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Trump touts immigration crackdown despite concerns about due process; NY faces potential impacts from federal vote on emissions standards; ND Tribes can elevate tourism game with new grants; WA youth support money for Medicaid, not war.

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Major shifts in environmental protections, immigration enforcement, civil rights as Trump administration reshapes government priorities. Rural residents and advocates for LGBTQ youth say they're worried about losing services.

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Migration to rural America increased for the fourth year, technological gaps handicap rural hospitals and erode patient care, and doctors are needed to keep the Eastern Band of Cherokee Indians healthy and align with spiritual principles.

Proposed NIOSH cuts could affect health of coal miners

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Tuesday, April 15, 2025   

The Trump administration has slashed jobs and closed research centers at the National Institute for Occupational Safety and Health, a division of the Centers for Disease Control and Prevention.

Experts said the effects will be felt in West Virginia, where coal miners depend on the agency for its Coal Workers Health Surveillance Program.

Scott Laney was a research epidemiologist at the program's Morgantown office until it was shut down. He said miners will not have access to health care or mobile X-ray screening.

"Miners are offered chest X-rays throughout their working career," Laney explained. "We administer that program with the goal of identifying the earliest stages of black lung and providing a resource to miners where they can move to a less dusty part of the mine."

After decades of being on the decline, black lung disease among miners in recent years has been on the rise, largely driven by increased exposure to fine silica dust. The federal government passed a law last year to cut in half the allowed exposure limit for crystalline silica during an eight-hour shift.

Laney stressed more miners and their families will suffer without a robust Coal Workers' Health Surveillance Program.

"The bottom line is this was certainly going to lead to more premature mortality," Laney contended. "Coal miners are going to be dying younger and younger because we were unable to identify their disease and stop it from progressing."

Laney added he is equally concerned about the safety of workers in other fields, noting the institute is responsible for investigating firefighter deaths. He also pointed out N95 masks used during the pandemic were certified by the institute's workers to ensure a standard of safety and efficacy.


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