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As the Coal Industry Fades, Life Expectancies in Coal Country Shift
The coal industry can damage human health in myriad ways via dangerous working conditions and harmful pollution. But the income opportunities offered by the industry can also provide much-needed stability for certain communities, such as those in Appalachia’s coal country.
“Being employed is good for your health, but environmental pollution is bad for your health, and these two things are operating at the same time in some communities,” said Mary Willis, an epidemiologist at Boston University.
The industry, though, is changing. Total coal production in the United States peaked in 2008, and the number of miners has steadily dropped since then.
A new study coauthored by Willis and published in Rural Sociology delves into the effects of this decline on life expectancies across the United States and in Appalachia in particular. The results show that a disappearing coal mining industry has mixed effects on health, highlighting the importance of a “just transition”—a shift away from coal mining and toward clean energy that also prioritizes decent work opportunities for those left without a job.
“How do we balance these two conflicting priorities?” Willis said.
Delving into the Decline
Coal production and consumption are linked to many human health harms, including heart disease, asthma, lung cancer, mental illness, and more. But how those health impacts intersect with the broader economic effects of mining has not been well studied.
In the new study, the research team analyzed the effects of the declining industry through the lens of the social determinants of health, or how social structures influence health outcomes.
To study these effects, the team compared coal mining data from the U.S. Energy Information Administration to life expectancy data from the Institute for Health Metrics and Evaluation at the University of Washington from 2012 to 2019. Life expectancy is a metric that can be responsive to subtle changes in the environment, Willis explained. For example, the decommissioning of a coal-fired power plant a few miles away from a community may not affect residents’ day-to-day life but probably affects the scale of life expectancy across the population.
In coal-producing counties across the United States, the average life expectancy was 1.6 years lower than that in non-coal-producing counties. But the declining coal industry had more nuanced impacts on health in Appalachian communities, the researchers found. As coal production fell and miner labor hours decreased, life expectancy increased. But as the number of jobs available decreased, life expectancy decreased, too.
The findings suggest that the employment and associated economic impacts of a waning coal industry harm health. Previous studies documented similar increases in mortality in other regions where the fossil fuel industry has declined. Such research has indicated that these increased mortality rates may be partially driven by “deaths of despair” from drug and alcohol use and suicide related to economic distress. The association of these factors with mortality rates in coal country, the authors suggest, may be an area for future study.
Understanding that coal mining is associated with some positive economic and health effects is “an important perspective for understanding the sector as a whole,” said Lucas Henneman, an environmental engineer at George Mason University who was not involved in the new study. “It’s a really interesting piece of work.”
“This is just a really complex story that hasn’t been told yet—putting health into the context of these just energy transitions,” Willis said.
The complex reality of the coal industry extends beyond Appalachia. Most of the pollution related to the coal industry consists of toxins released when coal is burned, meaning those who bear the brunt of coal’s health impacts may not be located where coal is mined, Henneman said.
In fact, a 2023 study by Henneman and others found that before 2009, a quarter of all air pollution–related deaths of people on Medicare were attributable to coal burning. From 2013 to 2020, that number dropped to 7%, alongside a drop in coal consumption. A complete picture of how the coal industry affects health should also consider how pollution travels beyond coal country—where it’s burned, how it’s transported in the air, and who ultimately breathes it in, he said.
A Just Transition
“The question is how to provide [jobs] in a way that provides the same level of stability, same kind of income benefits, and isn’t too much of a shock to [communities’] way of life or sense of identity.”
The economic activity of a mine, through direct employment as well as businesses reliant on the mine and miners, “chases away other opportunities,” making the mine the economic backbone of the area, said Jonathan Buonocore, an environmental health scientist at Boston University and a coauthor of the new study. The concept of a just transition aims to ensure that employment opportunities in the wake of the coal industry’s decline reach these communities.
“The question is how to provide [jobs] in a way that provides the same level of stability, same kind of income benefits, and isn’t too much of a shock to [communities’] way of life or sense of identity,” Buonocore said.
—Grace van Deelen (@gvd.bsky.social), Staff Writer
