ā Given whatās known about the air pollution and ecological impact that mining causes, Birnbaum asked, āWhy would we be surprised?ā
As for Michael Hendryx, he said the new work underway is āa positive step that they are at least recognizing that thereās an issue.ā But given his experience with coalfield politics, heās not ready to call it a success.
āIām going to wait and see what happens.”
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This story comes from our partners at Ohio Valley Resource, aĀ regional journalism collaborative reporting on economic and social change in Kentucky, Ohio and West Virginia.

