In April, as part of the Trump administration’s Department of Government Efficiency initiative, around 90 percent of NIOSH staff received layoff notices. Many were placed on administrative leave — including the mobile clinic crew, workers who review miners’ test results, and researchers trying to prevent these lung diseases in the first place.
[Anita ] Wolfe was in the courthouse to try to get those jobs back. Now, her mobile clinic workers are back, along with all the other workers in the institute’s Respiratory Health Division. However, researchers elsewhere in NIOSH who also work on prevention are still slated to be laid off.
To Wolfe, that’s a problem. About a fifth of the coal miners in Central Appalachia have black lung, Wolfe said. And from 1970 to 2016, more than 75,000 died. Nationally, a 2023 NIOSH study found that coal miners are twice as likely to die of lung diseases than nonminers. Wolfe called black lung and silicosis “entirely preventable.”

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